How Much Does a Diagnostic Mammogram Cost in Oregon?
Dx mammo incl cad bi
$163.01Oregon physician fee2026 Medicare office rateUnder 2026 Medicare rates, a diagnostic mammogram costs about $163 in Oregon at an imaging center or office, from $156 in Rest of Oregon to $170 in Portland. In a hospital, the doctor is paid about $47 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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Oregon Medicare physician rate (2026)
+3.8% vs nationalAverage of 2 localities. Office range $155.70–$170.32.
Your ZIP in Oregon
Enter your ZIP code to see whether Portland-area or rest-of-state pricing applies, from Portland and Salem to Eugene, Bend, Medford, the coast, and eastern Oregon.
What diagnostic mammogram costs at hospitals near you
Everything above is a national average. The hospital you pick in Oregon 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 97001.
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 Oregon the office and hospital physician lines for this CPT differ by $116.24.
National vs Oregon
Where Oregon ranks for this CPT
CPT 77066 by Oregon locality
| Locality | Office |
|---|---|
| portland | $170.32 |
| rest of oregon | $155.70 |
PE GPCI ranges from 0.996 to 1.111 in Oregon. That index is why the same CPT is not one price statewide.
Diagnostic Mammogram and how Oregon is priced
Oregon splits into a Portland metro locality and a rest-of-state locality, so the fee schedule prices the Willamette Valley's biggest market above Eugene, Bend, Medford, and the rural east. Portland's higher wages and office costs justify the premium, while the rest-of-state locality covers everything from the coast to the high desert at lower adjustments. The two-tier structure means an identical procedure is approved at different amounts on either side of the metro boundary. Oregon's overall indices sit somewhat above the national midpoint, led by the Portland side.
Portland concentrates the state's academic medicine and subspecialty care, drawing patients from all of Oregon and southwest Washington. Bend has grown into a notable central Oregon hub, and Medford serves the southern counties, but the eastern two thirds of the state remains sparsely served, with some residents closer to Boise than to Portland. Coastal communities also face limited local procedure options.
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 Oregon
Diagnostic Mammogram in other states
Diagnostic Mammogram in Oregon: questions
Under 2026 Medicare rates, a diagnostic mammogram costs about $163 in Oregon at an imaging center or office, from $156 in Rest of Oregon to $170 in Portland. In a hospital, the doctor is paid about $47 for the reading and the hospital bills separately for the test. Enter a ZIP for the exact Oregon locality.
Yes. CMS splits Oregon into 2 payment localities. For this CPT the office physician fee spans $14.62 from the lowest to highest locality. Enter your ZIP code to see whether Portland-area or rest-of-state pricing applies, from Portland and Salem to Eugene, Bend, Medford, the coast, and eastern Oregon.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $33 for the office physician line or $9 for the hospital physician line in Oregon. Medigap may cover that 20%. This is not the hospital facility fee.
At an imaging center or office, $163.01 is Medicare's full rate in Oregon, covering the test and the reading. In a hospital, the physician bills only the reading (about $46.77) and the hospital bills separately for the test. Oregon ranks #42 of 51 states on this rate (4% above the national office rate of $156.98).