Diagnostic mammogram is a preventive screening. Prices are from 2107 US hospitals across 52 states, from their machine-readable files.
Price comparison (median)
Typical cash price here is $329 — about 2.3× the Medicare rate ($140). On the higher side. A fair cash price is usually within ~2× Medicare ($281).
💡 Asking for the cash price instead of the $572 list price could save about $243 (42%).
Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.
Lowest cash prices
| Hospital | Location | Cash | Insurer | CMS rating | ER wait | Readmit |
|---|---|---|---|---|---|---|
| Ochsner St Mary | Morgan City, LA | $51 | $103 | ★ 2/5 | 81 min | 15.4% |
| Ochsner LSU Health Shreveport-St Mary Medical Cent | Shreveport, LA | $51 | $103 | ★ 2/5 | — | — |
| Harrison Community Hospital | Cadiz, OH | $52 | — | — | 84 min | 15.2% |
| Cogdell Memorial Hospital | Snyder, TX | $52 | $47 | — | 92 min | 15.3% |
| Doctors' Center Bayamon | Bayamon, PR | $54 | $72 | — | — | 16.6% |
| Doctors' Center Hospital, Inc | Manati, PR | $54 | $72 | ★ 1/5 | — | 16.3% |
| Doctors Center Hospital Carolina Llc | Carolina, PR | $54 | $80 | — | 315 min | 15.8% |
| Coffey County Hospital | Burlington, KS | $57 | — | ★ 4/5 | 89 min | 14.7% |
| Sisters of Charity Hospital | Buffalo, NY | $58 | $132 | ★ 3/5 | 197 min | 15.3% |
| Mount St. Mary's Hospital & Health Center | Lewiston, NY | $58 | $129 | ★ 2/5 | 163 min | 15.3% |
| Eisenhower Medical Center | Rancho Mirage, CA | $60 | $121 | ★ 4/5 | 259 min | 14.8% |
| Tidalhealth Peninsula Regional, Inc | Salisbury, MD | $60 | $61 | ★ 4/5 | 176 min | 13.8% |
| Ellis Hospital | Schenectady, NY | $62 | $221 | ★ 3/5 | 232 min | 14.9% |
| Pampa Regional Medical Center | Pampa, TX | $62 | $113 | — | 104 min | — |
| Uofl Health-Shelbyville Hospital | Shelbyville, KY | $63 | $183 | ★ 3/5 | 121 min | 15.2% |
| Uofl Health-Jewish Hospital and Mary & Elizabeth Hospital | Louisville, KY | $63 | $183 | ★ 2/5 | 145 min | 15.6% |
| University of Louisville Hospital | Louisville, KY | $63 | $183 | ★ 1/5 | 198 min | 16.4% |
| Denver Health & Hospital Authority | Denver, CO | $64 | $141 | ★ 3/5 | 211 min | 14.5% |
| Sabine Medical Center | Many, LA | $64 | $110 | — | 128 min | 15.4% |
| New Orleans East Hospital | New Orleans, LA | $66 | $103 | — | 137 min | 14.9% |
| University of Ks Hlth System Great Bend Campus | Great Bend, KS | $68 | $135 | ★ 4/5 | 107 min | 14.5% |
| Doctor's Center De San Juan | Santurce, PR | $70 | $80 | — | — | 15.5% |
| St Clair Hospital | Pittsburgh, PA | $72 | $118 | ★ 4/5 | 195 min | 15.5% |
| Unity Health-Jacksonville | Jacksonville, AR | $73 | — | — | 130 min | 15.2% |
| Unity Health-Newport | Newport, AR | $73 | — | — | 104 min | 15.4% |
CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated August 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.
What insurers pay for Diagnostic mammogram
Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $329; Medicare pays $140.
| Insurer | Hospitals | Negotiated median |
|---|---|---|
| AmeriHealth | 225 |
$48 – $388 |
| Medicaid | 313 |
$35 – $407 |
| Medicare | 515 |
$46 – $240 |
| Amerigroup | 154 |
$50 – $560 |
| Devoted Health | 212 |
$75 – $176 |
| Centene / Ambetter | 709 |
$45 – $238 |
| Molina Healthcare | 531 |
$38 – $244 |
| Geisinger | 64 |
$60 – $382 |
| Tricare / VA | 369 |
$74 – $590 |
| Univera | 16 |
$56 – $159 |
| Highmark | 114 |
$56 – $247 |
| Priority Health | 56 |
$56 – $356 |
| Humana | 927 |
$63 – $498 |
| EmblemHealth | 55 |
$56 – $396 |
| Bright Health | 43 |
$92 – $244 |
| SelectHealth | 45 |
$39 – $378 |
| Independent Health | 45 |
$80 – $235 |
| UnitedHealthcare | 1367 |
$58 – $525 |
| Oscar Health | 148 |
$83 – $320 |
| Anthem | 508 |
$62 – $583 |
| UCare | 64 |
$81 – $543 |
| UPMC Health Plan | 87 |
$81 – $442 |
| Blue Cross Blue Shield | 1142 |
$79 – $742 |
| MVP Health Care | 81 |
$71 – $566 |
| AvMed | 58 |
$100 – $551 |
| Aetna | 1275 |
$75 – $665 |
| HealthPartners | 235 |
$76 – $524 |
| Medica | 206 |
$97 – $523 |
| Kaiser Permanente | 193 |
$69 – $989 |
| Cigna | 1055 |
$100 – $698 |
| Workers' Comp / No-Fault | 120 |
$140 – $567 |
| Healthcare Highways | 43 |
$133 – $406 |
| Harvard Pilgrim | 49 |
$84 – $625 |
| Coventry | 143 |
$83 – $624 |
| Security Health Plan | 55 |
$82 – $466 |
| Sanford Health Plan | 67 |
$115 – $535 |
| Health Net | 246 |
$100 – $919 |
| MultiPlan / PHCS network | 785 |
$181 – $851 |
Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.
Where it’s cheapest
| State | Median cash |
|---|---|
| Puerto Rico | $70 |
| Mississippi | $135 |
| Tennessee | $144 |
| Louisiana | $149 |
| New Jersey | $171 |
| Arkansas | $173 |
Prices by city
Prices by state
Doctors who perform this
Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.
| Clinician | Specialty | Location | Medicare services |
|---|---|---|---|
| John Kehoe, M.D. | Surgical Oncology | Brooklyn, NY | 1,404 |
| Steven Nokes, M.D. | Diagnostic Radiology | Germantown, TN | 926 |
| Patricia Turner, M.D. | Diagnostic Radiology | Germantown, TN | 857 |
| Shenin Sachedina, D.O. | General Surgery | Winter Park, FL | 798 |
| Sergio Dromi | Diagnostic Radiology | Naples, FL | 777 |
| Kimberly Kubek, M.D. | Diagnostic Radiology | Newtown Square, PA | 745 |
| Charles Lackey, D.O. | Diagnostic Radiology | Newburgh, IN | 721 |
| Sergio Dromi | Diagnostic Radiology | Naples, FL | 700 |
| Arpita Swami, MD | Diagnostic Radiology | Spokane, WA | 689 |
| Jennifer Amerson, MD | General Surgery | Atlanta, GA | 649 |
| Hope Peters, MD | Diagnostic Radiology | Boston, MA | 646 |
| Brenda Simpson, MD | General Surgery | Atlanta, GA | 617 |
Does Medicare cover Diagnostic mammogram?
Yes — Medicare generally covers Diagnostic mammogram. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $140. As a preventive screening, many people pay $0 when it’s done as recommended and the provider accepts Medicare assignment.
General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.
About these prices
Based on prices published by 2107 US hospitals across 52 states, the typical (median) cash price is $329, versus a chargemaster (list) price around $572, a median insurer-negotiated rate of $190, a Medicare rate of about $140. Most cash prices fall between $120 and $799 — a wide spread, which is exactly why comparing hospitals pays off.
How to save
- Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
- Compare several nearby hospitals; prices for the same service can differ severalfold.
- Request a written estimate and the billing code (CPT/DRG) before scheduling.
- Use the Medicare benchmark above to judge whether a quote is reasonable.
- If you are uninsured, ask about financial assistance or prompt-pay discounts.
Frequently asked questions
How much does Diagnostic mammogram cost without insurance?
Does Medicare cover Diagnostic mammogram?
What does Medicare pay for Diagnostic mammogram?
Why do Diagnostic mammogram prices vary between hospitals?
Is the cash price lower than using insurance?
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