CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lafollette Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $163
  • Cash Discount Price: $298
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Lafollette Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $298. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.04x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$298

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $298 (190%)
Insurance Median: $163 (104%)
Cash: $298 (190% of Medicare)
Ins. Median: $163 (104% 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.

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 $45 - $128 29%
UnitedHealthcare $45 - $1,203 29%
Tricare $92 59%
Blue Cross Blue Shield $95 - $339 61%
Amerigroup $96 61%
Bluecare $96 - $109 61%
Node Champva $97 62%
Tennessee Breast And Cervical Program $97 62%
Veterans Eval Services $97 62%
Triwest $98 62%
Humana $99 - $265 63%
Medicare (plans) $99 63%
Node Bluecare Plus Tn Mcr Adv $99 63%
Node Hospice Non Par Agree $100 64%
Node Va $100 64%
Node Wellcare Mcr Adv $100 64%
Node Devoted Health Mcr Adv $101 64%
Node Farm Bureau Mcr Adv $101 64%
Aetna $102 - $748 65%
Node Blueadvantage Mcr Adv $102 65%
Node Healthspring Mcr Adv $102 65%
Node Amerigroup Mcr Adv $104 66%
Windsor Health Plan $104 66%
Node Nhc Mcr Adv $109 69%
Wellcare $128 82%
Novanet Work Comp Tn $144 92%
Tn Work Comp $145 92%
Ambetter / Centene $185 118%
Node Point Comfort Underwriters $221 141%
Node Us Dept Of Labor $244 155%
Self Pay $250 - $345 159%
Cigna $464 296%
Multiplan Complementary $663 - $914 422%
Beech Street Work Comp Tn $14,888 9484%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 923 East Central Avenue, La Follette, TN 37766
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals