Price reports for Screening mammogram

Community member

Price charged

$110.00

Insurance paid

$43.38

You paid

$0.00

There was a discount for the "member rate" so the insurance paid $43.38 and the balance was "discounted". I did not have to pay out of pocket... for this code.
Insurer: Blue Cross Blue Shield of Florida (Florida Blue)
Provider: Price Hoffman Stone & Associates
Address: St. Petersburg, 747, 6th Avenue South, FL
Health care provider

Price charged

$220.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Slidell, 1310 Gause Blvd., LA
Health care provider

Price charged

$220.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Metairie, 4241 Veterans Memorial Blvd., Ste. 100, LA
Health care provider

Price charged

$220.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Marrero, 925 Avenue C, LA
Health care provider

Price charged

$220.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Covington, 71154 Hwy. 21, LA
Health care provider

Price charged

$230.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Slidell, 1310 Gause Blvd., LA
Health care provider

Price charged

$230.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Metairie, 4241 Veterans Memorial Blvd., Ste. 100, LA
Health care provider

Price charged

$230.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Covington, 71154 Hwy. 21, LA
Health care provider

Price charged

$230.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Marrero, 925 Avenue C, LA
Health care provider

Price charged

$260.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Slidell, 1310 Gause Blvd., LA
Health care provider

Price charged

$260.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Marrero, 925 Avenue C, LA
Health care provider

Price charged

$260.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Covington, 71154 Hwy. 21, LA
Health care provider

Price charged

$260.00

Insurance paid

$0.00

You paid

$0.00

Cash prices available for uninsured or those who choose not use their insurance. Fees are to be paid in full at time of appointment. Check website for locations.
Provider: Diagnostic Imaging Services
Address: Metairie, 4241 Veterans Memorial Blvd., Ste. 100, LA
Community member

Price charged

$336.00

Insurance paid

$53.50

You paid

$205.93

This was a follow up 3-D mammogram after initial mammogram showed dense breast tissue. The first mammogram was covered at almost 100% ( 2 charges of $.01 for perf measurements were not covered ? On initial preventative mammogram). I had to pay $199.98 towards $200 deductible and $5.95 for Co - insurance? I thought as part of a well checkup the entire amount would be covered.
Insurer: Blue Cross Blue Shield of Minnesota
Provider: Norville Breast Care Center at Alamance Regional
Address: Burlington, 1240, Huffman Mill Road, NC
Community member

Price charged

$462.00

Insurance paid

$0.00

You paid

$462.00

First mammogram found something and I was told to get a 3D digital ultra-lateral plus ultrasound. Had to paid money upfront or couldn’t get procedure done. I also thought it was covered. I can see where many women would not get this done if they do not have the funds. So much for preventive screening and early cancer detection!
Provider: Delaware Imaging Network | Brandywine Imaging
Address: Wilmington, 3206, Concord Pike, DE
Community member

Price charged

$548.00

Insurance paid

$0.00

You paid

$0.00

I had not gone in several years because I don’t like it and it is expensive. I am 52. I figured I should suck it up and go. I HOPE that I don’t get a notice in the future that I have to pay because of a copay or some deductibles that I haven’t met.
Insurer: Cigna
Provider: Kelsey seybold Main Clinic
Address: Houston, 2727, West Holcombe Boulevard, TX
Community member

Price charged

$556.50

Insurance paid

$0.00

You paid

$556.50

On 4-18-18, I went for my annual mammogram. Amount billed was $567.00 but the member rate was 396.90 which my insurance paid in full. I was contacted by the facility that "my pictures were not clear", and I needed to have tests done over. On 5-2-18, I returned for my mammogram. I was billed for $556.50. I did protest this with the insurance company and was denied. They said it was not considered routine. I even went back to the facility and asked why I was told the "pictures were not clear" and made to believe that I was still having my annual tests redone? I was told, " we don't like to worry anyone unnecessarily. I did end up paying not only $556.50, but also $116.72 for the ultrasound.
Provider: Bayhealth Women's Center
Address: Dover, 540, South Governors Avenue, DE
Community member

Price charged

$633.14

Insurance paid

$0.00

You paid

$0.00

I went for my yearly mamamogram and was called back a few days later, with the hospital saying the test was incomplete. I needed to come back for a second test. They did an ultra sound on left breast. I received bill for 633.00 i called insurance company, hospital, and Doctor. At this time I have not paid this bill.
Insurer: Anthem Blue Cross Blue Shield
Provider: The Medical Center at Bowling Green
Address: Bowling Green, 250, Park Street, KY
Community member

Price charged

$634.52

Insurance paid

$0.00

You paid

$0.00

I had initial 3D mammogram on 5/8/19. I have dense breast tissue and therefore my Dr recommend a 3D mammogram. I have ALWAYS been called back for additional views in the past and have not been charged. I got a call back on the 9th of May letting me know that I needed an additional view. Additional view was taken on 5/10 and that is when these charges occurred.
Provider: SSM Health Dean Medical Group
Address: Madison, 1313, Fish Hatchery Road, WI
Community member

Price charged

$1,085.25

Insurance paid

$215.43

You paid

$0.00

Private Individual Health Insurance, 3D Mammogram & Reading by MD
Provider: Biloxi
Address: Biloxi, ,, MS
Community member

Price charged

$1,221.00

Insurance paid

$201.18

You paid

$1,019.82

I’m 55 and live in St. Paul Minnesota. I went in for my annual mammogram August 30, 2019. I received a 2D mammogram despite having received a letter that I have dense breast tissue and a 3D mammogram was recommended. My insurance BCBS of Illinois doesn’t cover a 3 D mammogram. Shortly after I received a call that something concerning was found (left breast asymmetry with suggestion of architectural distortion present laterally at posterior depth) and further testing was recommended with spot compression view, true lateral mammogram and possible ultrasound. It said I needed additional imaging evaluation and/or prior mammogram for comparison. I contacted my doctor and she recommended follow up procedures at the Piper Breast Center of St. Paul, Mn. My sister had breast cancer and a mastectomy at age 45 so I absolutely was going in at my doctors recommendation. September 5, 2019 I had a 3D mammogram and ultrasound done on my left breast and was told immediately after the ultrasound that I was fine and there was nothing concerning. It was obviously what was needed to get a clear image of my breast tissue. Shortly after, I received a bill from Allina for $762.96 and one from Midwest Radiology for $256.86 for a total out of pocket expense of $1,019.82. It’s outrageous that I’m expected to pay that much to get a proper as far as I’m concerned “screening” mammogram! The government, health care facilities and health insurance companies need to sync together on this! I have not paid this bill yet. I’ve made many calls to Allina and Blue Cross Blue Shield to plead my case and get these charges reversed to no avail. It makes no sense to receive a letter telling me I have dense breast tissue from my Allina clinic and that a 3D mammogram is recommended but insurance won’t cover it or any other procedures needed to get a true and proper preventative screening mammogram!
Insurer: Blue Cross Blue Shield of Illinois
Provider: Piper Breast Center - United Hospital
Address: Saint Paul, 310, Smith Avenue North, MN
Community member

Price charged

$4,631.26

Insurance paid

$411.67

You paid

$605.61

Have not paid my portion yet, it was gone to collections. I just don't have the funds. They want me to have it done again in January and July. Every 6 months for a year and a half. I will not be able to do this.
Insurer: UnitedHealthcare
Provider: The Medical Center of Aurora
Address: Aurora, 1501, South Potomac Street, CO

What Medicare pays here?

Digital 3D Screening Mammogram (includes CAD)
Region Price
Alabama $51.66
Alaska $70.24
Arizona $54.72
Arkansas $51.16
Anaheim/Santa Ana, CA $63.69
Los Angeles, CA $61.36
Marin/Napa/Solano, CA $64.60
Oakland/Berkeley, CA $65.01
Rest of California $58.71
San Francisco, CA $68.83
San Mateo, CA $68.63
Santa Clara, CA $68.18
Ventura, CA $62.57
Colorado $56.50
Connecticut $60.30
DC + MD/VA Suburbs $63.91
Delaware $56.77
Fort Lauderdale, FL $57.12
Miami, FL $58.52
Rest of Florida $54.66
Atlanta, GA $55.86
Rest of Georgia $52.59
Hawaii/Guam $60.64
Idaho $52.08
Chicago, IL $58.16
East St. Louis, IL $54.59
Rest of Illinois $53.40
Suburban Chicago, IL $58.42
Indiana $52.50
Iowa $52.15
Kansas $52.49
Kentucky $51.69
New Orleans, LA $55.03
Rest of Louisiana $52.33
Rest of Maine $52.92
Southern Maine $55.74
Baltimore/Surr. Cntys, MD $59.83
Rest of Maryland $57.24
Metropolitan Boston $60.88
Rest of Massachusetts $58.58
Detroit, MI $56.24
Rest of Michigan $53.19
Minnesota $55.54
Mississippi $50.87
Metropolitan Kansas City, MO $54.71
Metropolitan St Louis, MO $54.56
Rest of Missouri $51.31
Montana $56.54
Nebraska $52.14
Nevada $56.37
New Hampshire $57.41
Northern NJ $62.65
Rest of New Jersey $60.39
New Mexico $53.51
Manhattan, NY $63.62
NYC Suburbs/Long I., NY $64.79
Poughkpsie/N NYC Suburbs, NY $58.87
Queens, NY $64.83
Rest of New York $53.76
North Carolina $53.24
North Dakota $55.36
Ohio $53.11
Oklahoma $52.20
Portland, OR $57.63
Rest of Oregon $54.53
Metropolitan Philadelphia, PA $59.20
Rest of Pennsylvania $53.77
Puerto Rico $56.08
Rhode Island $58.10
South Carolina $52.46
South Dakota $55.20
Tennessee $52.07
Austin, TX $56.28
Beaumont, TX $53.17
Brazoria, TX $56.02
Dallas, TX $56.33
Fort Worth, TX $55.27
Galveston, TX $56.48
Houston, TX $56.62
Rest of Texas $53.58
Utah $53.62
Vermont $55.92
Virgin Islands $56.08
Virginia $55.30
Rest of Washington $56.12
Seattle (King Cnty), WA $61.21
West Virginia $51.44
Wisconsin $53.73
Wyoming $55.73
Bakersfield, CA $58.33
Chico, CA $58.27
El Centro, CA $58.28
Fresno, CA $58.27
Hanford-Corcoran, CA $58.29
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $62.39
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $62.39
Madera, CA $58.27
Merced, CA $58.27
Modesto, CA $58.27
Napa, CA $64.95
Oxnard-Thousand Oaks-Ventura, CA $61.86
Redding, CA $58.27
Riverside-San Bernardino-Ontario, CA $58.50
Sacramento--Roseville--Arden-Arcade, CA $59.02
Salinas, CA $59.30
San Diego-Carlsbad, CA $59.74
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $67.63
San Francisco-Oakland-Hayward (Marin Cnty), CA $66.33
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $67.63
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $67.63
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $63.61
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $68.73
San Luis Obispo-Paso Robles-Arroyo Grande, CA $58.60
Santa Cruz-Watsonville, CA $61.37
Santa Maria-Santa Barbara, CA $60.26
Santa Rosa, CA $60.22
Stockton-Lodi, CA $58.27
Vallejo-Fairfield, CA $64.95
Visalia-Porterville, CA $58.27
Yuba City, CA $58.27
Rest Of California, CA $58.27
Hawaii, GUam $60.31
Metropolitan Boston, MA $62.58