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Mammogram Cost - Buyer Experiences and Price Information


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Mammogram Comments


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WIsh I had known mine was "diganostic" before I went
Amount: $758.19
Posted by: SW in Ann Arbor, MI.Posted: February 12th, 2013 09:02AM
Clinic or Doctor: University of MichiganInsurance Carrier: Blue Cross/Shield
Type of Policy: PPO
I have been having annual screenings for three years since an initial cyst was found three years ago. I understand that the first would be considered diagnostic but since cysts are my normal I would think that an annual screening would be all that's needed for me unless they found evidence to the contrary. We used to have Blue Care Network HMO and everything was convered including ultrasounds on any suspicious areas (first done during the initial mammogram). Imagine my surprise at opening my mail yesterday and finding this huge bill!rnrnI've contacted the insurance, the hospital billing system, the imaging center, the primary care physician's office - and get varying degrees of "This was diagnostic, not routine, you should have known that, too bad, you have to pay." When it's all been covered in the past, and I had no way of knowing they considered EACH subsequent once-only mammogram diagnostic, and I called BCBS two days before my appointment to ensure it was covered - how was I to know the difference? It's never been pointed out they were all diagnostic and I don't think most patients are aware of the significant differnce that little bit of language gymnastics will have on their pocketbooks. I don't consider myself dumb, but I've been treated this way consistently while questioning this bill that I was totally not expecting and am unprepared to pay.
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Diagnostic Mammos
Amount: $500.00
Posted by: afreire in North Bergen, NJ.Posted: February 4th, 2013 07:02AM
Clinic or Doctor: Hackensack HospInsurance Carrier: Cigna
Type of Policy: PPO
Routine mammos are 100% but forget it if you need diagnostic. I found a lump at 35 yrs old and was diagnostic mammo so it wasnt free. Was getting billed and was required 6 month follow ups and ultrasounds and fine needle done evr6mo. Im about to be 40, still having issues, no cancer thankfully but if I want to get checked, I have to pay. I go to work everyday and pay medical insurance and I am no longer seeking medical attention because the costs are so high and now the hospital wont bill me, they want payment upfront. I now have a huge lump and wont go get checked. i know I sound ignorant by saying that but the costs have been thousands and im still paying insurance. Its just not fair. Mammos whether preventative or diagnostic should be covered at 100%. Its so sad that being a responsible person is like a punishment. I work, pay my bills, have insurance coverage and because i have a lump in my breast i feel like i cannot get the testing done because i will be further in debt.
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Check Before you GO!!!!
Amount: $2,000.00
Posted by: Why? in Carthage, MO.Posted: December 10th, 2012 08:12AM
Clinic or Doctor: Mercy McCune BrooksInsurance Carrier: First Health Network
I was shocked at the bills I got after having a diagnostic mammogram done recently. $778 per breast! Then all sorts of hospital fees, etc. The amount is over $2,000 all deductible, so all out of our pockets. No one ever explained that cost of this type of mammo was so much greater than a screening one...I too feel tricked, having a hard time finding any organizations that can help with payment, since I was blessed to not have any cancer found. I will take health over money, but sure would be great if someone could do something about these insane costs.
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Cancellation of an appt for mammogram
Amount: $100.00
Posted by: Melissa L Garman in Ephrata, PA.Posted: December 7th, 2012 08:12AM
Clinic or Doctor: Ephrata Community HospitalInsurance Carrier: HealthAmerica ONE
I had to cancel the appt and we also looking into canceling our insurance policy. We have an outstanding bill for $3000. due to a kidney stone ( 2 yrs ago and a mental health issue (ME). Money issues brings out the demon of my feelings and I don't want any more expenses to pay on.
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Mammogram and Ultrasound!!!
Amount: $1,600.00
Posted by: Marifrances Justus in Dublin, OH.Posted: December 3rd, 2012 09:12AM
Clinic or Doctor: Ohio HealthInsurance Carrier: Blue Cross Blue Sheild
2010, 46 yrs., Had found a lump I had lumps before so I wasn't to scared. I am blessed, thank you God! I called told them I found a lump they got me right in. was charged a minimal fee. 2012 Mammogram, Ultras Sound at the same place. 48yrs old now found 6 plus lumps, this time I did the same thing called did not need a referral got right in, received a bill for $1,600 plus, because I haven't received the charge yet for the radiologist. when I called the billing department she told me it was because I said I found a lump, so next time I wont call it a lie but omit information, you can learn a lot from your kids.... rnI will be disputing this, why do you think our insurance is out of control, realistically its the medical... that screw us and the insurance companies with these big claims. if we don't dispute these fees its our fault for not standing up. I feel like I am being punished because I found some thing. rnI am married and have 5 children 1 income, who can afford to work and pay for child care now days. you cant say well why did you have so many kids, you cant predict the future who new our country would be where it is today.
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Diagnostic Mammogram
Amount: $750.00
Posted by: Suspicious of the diagnostic need! $$$$$ in Baltimore, MD.Posted: October 18th, 2012 11:10AM
Clinic or Doctor: Mercy Medical Center, Baltimore, MDInsurance Carrier: BC/BS
I have a family history and a biopsy 5 plus years ago showed benign but questionable cells. I think questionable so that I continue to get diagnostic mammograms. My insurance has changed over the years,but I wanted to stay with the same service. I just got billed for a mammogram over a year ago. The whopping bill was $750.00. So now I am due again, and I am not going to do it. It is a racket. Even though the test saved my Mother twice, I feel that they have women living in fear and just charge whatever they want. Our health care is just wrong.
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Diagnostic Mammogram
Amount: $130.00
Posted by: E.D. in Douglasville, GA.Posted: October 16th, 2012 08:10AM
Clinic or Doctor: Douglas HospitalInsurance Carrier: Coventry of GA
Type of Policy: PPO
After having my first screening mammogram, the radiologist wanted more films. Apparently this is common with a first mammogram since they have no history. Unfortunately, this is considered a diagnostic mammogram and is therefore no longer considered preventative by insurance. Since I new this would now be subject to my $3000 deductable, I asked about the costs. I was told that the fee could be upwards of $400 and that most insurance pays around $200 but they also offer a discounted self pay program which costs $130. When registering for my appointment I was told that through my insurance I would have to pay $176.09 (which would be applied to my deductable). I opted to just do the self pay program and paid only $130. (Note, if an ultrasound would have also been required, that would be another $130). When you do the self pay program, they make you sign something saying that you will not turn it in to your insurance.
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Screening Mammogram
Amount: $0.00
Posted by: E.D. in Douglasville, GA.Posted: October 16th, 2012 08:10AM
Clinic or Doctor: Douglas HospitalInsurance Carrier: Coventry of GA
Type of Policy: PPO
DOUGLAS HOSPITAL Amount Billed $599
G0202, U403 $533 Paid: $183.83 Rej: $349.17 exceeds contract
77052, U403 $66 Rej: incidental to service

QUANTUM RADIOLOGY NORTHWEST PC Amount Billed $164
G0202 $149 Paid: $73.31 Rej: $75.69 exceeds contract
77052 $15 Rej: incidental

Entire Bill $763, Contracted amount with insurance $257.14, My cost $0

I'm sure if you don't have insurance you could negotiate a price similar to what they accept from the insurance.
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Diagnotic Mammogram & Ultrasound
Amount: $600.00
Posted by: Concerned Citizen in Kansas City, MO.Posted: September 16th, 2012 07:09PM
Clinic or Doctor: Insurance Carrier: Cigna/Aetna
Type of Policy: Cigna/Aetna
First of all, I would like to state that I am blessed that I do not have cancer and that my husband has a job. My complaint is as follows: In 2011 when I found the lump in my breast my insurance carrier was Aetna Insurance. My doctor ordered a mammogram & ultrasound. Of course, it was not covered as it was considered diagnostic. The original amount was applied to my deductible. rnMy husband's employer changed insurance carriers to Cigna and again my mammogram & ultrasound amount was considered diagnostic. The insurance company paid nothing as my deductible is $1500.00 per person. Since they have found an area of concern they want to monitor every 6 months. I owe the breast center approximately $800.00 of which I cannot afford to pay no job and living on one income. This whole healthcare thing is a rip off. The health insurance companies spend millions on political campaigns but cannot pay a claim. Wait until the healthcare bill gets a rolling. Many people are going to be surprised.
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Expensive Diagnostic Mammo and Biopsy
Amount: $3,009.00
Posted by: Emily in SF Bay Area in San Francisco, CA.Posted: September 13th, 2012 04:09PM
Clinic or Doctor: CMPC California Campus Breast CenterInsurance Carrier: UnitedHealthCare
Type of Policy: Choice PPO
Just want to show you guys the expensive costs of breast health care in SF bay area in CA. rnrnI am 41 yrs old and this was my first mammogram. I went in on 8/2 for screening. But they found something and asked me to come again for additional images. So I went again on 8/10 for diagnostic mammogram on both breasts and then the technician said they needed ultra sound. After that, the nurse told me that they need biopsy on both breasts so I went there again on 8/16. rnSo the costs for all these medical services:rn8/2 billed as Lab Service $49rn8/10 Additional images $49rn Diagnositic mammogram $403rn Ultra sound $755rn Fees to radiologist $149rn TOTAL = $1,356rn8/16 all billed as Lab Services $407 + $300 + $897 = $1,604rnrnAfter UHC applied some plan discounts and the amount of my PPO plan paid, I have to pay $281.23 out of my pocket. I feel lucky to have insurance from my husband, since I am currently unemployed... I just could not imagine how women without proper insurance to get preventive care... Look at how expensive for the diagnostic mammo and ultra sound? it only took about 10 mins for taking the ultra sound!
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United Health Care Insurance doesn\'t cover routine mammograms
Amount: $0.00
Posted by: forget-me-not in Boulder, CO.Posted: June 22nd, 2012 06:06AM
Clinic or Doctor: Insurance Carrier: Golden Rule
Type of Policy: UHC One
The comment made after I published my experience with UHC was made by them. It looks like they cannot profit from informed people, but its good to know who they realy are. Mammogram benefits along with their other covered benefits might turn to be a baloon.
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Cost of a Mammogram May 2012
Amount: $564.71
Posted by: In Debt in Hattiesburg, MS.Posted: May 30th, 2012 10:05AM
Clinic or Doctor: Wesley HospitalInsurance Carrier: none
Type of Policy: none
So far I have been billed $564.71 for a mammogram, performed at Wesley Hospital in Hattiesburg, Mississippi during May 2012. $439.71 from the hospital and $125 from the radiologist. If you add the gyn doctor's yearly visit (150.00), the total comes to $714.71.
Where is the love? Grateful to be healthy. At this rate who can pay for medical care?
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Cost of Mammogram in Burlington VT
Amount: $598.77
Posted by: BarbaraVermont in Burlington, VT.Posted: May 15th, 2012 01:05PM
Clinic or Doctor: FletcherAllenInsurance Carrier: BCBS
Type of Policy: PPO
Total cost was $598.77 for hospital and physicians fee. My share was 119.75. I am going to check other centers, this is ridiculous for the ins carrier and me to pay this kind of money. Articles on internet state average costs about $250, Where?
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Cost of Mammogram
Amount: $0.00
Posted by: concerned in north, MS.Posted: May 10th, 2012 12:05PM
I found a lump and my doc says I need a Diagnostic....I currently don't have insurance. She says "she doesn't like the feel of the edges". But looking at these posts I'm concerned that I won't be able to pay to have it done. Maybe I shouldn't have it done.
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