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

Across 2,611 U.S. hospitals in 51 states, the modeled national fair BaseRate for Screening mammogram (both breasts) is $122, with most hospital negotiated prices falling between $79 and $265.

Why do hospital prices for Screening 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 · 2,611 hospitals

Screening mammogram (both breasts) cost

What a screening 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 · Screening 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

AK1.17× 1.1× Med ME0.75× 0.7× Med WA1.11× 1.1× Med ID0.68× 0.7× Med MT0.53× 0.5× Med ND2.02× 2.0× Med MN1.06× 1.0× Med WI1.37× 1.3× Med MI0.80× 0.8× Med VT0.74× 0.7× Med NH1.38× 1.3× Med OR0.89× 0.9× Med NV1.11× 1.1× Med WY1.31× 1.3× Med SD1.07× 1.0× Med IA0.98× 1.0× Med IL0.87× 0.8× Med IN1.23× 1.2× Med OH0.94× 0.9× Med PA1.00× 1.0× Med NY0.89× 0.9× Med MA1.44× 1.4× Med CA1.13× 1.1× Med UT0.92× 0.9× Med CO1.06× 1.0× Med NE1.88× 1.8× Med MO0.97× 0.9× Med KY0.92× 0.9× Med WV0.63× 0.6× Med VA0.76× 0.7× Med MD1.20× 1.2× Med NJ1.23× 1.2× Med CT1.23× 1.2× Med AZ1.18× 1.1× Med NM1.07× 1.0× Med KS1.12× 1.1× Med AR1.00× 1.0× Med TN0.85× 0.8× Med NC0.74× 0.7× Med SC0.79× 0.8× Med DE1.16× 1.1× Med DC0.81× 0.8× Med RI1.53× 1.5× Med OK1.28× 1.2× Med LA0.89× 0.9× Med MS0.80× 0.8× Med AL0.70× 0.7× Med GA1.17× 1.1× Med HI1.11× 1.1× Med TX1.13× 1.1× Med FL0.77× 0.8× Med PR0.48× 0.5× Med

PR0.48×0.5× Med MT0.53×0.5× Med WV0.63×0.6× Med ID0.68×0.7× Med AL0.70×0.7× Med NC0.74×0.7× Med VT0.74×0.7× Med ME0.75×0.7× Med VA0.76×0.7× Med FL0.77×0.8× Med SC0.79×0.8× Med MI0.80×0.8× Med MS0.80×0.8× Med DC0.81×0.8× Med TN0.85×0.8× Med IL0.87×0.8× Med LA0.89×0.9× Med NY0.89×0.9× Med OR0.89×0.9× Med KY0.92×0.9× Med UT0.92×0.9× Med OH0.94×0.9× Med MO0.97×0.9× Med IA0.98×1.0× Med AR1.00×1.0× Med PA1.00×1.0× Med CO1.06×1.0× Med MN1.06×1.0× Med NM1.07×1.0× Med SD1.07×1.0× Med HI1.11×1.1× Med NV1.11×1.1× Med WA1.11×1.1× Med KS1.12×1.1× Med CA1.13×1.1× Med TX1.13×1.1× Med DE1.16×1.1× Med AK1.17×1.1× Med GA1.17×1.1× Med AZ1.18×1.1× Med MD1.20×1.2× Med CT1.23×1.2× Med IN1.23×1.2× Med NJ1.23×1.2× Med OK1.28×1.2× Med WY1.31×1.3× Med WI1.37×1.3× Med NH1.38×1.3× Med MA1.44×1.4× Med RI1.53×1.5× Med NE1.88×1.8× Med ND2.02×2.0× Med

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

PR0.48×(0.5×)MT0.53×(0.5×)WV0.63×(0.6×)ID0.68×(0.7×)AL0.70×(0.7×)

5 Highest-Markup States (Strict Bill Audit Recommended)

ND2.02×(2.0×)NE1.88×(1.8×)RI1.53×(1.5×)MA1.44×(1.4×)NH1.38×(1.3×)

The BaseRate high confidence

$122

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

typically $79–$265 across 2,611 hospitals · how we calculate it

modeled estimate · not a bill or quote

2,611

hospitals priced

states

3.4×

price spread — where shopping matters

1×

vs. Medicare

Across 2,611 hospitals in 51 states, a screening mammogram (both breasts) has a fair BaseRate of $122 and typically costs $79–$265. The cheapest state is PR; the priciest is ND.

Cheapest hospitals for a screening mammogram (both breasts)

Screening mammogram (both breasts) cost by state

AK $144 5 hospitals AL $86 46 hospitals AR $123 34 hospitals AZ $145 33 hospitals CA $139 194 hospitals CO $130 49 hospitals CT $151 16 hospitals DC $100 5 hospitals DE $143 6 hospitals FL $95 142 hospitals GA $144 76 hospitals HI $136 13 hospitals IA $120 79 hospitals ID $84 19 hospitals IL $107 101 hospitals IN $151 90 hospitals KS $138 67 hospitals KY $113 49 hospitals LA $109 68 hospitals MA $177 40 hospitals ME $92 25 hospitals MI $98 76 hospitals MN $130 71 hospitals MO $119 66 hospitals MS $99 48 hospitals MT $65 12 hospitals NC $91 56 hospitals ND $248 17 hospitals NE $231 53 hospitals NH $170 11 hospitals NJ $151 46 hospitals NM $131 13 hospitals NV $136 21 hospitals NY $109 84 hospitals OH $116 103 hospitals OK $157 48 hospitals OR $110 33 hospitals PA $123 105 hospitals PR $59 12 hospitals RI $188 6 hospitals SC $97 42 hospitals SD $131 9 hospitals TN $105 71 hospitals TX $139 215 hospitals UT $113 30 hospitals VA $94 50 hospitals VT $91 9 hospitals WA $136 44 hospitals WI $168 81 hospitals WV $78 17 hospitals WY $161 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™ $122

Medicare Rate $71

Self-Pay Cash Request Quote

Insurer Median $123

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: $107 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $107

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 = $107).

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 +$173 Above Fair BaseRate

Negotiate Toward $122 Fair BaseRate ($71 Medicare)

Your bill ($295) is $173 above the denoised Fair BaseRate ($122) and 4.2× the $71 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.