How Do Doctors Determine the Cost of a Mammogram?


Quick Answer

Doctors determine the price of bilateral digital diagnostic mammographies by including the costs of the imaging and interpretation of the scans, according to Healthcare Bluebook. In-office tests may have x-rays, mammography, ultrasounds and bone density readings of the area. Examinations normally range from $246 to $313, as of 2015.

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Patients can lower costs of mammograms by having the procedure done at a doctor's office, notes Healthcare Bluebook. Tests may be billed in two parts, one for the imaging and one for the doctor's interpretation of the scans. Doctors may offer in-office tests at lower prices than those at hospitals or dedicated facilities, but not always.

Public and private insurance can lower the expenses associated with annual mammograms, says the National Cancer Institute. Medicare pays of mammograms for female beneficiaries 40 and older. Many private insurance companies cover the annual imaging scan without a copay or deductible. Each patient should check with her health insurance policy to see what mammograms are covered.

The National Breast and Cervical Cancer Early Detection Program provides low-cost or reduced mammograms for women who qualify, according to the Centers for Disease Control. The CDC's low-cost program benefits women ages 40 to 64 with no insurance coverage for breast screening and income at or below 250 percent of the federal poverty level. As of 2015, women between the ages of 50 and 74 should get mammograms every two years.

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