CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $111
Cash Discount Price: $245
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Ochsner Stennis Memorial Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.88x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.

Cash / Self-Pay

$245

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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%)

Cash / Self-Pay: $245 (194%)

Insurance Median: $111 (88%)

Cash: $245 (194% of Medicare)

Ins. Median: $111 (88% 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.

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
Select Administrative Services Network	$63 - $248	50%
Prime Health Services Ppo -Workers Comp	$65 - $232	51%
Cor Vel	$66 - $237	52%
Claritev D/B/A Multiplan/Phcs/American Life Care	$68 - $266	54%
Medicaid / KanCare	$70 - $110	55%
Cigna	$76 - $218	60%
Humana	$76 - $144	60%
Medicare (plans)	$76 - $126	60%
UnitedHealthcare	$76 - $155	60%
Zelis	$76 - $266	60%
Ambetter / Centene	$77 - $153	61%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$77 - $110	61%
Shared Health Mississippi	$80 - $115	63%
Blue Cross Blue Shield	$92 - $176	73%
Prime Health Services Ppo	$126 - $284	100%
Aetna	$193 - $231	153%
Primewell Health Services Commercial Exchange Plan	$211 - $238	167%
Primewell Health Services – Commercial	$211 - $238	167%

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 $245.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Stennis Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
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.