CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Lafollette Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $85
  • Cash Discount Price: $258
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Lafollette Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.67x the Medicare baseline. Located in 923 East Central Avenue, La Follette, TN.
Cash / Self-Pay
$258

Average discount available for prompt cash payment at this facility.

Insurance Median
$85

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: $258 (204%)
Insurance Median: $85 (67%)
Cash: $258 (204% of Medicare)
Ins. Median: $85 (67% 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
Medicaid / KanCare $37 - $103 29%
UnitedHealthcare $37 - $932 29%
Amerigroup $40 - $79 32%
Blue Cross Blue Shield $41 - $280 32%
Humana $41 - $205 32%
Medicare (plans) $41 - $81 32%
Node Bluecare Plus Tn Mcr Adv $41 - $81 32%
Node Devoted Health Mcr Adv $41 - $83 32%
Node Farm Bureau Mcr Adv $41 - $83 32%
Node Hospice Non Par Agree $41 - $83 32%
Node Va $41 - $83 32%
Node Wellcare Mcr Adv $41 - $83 32%
Triwest $41 - $81 32%
Aetna $42 - $580 33%
Node Blueadvantage Mcr Adv $42 - $84 33%
Node Healthspring Mcr Adv $42 - $84 33%
Node Amerigroup Mcr Adv $43 - $85 34%
Windsor Health Plan $43 - $85 34%
Node Nhc Mcr Adv $45 - $89 36%
Novanet Work Comp Tn $60 - $119 48%
Tn Work Comp $60 - $120 48%
Tricare $76 60%
Ambetter / Centene $77 - $153 61%
Bluecare $79 - $90 63%
Node Champva $80 63%
Tennessee Breast And Cervical Program $80 63%
Veterans Eval Services $80 63%
Node Point Comfort Underwriters $91 - $182 72%
Node Us Dept Of Labor $98 - $196 78%
Wellcare $103 82%
Cigna $192 - $383 152%
Self Pay $224 - $268 177%
Multiplan Complementary $594 - $708 470%
Beech Street Work Comp Tn $6,145 - $12,290 4867%

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