77065

Diagnostic mammography of 1 breast

Medicare pricing data for 17,431 providers across 52 states

🤖AI Overview

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

$13.15

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.

Average Allowed Cost
$65.76
Average Hospital Charge
$233.57
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$233.57
Medicare Allowed$65.76
Medicare Payment$46.96

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$108$26430119,655+63.7%
New Jersey$95$29552524,688+44.4%
Arizona$94$40822912,817+43.3%
Nevada$92$3051703,666+40.4%
New York$88$3011,00149,710+33.4%
New Mexico$84$354943,637+27.9%
District of Columbia$82$260724,958+24.8%
Florida$82$2921,05752,143+24.7%
Wyoming$81$314531,386+23.4%
California$81$3021,51160,677+23.3%
Puerto Rico$78$8767414+19.2%
Alaska$77$351382,256+17.2%
Colorado$74$27724810,922+13.0%
Washington$74$25243015,913+13.0%
Hawaii$73$233682,451+11.6%
Rhode Island$70$249664,181+6.0%
Connecticut$69$2262718,883+4.8%
North Carolina$68$25478227,681+4.0%
Minnesota$65$24338511,825-1.1%
Delaware$65$160473,703-1.2%
Virginia$63$20743223,315-4.7%
Iowa$62$2102537,974-5.7%
Kansas$61$1503077,355-7.3%
Texas$61$25297737,571-7.5%
Arkansas$60$2021257,560-8.2%
New Hampshire$60$2501293,729-9.4%
Nebraska$59$2112046,434-10.8%
Tennessee$56$22054017,032-14.4%
Oregon$55$1732147,361-16.9%
Wisconsin$55$30054611,956-17.0%
Massachusetts$53$18449626,247-19.3%
South Dakota$52$1281092,309-20.5%
Alabama$52$1383377,307-20.8%
Illinois$52$21767333,659-21.2%
Montana$51$134642,252-22.5%
North Dakota$50$171882,056-23.3%
Georgia$50$19956920,221-23.8%
Utah$50$1321363,020-23.8%
Mississippi$50$1651506,316-24.4%
Pennsylvania$49$14975634,416-25.4%
Indiana$47$17033115,273-29.3%
South Carolina$46$18918312,552-29.5%
Missouri$46$15837216,434-29.8%
Louisiana$46$1562608,016-30.4%
Michigan$46$15545818,922-30.7%
Kentucky$45$1352448,982-31.2%
Ohio$43$16047924,250-34.4%
Idaho$42$173812,696-36.0%
Oklahoma$42$1781518,602-36.4%
Maine$41$1471602,836-37.1%
West Virginia$39$1601393,165-40.1%
Vermont$38$165301,401-42.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber