Mammogram Cost in New York, NY (2026): Average Prices & What You'll Pay
What does a mammogram cost in New York, NY?
Where you have a mammogram done in New York, NY swings the bill from $80 to $105 for identical care. The median cash price across 113 reporting hospitals is $90. The numbers are pulled directly from federally mandated hospital price transparency files.
The same mammogram that costs $51 at NYC Health and Hospitals in New York reaches $794 at Hudson Regional Hospital — a 15.6× gap across the 113 New York, NY hospitals reporting prices. The median New York, NY price is $90. Most facilities fall between $68 and $105. There's a gap between the sticker and the real price here: a median cash quote of $90 sits above the $24 insurers negotiate — about 3.8× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. Location within the state matters too: Bronx has the lowest metro median ($70) while Tulsa runs highest ($852) — a 12.2× difference inside New York, NY alone.
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 $68
- Median hospital: $90
- Higher-cost hospitals (top 30%): $105+
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): ~$105
- Patient B (lower-rate in-network plan): ~$80
Where mammogram costs vary in New York, NY
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.
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Cheapest Mammogram Providers in New York, NY
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Wheaton Franciscan Healthcare - Southeast Wisconsin Inc | NY | $57 | -$33 |
| 2 | Montefiore New Rochelle Hospital | New Rochelle, NY | $57 | -$33 |
| 3 | Montefiore Mount Vernon Hospital | Mount Vernon, NY | $57 | -$33 |
| 4 | Newark Beth Israel Medical Center | Newark, NY | $57 | -$33 |
| 5 | Jersey City Medical Center | Jersey City, NY | $57 | -$33 |
| 6 | Community Medical Center | Toms River, NY | $57 | -$33 |
| 7 | Nassau Health Care Corporation | East Meadow, NY | $58 | -$32 |
| 8 | Bergen New Bridge | Paramus, NY | $58 | -$32 |
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) | ~$90 |
| Deductible met — 20% coinsurance | ~$18 |
| Out-of-network provider | $198+ |
Based on the state median facility price of $90. 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 $39+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in New York, NY start around $68 or below. Most hospitals cluster between $68 and $137. 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: Parkview Regional Medical Center in Fort Wayne (cash price from $51); NYC Health and Hospitals in New York (cash price from $51); Trinitas Regional Medical Center in Elizabeth (cash price from $52). These are declared cash prices — contact each facility for a formal quote before scheduling.
- Best value hospitals (lowest prices): Parkview Regional Medical Center: $51; NYC Health and Hospitals: $51; NYC Health and Hospitals: $52
- Most expensive (outpatient): NewYork-Presbyterian Hudson Valley Hospital: ~$794; University Hospital: ~$541
→ Choosing the right facility can save $39+ vs. the state median.
New York, NY 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 | Parkview Regional Medical Center | Fort Wayne, NY | $51 | -$39 | $32–$257 |
| #2 | NYC Health and Hospitals | New York, NY | $51 | -$39 | $30–$429 |
| #3 | NYC Health and Hospitals | NY | $52 | -$38 | $30–$426 |
| #4 | Trinitas Regional Medical Center | Elizabeth, NY | $52 | -$38 | $32–$783 |
| #5 | NYC Health and Hospitals | Bronx, NY | $53 | -$37 | $30–$424 |
| #6 | NYC Health and Hospitals | Brooklyn, NY | $53 | -$37 | $30–$453 |
| #7 | Putnam Hospital Center | Carmel, NY | $55 | -$35 | $55–$718 |
| #8 | Saint Peters University Hospital | NY | $56 | -$34 | $280–$1,510 |
| #9 | Robert Wood Johnson University Hospital Somerset | Somerville, NY | $56 | -$34 | $32–$783 |
| #10 | Wheaton Franciscan Healthcare - Southeast Wisconsin Inc | NY | $57 | -$33 | $31–$701 |
| #11 | Montefiore New Rochelle Hospital | New Rochelle, NY | $57 | -$33 | $57–$725 |
| #12 | Montefiore Mount Vernon Hospital | Mount Vernon, NY | $57 | -$33 | $57–$725 |
| #13 | Newark Beth Israel Medical Center | Newark, NY | $57 | -$33 | $32–$783 |
| #14 | Jersey City Medical Center | Jersey City, NY | $57 | -$33 | $32–$783 |
| #15 | Community Medical Center | Toms River, NY | $57 | -$33 | $32–$783 |
| #16 | Nassau Health Care Corporation | East Meadow, NY | $58 | -$32 | $34–$916 |
| #17 | Bergen New Bridge | Paramus, NY | $58 | -$32 | $46–$2,860 |
| #18 | Texas Health Huguley Hospital Fort Worth South | Burleson, NY | $58 | -$32 | $46–$277 |
| #19 | Robert Wood Johnson University Hospital New Brunswick | New Brunswick, NY | $59 | -$31 | $32–$783 |
| #20 | Monmouth Medical Center | Long Branch, NY | $60 | -$30 | $32–$783 |
| #21 | Nyack Hospital | Nyack, NY | $61 | -$29 | $40–$1,885 |
| #22 | ADVENTIST HEALTH - PORTLAND | NY | $62 | -$28 | $194–$704 |
| #23 | Monmouth Medical Center Southern Campus | Lakewood, NY | $63 | -$27 | $32–$783 |
| #24 | NYC Health and Hospitals | Brooklyn, NY | $64 | -$26 | $51–$453 |
| #25 | NYC Health and Hospitals | New York, NY | $64 | -$26 | $64–$429 |
| #26 | NYC Health and Hospitals | Bronx, NY | $64 | -$26 | $64–$336 |
| #27 | NYC Health and Hospitals | Jamaica, NY | $64 | -$26 | $51–$450 |
| #28 | NYC Health and Hospitals | NY | $64 | -$26 | $51–$442 |
| #29 | St. Joseph Hospital | Bethpage, NY | $64 | -$26 | $64–$719 |
| #30 | St. Barnabas Hospital | Bronx, NY | $70 | -$20 | $70–$160 |
| #31 | BRONXCARE HEALTH SYSTEM | NY | $71 | -$19 | $71–$106 |
| #32 | St Josephs Hospital - Savannah | Savannah, NY | $76 | -$14 | $76–$98 |
| #33 | Saint Francis Hospital South | Tulsa, NY | $76 | -$14 | $76–$358 |
| #34 | Jamaica Hospital | Flushing, NY | $79 | -$11 | $79–$500 |
| #35 | Robert Wood Johnson University Hospital Rahway | Rahway, NY | $80 | -$10 | $32–$783 |
| #36 | Wellington Regional Medical Center | Wellington, NY | $81 | -$9 | $81–$1,435 |
| #37 | EDGERTON HOSPITAL AND HEALTH SERVICES | Edgerton, NY | $82 | -$8 | $39–$550 |
| #38 | Cooperman Barnabas Medical Center | Livingston, NY | $83 | -$7 | $32–$151 |
| #39 | Providence Health and Services - Oregon | Milwaukie, NY | $84 | -$6 | $84–$157 |
| #40 | Clara Maass Medical Center | Belleville, NY | $84 | -$6 | $32–$151 |
| #41 | Interfaith Medical Center | NY | $88 | -$2 | $88–$708 |
| #42 | Kingsbrook Jewish Medical Center | NY | $88 | -$2 | $88–$708 |
| #43 | Brookdale Hospital Medical Center | NY | $88 | -$2 | $88–$708 |
| #44 | Santa Rosa Hospital - Westover Hills | San Antonio, NY | $88 | -$2 | $106–$642 |
| #45 | Good Samaritan Hospital | Suffern, NY | $88 | -$2 | $151–$915 |
| #46 | CareWell Health Medical Center | East Orange, NY | $89 | -$1 | $105–$586 |
| #47 | Plainview Hospital | Plainview, NY | $90 | +$0 | $82–$969 |
| #48 | South Shore University Hospital | Bay Shore, NY | $90 | +$0 | $82–$969 |
| #49 | Huntington Hospital | Huntington, NY | $90 | +$0 | $82–$969 |
| #50 | Peconic Bay Medical Center | Riverhead, NY | $90 | +$0 | $82–$969 |
| #51 | Syosset Hospital | Syosset, NY | $90 | +$0 | $82–$969 |
| #52 | Phelps Hospital | Sleepy Hollow, NY | $90 | +$0 | $81–$969 |
| #53 | Mather Hospital | Port Jefferson, NY | $90 | +$0 | $94–$969 |
| #54 | North Shore University Hospital | Manhasset, NY | $90 | +$0 | $82–$969 |
| #55 | Staten Island University Hospital | Staten Island, NY | $90 | +$0 | $82–$969 |
| #56 | Northern Westchester Hospital | Mount Kisco, NY | $90 | +$0 | $82–$969 |
| #57 | Long Island Jewish Valley Stream | Valley Stream, NY | $90 | +$0 | $82–$969 |
| #58 | Long Island Jewish Hospital | New Hyde Park, NY | $90 | +$0 | $82–$969 |
| #59 | Glen Cove Hospital | Glen Cove, NY | $90 | +$0 | $82–$969 |
| #60 | Long Island Jewish Forest Hills | Forest Hills, NY | $90 | +$0 | $82–$969 |
| #61 | Lenox Hill Hospital | New York, NY | $90 | +$0 | $82–$969 |
| #62 | Cohen Children's Medical Center | New Hyde Park, NY | $90 | +$0 | $82–$969 |
| #63 | NYC Health and Hospitals | Bronx, NY | $90 | +$0 | $90–$388 |
| #64 | Tahoe Forest Health System | NY | $90 | +$0 | $90–$743 |
| #65 | NYU Langone | Brooklyn, NY | $92 | +$2 | $92–$1,719 |
| #66 | NYU Langone | Mineola, NY | $92 | +$2 | $92–$1,719 |
| #67 | NYU Langone | New York, NY | $92 | +$2 | $92–$1,719 |
| #68 | Good Samaritan Hospital | West Islip, NY | $94 | +$4 | $94–$823 |
| #69 | St. Francis Hospital & Heart Center | Roslyn, NY | $94 | +$4 | $94–$823 |
| #70 | Mercy Hospital | Rockville Centre, NY | $94 | +$4 | $94–$846 |
| #71 | St. Charles Hospital | Port Jefferson, NY | $94 | +$4 | $94–$846 |
| #72 | St. Catherine of Siena Hospital | Smithtown, NY | $94 | +$4 | $94–$793 |
| #73 | Wyckoff Heights Medical Center | Brooklyn, NY | $96 | +$6 | $96–$567 |
| #74 | Westchester Medical Center | Valhalla, NY | $97 | +$7 | $361–$1,715 |
| #75 | Saint Marys Hospital | NY | $99 | +$9 | $155–$1,469 |
| #76 | Saint Michaels Medical Center | NY | $99 | +$9 | $493–$906 |
| #77 | Saint Clares Hospital | Denville, NY | $99 | +$9 | $150–$1,172 |
| #78 | St. John's Episcopal Hospital | Far Rockaway, NY | $100 | +$10 | $100–$511 |
| #79 | St Johns Riverside Hospital - Andrus Pavilion | Yonkers, NY | $102 | +$12 | $120–$1,309 |
| #80 | Maimonides Medical Center | Brooklyn, NY | $105 | +$15 | $105–$715 |
| #81 | Lovelace Westside Hospital | Albuquerque, NY | $106 | +$16 | $355–$729 |
| #82 | St Joseph's Hospital, Yonkers | Yonkers, NY | $107 | +$17 | $814–$1,235 |
| #83 | Hunterdon Medical Center | Flemington, NY | $117 | +$27 | $109–$644 |
| #84 | Stony Brook Southampton Hospital | Southampton, NY | $127 | +$37 | $127–$1,944 |
| #85 | Hackensack Meridian Mountainside Medical Center | Montclair, NY | $135 | +$45 | $190–$800 |
| #86 | Hackensack Meridian at Pascack Valley | Westwood, NY | $135 | +$45 | $190–$1,191 |
| #87 | Jamaica Hospital Medical Center | Jamaica, NY | $144 | +$54 | $35–$285 |
| #88 | Stony Brook Eastern Long Island Hospital | Greenport, NY | $150 | +$60 | $150–$1,875 |
| #89 | White Plains Hospital | White Plains, NY | $193 | +$103 | $193–$2,004 |
| #90 | Memorial Hospital for Cancer and Allied Diseases | NY | $197 | +$107 | $197–$1,405 |
| #91 | The Brooklyn Hospital Center | Brooklyn, NY | $197 | +$107 | $197–$1,088 |
| #92 | UPMC Bedford | Everett, NY | $205 | +$115 | $342–$2,480 |
| #93 | NewYork-Presbyterian Columbia University Irving Medical Center|NewYork-Presbyterian Weill Cornell Medical Center|NewYork-Presbyterian Brooklyn Methodist Hospital | NY | $208 | +$118 | $64–$120 |
| #94 | Mercy Rehabilitation Hospital South | NY | $210 | +$120 | $210–$1,116 |
| #95 | Bailey Medical Center | Owasso, NY | $214 | +$124 | $714–$889 |
| #96 | ARH Our Lady of the Way Hospital | NY | $218 | +$128 | $364 |
| #97 | University Hospital of Brooklyn | NY | $230 | +$140 | $230–$1,069 |
| #98 | Loma Linda University Childrens Hospital | Loma Linda, NY | $238 | +$148 | $529–$1,055 |
| #99 | MUSC Health Florence Medical Center | Florence, NY | $275 | +$185 | $551–$1,597 |
| #100 | Stony Brook University Hospital | Stony Brook, NY | $275 | +$185 | $275–$1,948 |
| #101 | Hudson Regional Hospital | NY | $304 | +$214 | $304–$2,985 |
| #102 | Tamarack Health Hayward Medical Center | Hayward, NY | $316 | +$226 | $333 |
| #103 | NewYork-Presbyterian Queens | NY | $321 | +$231 | $64–$123 |
| #104 | Mount Sinai South Nassau | Oceanside, NY | $342 | +$252 | $381–$1,705 |
| #105 | Maimonides Midwood Community Hospital | Brooklyn, NY | $362 | +$272 | $362–$721 |
| #106 | Sutter Auburn Faith Hospital | Auburn, NY | $401 | +$311 | $401–$2,826 |
| #107 | The Valley Hospital | NY | $405 | +$315 | $676–$860 |
| #108 | Calvary Hospital | Bronx, NY | $439 | +$349 | $439–$448 |
| #109 | University Hospital | Newark, NY | $541 | +$451 | $541 |
| #110 | Kessler Institute for Rehabilitation, Inc. (West Orange) | West Orange, NY | $717 | +$627 | $717–$909 |
| #111 | Kessler Institute for Rehabilitation, Inc. (North) | Saddle Brook, NY | $717 | +$627 | $717–$909 |
| #112 | Kessler Institute for Rehabilitation, Inc. (Welkind) | Chester, NY | $717 | +$627 | $717–$909 |
| #113 | NewYork-Presbyterian Hudson Valley Hospital | NY | $794 | +$704 | $97–$161 |
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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 New York, NY:
Where you can save the most on mammogram in New York, NY
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 |
|---|---|---|---|
| Parkview Regional Medical Center | Fort Wayne, NY | $51 | -$39 |
| NYC Health and Hospitals | New York, NY | $51 | -$39 |
| NYC Health and Hospitals | NY | $52 | -$38 |
| Trinitas Regional Medical Center | Elizabeth, NY | $52 | -$38 |
| NYC Health and Hospitals | Bronx, NY | $53 | -$37 |
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 New York, NY
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 |
|---|---|---|---|
| NewYork-Presbyterian Hudson Valley Hospital | NY | $794 | +$704 |
| Kessler Institute for Rehabilitation, Inc. (West Orange) | West Orange, NY | $717 | +$627 |
| Kessler Institute for Rehabilitation, Inc. (North) | Saddle Brook, NY | $717 | +$627 |
| Kessler Institute for Rehabilitation, Inc. (Welkind) | Chester, NY | $717 | +$627 |
| University Hospital | Newark, NY | $541 | +$451 |
Why prices vary this much
A small number of hospitals (16) report very high prices above $240, 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 New York, NY: the median outpatient price is $90 versus $106 inpatient — about 1.2× more, so where a procedure is performed often matters more than which hospital you choose. Of the New York, NY facilities reporting prices, 30 fall in a low-cost tier (up to $68) while 30 sit in a high-cost tier ($137 and up) — a lower-priced option almost always exists within the same state.
Among the cities with the most reporting hospitals, Brooklyn has a median reported price of $94 across 8 facilities, while facilities in Bronx tend to report lower prices (median: $70). City-level variation within a state often reflects local market structure, not procedure complexity.
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 New York, NY
How much does a mammogram cost in New York, NY?
Across 113 New York, NY hospitals that publish prices, a mammogram ranges from $51 to $794, with a median of $90. Most facilities fall between $68 and $105. 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 New York, NY?
Based on declared prices, the lowest-cost facility in our New York, NY data is Parkview Regional Medical Center in Fort Wayne at about $51. By metro, Bronx has the lowest median ($70). 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 New York, NY hospitals?
Prices vary up to 15.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In New York, NY, the median cash (self-pay) price is $90 versus a median negotiated rate of $24 — about 3.8× 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 New York, NY?
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
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.
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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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