CPT77067

How Much Does a Screening Mammogram Cost in Louisiana?

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$117.65Louisiana physician fee2026 Medicare office rate

Under 2026 Medicare rates, a screening mammogram costs about $118 in Louisiana at an imaging center or office, from $115 in Rest of Louisiana to $121 in New Orleans. In a hospital, the doctor is paid about $34 for the reading and the hospital bills separately for the test.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 70030.
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Louisiana Medicare physician rate (2026)

-6.8% vs national

Average of 2 localities. Office range $114.70–$120.59.

Louisiana (Hospital)
$34.35
Physician reading only
Private plan est.
$153–$235
~130–200% of Medicare
Cash / self-pay est.
$94–$176
~80–150% of Medicare

Your ZIP in Louisiana

Check your ZIP code to see whether New Orleans locality pricing or rest-of-state pricing applies, from the metro area to Baton Rouge, Lafayette, Shreveport, and the rural parishes.

What screening mammogram costs at hospitals near you

Everything above is a national average. The hospital you pick in Louisiana moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

For example 70030.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Louisiana the office and hospital physician lines for this CPT differ by $83.30.

National vs Louisiana

National office$126.26
National hospital (physician)$35.07
Louisiana vs national7% below the national office rate of $126.26

Where Louisiana ranks for this CPT

Rank (lowest physician fee first)#13 of 51
Lowest stateArkansas ($111.36)
Highest stateDistrict of Columbia ($145.56)

CPT 77067 by Louisiana locality

LocalityOffice
new orleans$120.59
rest of louisiana$114.70

PE GPCI ranges from 0.885 to 0.941 in Louisiana. That index is why the same CPT is not one price statewide.

Screening Mammogram and how Louisiana is priced

Louisiana is one of the states CMS splits: the New Orleans area has its own payment locality, and the rest of the state, including Baton Rouge, Shreveport, and Lafayette, shares a second. New Orleans carries somewhat higher geographic adjustments, so identical procedures are approved at higher amounts there than elsewhere in the state. The two-locality structure has been stable for years and mirrors the metro's higher wage and rent levels. Everywhere outside greater New Orleans prices off the same rest-of-state factors.

New Orleans remains the state's medical center of gravity, with academic medicine and the deepest specialist bench, while Baton Rouge, Shreveport, Lafayette, and Lake Charles anchor their own regions. Rural parishes, especially in the north and along the coast, have limited hospital capacity and refer heavily into the cities. Louisiana's high rates of chronic disease keep demand for procedures strong across the state.

This procedure: A screening bilateral mammogram is the routine X-ray check of both breasts in women with no symptoms, looking for cancers too small to feel. A technologist takes two standard views of each breast with brief compression; the visit takes about 20 minutes, and a radiologist reads the images afterward, with results sent within days. It is the test guidelines recommend at regular intervals starting in a woman's 40s.

What Is Screening Mammogram?

A screening bilateral mammogram is the routine X-ray check of both breasts in women with no symptoms, looking for cancers too small to feel. A technologist takes two standard views of each breast with brief compression; the visit takes about 20 minutes, and a radiologist reads the images afterward, with results sent within days. It is the test guidelines recommend at regular intervals starting in a woman's 40s.

What Affects the Cost

  • –The screening itself is free under ACA preventive rules at in-network facilities, so out-of-pocket cost usually arises only from what follows.
  • –3D tomosynthesis screening is an add-on code; most plans and Medicare now cover it as part of screening, but a few still pass its cost to patients.
  • –Callbacks for additional views are billed as diagnostic mammography with normal cost sharing, and roughly one in ten screenings generates a callback.
  • –Out-of-network facilities are not bound by the zero-cost-share screening rule.
  • –Dense-breast supplemental imaging, like ultrasound or MRI, is billed separately and often with cost sharing.

Questions to Ask Before Booking

  • 1.Is this facility in network so my screening is fully free?
  • 2.Is 3D tomosynthesis included at no charge under my plan?
  • 3.If I get called back for more views, what will that diagnostic visit cost me?
  • 4.Am I inside my plan's allowed screening interval so the claim will not be denied for timing?
  • 5.If I have dense breasts, what supplemental imaging might be recommended and does my plan cover it?

Screening Mammogram in Louisiana: questions

Under 2026 Medicare rates, a screening mammogram costs about $118 in Louisiana at an imaging center or office, from $115 in Rest of Louisiana to $121 in New Orleans. In a hospital, the doctor is paid about $34 for the reading and the hospital bills separately for the test. Enter a ZIP for the exact Louisiana locality.

Yes. CMS splits Louisiana into 2 payment localities. For this CPT the office physician fee spans $5.89 from the lowest to highest locality. Check your ZIP code to see whether New Orleans locality pricing or rest-of-state pricing applies, from the metro area to Baton Rouge, Lafayette, Shreveport, and the rural parishes.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $24 for the office physician line or $7 for the hospital physician line in Louisiana. Medigap may cover that 20%. This is not the hospital facility fee.

At an imaging center or office, $117.65 is Medicare's full rate in Louisiana, covering the test and the reading. In a hospital, the physician bills only the reading (about $34.35) and the hospital bills separately for the test. Louisiana ranks #13 of 51 states on this rate (7% below the national office rate of $126.26).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.