What are the costs of getting a mammogram?
Most medical imaging procedures, including mammograms, are quite expensive, which leads to increased frustration for many patients as they are already undergoing an uncomfortable procedure. Doing your research beforehand in order to find the best facility, radiologist, and price for you can significantly lessen the aggravation these procedures bring.
Under the current healthcare landscape, hospitals, imaging centers, and doctors can charge what they want for the procedures they perform and in many cases, do not have to justify or even disclose prices prior to the procedure being performed. Because they very rarely reveal their prices up front, the same exact procedure can be hundreds if not thousands of dollars cheaper at a similar location, which could likely be just down the street. This is why shopping around for the best price can be so significant for you.
Mammogram Prices on Average
Mammograms can range from as low as $23 up to $1,929 depending on what type of mammogram is performed, the location you choose to have the procedure performed, and whether you add additional services.
The average cost of a mammogram in the U.S. is $100.
Mammogram Prices with Cash
For uninsured customers, some testing facilities offer a discount when cash or credit is used to pay the full discounted amount. Other locations may charge more without insurance. Ask the facility about a discount prior to having the procedure.
The average mammogram price without insurance ranges from $80 to $120.
Again, this can drastically change depending on where you go and what kind of discount they are willing to provide you for paying up front.
Mammogram Prices with Insurance
Most health insurance companies will cover mammograms for women in the recommended age bracket. Some states require that it be covered under insurance. Some of these plans do require a copay fee between $10 and $35. Visit your insurance company’s website and/or contact them directly to figure out what is covered prior to the procedure. A good imaging facility can help you determine this with your insurance company as well. The search box below can help you find a facility that will do so.
Mammogram Prices with Medicare
Medicare Part B covers diagnostic non-laboratory tests including mammograms when your doctor or other health care provider orders them as part of treating a medical problem. All people with Part B are covered, but deductible and copayment may apply. Cash pay price varies for those only covered under Part A. Visit the Medicare website for more information (www.medicare.gov).
Mammogram Prices with Medicaid
States establish and administer their own Medicaid programs and determine which services are included within broad federal guidelines. The required mandatory benefits include performing diagnostic tests to follow up when a risk is identified. The optional benefits include other diagnostic, screening, preventive and rehabilitative services, which means it is going to vary from place to place whether or not the procedure is covered. It is strongly advised to determine your coverage based on the state you live in, prior to getting the procedure done. Visit the Medicaid website for more information (www.medicaid.org).
It is absolutely imperative that if you have insurance, Medicare, or Medicaid that you are familiar with the details of your particular plan prior to having any procedure performed. Make sure to research or contact the company beforehand as coverage policies are constantly changing.
The exact same procedure can differ drastically in price depending on where you have the procedure performed, so it is essential that you take the time to shop around for the best place that suits you and your needs. Whether a local hospital or imaging center, it is very important that you find a location that will make you comfortable during a sometimes-uncomfortable situation. Most importantly, you want to find a good, qualified radiologist or radiology facility, while also finding the best possible price.
The search box below can help you find the best facility to match your needs.
- What is a mammogram?
- Why would someone need or get a mammogram?
- What are the different types of mammograms?
- What is getting a mammogram like?
- What are the costs of a mammogram?
- When should I get a mammogram?
- What are the risks of a mammogram?
- What are false-positives and false-negatives?
- Differences with screening, diagnostic & biopsy?