CPT77067

How Much Does a Screening Mammogram Cost in New Hampshire?

Scr mammo bi incl cad

$130.14New Hampshire physician fee2026 Medicare office rate

Under 2026 Medicare rates, a screening mammogram costs about $130 in New Hampshire at an imaging center or office. In a hospital, the doctor is paid about $35 for the reading and the hospital bills separately for the test.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 00210.
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New Hampshire Medicare physician rate (2026)

+3.1% vs national

Single statewide locality.

New Hampshire (Hospital)
$35.27
Physician reading only
Private plan est.
$169–$260
~130–200% of Medicare
Cash / self-pay est.
$104–$195
~80–150% of Medicare

Your ZIP in New Hampshire

Check your ZIP for local context, whether you are in Manchester, Nashua, Concord, the Seacoast around Portsmouth, the Lakes Region, or the North Country.

What screening mammogram costs at hospitals near you

Everything above is a national average. The hospital you pick in New Hampshire moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

For example 00210.

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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 New Hampshire the office and hospital physician lines for this CPT differ by $94.87.

National vs New Hampshire

National office$126.26
National hospital (physician)$35.07
New Hampshire vs national3% above the national office rate of $126.26

Where New Hampshire ranks for this CPT

Rank (lowest physician fee first)#40 of 51
Lowest stateArkansas ($111.36)
Highest stateDistrict of Columbia ($145.56)

Screening Mammogram and how New Hampshire is priced

New Hampshire is priced as one statewide locality with geographic indices above the national average, keeping company with its high-cost New England neighbors. From Nashua to the North Country, the fee schedule applies identical adjustments, even though the southern tier is economically an extension of greater Boston. CMS has never split the state, so the Massachusetts border is also a pricing border: cross it southbound and the metro Boston locality takes over. That makes New Hampshire a clear example of how locality lines, not just providers, shape what Medicare approves.

Southern New Hampshire residents routinely use Boston hospitals for complex care, accepting metro pricing in exchange for academic-center depth, while the state's own tertiary referral center sits in the west near the Vermont border. The Lakes Region and North Country rely on small rural hospitals with limited procedure menus. No state income or sales tax attracts retirees, steadily raising Medicare demand.

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?

Screening Mammogram in New Hampshire: questions

Under 2026 Medicare rates, a screening mammogram costs about $130 in New Hampshire at an imaging center or office. In a hospital, the doctor is paid about $35 for the reading and the hospital bills separately for the test. New Hampshire is a single Medicare locality, so the physician rate is the same statewide.

Not on the physician fee schedule. New Hampshire 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 $26 for the office physician line or $7 for the hospital physician line in New Hampshire. Medigap may cover that 20%. This is not the hospital facility fee.

At an imaging center or office, $130.14 is Medicare's full rate in New Hampshire, covering the test and the reading. In a hospital, the physician bills only the reading (about $35.27) and the hospital bills separately for the test. New Hampshire ranks #40 of 51 states on this rate (3% above the national office rate of $126.26).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.