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Mammogram Cost


How Much Does a Mammogram Cost?

 
average costWith Insurance coverage: No Charge or Copayhigh costWithout Insurance: $80-$212
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A mammogram is a breast X-ray used for early detection of breast cancer. It is recommended yearly starting at age 40. A clinical breast examination, in which a doctor or nurse examines the breast for lumps or irregularities, is recommended once every three years starting at age 20, then once a year at age 40 and up.

Typical costs:

  • For an uninsured patient, typical full-price cost of a mammogram ranges from $80 to $120 or more, with an average of about $102, according to Blue Cross Blue Shield of North Carolina. Some providers charge more, and some offer an uninsured discount. For example, at the Kapiolani Medical Center[1] in Aiea, Hawaii, where the full price is about $212, an uninsured patient would pay about $127 to $148.
  • Mammograms usually are covered by health insurance for women in the recommended age bracket. Many states require health insurance companies to cover regular mammograms, usually after age 40. The National Women's Law Center offers a state-by-state chart.
  • For women covered by health insurance, some plans require no out-of-pocket expenses, while others charge a copay, generally between $10 and $35.
  • A clinical breast exam is much less expensive, and usually is included as part of a general or gynecological check-up.
Related articles: Pap Test, Colonoscopy, Hemorrhoid Treatment, Flu Shot

What should be included:
  • The mammogram technician places the breast between two plastic plates, which compress the breast tissue so a clear X-ray can be taken. The procedure takes about 20 minutes.
  • The American Cancer Society[2] offers a primer on early detection of breast cancer. Only two to four of every 1,000 women who undergo a mammogram end up receiving a diagnosis of cancer.
  • In a clinical breast exam, the doctor or nurse manually checks the breasts, lymph nodes and nipples for any palpable irregularities.
Additional costs:
  • Women at high risk for breast cancer, such as those with a known breast cancer gene mutation, should consider getting an MRI each year in addition to a mammogram, according to the American Cancer Society.
  • If an irregularity is found, more testing or follow-up testing might be required. About 10 percent of women who have a mammogram require more tests, usually just another mammogram. However, about 8 to 10 percent do require a biopsy.
Discounts:
  • During the month of October, Breast Cancer Awareness Month, some community or women's groups offer free or very low-cost mammograms, sometimes using a mobile clinic. To find a program, call the Susan G. Komen for the Cure Breast Care Helpline at 1-800 I'M AWARE (1-800-462-9273). Or contact the YWCA's ENCOREplus[3] program any time for a referral for a free or low-cost mammogram.
  • Visit the U.S. Centers for Disease Control and Prevention website to find a program in your area that offers low-cost or free mammograms to uninsured and underinsured women who qualify.
Shopping for a mammogram:
  • If you have health insurance, consult with your general practitioner or gynecologist to get a mammogram and/or a clinical breast exam.
  • Otherwise, check with your local Susan G. Komen for the Cure affiliate to get more information on planned screening events. Or, call your local health department or use the Planned Parenthood Federation of America, Inc.[4] 's online search feature to find a local clinic.
  • For mammorgrams, the American Cancer Society recommends using a facility that performs many mammograms each day, and is authorized by the U.S. Food and Drug Administration to perform mammograms.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
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What People Are Paying - Recent Comments

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Cost of mammogram
Amount: $901.81
Posted by: MLS765 in Batesville, IN, IN.Posted: May 20th, 2015 08:05AM
Clinic or Doctor: Margaret Mary HospitalInsurance Carrier: Blue Cross Blue Shield
Type of Policy: PPO
Bill was 1196.01, BCBS said they could only charge 901.81. Really?? I pay $2000 a year for insurance and this is it. It was CONSIDERED a diagnostic mammogram because I turned 40 and my OB/GYN said I needed to have one.
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0
Amount: $0.00
Posted by: ss2104 in Boson, MA.Posted: April 20th, 2015 12:04PM
Clinic or Doctor: Insurance Carrier: BCBS Massachusetts
Mine cost me zero this year because I'm not doing it every year. I don't smoke, not overweight, no family history. The clinic I go to apparently needs "rich" customers to support all those getting free health insurance living in free housing in my city. With my $30 copay and $2000 deductible I can't see donating money for a device with a shoddy record of finding cancer early on.
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Mammogram and Ultrasound
Amount: $1,214.14
Posted by: Po'd in Cali in Palo Alto, CA.Posted: March 2nd, 2015 08:03AM
Clinic or Doctor: Palo Alto Medical FoundationInsurance Carrier: Health Net & Cigna
I was referred for a mammogram and ultrasound for a lump that my primary care giver found. Because I am a little over a year too young, my insurance covers nothing.
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Digital Mammography - NOT COVERED
Amount: $550.00
Posted by: Taking Polaroids next time in Jacksonville, FL.Posted: January 25th, 2015 06:01PM
Clinic or Doctor: Baptist SouthInsurance Carrier: BCBS FL
Type of Policy: PPO
The $550 was for the mammogram. That amount does not include the radiologist reading it, facility fees, etc. The archaic mammogram -- the one that takes the bad pictures that don't distinguish between "normal margins" and "bad-news bad margins" are free. Oh, the digital came back negative for any cancer and positive for WTH!!!!! But hey - Cancer treatment is covered.
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Costs Seem Much Higher Than Before
Amount: $430.00
Posted by: Stephanie W Cypress in Cypress, TX.Posted: December 22nd, 2014 10:12AM
Clinic or Doctor: Cypress Fairbanks Medical CenterInsurance Carrier: Cigna
Type of Policy: Diagnostic Mammaogram
My mother had breast cancer more than 7 years ago and it was considered sporadic cancer. However, my OB sent me to a breast specialist last year and I go ever 6 months. He wants me to do a Diagnostic Mammogram and I scheduled the appointment for December 18th.
I asked them about out-of-pocket charges but they did not call me back until December 17th to tell me I would have to pay $430 and that doesn't include radiologist charges and other separate charges. This really pisses me off because they want us to do screening each year but then the cost is getting higher which makes it pretty hard to afford.
I know I paid half that price last year.
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3 D Mammography Not Covered
Amount: $492.00
Posted by: Sue T in Oconomowoc, WI.Posted: December 4th, 2014 06:12AM
Clinic or Doctor: Oconomowoc Memorial HospitalInsurance Carrier: Humana
Type of Policy: PPO
Beware of your policy terms if you have 3D mammography. My plan, through my employer, does not cover "new, unproven technology", so will not cover a 3D mammogram unless medically indicated. My Dr. ordered the mammogram at the hospital, where there is only one machine. It is a 3D machine. Unless I knew this, and asked my Dr. if there was somewhere else to go to get a regular mammogram, then I am stuck with the charge.
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Cost of Annual Mamograms
Amount: $1,014.97
Posted by: elizabeth cahill in Baltimore, MD.Posted: November 18th, 2014 01:11PM
Clinic or Doctor: John Hopkins Med CenterInsurance Carrier: Cigna
Type of Policy: Consumer Choice
Had routine mammogram then an ultrasound ( needed a better reading). Insurance first said they would not pay because it was coded Diagnostic. After several conversations with Johns Hopkins and Cigna, Cigna said it was because I had not reached my deductible of 1500. I was charged 417.93 for mamogram and 597.04 for ultrasound. I am responsible for 868.69 which doesn't include the Doctor's portion of the bill.
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Mammo, Follow Up Mammo, and Ultrasound - RIPOFF REPORT HERE ALSO
Amount: $2,157.50
Posted by: Kelly D in Denver, CO.Posted: October 22nd, 2014 12:10PM
Clinic or Doctor: PSL Medical CenterInsurance Carrier: Cigna
Type of Policy: HDP
Please beware of Presbyterian St. Lukes Medical Center in Denver, CO. Please make sure your mammo and follow up are marked preventative. If it is marked diagnostic your insurance will NOT PAY!!!!
Routine Mammo - Charged my Insurance $737.75
Said they needed a follow up and Ultrasound - Charged insurance $1419.75
Found nothing wrong. Bad film reader evidently.
I am responsible for $725.50.
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Mammogram - Diagnostic
Amount: $187.00
Posted by: Seema in Port orange, FL.Posted: October 3rd, 2014 01:10PM
Clinic or Doctor: Port Orange ImagingInsurance Carrier:
Type of Policy: BCBS State PPO
I have never had one before and my Doc Rx me a diagnostic mammogram as I was having breast pain. She never told me that there is a difference between diagnostic and screening. I called the clinic as well as the BCBS website to see if it was covered and didn't see anything to be concerned about until I saw the bill.
This is a rip off...the doc should have mentioned that there is a difference and she told me that she was not aware that my insurance doesn't cover it. That's a rip off as well as she has been in practice for over 20+ years and the clinic never mentioned anything to me either.
I think they are all in it together.
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Outrageous charge for mammogram
Amount: $0.00
Posted by: Shocked by charges in Reno, NV.Posted: July 9th, 2014 07:07AM
Clinic or Doctor: Reno Rad AssocInsurance Carrier: Anthem BC
The provider charged---$ 29,600.00
Insurance paid $148.00
I paid nothing
ARE THEY KIDDING!!!!!!!!! Since when does a mammo cost that much??!!!!!
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Diagnostic and Ultrasound
Amount: $0.00
Posted by: jefff in Milwaukee, WI.Posted: May 28th, 2014 07:05PM
Clinic or Doctor: AuroraInsurance Carrier: na
Type of Policy: na
Came here researching costs for a friend. She needs a diagnostic and an ultrasound, and was quoted, I kid you not...$7000. This is her new deductible, so it's out of pocket.I'm going to find some one to discuss this with....
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Complete Ripoff
Amount: $521.00
Posted by: IvyArlene in Plano, TX.Posted: April 22nd, 2014 11:04AM
Clinic or Doctor: Solis Women\\\'s HealthInsurance Carrier: Aetna
Type of Policy: PPO
There was an area of concern on my mammogram from last year, so they did an MRI....my out of pocket was 161 dollars. But on the six month follow up, just a mammogram and one minute of a doctor's time to confirm that NOTHING CHANGED cost me $360 dollars out of pocket. I too feel they should tell women up front what their "diagnostic" fees are. It feels like a complete shake-down and I don't think I'll be getting any more "diagnostics". Hey, it's April of 2014 - time to add some years to your Year drop-down box!
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Preventive Vs. Diagnostic
Amount: $0.00
Posted by: a user in Brookville, IN.Posted: October 23rd, 2013 10:10PM
I too agree it makes no sense to submit a claim for a mammogram as diagnostic unless they are doing something non standard protocol or performing a procedure. If it were a colonoscopy and a polyp needed to be removed, it would make sense for the provider to submit a claim as diagnostic. Mammograms, x-rays, MRI's, CTScans, ect are expensive. You're not just paying for the expensive equipment they use but also for the staffs wages, building (all overhead costs), and costs transferred to you for those who couldn't afford to pay their bills or didn't pay. Healthcare is not cheap and insurance comes at a high price because of it.
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Charge $537, Insurance paid $147
Amount: $0.00
Posted by: Cycledoc in Bellingham, WA.Posted: September 22nd, 2013 10:09AM
Clinic or Doctor: Mt Baker Imaging, Bellingham, WAInsurance Carrier: Group Health Cooperative
Type of Policy: Medicare Advantage
I guess a walkin without coverage would be billed over $500 for a screening mammogram.
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Free Mammograms
Amount: $0.00
Posted by: Happy with Utah Cancer Program in Salt Lake City, UT.Posted: July 24th, 2013 04:07PM
Clinic or Doctor: Utah Cancer ProgramInsurance Carrier: None
Type of Policy: None
I just wanted to reply to the Women who said they have no insurance. Here is Utah we have the Utah Cancer Program. Women 40 or over can have a free screening mammogram. This is what I do. Well, after my last mammogram of over a weed ago, I got called and told that I will need to see the radiologist for a diagnostic mammogram.

Well that set alarms going off for me being without insurance, and I the told the Lady on the phone, that I did not have insurance, so I would have to plan first, to come up with the money, and She said we take of that. So my diagnostic mammogram is free, also.

I just wanted to bring this up, because those of you who do not have insurance, might want to look into your state programs, to learn if your state has a Cancer program.
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Diatgnostic versus routine mammograms = $$$$
Amount: $276.00
Posted by: Catching on in Idaho in Idaho Falls, ID.Posted: May 22nd, 2013 01:05PM
Clinic or Doctor: Eastern Idaho Reg. Medical Ctr. ImagingInsurance Carrier: Meritain
Type of Policy: Employee Group
Wow! I went in for a normal routine mammogram. They said they saw something and wanted to look closer. I agreed, but did not ask what it would do to my insurance claim... Big mistake...HUGE! Apparently "routine" is 100% covered, but "Diagnostic" is not. Tricky wording. I have learned to ALWAYS ask the medical professionals who are helping me what the costs for that procedure are. They may look irritated and bothered, but I ask them to check anyway. If they already don't know, they should! It's like shopping for groceries... prices are relevant.
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Mammograms and Ultrasound
Amount: $0.00
Posted by: Happy with HMO in Gaithersburg, MD.Posted: March 3rd, 2013 05:03AM
Clinic or Doctor: Insurance Carrier: Kaiser
Type of Policy: HMO
Four months ago I had my annual screening mammogram. It showed an area that needed further study. I had a diagnostic mammogram followed by ultrasound. The area appears to be benign but I am scheduled for a six month follow-up mammogram and ultrasound. My doctors, nurses and technicians have been supportive all the way. Everything has been well explained to me and I have incurred no out of pocket expenses. I love my HMO.
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I dont know what to do.
Amount: $0.00
Posted by: Broke Brook in Chapel Hill, NC.Posted: February 21st, 2013 01:02PM
Clinic or Doctor: Insurance Carrier: BCBS
My annual was no charge but they want a diagnostic view. I know this is out of pocket because I have a high deductable. Im trying to find a free clinic or discount but cant seem to get answers. Apparently this is only available if you are on medicaid. Why not keep us taxpayers alive? Sadly I will take my chances and pay my car insurance, buy gas and a few groceries. GRRRRR
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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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External Resources:
  1.  www.palimomi.org/my-hospital-bill/uninsured-calculator.aspx
  2.  www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-detection
  3.  www.ywca.org/site/closed.asp?c=djISI6PIKpG&
  4.  www.plannedparenthood.org/
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