Mammography
Screening mammography, bilateral
CPT 77067
$110 - $462
from 4 insurers · median $393
Typical for a hospital with this service line
Forest, MS
31
In-network payers
289
Disclosed rate categories
35
Beds
Lackey Memorial Hospital is a 35-bed voluntary non-profit - private hospital in Forest, MS. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 289 disclosed rate categories.
CCN (Medicare provider number)
251300
NPI
1306909734
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
35
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Lackey Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Mammography
CPT 77067
$110 - $462
from 4 insurers · median $393
Typical for a hospital with this service line
CT imaging
CPT 74177
$222 - $602
from 4 insurers · median $388
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,183 - $21,390
from 2 insurers · median $12,287
Typical for a hospital with this service line
CT imaging
CPT 70450
$85 - $275
from 4 insurers · median $163
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$172 - $959
from 4 insurers · median $370
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$326 - $1,305
from 3 insurers · median $762
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,183 - $4,062
from 2 insurers · median $3,623
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$253 - $1,305
from 3 insurers · median $568
Typical for a hospital with this service line
CT imaging
CPT 74176
$162 - $333
from 4 insurers · median $287
Typical for a hospital with this service line
CT imaging
CPT 71275
$139 - $500
from 4 insurers · median $339
Typical for a hospital with this service line
Gynecology
CPT 58558
$1,883 - $6,524
from 2 insurers · median $4,203
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$64 - $124
from 4 insurers · median $84
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,183 - $12,065
from 2 insurers · median $7,624
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$362 - $1,305
from 4 insurers · median $575
Typical for a hospital with this service line
Ultrasound
CPT 76705
$67 - $329
from 4 insurers · median $273
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,521 - $1,883
from 3 insurers · median $1,815
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$3,183 - $4,058
from 2 insurers · median $3,621
Typical for a hospital with this service line
Gynecology
CPT 58661
$3,183 - $5,354
from 2 insurers · median $4,268
Typical for a hospital with this service line
MRI imaging
CPT 70553
$281 - $787
from 4 insurers · median $385
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$55 - $259
from 4 insurers · median $223
Typical for a hospital with this service line
Ultrasound
CPT 76830
$128 - $329
from 4 insurers · median $271
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$71 - $350
from 4 insurers · median $274
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,519 - $1,899
from 3 insurers · median $1,703
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$1,883 - $3,293
from 2 insurers · median $2,588
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 170% | 6 | 3 |
| Insurer B* | 16 | 156% | 6 | 7 |
| Insurer C* | 14 | 91% | 1 | 13 |
| Insurer D* | 24 | 78% | 9 | 14 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Lackey Memorial Hospital.
330 Broad Street, Forest, MS 39074
(601) 469-4151
About Lackey Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Lackey Memorial Hospital range from $281 to $787 across 4 insurers. Aetna's rate is $394. The median at nearby comparable hospitals is $764. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Lackey Memorial Hospital range from $222 to $602 across 4 insurers. Aetna's rate is $500. The median at nearby comparable hospitals is $623. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Lackey Memorial Hospital range from $326 to $1,305 across 3 insurers. UnitedHealthcare's rate is $1,305. The median at nearby comparable hospitals is $1,093. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Lackey Memorial Hospital range from $110 to $462 across 4 insurers. UnitedHealthcare's rate is $421. The median at nearby comparable hospitals is $174. What a patient pays depends on their plan's deductible, coinsurance and network status.
Lackey Memorial Hospital has 35 beds. Facility type: Critical Access Hospital.
Lackey Memorial Hospital is located at 330 Broad Street, Forest, MS 39074. Its main phone number is (601) 469-4151.
Lackey Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 251300.
The National Provider Identifier (NPI) on file for Lackey Memorial Hospital is 1306909734.
Lackey Memorial Hospital lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
289 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers