Mri scan of both breasts
Medicare pricing data for 7,678 providers across 52 states
This procedure has a 5.5x markup — hospitals charge $1,110 but Medicare allows only $201.05. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. Prices vary significantly by location — from $105 in Oklahoma to $303 in Maryland. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Mri scan of both breasts (HCPCS code 77049) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $201.05, but hospitals typically charge $1,110 — a 5.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $201.05, your out-of-pocket cost would be approximately $40.21. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $152.93 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $303 | $1,425 | 134 | 2,511 | +50.6% |
| Nevada | $299 | $1,288 | 36 | 641 | +48.6% |
| District of Columbia | $272 | $1,206 | 41 | 1,166 | +35.4% |
| New Mexico | $270 | $2,377 | 41 | 1,215 | +34.2% |
| Arizona | $262 | $1,839 | 144 | 2,802 | +30.3% |
| New Jersey | $259 | $1,560 | 229 | 4,600 | +28.8% |
| New York | $253 | $1,296 | 518 | 10,800 | +26.0% |
| California | $253 | $1,239 | 686 | 15,895 | +25.7% |
| Wyoming | $248 | $925 | 14 | 162 | +23.4% |
| Hawaii | $239 | $996 | 30 | 315 | +18.9% |
| Florida | $233 | $1,413 | 524 | 12,054 | +16.1% |
| Arkansas | $233 | $1,019 | 44 | 955 | +15.7% |
| Puerto Rico | $231 | $289 | 31 | 141 | +14.9% |
| Colorado | $226 | $971 | 147 | 2,125 | +12.6% |
| Alaska | $217 | $2,322 | 18 | 235 | +8.0% |
| South Dakota | $217 | $1,620 | 27 | 375 | +7.8% |
| Washington | $215 | $1,027 | 241 | 3,413 | +7.2% |
| Tennessee | $207 | $841 | 141 | 2,432 | +2.9% |
| Connecticut | $201 | $984 | 148 | 1,392 | -0.1% |
| Minnesota | $200 | $1,482 | 193 | 2,194 | -0.5% |
| Nebraska | $183 | $788 | 53 | 1,104 | -9.1% |
| North Carolina | $182 | $1,196 | 265 | 2,695 | -9.4% |
| Oregon | $178 | $966 | 97 | 1,587 | -11.6% |
| Rhode Island | $177 | $723 | 37 | 574 | -11.9% |
| Texas | $176 | $1,282 | 411 | 6,046 | -12.7% |
| Virginia | $173 | $1,400 | 238 | 4,624 | -13.7% |
| Montana | $170 | $965 | 26 | 354 | -15.4% |
| Massachusetts | $170 | $837 | 271 | 4,814 | -15.7% |
| Kansas | $168 | $716 | 94 | 767 | -16.6% |
| Delaware | $160 | $539 | 17 | 655 | -20.6% |
| Iowa | $158 | $1,041 | 106 | 1,983 | -21.4% |
| Illinois | $155 | $806 | 358 | 4,627 | -23.1% |
| New Hampshire | $151 | $973 | 46 | 612 | -24.8% |
| Ohio | $148 | $722 | 225 | 2,966 | -26.2% |
| Utah | $148 | $623 | 40 | 375 | -26.6% |
| Georgia | $148 | $772 | 221 | 2,409 | -26.6% |
| North Dakota | $145 | $510 | 15 | 381 | -27.7% |
| Pennsylvania | $144 | $676 | 390 | 6,483 | -28.3% |
| South Carolina | $143 | $1,042 | 114 | 2,421 | -29.0% |
| Wisconsin | $141 | $1,268 | 236 | 1,625 | -29.7% |
| Alabama | $141 | $555 | 110 | 1,448 | -29.9% |
| Missouri | $140 | $680 | 167 | 2,501 | -30.4% |
| Michigan | $137 | $666 | 202 | 2,338 | -31.9% |
| Mississippi | $136 | $804 | 45 | 541 | -32.3% |
| Indiana | $129 | $600 | 142 | 2,175 | -35.7% |
| Idaho | $122 | $499 | 31 | 382 | -39.2% |
| Louisiana | $121 | $500 | 100 | 964 | -39.7% |
| Maine | $120 | $534 | 44 | 338 | -40.4% |
| Kentucky | $115 | $451 | 74 | 1,067 | -43.0% |
| Vermont | $108 | $560 | 16 | 150 | -46.1% |
| West Virginia | $106 | $438 | 26 | 197 | -47.4% |
| Oklahoma | $105 | $600 | 69 | 1,745 | -47.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber