Mammogram Cost in Madison, WI (2026): Average Prices & What You'll Pay
What does a mammogram cost in Madison, WI?
The same mammogram in Madison, WI might cost you $80 at one facility and $110 at another - the building you walk into drives the difference. The median cash price across 7 reporting hospitals is $81. These figures come straight from hospital price transparency files published under federal law.
Where mammogram costs vary in Madison, WI
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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A screening mammogram is $0 - until a callback or a symptom re-codes it as diagnostic and the bills start.
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Cheapest Mammogram Providers in Madison, WI
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Stoughton Hospital | WI | $79 | -$2 |
| 2 | Prairie Ridge Health | Columbus, WI | $80 | -$1 |
| 3 | Meriter Hospital, Inc | Madison, WI | $81 | +$0 |
| 4 | Aspirus Divine Savior Hospital | Portage, WI | $87 | +$6 |
| 5 | Upland Hills Health | Dodgeville, WI | $200 | +$119 |
| 6 | Madison Rehabilitation Hospital, LLC | WI | $210 | +$129 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Stoughton Hospital is the lowest-cost option at $79 - $2 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 $81, 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.
Advocate Aurora Health (formed in the Illinois-Wisconsin merger) and Ascension Wisconsin are the dominant systems in the Milwaukee market, while UW Health anchors the Madison market. Wisconsin's hospital market is moderately competitive in major metros but increasingly concentrated in rural areas. Prices tend to run near or slightly below the Midwest median. 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.
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Why prices vary - and what it means for your coverage
Setting matters too: the median outpatient price is $80 versus $210 inpatient (about 2.6× more), so where a procedure happens often matters more than which hospital you pick. 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 | ~$81 |
| Deductible met - 20% coinsurance | ~$16 |
| Out-of-network provider | $178+ |
Frequently asked questions: mammogram costs in Madison, WI
How much does a mammogram cost in Madison, WI?
Across 7 Madison, WI hospitals that publish prices, a mammogram ranges from $61 to $210, with a median of $81. Most facilities fall between $80 and $110. 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 Madison, WI?
Based on declared prices, the lowest-cost facility in our Madison, WI data is Ssm Health St. Mary's Hospital - Madison in Madison at about $61. By metro, Madison has the lowest median ($71). 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 Madison, WI hospitals?
Prices vary up to 3.4× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Madison, WI, the median cash (self-pay) price is $81 versus a median negotiated rate of $70 - about 1.2× 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 Madison, WI?
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
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
- Understanding your UnitedHealthcare EOB
Other procedures in Madison, WI
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).
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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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