Diagnostic Mammogram Cost in Indiana
Dx mammo incl cad bi
$146.74Indiana physician fee2026 Medicare office rate- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Indiana Medicare physician rate (2026)
-6.5% vs nationalSingle statewide locality.
Your ZIP in Indiana
Look up your ZIP for Indiana figures, whether in Indianapolis, Fort Wayne, Evansville, South Bend, the Region near Chicago, or the rural counties along the Ohio River.
What diagnostic mammogram costs at hospitals near you
Everything above is a national average. The hospital you pick in Indiana moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
National vs Indiana
Where Indiana ranks for this CPT
Diagnostic Mammogram and how Indiana is priced
Indiana's Medicare physician rates come from a single statewide locality with indices a bit under the national average, placing it in the moderate band of Midwest pricing. Indianapolis, Fort Wayne, Evansville, and the smallest rural counties all share identical geographic adjustments. Northwest Indiana sits inside the Chicago metropolitan area but is still priced under Indiana's statewide locality rather than Chicago's, which creates a visible pricing seam at the state line. For most Hoosiers the statewide fee schedule is a dependable guide to Medicare-approved amounts.
Indianapolis dominates the state's health care landscape, hosting its academic medical center and the headquarters of its largest systems, while regional hubs in Fort Wayne, Evansville, and South Bend cover their surrounding counties. Indiana's hospital prices for commercially insured patients have drawn national attention for running high relative to the region, which makes Medicare benchmarks a valuable reference for anyone paying cash. Rural southern Indiana often looks to Louisville or Cincinnati across the river.
This procedure: A diagnostic bilateral mammogram is a focused X-ray examination of both breasts performed because something needs a closer look: a lump, pain, nipple discharge, or an abnormality flagged on a screening mammogram. Unlike screening, a radiologist is typically on site directing extra angled or magnified views in real time, and you often receive results before leaving. Each breast is compressed briefly for each view, and the appointment usually runs 30 to 45 minutes.
What Is Diagnostic Mammogram?
A diagnostic bilateral mammogram is a focused X-ray examination of both breasts performed because something needs a closer look: a lump, pain, nipple discharge, or an abnormality flagged on a screening mammogram. Unlike screening, a radiologist is typically on site directing extra angled or magnified views in real time, and you often receive results before leaving. Each breast is compressed briefly for each view, and the appointment usually runs 30 to 45 minutes.
What Affects the Cost
- –Unlike free screening, diagnostic mammography is subject to deductible and coinsurance on most plans, making the same machines suddenly cost money.
- –Same-day breast ultrasound is frequently added to work up the finding, billed as its own study.
- –3D tomosynthesis views, now common, add a separate code and charge on top of the 2D study.
- –Hospital breast centers bill facility fees that independent breast imaging centers do not.
- –If a biopsy is recommended, that follow-on procedure with pathology is a substantial next cost.
Questions to Ask Before Booking
- 1.Does my state or plan waive cost sharing for diagnostic breast imaging, or will I owe deductible and coinsurance?
- 2.Will ultrasound or 3D views be added today, and what does each cost?
- 3.What is the facility fee at this breast center compared with an independent imaging center?
- 4.If a biopsy is recommended, what would that procedure and pathology cost?
- 5.Can you give me the total for all imaging performed before I leave today?
Other featured procedures in Indiana
Diagnostic Mammogram in other states
Diagnostic Mammogram in Indiana: questions
Indiana is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 77066 is $146.74 in an office and $146.74 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.
Not on the physician fee schedule. Indiana uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $29 for the office physician line or $29 for the hospital physician line in Indiana. Medigap may cover that 20%. This is not the hospital facility fee.
No. $146.74 is the Medicare physician allowed amount for CPT 77066. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Indiana ranks #14 of 51 states on this physician line (7% below the national office rate of $156.98).