Diagnostic Mammogram Cost in New Jersey

Dx mammo incl cad bi

CPT 77066

New Jersey Average Cost (2026)

+11.0% vs national avg

Average across 2 Medicare localities in New Jersey

New Jersey (Office)
$174.21
Non-facility rate
New Jersey (Hospital)
$174.21
Facility rate
Private Insurance Est.
$226 - $348
130-200% of Medicare
Self-Pay / Cash Est.
$139 - $261
80-150% of Medicare

National Average

Office Rate$156.98
Hospital Rate$156.98

State Ranking

New Jersey rank#45 of 49 (most expensive)
Cheapest stateArkansas ($138.55)
Most expensiveDistrict of Columbia ($180.69)

Cost by Region in New Jersey

RegionOffice Rate
northern nj$178.68
rest of new jersey$169.74

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About Diagnostic Mammogram Costs in New Jersey

The average Medicare reimbursement for diagnostic mammogram in New Jersey is $174.21 for an office setting and $174.21 in a hospital. This is about 11% higher than the national average of $156.98.

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in New Jersey, that would be roughly $35 for an office visit or $35 in a hospital setting.

Private insurance plans in New Jersey typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $226 and $348.

Without insurance, you may be able to negotiate a cash discount. Many providers in New Jersey will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.

Ways to Save on Diagnostic Mammogram

Compare Insurance Plans

Uninsured? Comparing marketplace plans in New Jersey could save you thousands on procedures like this.

Compare plans on eHealth

Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

Book on Sesame Care

Save on Prescriptions

If this procedure leads to a prescription, check discount cards for up to 80% savings.

Check prices on GoodRx

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Diagnostic Mammogram in New Jersey: Frequently Asked Questions

How much does diagnostic mammogram cost in New Jersey?

The average 2026 Medicare rate for diagnostic mammogram (CPT 77066) in New Jersey is $174.21 in an office setting and $174.21 in a hospital. Private insurance typically pays $226 to $348, and self-pay cash prices often run $139 to $261.

Is diagnostic mammogram cheaper in New Jersey than the national average?

New Jersey is about 11% higher than the national average of $156.98. Across all states, New Jersey ranks #45 of 49 for this procedure. The cheapest state is Arkansas ($138.55) and the most expensive is District of Columbia ($180.69).

What will I pay out of pocket for diagnostic mammogram in New Jersey with Medicare?

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In New Jersey that is roughly $35 for an office visit or $35 in a hospital setting.

How can I save on diagnostic mammogram in New Jersey?

Ask providers for a cash or self-pay price before scheduling; many in New Jersey reduce fees 20% to 40% for self-pay patients. If you are uninsured, comparing marketplace plans, using telehealth for consultations, and checking prescription discount cards can cut costs further.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations based on industry averages.