CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: West Carroll Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $93
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at West Carroll Memorial Hospital is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.74x the Medicare baseline. Located in 706 Ross Street, Oak Grove, LA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$93

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Insurance Median: $93 (74%)
Ins. Median: $93 (74% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $32 - $188 25%
Blue Cross Blue Shield $52 41%
Hmo Of Louisiana $52 41%
Blue Advantage $58 46%
Medicare (plans) $68 54%
Novitas Solutions $79 63%
Aetna $91 - $188 72%
Louisiana Healthcare Connections $91 72%
Healthy Blue $94 74%
Amerihealth Caritas Louisiana $112 89%
Humana $112 89%
Medicaid / KanCare $112 89%
Cigna $150 119%
Insurance Systems Inc $160 127%
Loomis Co $160 127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 706 Ross Street, Oak Grove, LA 71263
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals