Diagnostic mammogram Cost by Hospital

Diagnostic mammogram is a preventive screening. Prices are from 2127 US hospitals across 52 states, from their machine-readable files.

$329median cash price · 2127 hospitals, 52 statestypically $122–$801 depending on the hospital
≈ 2.3× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$571
Cash / self-pay
$329
Insurer-negotiated
$187
Medicare pays
$140
$122$801
Median cash $329  ·  Medicare $140  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

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 $571 list price could save about $243 (42%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Henderson County Community Hospital Lexington, TN $49 $280 — 151 min —
Ochsner St Mary Morgan City, LA $51 $103 ★ 2/5 89 min —
Ochsner LSU Health Shreveport-St Mary Medical Cent Shreveport, LA $51 $103 ★ 2/5 — —
Harrison Community Hospital Cadiz, OH $52 — — 82 min —
Cogdell Memorial Hospital Snyder, TX $52 $47 — 90 min —
Coffey County Hospital Burlington, KS $57 — ★ 4/5 87 min —
Sisters of Charity Hospital Buffalo, NY $58 $132 ★ 3/5 203 min —
Mount St. Mary's Hospital & Health Center Lewiston, NY $58 $129 ★ 2/5 156 min —
Eisenhower Medical Center Rancho Mirage, CA $60 $121 ★ 4/5 259 min —
Tidalhealth Peninsula Regional, Inc Salisbury, MD $60 $61 ★ 4/5 177 min —
Ellis Hospital Schenectady, NY $62 $221 ★ 3/5 232 min —
Pampa Regional Medical Center Pampa, TX $62 $113 — 110 min —
Uofl Health-Shelbyville Hospital Shelbyville, KY $63 $183 ★ 3/5 117 min —
Uofl Health-Jewish Hospital and Mary & Elizabeth Hospital Louisville, KY $63 $183 ★ 2/5 138 min —
University of Louisville Hospital Louisville, KY $63 $183 ★ 1/5 198 min —
Denver Health & Hospital Authority Denver, CO $64 $141 ★ 3/5 208 min —
Sabine Medical Center Many, LA $64 $110 — 129 min —
New Orleans East Hospital New Orleans, LA $66 $103 — 140 min —
University of Ks Hlth System Great Bend Campus Great Bend, KS $68 $135 ★ 4/5 107 min —
St Clair Hospital Pittsburgh, PA $72 $118 ★ 4/5 200 min —
Unity Health-Jacksonville Jacksonville, AR $73 — — 130 min —
Unity Health-Newport Newport, AR $73 — — 103 min —
Ochsner American Legion Hospital Jennings, LA $73 $108 ★ 2/5 104 min —
St Croix Regional Medical Center Saint Croix Falls, WI $74 $70 ★ 3/5 144 min —
Hills & Dales General Hospital Cass City, MI $76 $268 ★ 4/5 91 min —

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 October 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.

InsurerHospitalsNegotiated median
AmeriHealth 229
$100
$47 – $388
Medicaid 315
$102
$35 – $404
Medicare 524
$102
$47 – $241
Amerigroup 155
$105
$50 – $560
Devoted Health 216
$105
$75 – $176
Centene / Ambetter 731
$110
$45 – $244
Molina Healthcare 537
$110
$38 – $244
Geisinger 67
$118
$57 – $382
Tricare / VA 372
$120
$74 – $574
Univera 16
$122
$56 – $159
Highmark 120
$125
$51 – $247
Humana 939
$131
$63 – $502
Priority Health 55
$131
$56 – $357
Bright Health 43
$138
$92 – $244
EmblemHealth 70
$146
$56 – $371
SelectHealth 45
$152
$39 – $378
Independent Health 45
$156
$80 – $235
UnitedHealthcare 1396
$159
$57 – $524
Oscar Health 163
$178
$85 – $314
UPMC Health Plan 90
$185
$79 – $442
UCare 65
$200
$76 – $543
Anthem 525
$204
$63 – $583
Blue Cross Blue Shield 1148
$208
$79 – $742
MVP Health Care 82
$213
$71 – $566
AvMed 58
$226
$100 – $551
Aetna 1306
$228
$75 – $680
HealthPartners 237
$249
$76 – $524
Medica 207
$251
$96 – $522
Kaiser Permanente 195
$254
$69 – $989
Cigna 1084
$264
$100 – $698
Workers' Comp / No-Fault 121
$264
$152 – $566
Healthcare Highways 43
$266
$133 – $406
Harvard Pilgrim 49
$267
$84 – $623
Coventry 145
$276
$83 – $621
Security Health Plan 55
$297
$82 – $466
Sanford Health Plan 68
$305
$114 – $535
Health Net 248
$336
$100 – $919
MultiPlan / PHCS network 798
$446
$181 – $857

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

StateMedian cash
Puerto Rico$110
Mississippi$135
Tennessee$144
Louisiana$149
New Jersey$171
Arkansas$173

Prices by city

Chicago, ILHouston, TXPhiladelphia, PAAustin, TXDallas, TXBaltimore, MDNew York, NYBrooklyn, NYCincinnati, OHBronx, NYCharlotte, NCCleveland, OHFort Worth, TXKansas City, MOLos Angeles, CANashville, TNMiami, FLMilwaukee, WISan Antonio, TXSan Diego, CAAnaheim, CAArlington, TXAurora, COBaton Rouge, LA

Prices by state

CaliforniaTexasOhioFloridaWisconsinNew YorkIllinoisPennsylvaniaMichiganMinnesotaNorth CarolinaTennesseeGeorgiaIowaLouisianaMissouriColoradoNebraskaKentuckyIndianaVirginiaNew JerseyKansasArkansasOklahomaWashingtonWest VirginiaMaineMississippiAlabamaSouth CarolinaMarylandNorth DakotaArizonaMassachusettsMontanaIdahoOregonSouth DakotaConnecticutNew HampshireUtahNevadaPuerto RicoNew MexicoWyomingVermontDelawareRhode IslandAlaskaHawaiiWashington DC

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.

ClinicianSpecialtyLocationMedicare services
John Kehoe, M.D.Surgical OncologyBrooklyn, NY1,404
Steven Nokes, M.D.Diagnostic RadiologyGermantown, TN926
Patricia Turner, M.D.Diagnostic RadiologyGermantown, TN857
Shenin Sachedina, D.O.General SurgeryWinter Park, FL798
Sergio DromiDiagnostic RadiologyNaples, FL777
Kimberly Kubek, M.D.Diagnostic RadiologyNewtown Square, PA745
Charles Lackey, D.O.Diagnostic RadiologyNewburgh, IN721
Sergio DromiDiagnostic RadiologyNaples, FL700
Arpita Swami, MDDiagnostic RadiologySpokane, WA689
Jennifer Amerson, MDGeneral SurgeryAtlanta, GA649
Hope Peters, MDDiagnostic RadiologyBoston, MA646
Brenda Simpson, MDGeneral SurgeryAtlanta, GA617

Browse doctors by specialty & city →

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 2127 US hospitals across 52 states, the typical (median) cash price is $329, versus a chargemaster (list) price around $571, a median insurer-negotiated rate of $187, a Medicare rate of about $140. Most cash prices fall between $122 and $801 — 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?
The median cash (self-pay) price across 2127 US hospitals is $329. Most hospitals fall between $122 and $801. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Diagnostic mammogram?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $140). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Diagnostic mammogram?
Medicare pays about $140. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Diagnostic mammogram prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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