CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ochsner Rush Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $137
Cash Discount Price: $104
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ochsner Rush Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.87x the Medicare baseline. Located in 1314 19Th Ave, Meridian, MS.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)

Cash / Self-Pay: $104 (66%)

Insurance Median: $137 (87%)

Cash: $104 (66% of Medicare)

Ins. Median: $137 (87% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$84 - $136	54%
Prime Health Services Ppo -Workers Comp	$86 - $288	55%
Cor Vel	$87 - $294	55%
Cigna	$92 - $271	59%
Humana	$92 - $136	59%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$92 - $136	59%
Medicare (plans)	$92 - $156	59%
UnitedHealthcare	$92 - $182	59%
Shared Health Mississippi	$97 - $142	62%
Select Administrative Services Network	$98 - $234	62%
Claritev D/B/A Multiplan/Phcs/American Life Care	$105 - $251	67%
Blue Cross Blue Shield	$112 - $187	71%
Zelis	$119 - $213	76%
Ambetter / Centene	$129 - $190	82%
Prime Health Services Ppo	$156 - $267	99%
Aetna	$217 - $240	138%
Primewell Health Services Commercial Exchange Plan	$258 - $261	164%
Primewell Health Services – Commercial	$258 - $261	164%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $104.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Rush Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.