How much does a Diagnostic mammogram (both breasts) typically cost in the United States?

Across 2,546 U.S. hospitals in 51 states, the modeled national fair BaseRate for Diagnostic mammogram (both breasts) is $148, with most hospital negotiated prices falling between $95 and $313.

Why do hospital prices for Diagnostic mammogram (both breasts) vary across facilities?

Commercial rates are negotiated individually between hospital systems and insurers, creating wide local dispersion even within the same metro area. Comparing facility-specific cash and in-network rates before scheduling care helps avoid overpaying.

National price data · 2,546 hospitals

Diagnostic mammogram (both breasts) cost

What a diagnostic mammogram (both breasts) costs across the U.S. — and the fair price to aim for.

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Hospital Pavia Arecibo prices routine shoppable procedures near 0.8× Medicare (p50 1.02×) while skewing captive emergency, lab, and upper-quartile codes to 1.4× Medicare (p75 1.30×, +27% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#7 of 17 in PR · 35th State Percentile#1,440 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.59× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 6% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (40/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.2×) & laboratory (1.4×) services average 1.75× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 1.30×) jump +27% above the median procedure ratio (Q50 1.02×)
Consolidated metro market (HHI 5,026) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.75× Divergence

1.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+27% Upper Tail

Q25 0.59× · Q50 1.02× · Q75 1.30×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.1× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

6% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 40/100Watchout

National Geographic Price Intelligence · 50-State + DC/PR Cartogram

National State Price Index Heatmap · Diagnostic mammogram (both breasts)

State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories

<0.93× Below Fair Price 0.93–1.05× Near Average 1.05–1.18× Elevated >1.18× High-Cost State

AK1.25× 1.2× Med ME0.76× 0.7× Med WA1.14× 1.1× Med ID0.68× 0.6× Med MT0.59× 0.6× Med ND2.63× 2.5× Med MN1.04× 1.0× Med WI1.16× 1.1× Med MI0.82× 0.8× Med VT0.73× 0.7× Med NH1.29× 1.2× Med OR0.88× 0.8× Med NV1.14× 1.1× Med WY1.11× 1.0× Med SD1.06× 1.0× Med IA1.04× 1.0× Med IL0.80× 0.8× Med IN1.18× 1.1× Med OH0.97× 0.9× Med PA1.04× 1.0× Med NY0.88× 0.8× Med MA1.44× 1.4× Med CA1.14× 1.1× Med UT1.01× 0.9× Med CO1.08× 1.0× Med NE1.59× 1.5× Med MO1.06× 1.0× Med KY0.86× 0.8× Med WV0.64× 0.6× Med VA0.77× 0.7× Med MD1.20× 1.2× Med NJ1.24× 1.2× Med CT1.24× 1.2× Med AZ1.19× 1.1× Med NM1.30× 1.2× Med KS0.89× 0.8× Med AR1.01× 1.0× Med TN0.86× 0.8× Med NC0.72× 0.7× Med SC0.72× 0.7× Med DE1.17× 1.1× Med DC0.89× 0.8× Med RI1.53× 1.4× Med OK1.26× 1.2× Med LA0.89× 0.8× Med MS0.76× 0.7× Med AL0.67× 0.6× Med GA1.08× 1.0× Med HI1.13× 1.1× Med TX1.15× 1.1× Med FL0.81× 0.8× Med PR0.53× 0.5× Med

PR0.53×0.5× Med MT0.59×0.6× Med WV0.64×0.6× Med AL0.67×0.6× Med ID0.68×0.6× Med NC0.72×0.7× Med SC0.72×0.7× Med VT0.73×0.7× Med ME0.76×0.7× Med MS0.76×0.7× Med VA0.77×0.7× Med IL0.80×0.8× Med FL0.81×0.8× Med MI0.82×0.8× Med KY0.86×0.8× Med TN0.86×0.8× Med NY0.88×0.8× Med OR0.88×0.8× Med DC0.89×0.8× Med KS0.89×0.8× Med LA0.89×0.8× Med OH0.97×0.9× Med AR1.01×1.0× Med UT1.01×0.9× Med IA1.04×1.0× Med MN1.04×1.0× Med PA1.04×1.0× Med MO1.06×1.0× Med SD1.06×1.0× Med CO1.08×1.0× Med GA1.08×1.0× Med WY1.11×1.0× Med HI1.13×1.1× Med CA1.14×1.1× Med NV1.14×1.1× Med WA1.14×1.1× Med TX1.15×1.1× Med WI1.16×1.1× Med DE1.17×1.1× Med IN1.18×1.1× Med AZ1.19×1.1× Med MD1.20×1.2× Med CT1.24×1.2× Med NJ1.24×1.2× Med AK1.25×1.2× Med OK1.26×1.2× Med NH1.29×1.2× Med NM1.30×1.2× Med MA1.44×1.4× Med RI1.53×1.4× Med NE1.59×1.5× Med ND2.63×2.5× Med

5 Lowest-Price States (Confounder-Isolated Value Leaders)

PR0.53×(0.5×)MT0.59×(0.6×)WV0.64×(0.6×)AL0.67×(0.6×)ID0.68×(0.6×)

5 Highest-Markup States (Strict Bill Audit Recommended)

ND2.63×(2.5×)NE1.59×(1.5×)RI1.53×(1.4×)MA1.44×(1.4×)NM1.30×(1.2×)

The BaseRate high confidence

$148

the fair national price for a diagnostic mammogram (both breasts)

typically $95–$313 across 2,546 hospitals · how we calculate it

modeled estimate · not a bill or quote

2,546

hospitals priced

states

3.3×

price spread — where shopping matters

0.9×

vs. Medicare

Across 2,546 hospitals in 51 states, a diagnostic mammogram (both breasts) has a fair BaseRate of $148 and typically costs $95–$313. The cheapest state is PR; the priciest is ND.

Cheapest hospitals for a diagnostic mammogram (both breasts)

Diagnostic mammogram (both breasts) cost by state

AK $185 5 hospitals AL $99 47 hospitals AR $150 31 hospitals AZ $176 33 hospitals CA $168 189 hospitals CO $160 50 hospitals CT $183 16 hospitals DC $131 5 hospitals DE $173 7 hospitals FL $120 133 hospitals GA $160 77 hospitals HI $167 13 hospitals IA $154 77 hospitals ID $101 19 hospitals IL $118 102 hospitals IN $175 89 hospitals KS $131 73 hospitals KY $127 48 hospitals LA $131 65 hospitals MA $213 36 hospitals ME $112 25 hospitals MI $121 75 hospitals MN $154 56 hospitals MO $157 65 hospitals MS $112 47 hospitals MT $88 13 hospitals NC $107 54 hospitals ND $389 17 hospitals NE $236 40 hospitals NH $191 10 hospitals NJ $184 45 hospitals NM $192 13 hospitals NV $168 21 hospitals NY $130 83 hospitals OH $144 102 hospitals OK $187 49 hospitals OR $130 33 hospitals PA $154 105 hospitals PR $78 14 hospitals RI $227 6 hospitals SC $107 42 hospitals SD $157 7 hospitals TN $127 71 hospitals TX $170 210 hospitals UT $149 33 hospitals VA $114 49 hospitals VT $108 9 hospitals WA $168 41 hospitals WI $172 74 hospitals WV $94 17 hospitals WY $164 5 hospitals

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)

Fair BaseRate™ $148

Medicare Rate $86

Self-Pay Cash Request Quote

Insurer Median $148

1. Amount on Your Bill or Quote ($) Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $129 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $129

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $129).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$207 Above Fair BaseRate

Negotiate Toward $148 Fair BaseRate ($86 Medicare)

Your bill ($355) is $207 above the denoised Fair BaseRate ($148) and 4.1× the $86 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.