How Much Does a Screening Mammogram Cost in Nebraska?
Scr mammo bi incl cad
$117.53Nebraska physician fee2026 Medicare office rateUnder 2026 Medicare rates, a screening mammogram costs about $118 in Nebraska at an imaging center or office. In a hospital, the doctor is paid about $34 for the reading and the hospital bills separately for the test.
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- ✓The add-on codes that typically land on the bill
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- ✓Everything in the Premium report
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Nebraska Medicare physician rate (2026)
-6.9% vs nationalSingle statewide locality.
Your ZIP in Nebraska
Try a ZIP lookup for your part of Nebraska, from Omaha and Lincoln to Grand Island, Kearney, North Platte, Scottsbluff, and the Sandhills.
What screening mammogram costs at hospitals near you
Everything above is a national average. The hospital you pick in Nebraska 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.
For example 68001.
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 center 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. In Nebraska the office and hospital physician lines for this CPT differ by $83.98.
National vs Nebraska
Where Nebraska ranks for this CPT
Screening Mammogram and how Nebraska is priced
One locality prices all of Nebraska, with low geographic indices typical of the Plains, so Omaha, Lincoln, and the Sandhills ranch country share the same Medicare-approved amounts. The statewide setup means Nebraska's largest metro carries no fee schedule premium over its most remote village. Practice costs in Omaha do run above the rural average, but CMS averages that into one set of factors. Patients can treat the statewide numbers here as applicable anywhere in Nebraska.
Omaha is the state's medical anchor, with an academic medical center of national standing and a market that also serves western Iowa, while Lincoln adds a second urban hub. Outstate Nebraska depends heavily on critical access hospitals, and residents of the Panhandle often find Denver or Rapid City closer than Omaha for specialty care. Long travel distances are simply part of rural care planning here.
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 Nebraska
Screening Mammogram in other states
Screening Mammogram in Nebraska: questions
Under 2026 Medicare rates, a screening mammogram costs about $118 in Nebraska at an imaging center or office. In a hospital, the doctor is paid about $34 for the reading and the hospital bills separately for the test. Nebraska is a single Medicare locality, so the physician rate is the same statewide.
Not on the physician fee schedule. Nebraska 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 $7 for the hospital physician line in Nebraska. Medigap may cover that 20%. This is not the hospital facility fee.
At an imaging center or office, $117.53 is Medicare's full rate in Nebraska, covering the test and the reading. In a hospital, the physician bills only the reading (about $33.55) and the hospital bills separately for the test. Nebraska ranks #11 of 51 states on this rate (7% below the national office rate of $126.26).