Diagnostic mammography of 1 breast
Medicare pricing data for 17,431 providers across 52 states
Prices vary significantly by location — from $38 in Vermont to $108 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
Diagnostic mammography of 1 breast (HCPCS code 77065) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $65.76, but hospitals typically charge $233.57 — a 3.6x 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 $65.76, your out-of-pocket cost would be approximately $13.15. 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 3.6x more than what Medicare allows for this procedure. Medicare actually pays $46.96 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $108 | $264 | 301 | 19,655 | +63.7% |
| New Jersey | $95 | $295 | 525 | 24,688 | +44.4% |
| Arizona | $94 | $408 | 229 | 12,817 | +43.3% |
| Nevada | $92 | $305 | 170 | 3,666 | +40.4% |
| New York | $88 | $301 | 1,001 | 49,710 | +33.4% |
| New Mexico | $84 | $354 | 94 | 3,637 | +27.9% |
| District of Columbia | $82 | $260 | 72 | 4,958 | +24.8% |
| Florida | $82 | $292 | 1,057 | 52,143 | +24.7% |
| Wyoming | $81 | $314 | 53 | 1,386 | +23.4% |
| California | $81 | $302 | 1,511 | 60,677 | +23.3% |
| Puerto Rico | $78 | $87 | 67 | 414 | +19.2% |
| Alaska | $77 | $351 | 38 | 2,256 | +17.2% |
| Colorado | $74 | $277 | 248 | 10,922 | +13.0% |
| Washington | $74 | $252 | 430 | 15,913 | +13.0% |
| Hawaii | $73 | $233 | 68 | 2,451 | +11.6% |
| Rhode Island | $70 | $249 | 66 | 4,181 | +6.0% |
| Connecticut | $69 | $226 | 271 | 8,883 | +4.8% |
| North Carolina | $68 | $254 | 782 | 27,681 | +4.0% |
| Minnesota | $65 | $243 | 385 | 11,825 | -1.1% |
| Delaware | $65 | $160 | 47 | 3,703 | -1.2% |
| Virginia | $63 | $207 | 432 | 23,315 | -4.7% |
| Iowa | $62 | $210 | 253 | 7,974 | -5.7% |
| Kansas | $61 | $150 | 307 | 7,355 | -7.3% |
| Texas | $61 | $252 | 977 | 37,571 | -7.5% |
| Arkansas | $60 | $202 | 125 | 7,560 | -8.2% |
| New Hampshire | $60 | $250 | 129 | 3,729 | -9.4% |
| Nebraska | $59 | $211 | 204 | 6,434 | -10.8% |
| Tennessee | $56 | $220 | 540 | 17,032 | -14.4% |
| Oregon | $55 | $173 | 214 | 7,361 | -16.9% |
| Wisconsin | $55 | $300 | 546 | 11,956 | -17.0% |
| Massachusetts | $53 | $184 | 496 | 26,247 | -19.3% |
| South Dakota | $52 | $128 | 109 | 2,309 | -20.5% |
| Alabama | $52 | $138 | 337 | 7,307 | -20.8% |
| Illinois | $52 | $217 | 673 | 33,659 | -21.2% |
| Montana | $51 | $134 | 64 | 2,252 | -22.5% |
| North Dakota | $50 | $171 | 88 | 2,056 | -23.3% |
| Georgia | $50 | $199 | 569 | 20,221 | -23.8% |
| Utah | $50 | $132 | 136 | 3,020 | -23.8% |
| Mississippi | $50 | $165 | 150 | 6,316 | -24.4% |
| Pennsylvania | $49 | $149 | 756 | 34,416 | -25.4% |
| Indiana | $47 | $170 | 331 | 15,273 | -29.3% |
| South Carolina | $46 | $189 | 183 | 12,552 | -29.5% |
| Missouri | $46 | $158 | 372 | 16,434 | -29.8% |
| Louisiana | $46 | $156 | 260 | 8,016 | -30.4% |
| Michigan | $46 | $155 | 458 | 18,922 | -30.7% |
| Kentucky | $45 | $135 | 244 | 8,982 | -31.2% |
| Ohio | $43 | $160 | 479 | 24,250 | -34.4% |
| Idaho | $42 | $173 | 81 | 2,696 | -36.0% |
| Oklahoma | $42 | $178 | 151 | 8,602 | -36.4% |
| Maine | $41 | $147 | 160 | 2,836 | -37.1% |
| West Virginia | $39 | $160 | 139 | 3,165 | -40.1% |
| Vermont | $38 | $165 | 30 | 1,401 | -42.0% |
⚠️ 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