Mammogram Cost in North Dakota (2026): Average Prices & What You'll Pay
What does a mammogram cost in North Dakota?
Where you have a mammogram done in North Dakota swings the bill from $86 to $129 for identical care. The median cash price across 34 reporting hospitals is $98. The numbers are pulled directly from federally mandated hospital price transparency files.
Insurers negotiate this down to a median of $51, while self-pay patients are quoted $98 — about 1.9× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. North Dakota prices for a mammogram span 53.5× across 34 reporting hospitals, from $31 (Essentia Health Fargo) up to $1,660 (Kenmare Community Hospital in Kenmare) for identical care. Half of North Dakota facilities price it at or below $98, with most clustered between $85 and $129. Where you go inside North Dakota counts as much as which plan you have: Fargo's median ($76) runs 1.4× Bismarck's ($56).
A screening mammogram is $0 — until a callback or a symptom re-codes it as diagnostic and the bills start.
The free toolkit shows you:
- ✓ 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 email it to you immediately. No account required, no spam.
Forecast your out-of-pocket cost
- Lower-cost hospitals (bottom 25%): under $85
- Median hospital: $98
- Higher-cost hospitals (top 30%): $129+
That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.
- Patient A (higher-rate plan or out-of-network): ~$129
- Patient B (lower-rate in-network plan): ~$86
Where mammogram costs vary in North Dakota
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.
See every North Dakota hospital's price
The 5 cheapest are shown. Enter your email to reveal the rest of the map and unlock all 29 remaining facilities — instantly.
We'll email you the full North Dakota price list as a PDF. Sourced from CMS files. No spam.
Estimate YOUR exact out-of-pocket cost →
Cheapest Mammogram Providers in North Dakota
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Altru Hospital Devils Lake | Devils Lake, ND | $62 | -$36 |
| 2 | Ashley Medical Center | Po Box 450, ND | $66 | -$32 |
| 3 | Mountrail County Medical Center | Stanley, ND | $79 | -$19 |
| 4 | CHI St. Alexius Health Williston | Williston, ND | $82 | -$16 |
| 5 | Trinity Hospitals | Minot, ND | $85 | -$13 |
| 6 | Jamestown Regional Medical Center | Jamestown, ND | $85 | -$13 |
| 7 | Essentia Health Fargo | ND | $86 | -$12 |
| 8 | CHI Mercy Health | Valley City, ND | $90 | -$8 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.
→ Compare all procedure costs → Mammogram costs nationwide
Check YOUR hospital's pricing → Estimate YOUR exact cost →
What you'll actually pay — example scenarios
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met (pay in full) | ~$98 |
| Deductible met — 20% coinsurance | ~$20 |
| Out-of-network provider | $216+ |
Based on the state median facility price of $98. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →
What this means for you
If you haven't met your deductible, you are effectively a cash-pay patient.
That means:
- You should verify your hospital is in-network before an elective visit when possible
- The cheapest facility can save you $46+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in North Dakota start around $85 or below. Most hospitals cluster between $85 and $134. A smaller group reports prices above that — often academic medical centers or high-cost markets.
If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Altru Hospital in Grand Forks (cash price from $52); CHI St. Alexius Health Bismarck in Bismarck (cash price from $53); Sanford Fargo Medical Center in Fargo (cash price from $59). These are declared cash prices — contact each facility for a formal quote before scheduling.
How where you go changes what you pay for mammogram
The same mammogram bundles different services depending on the setting — facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $52–$546
- Professional fee $78–$636
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $62–$160
- Professional fee $78–$636
Estimated from CMS fee schedules + commercial rate multipliers
- Best value hospitals (lowest prices): Altru Hospital: $52; CHI St. Alexius Health Bismarck: $53; Sanford Fargo Medical Center: $59
- Most expensive (outpatient): SMP Health - St. Andrews: ~$546; SMP Health - St. Aloisius dba SMP Health - St. Aloisius: ~$524
→ Choosing the right facility can save $46+ vs. the state median.
North Dakota Mammogram prices by facility
All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
- Cash price — the self-pay rate you can actually negotiate and pay
- Negotiated rate — if reported by the hospital across insurance contracts
- Gross charge — fallback only; this is the inflated list price few people pay
This reflects the real prices patients encounter — not inflated chargemaster rates.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | Altru Hospital | Grand Forks, ND | $52 | -$46 | $32–$325 |
| #2 | CHI St. Alexius Health Bismarck | Bismarck, ND | $53 | -$45 | $91–$526 |
| #3 | Sanford Fargo Medical Center | Fargo, ND | $59 | -$39 | $74–$593 |
| #4 | Sanford Medical Center Bismarck | Bismarck, ND | $60 | -$38 | $75–$707 |
| #5 | Altru Hospital Devils Lake | Devils Lake, ND | $62 | -$36 | $88–$652 |
| #6 | Ashley Medical Center | Po Box 450, ND | $66 | -$32 | $66–$655 |
| #7 | Mountrail County Medical Center | Stanley, ND | $79 | -$19 | $88–$421 |
| #8 | CHI St. Alexius Health Williston | Williston, ND | $82 | -$16 | $142–$811 |
| #9 | Trinity Hospitals | Minot, ND | $85 | -$13 | $85–$110 |
| #10 | Jamestown Regional Medical Center | Jamestown, ND | $85 | -$13 | $53–$668 |
| #11 | Essentia Health Fargo | ND | $86 | -$12 | $31–$520 |
| #12 | CHI Mercy Health | Valley City, ND | $90 | -$8 | $151–$943 |
| #13 | Sanford Hillsboro Medical Center | Hillsboro, ND | $91 | -$7 | $114–$618 |
| #14 | Sanford Mayville Medical Center | Mayville, ND | $91 | -$7 | $114–$618 |
| #15 | CHI Oakes Hospital | Oakes, ND | $91 | -$7 | $175–$738 |
| #16 | PAM Cubed Rehabilitation Hospital of Fargo LLC | Fargo, ND | $93 | -$5 | $38–$1,628 |
| #17 | CHI Lisbon Health | Lisbon, ND | $94 | -$4 | $169–$1,182 |
| #18 | SOUTHWEST HEALTHCARE SERVICES | Bowman, ND | $101 | +$3 | $113–$647 |
| #19 | Jacobson Memorial Hospital Care Center | Elgin, ND | $102 | +$4 | $136–$638 |
| #20 | Kenmare Community Hospital | Kenmare, ND | $103 | +$5 | $129–$1,660 |
| #21 | Pembina County Memorial Hospital | Cavalier, ND | $113 | +$15 | $48–$113 |
| #22 | First Care Health Center | Park River, ND | $113 | +$15 | $113–$743 |
| #23 | Sakakawea Medical Center | Hazen, ND | $127 | +$29 | $127–$585 |
| #24 | Langdon Prairie Health | Langdon, ND | $129 | +$31 | $129–$689 |
| #25 | Wishek Hospital Clinic Association | Po Box 647, ND | $130 | +$32 | $145–$625 |
| #26 | Heart of America Medical Center | Rugby, ND | $136 | +$38 | $182–$870 |
| #27 | Unity Medical Center | Graften, ND | $157 | +$59 | $157–$699 |
| #28 | Northwood Deaconess Health Center | Northwood, ND | $160 | +$62 | $200–$684 |
| #29 | CHI St. Alexius Health Carrington | Carrington, ND | $191 | +$93 | $331–$903 |
| #30 | CHI St. Alexius Health Dickinson | Dickinson, ND | $211 | +$113 | $336–$1,120 |
| #31 | CHI St. Alexius Health Garrison | Garrison, ND | $274 | +$176 | $404–$601 |
| #32 | CHI St. Alexius Health Turtle Lake | Turtle Lake, ND | $312 | +$214 | $440–$601 |
| #33 | SMP Health - St. Aloisius dba SMP Health - St. Aloisius | Harvey, ND | $524 | +$426 | $582–$708 |
| #34 | SMP Health - St. Andrews | Bottineau, ND | $546 | +$448 | $607–$772 |
Unlock all 29 remaining North Dakota hospitals
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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
Received a bill? Check it for errors → Estimate YOUR cost before you go →
Compare other procedures in North Dakota:
Where you can save the most on mammogram in North Dakota
These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.
| Facility | City | Your Price | vs Median |
|---|---|---|---|
| Altru Hospital | Grand Forks, ND | $52 | -$46 |
| CHI St. Alexius Health Bismarck | Bismarck, ND | $53 | -$45 |
| Sanford Fargo Medical Center | Fargo, ND | $59 | -$39 |
| Sanford Medical Center Bismarck | Bismarck, ND | $60 | -$38 |
| Altru Hospital Devils Lake | Devils Lake, ND | $62 | -$36 |
How to choose a lower-cost facility
- Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
- Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
- Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Most expensive mammogram providers in North Dakota
These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.
| Facility | City | Price | vs Median |
|---|---|---|---|
| SMP Health - St. Andrews | Bottineau, ND | $546 | +$448 |
| SMP Health - St. Aloisius dba SMP Health - St. Aloisius | Harvey, ND | $524 | +$426 |
| CHI St. Alexius Health Turtle Lake | Turtle Lake, ND | $312 | +$214 |
| CHI St. Alexius Health Garrison | Garrison, ND | $274 | +$176 |
| CHI St. Alexius Health Dickinson | Dickinson, ND | $211 | +$113 |
Why prices vary this much
A small number of hospitals (5) report very high prices above $208, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.
Setting drives much of the gap in North Dakota: the median outpatient price is $98 versus $128 inpatient — about 1.3× more, so where a procedure is performed often matters more than which hospital you choose. Of the North Dakota facilities reporting prices, 10 fall in a low-cost tier (up to $85) while 9 sit in a high-cost tier ($134 and up) — a lower-priced option almost always exists within the same state.
The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.
Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it
How insurance changes what you actually pay
Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.
Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)
Compare mammogram costs in nearby states
Frequently asked questions: mammogram costs in North Dakota
How much does a mammogram cost in North Dakota?
Across 34 North Dakota hospitals that publish prices, a mammogram ranges from $31 to $1,660, with a median of $98. Most facilities fall between $85 and $129. 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 North Dakota?
Based on declared prices, the lowest-cost facility in our North Dakota data is Altru Hospital in Grand Forks at about $52. By metro, Bismarck has the lowest median ($56). 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 North Dakota hospitals?
Prices vary up to 53.5× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Dakota, the median cash (self-pay) price is $98 versus a median negotiated rate of $51 — about 1.9× 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 North Dakota?
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.
Explore all mammogram cost data
→ See mammogram costs across all states
Other North Dakota Hospitals and ambulatory surgery centers for Mammogram
These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in North Dakota. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ABDULLAH SURGICAL CENTER LLC
7012937408 |
FARGO, ND | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALTRU HEALTH SYSTEM
7017802311 |
GRAND FORKS, ND | General Acute Care Hospital | $130–$1,182 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ASHLEY MEDICAL CENTER
7012883433 |
ASHLEY, ND | Critical Access Hospital | $130–$1,182 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AURORA MEDICAL CENTER, LLC
7017322626 |
GRAND FORKS, ND | General Acute Care Hospital | $130–$1,182 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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AURORA SURGERY CENTER, LLC
7017322222 |
GRAND FORKS, ND | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BECKER PLASTIC SURGERY CENTER
7015303333 |
BISMARCK, ND | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BISMARCK SINUS CENTER
7019341393 |
BISMARCK, ND | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BISMARCK SURGICAL ASSOCIATES LLC
7012212299 |
BISMARCK, ND | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BRIGHTSIDE SURGICAL, LLC
7018771550 |
BISMARCK, ND | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CARRINGTON HEALTH CENTER
7016523141 |
CARRINGTON, ND | Critical Access Hospital | $130–$1,182 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CARRINGTON HEALTH CENTER
7016523141 |
CARRINGTON, ND | Critical Access Hospital | $130–$1,182 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CAVALIER COUNTY MEMORIAL HOSPITAL ASSOCIATION
7012566100 |
LANGDON, ND | Critical Access Hospital | $130–$1,182 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 107 more North Dakota hospitals and ambulatory surgery centers
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Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.
Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.
Where You Get a Mammogram Matters
Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.
Hospital Outpatient Department
Hospital Outpatient Department typically carries a higher price for a mammogram. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.
Independent Imaging Center
Independent Imaging Center typically carries the lowest typical price for a mammogram. Freestanding radiology centers. Technical component billed by center; professional (radiologist read) billed separately. You can shop here — call ahead and ask for a self-pay or cash quote.
Emergency Room Mammogram
A Mammogram performed in the emergency department can run 2–5× the cost of the identical scan at an outpatient or independent facility, because a hospital facility fee stacks on top. Use the ER only when the situation is medically urgent — it is not a setting where you can shop on price.
Mammogram Cost by Type
Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.
Screening Mammogram (2D)
Billed as preventive care — often covered at $0 under the ACA when you are average-risk and in-network. Preventive; $0 cost-share on ACA-compliant plans (CPT 77067).
Screening Mammogram (3D / tomosynthesis)
Billed as preventive care — often covered at $0 under the ACA when you are average-risk and in-network. CPT 77063 add-on / 77067; some plans cover at $0, others apply the 3D add-on.
Diagnostic Mammogram
Ordered to investigate symptoms or a prior finding — standard cost-sharing (deductible, coinsurance) applies. Ordered to evaluate a symptom or follow up a screening finding (CPT 77065/77066). Cost-sharing applies.
Covered at $0 — But Only If It Stays a Screening
Under the ACA (§2713), preventive services — including mammogram for average-risk adults — must be covered at $0 with no cost-sharing when performed by an in-network provider.
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.
This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands
Mammogram is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than Hospital OP, Imaging Center for identical clinical outcomes.
How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.
Who performs this: Mammogram is typically performed by a Radiology. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.
CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)
A screening mammogram is $0 — until a callback or a symptom re-codes it as diagnostic and the bills start.
The free toolkit shows you:
- ✓ 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 email it to you immediately. No account required, no spam.
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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