CPT 77067 is a routine screening mammogram of both breasts for women with no symptoms, recommended every one to two years from age 40 or 50 depending on the guideline. Under the Affordable Care Act, insured patients pay nothing for it. The price on this page matters for the uninsured and for anyone whose plan does not follow those rules.
What the price covers
The hospital's price is the technical fee for the mammography unit, technologist and room, including computer-aided detection. The radiologist's reading is billed separately. 3D mammography (tomosynthesis, 77063) is an add-on code with its own charge at many hospitals.
Screening versus diagnostic
If the screening finds something, the follow-up is a diagnostic mammogram (77066 or 77065), which is a different code, is not free under the preventive rules, and is usually priced higher. Many patients are surprised by that bill.
Why prices vary
Screening mammogram cash prices at hospitals range from under $100 to over $500. Many hospitals and community programs offer low-cost or free screening for the uninsured in October and around the year; ask about them before paying the list price.
Questions to ask
- What is the self-pay price for 77067 including the reading?
- Is 3D mammography included or an extra charge?
- If something is found, what will the diagnostic mammogram cost?