Mammogram Cost in Lexington, KY (2026): Average Prices & What You'll Pay
What does a mammogram cost in Lexington, KY?
You could pay $129 or $178 for the same mammogram in Lexington, KY - depending entirely on which facility you choose. The median cash price across 7 reporting hospitals is $148. This data comes directly from hospital price transparency files published under federal law.
Where mammogram costs vary in Lexington, KY
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
A screening mammogram is $0 - until a callback or a symptom re-codes it as diagnostic and the bills start.
Your personalized cost report includes:
- ✓ When a "free" screening becomes a cost-shared diagnostic mammogram - and how to see it coming
- ✓ The separate radiologist bill most patients miss (and how to verify it's in-network)
- ✓ Why a hospital outpatient department can cost far more than a breast center for the identical study
- ✓ When 3D tomosynthesis adds a separate charge - and the questions to ask before you schedule
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
We'll send a sign-in link to your email - click it to get your guide. No account required, no spam.
Cheapest Mammogram Providers in Lexington, KY
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Georgetown Community Hospital | KY | $92 | -$56 |
| 2 | CHI Saint Joseph Health - Saint Joseph East | Lexington, KY | $138 | -$10 |
| 3 | CHI Saint Joseph Health - Saint Joseph Hospital | Lexington, KY | $148 | +$0 |
| 4 | CHI Saint Joseph Health - Saint Joseph Jessamine | Nicholasville, KY | $174 | +$26 |
| 5 | Bluegrass Community Hospital | KY | $195 | +$47 |
| 6 | Clark Regional Medical Center | KY | $207 | +$59 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Georgetown Community Hospital is the lowest-cost option at $92 - $56 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $148, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
Norton Healthcare and Baptist Health dominate Louisville, while UK HealthCare (University of Kentucky) and CHI Saint Joseph anchor the Lexington market. Kentucky has historically had high uninsured rates and elevated uncompensated care loads, which influences charity care policies and cash price discounting practices at many facilities. Mammogram pricing splits along two axes: screening vs. diagnostic classification and facility type. Screening mammograms are covered at 100% under the ACA's preventive care mandate for most commercial plans, but a finding during screening that triggers additional views or a diagnostic repeat converts a $0 visit to a cost-sharing event. Hospital-based breast imaging centers add facility fees that freestanding imaging centers don't charge - typically 2–3× higher for the identical study.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Whether the scan happens in a hospital outpatient department (which adds a separate facility fee) or a freestanding imaging center is usually the single biggest driver of price for this procedure.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$148 |
| Deductible met - 20% coinsurance | ~$30 |
| Out-of-network provider | $326+ |
Frequently asked questions: mammogram costs in Lexington, KY
How much does a mammogram cost in Lexington, KY?
Across 7 Lexington, KY hospitals that publish prices, a mammogram ranges from $83 to $207, with a median of $148. Most facilities fall between $115 and $178. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a mammogram in Lexington, KY?
Based on declared prices, the lowest-cost facility in our Lexington, KY data is Bourbon Community Hospital at about $83. By metro, Lexington has the lowest median ($143). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a mammogram so much cheaper at some Lexington, KY hospitals?
Prices vary up to 2.5× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Lexington, KY, the median cash (self-pay) price is $148 versus a median negotiated rate of $32 - about 4.6× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a mammogram in Lexington, KY?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read an EOB line by line
Other procedures in Lexington, KY
Mammogram, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same mammogram - same outcome, very different bill. The ER charges the most of any setting and should only be used when the situation is medically urgent. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
Cost by type
Which type your doctor orders for this mammogram changes the billing code, and what you pay. For example: Billed as preventive care - often covered at $0 under the ACA when you are average-risk and in-network.
Screening vs. diagnostic
Under the ACA, preventive services - including mammogram for average-risk adults - must be covered at $0 with no cost-sharing when performed in-network. The risk: A screening mammogram is covered at $0 under the ACA. If a finding requires additional views or ultrasound, it converts to a diagnostic mammogram and cost-sharing applies - the single most common mammogram billing surprise.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for mammogram before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
Other Procedure Costs in Lexington, KY
- Appendectomy Cost in Lexington, KY
- Cataract Surgery Cost in Lexington, KY
- Childbirth Cost in Lexington, KY
- Cholecystectomy Cost in Lexington, KY
- Colonoscopy Cost in Lexington, KY
- CT Scan (Abdomen) Cost in Lexington, KY
- CT Scan (Chest) Cost in Lexington, KY
- CT Scan (Head) Cost in Lexington, KY
- CT Scan Cost in Lexington, KY
- Echocardiogram Cost in Lexington, KY
- Emergency Room Visit Cost in Lexington, KY
- Endoscopy Cost in Lexington, KY
- Hip Replacement Cost in Lexington, KY
- Hysterectomy Cost in Lexington, KY
- Knee Replacement Cost in Lexington, KY
- Brain MRI Cost in Lexington, KY
- Knee MRI Cost in Lexington, KY
- MRI Cost in Lexington, KY
- Spinal Fusion Cost in Lexington, KY
- Ultrasound Cost in Lexington, KY
- X-Ray Cost in Lexington, KY
Related Articles
Interested in understanding healthcare costs and managing your medical expenses?
- Free Cost EstimatorCalculate your exact out-of-pocket cost for any procedure
- Free Bill ScreenerCheck whether your bill and paperwork are ready for a professional review
- Family Bill TrackerTrack costs across every family member and every bill in one place
- Mammogram Cost GuideCompare Mammogram prices across all 50 states
- Deductible vs Out-of-Pocket MaximumLearn how insurance cost-sharing works and what you actually pay
- Cost ExplorerBrowse procedures and compare prices across the country
About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
Connect on LinkedIn →Ready to take control of your healthcare costs?
Use the free cost estimator → · Get your bill screened for free → · See the family plan →