How much does an Mammogram cost in California?

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AffordabbleScan • Jan 1, 2021 • 2 min read

Mammogram cost California

Mammogram cost in California
Mammogram costs in California range between $226 and $1483 based on a pricing information analysis of 32 medical providers who perform Mammograms in California. Patients paying cash pay as little as $200 - $561 for the Mammogram. Find out how you can negotiate the best rate for your scan. And compare prices for Mammograms near me.

Mammogram costs in California by insurance coverage & health care plans

Mammogram study price w/o contrast Price range
Mammogram cost for fully-insured patient (25% co-pay) $57 - $371
Mammogram cost for high-deductible plan $226 - $1,483
Mammogram cost for Medicare / Medicaid insurance (20% co-pay) $40 - $96
Mammogram cost for a self-pay patient $200 - $561

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Cash Mammogram price by city in California

Insured Mammogram cost

At hospitals in California, patients with health insurance can expect to pay a copay between $57 and $371, which is 25% of the total cost of the Mammogram procedure. To avoid additional charges, patients need to ensure the radiologist is also in-network, otherwise their fees will need to be paid in full. Also, if you haven't met your yearly deductible yet, you will be likely billed the full procedure list price ($226 - $1,483) and your insurance coverage will kick-in only after meeting the yearly deductible.

If your insurance plan has limited coverage for imaging procedures or high-deductible, you can use our patient asssist program to compare other insurance plans to rightsize your insurance coverage to meet your needs.

Medicare Mammogram cost

Medical & Medicare are the largest payers for healthcare in California, so they negotiate the best rates. They can pay between $199 and $481 per scan, patients can expect to pay price ranges as little as $40 in copay . Keep in mind there is a high chance that doctors will deny an Mammogram referral, as Medicare only covers the cost of medical imaging in very selective cases.

High-deductible Mammogram cost

Almost 40% of all adult patients have high-deductible health plans, which means they need to meet their deductible of up to $13,000 per family before their insurance kicks-in. They can expect to pay the full price for the Mammogram ($226 - $1,483). For these patients, the best option is often to pay in cash.

Cash Mammogram cost California

Self-pay patients can get a discount of up to 80% by using a service such as AffordableScan and can get an Mammogram for cash price as little as $200. Our partner testing facilities are able to use their excess capacity and pass the savings to our patients.

Mammogram costs by procedure type & body part in California

  • Screening mammography, producing direct digital image, bilateral, all views: $200 - $1,483

About Mammogram procedures

Mammogram is an image of internal body organs that radiologist look at to evaluate medical injuries. According to articles published in USA Today, the Mammogram medical procedure cost varies widely based on facility & location. There are about 3,000 hospitals with imaging centers, that need to pay for they expensive emergency departments, so they charge the insurance companies extra for their patients' use of imaging services. As of now the imaging procedure prices are about 10x what they are in Europe .

Tips for saving on Mammograms in California

  • Shop around for the best price (get a quote for facilities near you).
  • Don’t hesitate to ask for pricing infromation & compare prices for procedures with and without contrast.
  • Look for facilities that work with a teleradiologist, those provide much better reading costs.
  • Ask about all the fees - do they include the cost of the Mammogram and the cost of the radiologist reading?
  • Take your doctor referral with you to another facility – your referral might be issued for one of the most expensive hospitals in the area.
  • Use the machine type that is sufficient for your scan – if you need an procedure for a musco-skeletal issue, you don’t need the “Ferrari” quality level for your test that will cost you thousands of dollars, a simple “Toyota” level quality will do just fine.
  • Use a patient concierge service such as AffordableScan to get a quote and schedule and appointment. We'll be happy to assist you.

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