CPT 77067 Radiology

How Much Does Mammogram (Screening, Both Breasts) Cost?

Also known as: Scr mammo bi incl cad (CPT 77067)

A routine breast X-ray screening to check for breast cancer in women without symptoms.

Mammogram (Screening, Both Breasts) (CPT 77067) costs $126 at Medicare rates.

Medicare (Facility)
$126
CMS PFS 2026 national rate

Patient Guide: Mammogram (Screening, Both Breasts)

What you need to know before your appointment

What to Expect

Each breast is placed on a flat surface and gently compressed while X-ray images are taken from different angles.

How Long Does It Take?

15-20 minutes

Common Reasons Doctors Order This

Annual breast cancer screening (recommended starting age 40-50), routine preventive care

How to Prepare

Do not wear deodorant, perfume, or powder on the day of the exam. Wear a two-piece outfit. Schedule 1-2 weeks after your period when breasts are less tender.

Procedures Commonly Done Together

These procedures are frequently performed alongside Scr mammo bi incl cad

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How to Reduce Your Cost for Scr mammo bi incl cad

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.74
Work RVU
2.99
Practice Expense RVU
0.05
Malpractice RVU
3.78
Total RVU

Payment = Total RVU (3.78) x CF ($33.40) = $126

Frequently Asked Questions

How much does Scr mammo bi incl cad cost?

The Medicare facility rate for Scr mammo bi incl cad is $126. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Scr mammo bi incl cad cost without insurance?

Without insurance, the cost of Scr mammo bi incl cad can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Scr mammo bi incl cad?

Most commercial health insurance plans and Medicare cover Scr mammo bi incl cad when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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