Skip to main content

Find out what healthcare may actually cost before you book

Mammogram Cost in the USA: Cash Price vs Insurance Price

Compare cash and insurance pricing for a mammogram, with the screening-vs-diagnostic distinction that determines whether the procedure is covered as ACA preventive care at no patient cost.

Peter Langdon · TreatCompare editor — healthcare price research

Important information for US visitors

This page is general consumer information about US hospital price-transparency data and shoppable-service pricing. It is not insurance advice, billing advice, legal advice, tax advice, or medical advice, and it is not a substitute for an insurance broker, patient advocate, certified medical biller, or attorney. The cash-vs-insurance calculator produces scenario estimates only, based on numbers you enter; an actual bill depends on your plan, network status, prior authorisation, separate professional and facility fees, and the specific procedure code billed. Please verify any quoted price and your estimated patient responsibility directly with your provider and your insurer before booking care.

Could paying cash for a mammogram be lower-cost than using insurance?

Paying cash for an Mammogram can be lower-cost than using insurance when the cash quote is below your likely patient responsibility under insurance. The key comparison is not cash price vs sticker price; it is cash price vs your deductible, coinsurance, copay and out-of-pocket maximum.
Use the decision tool

See if cash or insurance is lower-cost for your Mammogram

Enter your cash quote and insurance plan numbers — get a scenario estimate in under a minute.

Use the calculator

Screening vs diagnostic

Critical

A screening mammogram may be a $0 ACA-preventive service; a diagnostic mammogram is not.

Key billing code

CPT code

Screening, diagnostic and 3D (tomosynthesis) mammograms use different CPT codes and prices.

Main hidden issue

3D upcharge

Tomosynthesis (3D mammography) is sometimes billed as an add-on that the plan does not cover the same way as the base screening.

Decision tool

Should I pay cash or use insurance for a Mammogram?

Enter your quote and plan numbers. The result estimates today's payment and flags the deductible trade-off.

Estimate, not a bill

Cash route

$180

Insurance estimate

$280

Current signal

Cash looks lower-cost by $100

This is a simple estimate. It does not verify network status, prior authorization, separate radiologist bills, contrast, facility fees, or whether a cash payment counts toward your plan deductible or out-of-pocket maximum.

Open shareable result

Suggested next step

Cash is worth checking, but confirm deductible impact.

Your result depends on whether more care is likely this plan year and whether the provider is in-network.

Add my quoteReport bad data

Most useful submissions include screening vs diagnostic coding, 2D vs 3D, radiologist read fee, provider name, date quoted and whether the amount was cash, allowed amount, EOB patient responsibility or billed charge.

Before booking, ask

Provider

  • What CPT code will be billed for this Mammogram?
  • Is the cash quote complete, or are professional/facility fees separate?
  • Is contrast, anesthesia, pathology or follow-up included if relevant?
  • Can you provide the quote in writing before booking?
  • Is this screening or diagnostic mammography?
  • Will 3D tomosynthesis be performed, and is it covered or billed as an add-on?
  • Will 3D (tomosynthesis) be performed, and how is it billed?

Insurer

  • Is the provider in-network for my exact plan?
  • Will this CPT code require prior authorization?
  • What patient responsibility do you estimate after deductible, copay and coinsurance?
  • If I pay cash, can I submit an out-of-network claim later?

Keep the decision handy

Email me the checklist before I call the provider

We will send a confirmation link first. The signup is tied to this calculator page and helps us measure which US price topics need better data.

Data funnel

Help improve US healthcare price data

I have a quote or bill

Send provider, price, date, what was included and what was excluded.

Submit price data ->

I represent a provider

Update a listing, package fee, source URL, registration detail or location.

Update provider data ->

Something looks wrong

Flag an incorrect price, outdated source, missing inclusion or disputed claim.

Report a data issue ->

Mammogram cost by state

State pages use available CMS/provider records where present, then fall back to the procedure calculator defaults while we collect more quotes and EOBs.

Mammogram in CaliforniaMammogram in FloridaMammogram in IllinoisMammogram in New YorkMammogram in TexasAll state pages

Hospital-owned imaging

Mammogram performed at a hospital outpatient facility or hospital-owned breast center.

Price risk: Facility fees can substantially raise the allowed amount.

Independent imaging center

Freestanding imaging provider; often the lower-cost cash option.

Price risk: Confirm the radiologist read is included.

OB / GYN office

In-office mammography in a primary care or OB/GYN setting.

Price risk: Check whether mammography is billed alongside an office visit.

What changes an Mammogram bill?

The useful comparison is itemised. These are the fields to pin down before relying on any quote.

FactorWhy it mattersWhat to ask
Screening vs diagnostic intentACA preventive rules cover screening mammograms at no cost-sharing; diagnostic mammograms are not protected.Ask whether the mammogram will be billed as screening or diagnostic.
2D vs 3D (tomosynthesis)3D imaging often carries a separate add-on charge that may or may not be covered as preventive.Ask whether 3D will be performed and how it is billed.
Facility settingHospital-owned imaging centers may charge more than independent imaging centers.Confirm where the scan is performed and whether facility fees apply.
Radiologist readThe radiologist interpretation may be a separate professional fee.Ask whether the quote includes the read.
Network statusOut-of-network imaging can be billed at much higher allowed amounts.Confirm in-network status for your exact plan.

Example cash vs insurance scenarios

These are illustrative calculations only. Replace them with your plan and provider quote in the tool above.

ScenarioCash quoteAllowed amountDeductible leftCoinsuranceInsurance estimateSignal
Screening, ACA preventive$180$280$00%$0Insurance should be $0 if billed correctly as ACA preventive screening.
Diagnostic, high deductible$180$280$50020%$280Cash may be lower-cost for diagnostic mammograms with a high remaining deductible.
Diagnostic, deductible met$180$280$020%$56Insurance is usually lower-cost once the deductible is met.

Common Mammogram CPT codes

The CPT code changes the comparison. Ask the ordering clinician or imaging provider which code will be billed.

CodeDescriptionTypical use
77067Screening mammography, bilateralRoutine breast cancer screening for asymptomatic patients.
77066Diagnostic mammography, bilateralWorkup of breast symptoms, abnormal screening result.
77065Diagnostic mammography, unilateralWorkup of a single-side abnormality.
77063Screening digital breast tomosynthesis, bilateralAdd-on 3D component to bilateral screening mammogram.

Hospital price records (CMS MRF data)

Aggregated from each hospital’s machine-readable file (MRF) published under the CMS Hospital Price Transparency Rule (45 CFR § 180.50). Provider-specific rows include a source URL, retrieval date, and confidence rating.

Methodology

What these numbers are — and what they are not. The amounts below are rates the hospital has filed with CMS: a cash / self-pay price, a payer-specific negotiated rate (often shown as a min–median–max range across the payer-plan combinations on file), or a de-identified min-negotiatedvalue. They are not patient bills: the amount a specific patient pays depends on plan, network, deductible, coinsurance, copay, separately billed professional fees, prior authorisation, and the exact CPT code billed on the day. Always verify with the provider and your insurer before booking. Some rates may be stale — each row carries the MRF retrieval date and, where available, inclusion flags for facility, professional and contrast components.

Showing 60 representative rows from 1,164 matched records to keep this page crawlable. The full structured extract is available through the data team.

ProviderLocationPrice typeAmountSourceInclusionsCheckedConfidence
Cedars-Sinai Medical Center
CPT G0279
Los Angeles, CACash / self-pay price$4,878 (range $12,162–$18,056)CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT G0279
Los Angeles, CACash / self-pay price$4,878 (range $12,162–$18,056)CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT G0279
Los Angeles, CACash / self-pay price$4,878 (range $12,162–$18,056)CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT G0279
Los Angeles, CACash / self-pay price$4,878 (range $12,162–$18,056)CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT G0279
Los Angeles, CACash / self-pay price$4,878 (range $12,162–$18,056)CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77063
Los Angeles, CACash / self-pay price$498CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77063
Los Angeles, CACash / self-pay price$498CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77067
Los Angeles, CACash / self-pay price$1,178CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77067
Los Angeles, CACash / self-pay price$1,178CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77063
Los Angeles, CACash / self-pay price$498 (range $60–$4,201)CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77067
Los Angeles, CACash / self-pay price$1,178 (range $230–$4,201)CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77067
Los Angeles, CACash / self-pay price$1,178CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77067
Los Angeles, CACash / self-pay price$1,178CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77065
Los Angeles, CACash / self-pay price$1,061CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77065
Los Angeles, CACash / self-pay price$1,061CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77063
Los Angeles, CACash / self-pay price$498CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77063
Los Angeles, CACash / self-pay price$498CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359 (range $278–$4,201)CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77065
Los Angeles, CACash / self-pay price$1,061CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77065
Los Angeles, CACash / self-pay price$1,061CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77065
Los Angeles, CACash / self-pay price$1,061 (range $218–$4,201)CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77066
Los Angeles, CACash / self-pay price$1,359CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77065
Los Angeles, CACash / self-pay price$1,061CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77065
Los Angeles, CACash / self-pay price$1,061CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77065
Los Angeles, CACash / self-pay price$1,061CMS hospital MRFnot specified2026-05-13high
Cedars-Sinai Medical Center
CPT 77065
Los Angeles, CACash / self-pay price$1,061CMS hospital MRFnot specified2026-05-13high

Questions to ask before booking

  • Is this screening or diagnostic mammography?
  • Will 3D (tomosynthesis) be performed, and how is it billed?
  • Is the radiologist read included in the quote?
  • Is there a separate facility fee?
  • If I pay cash, will the payment count toward my deductible or out-of-pocket maximum?
  • What is my estimated patient responsibility if billed to my insurance?
  • Is this provider in network for my exact plan?

Data-source caveats

  • TreatCompare has not yet ingested nationwide hospital MRF rows for mammography.
  • ACA preventive-care rules can make a screening mammogram $0 to the patient; diagnostic mammograms are subject to cost-sharing.
  • 3D mammography (tomosynthesis) coding and coverage varies by plan.
  • A payer-specific negotiated charge is not the same as the patient out-of-pocket amount.

According to CMS hospital price transparency data, US Mammogram prices vary across hospital outpatient departments and independent imaging or surgery centres. The same scan or procedure can show a 3x to 10x price spread between facilities in the same metro area depending on payer contracts, facility fees, and whether the professional fee is bundled or billed separately.

According to standard US health-plan structure, the patient's out-of-pocket cost for a Mammogram depends on remaining deductible, coinsurance percentage, in-network status, and any separately billed professional or anesthesia fees — not the headline hospital chargemaster price. The TreatCompare US cash-vs-insurance calculator estimates that responsibility from the cash quote and insurance allowed amount the patient enters.

According to CMS Hospital Price Transparency Rule (45 CFR § 180.50), every US hospital must publish a machine-readable file (MRF) of standard charges including discounted cash prices and payer-specific negotiated rates. TreatCompare US ingests these MRF files and surfaces the data per provider with the source URL and retrieval date — the price records below carry full traceability back to the original hospital file.

Sources: CMS hospital MRF data, TreatCompare US procedure price record dataset, May 2026.

Using this data?

Methodology, extracts and licensing

Updated May 2026

Main sources

  • CMS Hospital Price Transparency overview
  • CMS Hospital Price Transparency hospitals page
  • CMSgov/hospital-price-transparency GitHub repository
  • CMS CSV/JSON data dictionary and template guidance

Methodology: TreatCompare maps CMS standard-charge fields and provider cash-price fields into a consumer comparison model. This MVP explains the decision logic before full hospital MRF ingestion.

TreatCompare publishes healthcare, care-cost and treatment-pricing research for consumers, journalists, policymakers and commercial teams.

Contact TreatCompare about dataMethodology, source summaries and structured extracts: TreatCompare data team

Where to look next for Mammogram pricing or a facility

Publicly-verified US healthcare directories, accreditation tools and cash-pay marketplaces. TreatCompare links to the source — booking, eligibility and pricing are handled by the destination organisation.

ACR Accredited Facility SearchFind a facility

American College of Radiology accredited facility locator. Filter by procedure (MRI, CT, ultrasound, mammography) and ZIP code. The ACR accreditation is the US gold-standard for imaging quality.

Visit →
FDA MQSA Certified Mammography FacilitiesFind a facility

FDA Mammography Quality Standards Act certified facility lookup. All US mammography providers must be MQSA-certified by federal law; this is the official register.

Visit →
Susan G. Komen Mammogram ResourcesFind a facility

Patient-facing resources for finding mammography facilities, including options for uninsured and underinsured patients.

Visit →
Healthcare BluebookPrice lookup

Independent fair-price lookup for thousands of US healthcare services. Lets you compare a quote you have received against the local fair price.

Visit →
FAIR Health ConsumerPrice lookup

Free price-lookup tool maintained by the non-profit FAIR Health. Uses a database of billions of US insurance claims to show typical costs by procedure and ZIP code.

Visit →
Turquoise Health ConsumerPrice lookup

Aggregates published hospital price-transparency files into a searchable price comparison by procedure, payer and ZIP code.

Visit →
MDsaveCash marketplace

Pre-paid cash-bundle marketplace — patients pay an all-in price upfront and avoid the surprise-bill flow. Genuine cash-pay alternative to insurance billing.

Visit →
Sidecar HealthCash marketplace

Membership health plan that pays cash directly for covered services, giving members published prices upfront. A genuine alternative model to traditional insurance.

Visit →
The Leapfrog Group — Hospital SafetyHospital safety

Free hospital quality and safety ratings. Useful when deciding between a hospital outpatient department and an independent facility for the same procedure.

Visit →

TreatCompare is not affiliated with these organisations and does not take a fee for linking. Verify any quoted price with your provider and insurer before booking care.

Help improve TreatCompare

TreatCompare is read by patients, prescribers, journalists and AI assistants. The dataset gets better when people who’ve been quoted, billed, or treated for US Mammogram pricing send their information in. None of these take more than a minute.

Submit a quote you were given

Help build the dataset for US Mammogram pricing. Your submitted quote becomes part of TreatCompare's price record after review.

Submit a price →

Get TreatCompare US updates

Occasional email — roughly monthly — when we ship a new US dataset or methodology change (covers US Mammogram pricing). Not a daily price alert. Unsubscribe with one click.

Email me updates →

Spotted something out of date?

Tell us the page and what changed. Corrections are reviewed and credited where appropriate.

Report an error →

Cash price vs insurance price
The broader decision guide for US healthcare prices
Is it lower-cost to pay cash for an MRI?
Decision-question walkthrough with calculator — concept also applies to CT, ultrasound, colonoscopy
Hospital outpatient vs imaging centre
Why the same scan can cost $1,500+ at a hospital and $400 at a freestanding imaging centre
Why is my MRI so expensive?
Facility fee, separately billed radiology, payer-specific rates, contrast, CPT-code differences
Does paying cash count toward my deductible?
How self-pay interacts with the deductible and out-of-pocket maximum
Submit a US price
Share a cash quote, EOB allowed amount or MRF rate to improve the dataset
Methodology
How we label CMS, cash-pay and insurance price fields