Price reports for 77056 Mammogram both breasts

PriceCheck journalist

Price charged

$65.61

Insurance paid

$0.00

You paid

$0.00

Self pay price provided is for the technical charge for hospital services for CPT code 77067; any associated physician charges are billed separately by the physician. WJMC billing policy: http://www.wjmc.org/docs/WJMC-Financial-Assistance-Billing-and-Collections-Policy-2017.pdf
Provider: Weest Jefferson Medical Center
Address: Marrero, 1101 Medical Center Blvd., LA
PriceCheck journalist

Price charged

$83.72

Insurance paid

$0.00

You paid

$0.00

Self pay price provided is for the technical charge for CPT code 77067. NOEH billing policy: http://noehospital.org/main/uploads/File/NOEHFinancialAssistancePolicy.pdf
Provider: Neew Orleans East Hospital
Address: New Orleans, 5620 Read Blvd., LA
PriceCheck journalist

Price charged

$124.79

Insurance paid

$0.00

You paid

$0.00

Sself pay price provided is for the technical charge for hospital services for CPT code 77067; any associated physician charges are billed separately by the physician. UMC pricing policy: http://www.umcno.org/financialassistance
Provider: Unniversity Medical Center
Address: New Orleans, 2000 Canal St., LA
Community member

Price charged

$161.06

Insurance paid

$161.06

You paid

$0.00

Insurer: Cigna
Provider: MeedSolutions Inc.
Address: Franklin, 730, Cool Springs Boulevard, TN
Community member

Price charged

$225.00

Insurance paid

$0.00

You paid

$0.00

Provider: Saarasota Memorial Hospital
Address: Sarasota, 1700, South Tamiami Trail, FL
Community member

Price charged

$249.00

Insurance paid

$249.00

You paid

$0.00

Insurer: Anthem Blue Cross (California)
Provider: Brrookshire Radiology: Yadegar Saeed MD
Address: Downey, 11411 Brookshire Avenue, CA
Community member

Price charged

$275.75

Insurance paid

$0.00

You paid

$275.75

Self pay for mammogram and ultrasound 76641
Provider: MccLeod Regional Medical Center
Address: Florence, ,, SC
Community member

Price charged

$300.00

Insurance paid

$0.00

You paid

$300.00

These are estimates. My insurance paid for the initial screening but the hospital called me back and alarmed me that they saw something that concerned them. This was my first mammogram ever. They said I needed to go back for a follow up screening. I was scared to death! so I immediately went in for a screening of just one breast. They found nothing and then about 8 months later, I received a bill for almost $300. I didn't think I owed the money but they hounded me by turning it to collections and they were ruthless in their collection attempts. My credit score is 780 so I took this very seriously. I couldn't fight it so I paid it. I was ticked off and now it's time to go in again and I refuse to go. I'm happy to share my story but I'm not going to go pull out the bill, copy it and scan it in.
Insurer: Cigna
Provider: Stt Thomas West
Address: Nashville, 4220, Harding Pike, TN
Community member

Price charged

$485.00

Insurance paid

$275.60

You paid

$209.24

Insurer: Cigna
Provider: Hooly Cross Hospital
Address: Fort Lauderdale, 4725, North Federal Highway, FL
Community member

Price charged

$515.00

Insurance paid

$163.92

You paid

$88.44

Insurer: Anthem Blue Cross (California)
Provider: Hooag Hospital Newport Beach
Address: Newport Beach, 1 Hoag Drive, CA
Community member

Price charged

$520.11

Insurance paid

$445.11

You paid

$75.00

Does not include radiologist charge of $85 for reading study, which was not paid by insurance.
Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Saarasota Memorial Hospital
Address: Sarasota, 1700, South Tamiami Trail, FL
Community member

Price charged

$526.26

Insurance paid

$0.00

You paid

$526.26

I was called back for a follow up exam because I have dense breast. I received a bill for $526.26. I immediately called my insurance company and was informed that my insurance would not cover the follow up exam, and I was responsible for the full amount. I have already paid $126.26 and I was told that I would need to send payment every thirty days until the bill is paid in full.
Insurer: Cigna
Provider: Rhhode Island Medical Imaging
Address: East Providence, 1525, Wampanoag Trail, RI
Community member

Price charged

$550.05

Insurance paid

$396.04

You paid

$0.00

Insurer: AvMed
Provider: Moount Sinai Medical Center
Address: Miami Beach, 4300, Alton Road, FL
Community member

Price charged

$556.96

Insurance paid

$488.23

You paid

$68.73

It was a follow-up mammogram to the previous imaging diagnosis.
Insurer: Conoco
Provider: Poomerado Hospital
Address: Poway, 15615 Pomerado Road, CA
Community member

Price charged

$560.00

Insurance paid

$0.00

You paid

$400.33

My ob/gyn sent me to see a new doctor who she highly recommended for my annual mammogram. I expected it to be a straightforward xray like it had always been. Rather after the xray, I was informed that I was high risk, had dense breast tissue and that I needed a breast scan as well as ultrasound to make sure no lumps were present. They instilled fear in me immediately so I agreed thinking that this would of course be covered by insurance. I left the office and was surprised to receive a bill for over $400 a few weeks later. I had been charged for the scan as well as two ultrasounds (which I assume are for the two breasts).
Insurer: CIGNA HealthCare of California, Inc.
Provider: Drr. Elizabeth J. Pusey, MD
Address: Newport Beach, 361, Hospital Road, CA
Community member

Price charged

$600.00

Insurance paid

$0.00

You paid

$600.00

I was charged for the follow up ultrasound just like the lady in your broadcast. I too was charged around $600. That was a few years ago and I haven’t been back since because of how angry it made me. Just a couple years previous to that, I got a call back and did not have to pay for it. I have to make budget decisions but I also fee ripped off. Health care in America is a DISASTER! I”m sorry I don’t have exact data for your database. The bill for that has probably already gone to the shredder.
Insurer: Humana
Provider: Asscension Elmbrook Pavlic Center
Address: Brookfield, 19305, West North Avenue, WI
Community member

Price charged

$641.00

Insurance paid

$641.00

You paid

$0.00

Provider: Kaaiser Permanente Fontana Medical Center
Address: Fontana, 9961, Sierra Avenue, CA
Community member

Price charged

$675.72

Insurance paid

$0.00

You paid

$675.72

My mammogram was ordered by a doctor who admitted she wouldn’t feel comfortable with a self check after feeling my breasts, but warned me insurance doesn’t always cover cost because I’m not 40 yet. At the exam in 2017 the mammogram revealed VERY DENSE breast tissue where they immediately brought me to an ultrasound- who also couldn’t identify the tissue. I was then moved to radiology. All in one day. I don’t remember total cost or exactly what insurance covered. I looked at my account I know that I paid $507.97 for the Mammogram and $167.75 for the radiology out of pocket after insurance. Cost is ridiculous. But, never feeling comfortable about whether or not I was growing cancer was worse. I’d happily pay that out of pocket twice in a row just to know I’m not sick. *** a connected issue though. This year, my routine physical, establishing a family doctor with NO ISSUES, ordered a routine blood test to check basic levels. I am still in dispute about additional charges that neither Bronson family practice nor my insurance will cover. The doctor thought it appropriate to order “a battery of thyroid tests and code them as routine rather than necessary for any reason” as was stated by BCBS when I inquired as to why my routine physical was not covered in full. Bronson responded by telling me I should not have consented to let them order tests (that I did not know they ordered.) For the record I’m 5’9” 140 lbs and have no health issues other then dense breast tissue. I think this is a similar issue. This most recent bill, still available on MyChart is attached. Routine physicals should be covered 100% in full by my insurance. The doctor ordered additional tests.
Insurer: Blue Cross Blue Shield of Michigan
Provider: Brronson Methodist Hospital
Address: Kalamazoo, 601, John Street, MI
Community member

Price charged

$833.00

Insurance paid

$0.00

You paid

$833.00

I had a yearly mammogram scheduled on 10/18/2019. I went to Statesboro Imaging what is under East Georgia Regional Medical Center. On that date, I had a mammogram performed and was told I should expect a bill for $44.00. I letter receive an explanation of benefits that 0% was covered. I am under the age of 40 and have been required my physician to have a mammogram every year for 10+years. This is due to a family history of breast cancer along with me having numerous large cyst removed from both breast. When I contacted the health insurance they stated it was due to the physician coding. When I contacted the physicians office they states it was coded correctly. Then I was told to contact Imaging center and they sent me to the billing Dept which then informed me it was not covered. I feel this is ridiculous to be a test that is physician required and also recommended by the radiologist be denied due to my age.
Insurer: Blue Cross Blue Shield of Alabama
Provider: Eaast Georgia Regional Medical Center
Address: Statesboro, 1499, Fair Road, GA
Community member

Price charged

$900.00

Insurance paid

$0.00

You paid

$900.00

Was told insurance would pay but my wellness would not pay. I was supposed to pay 84.00 but was told if insurance would not pay I would have to pay but I got charged 900.00 now i can't pay.
Provider: Grreenfield
Address: Greenfield, ,, IN
Community member

Price charged

$950.00

Insurance paid

$0.00

You paid

$950.00

On 12/23/2018 I woke up with my right arm sore. I felt a small pea sized lump in my arm pit in the shower. I had a regularly scheduled doctors appointment on 12/24/2018. My physician felt the same nodule and scheduled me for a mammogram. I was 46 and had not had one in a couple of years. They did the mammogram and picked up the suspicious area. I was called back in for an ultrasound. The mammogram and ultrasound were not scheduled until after January 1, so my new year deductible had to be met. After having the tests done I learned the mammogram fell under my Insurance’s preventative services however the repeat ultrasound and the radiology charge for reading the ultrasound were not covered under preventive services. I am a RN so I understood the billing terms and they said the ultrasound was considered diagnostic and subject to my deductible...it was January and the new year had just rolled over. The ultrasound showed that it was a simple small cyst. I then was requested to follow up with my OB GYN for evaluation, which I did...again it was the first of the year so that charge went towards my deductible...$90. In total almost $1000 for an area that required further evaluation and my insurance got out of paying by classing it “diagnostic”. To me that is shameful, it is not my fault that the mammogram could not diagnose what I could clearly palpate and feel.
Insurer: Anthem Blue Cross Blue Shield
Provider: Prrofessional Medical Ultrsncs
Address: Beckley, 200, Carriage Drive, WV
Community member

Price charged

$950.00

Insurance paid

$0.00

You paid

$950.00

I am speaking on behalf of my wife. I just heard her talking to her sister. We have private insurance (we pay for it) Blue Cross Blue Shield of Florida for $1,200 per month. My wife is 50 and is directed to have annual mammograms by her doctor. Our insurance and hospital Good Samaritan does not cover a single cent of her mammograms. This is ridiculous and costly.
Insurer: Florida Blue: Blue Cross Blue Shield of Florida
Provider: Goood Samaritan Medical Center
Address: West Palm Beach, 1309, North Flagler Drive, FL
Community member

Price charged

$1,450.00

Insurance paid

$1,036.21

You paid

$413.79

I have never had to pay for my mammograms. I had the initial mammo and then the office called and said they needed more images. When I went in they then wanted to do an ultrasound. There was never a mention of extra cost. I spent the better part of September and October trying to get resolution to this bill. I am still waiting to hear from VCU. I was finally able to talk to someone who was going to have the case heard as an appeal of the bill. I think it is absurd that women have to pay for a yearly mammogram and then not be told of extra cost if they need to do an ultrasound. I have had a mammogram and ultrasound and St. Marys in Richmond VA and never received a bill.
Provider: VCCU Health Stony Point 9000
Address: Richmond, 9000, Stony Point Parkway, VA
Community member

Price charged

$1,800.00

Insurance paid

$0.00

You paid

$1,800.00

Found one lump in each breast August 2018. I was laid off May 2018. Medicaid was retroactive to September 2018. My divorce was finalized September 2018. He carried the insurance, but this was applied to the deductible. The Hospital has financial assistance, but I moved from their service area two months prior after nearly twenty years of living in their service area. Susan G Koman stated they could have assisted if I had contacted them prior to the service. I just wrote the last payment of $96 11/2019.
Insurer: Aetna
Provider: Maargaret Mary Health - Main Campus
Address: Batesville, 321, Mitchell Avenue, IN
Community member

Price charged

$3,473.00

Insurance paid

$0.00

You paid

$0.00

Went for my annual screening on 09/08/2018. Something was seen & I had to return for another screening on 09/18/2018, Ultrasound of the Left breast. Still suspicious, returned on 09/25/2018 for a bx. I have very dense breast tissue. First was paid for except for $449. The next 2 were not paid for. I had to return for a 6m follow up. I currently owe $7,500 to the hospital.
Insurer: Horizon Blue Cross Blue Shield of New Jersey
Provider: Heershey Medical Center
Address: Hershey, 30, Hope Drive, PA

What Medicare pays here?

Mammogram both breasts
Region Price
Alabama $108.44
Alaska $143.97
Arizona $116.09
Arkansas $107.08
Anaheim/Santa Ana, CA $138.23
Los Angeles, CA $132.44
Marin/Napa/Solano, CA $140.53
Oakland/Berkeley, CA $141.40
Rest of California $125.96
San Francisco, CA $150.89
San Mateo, CA $150.38
Santa Clara, CA $149.08
Ventura, CA $135.63
Colorado $120.56
Connecticut $129.71
DC + MD/VA Suburbs $138.41
Delaware $121.03
Fort Lauderdale, FL $121.68
Miami, FL $124.79
Rest of Florida $115.60
Atlanta, GA $118.86
Rest of Georgia $110.46
Hawaii/Guam $131.43
Idaho $109.50
Chicago, IL $124.08
East St. Louis, IL $115.16
Rest of Illinois $112.46
Suburban Chicago, IL $124.96
Indiana $110.67
Iowa $109.74
Kansas $110.49
Kentucky $108.29
New Orleans, LA $116.62
Rest of Louisiana $109.71
Rest of Maine $111.55
Southern Maine $118.81
Baltimore/Surr. Cntys, MD $128.40
Rest of Maryland $122.21
Metropolitan Boston $131.64
Rest of Massachusetts $125.41
Detroit, MI $119.48
Rest of Michigan $112.05
Minnesota $118.49
Mississippi $106.46
Metropolitan Kansas City, MO $115.93
Metropolitan St Louis, MO $115.54
Rest of Missouri $107.21
Montana $120.29
Nebraska $109.77
Nevada $120.25
New Hampshire $122.88
Northern NJ $135.45
Rest of New Jersey $130.05
New Mexico $112.72
Manhattan, NY $137.26
NYC Suburbs/Long I., NY $140.21
Poughkpsie/N NYC Suburbs, NY $126.09
Queens, NY $140.07
Rest of New York $113.78
North Carolina $112.38
North Dakota $117.93
Ohio $111.85
Oklahoma $109.52
Portland, OR $123.39
Rest of Oregon $115.64
Metropolitan Philadelphia, PA $126.76
Rest of Pennsylvania $113.53
Puerto Rico $119.51
Rhode Island $124.04
South Carolina $110.45
South Dakota $117.61
Tennessee $109.45
Austin, TX $120.18
Beaumont, TX $112.09
Brazoria, TX $118.95
Dallas, TX $120.00
Fort Worth, TX $117.41
Galveston, TX $120.15
Houston, TX $120.44
Rest of Texas $113.19
Utah $113.05
Vermont $119.33
Virgin Islands $119.51
Virginia $117.53
Rest of Washington $119.66
Seattle (King Cnty), WA $132.10
West Virginia $107.36
Wisconsin $113.84
Wyoming $118.67
Bakersfield, CA $125.05
Chico, CA $124.93
El Centro, CA $124.95
Fresno, CA $124.93
Hanford-Corcoran, CA $124.96
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $134.83
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $134.83
Madera, CA $124.93
Merced, CA $124.93
Modesto, CA $124.93
Napa, CA $141.35
Oxnard-Thousand Oaks-Ventura, CA $134.01
Redding, CA $124.93
Riverside-San Bernardino-Ontario, CA $125.37
Sacramento--Roseville--Arden-Arcade, CA $126.69
Salinas, CA $127.42
San Diego-Carlsbad, CA $128.63
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $147.79
San Francisco-Oakland-Hayward (Marin Cnty), CA $144.65
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $147.79
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $147.79
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $137.89
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $150.44
San Luis Obispo-Paso Robles-Arroyo Grande, CA $125.78
Santa Cruz-Watsonville, CA $132.67
Santa Maria-Santa Barbara, CA $129.75
Santa Rosa, CA $129.84
Stockton-Lodi, CA $124.93
Vallejo-Fairfield, CA $141.35
Visalia-Porterville, CA $124.93
Yuba City, CA $124.93
Rest Of California, CA $124.93
Hawaii, GUam $130.60
Metropolitan Boston, MA $135.38