Screening Mammogram Cost in Indiana
Scr mammo bi incl cad
$118.11Indiana 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 screening 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
Screening 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 screening bilateral mammogram is the routine X-ray check of both breasts in women with no symptoms, looking for cancers too small to feel. A technologist takes two standard views of each breast with brief compression; the visit takes about 20 minutes, and a radiologist reads the images afterward, with results sent within days. It is the test guidelines recommend at regular intervals starting in a woman's 40s.
What Is Screening Mammogram?
A screening bilateral mammogram is the routine X-ray check of both breasts in women with no symptoms, looking for cancers too small to feel. A technologist takes two standard views of each breast with brief compression; the visit takes about 20 minutes, and a radiologist reads the images afterward, with results sent within days. It is the test guidelines recommend at regular intervals starting in a woman's 40s.
What Affects the Cost
- –The screening itself is free under ACA preventive rules at in-network facilities, so out-of-pocket cost usually arises only from what follows.
- –3D tomosynthesis screening is an add-on code; most plans and Medicare now cover it as part of screening, but a few still pass its cost to patients.
- –Callbacks for additional views are billed as diagnostic mammography with normal cost sharing, and roughly one in ten screenings generates a callback.
- –Out-of-network facilities are not bound by the zero-cost-share screening rule.
- –Dense-breast supplemental imaging, like ultrasound or MRI, is billed separately and often with cost sharing.
Questions to Ask Before Booking
- 1.Is this facility in network so my screening is fully free?
- 2.Is 3D tomosynthesis included at no charge under my plan?
- 3.If I get called back for more views, what will that diagnostic visit cost me?
- 4.Am I inside my plan's allowed screening interval so the claim will not be denied for timing?
- 5.If I have dense breasts, what supplemental imaging might be recommended and does my plan cover it?
Other featured procedures in Indiana
Screening Mammogram in other states
Screening Mammogram in Indiana: questions
Indiana is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 77067 is $118.11 in an office and $118.11 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 $24 for the office physician line or $24 for the hospital physician line in Indiana. Medigap may cover that 20%. This is not the hospital facility fee.
No. $118.11 is the Medicare physician allowed amount for CPT 77067. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Indiana ranks #15 of 51 states on this physician line (6% below the national office rate of $126.26).