Diagnostic Mammogram Cost in Pennsylvania
Dx mammo incl cad bi
Pennsylvania Average Cost (2026)
-1.3% vs national avgAverage across 2 Medicare localities in Pennsylvania
National Average
State Ranking
Cost by Region in Pennsylvania
| Region | Office Rate |
|---|---|
| metropolitan philadelphia | $163.07 |
| rest of pennsylvania | $146.87 |
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About Diagnostic Mammogram Costs in Pennsylvania
The average Medicare reimbursement for diagnostic mammogram in Pennsylvania is $154.97 for an office setting and $154.97 in a hospital. This is close to the national average of $156.98.
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Pennsylvania, that would be roughly $31 for an office visit or $31 in a hospital setting.
Private insurance plans in Pennsylvania typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $201 and $310.
Without insurance, you may be able to negotiate a cash discount. Many providers in Pennsylvania 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 Pennsylvania 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 →Some links are affiliate links. We may earn a commission at no extra cost to you.
More ways to save →Other Procedures in Pennsylvania
Diagnostic Mammogram Cost by State
Diagnostic Mammogram in Pennsylvania: Frequently Asked Questions
How much does diagnostic mammogram cost in Pennsylvania?
The average 2026 Medicare rate for diagnostic mammogram (CPT 77066) in Pennsylvania is $154.97 in an office setting and $154.97 in a hospital. Private insurance typically pays $201 to $310, and self-pay cash prices often run $124 to $232.
Is diagnostic mammogram cheaper in Pennsylvania than the national average?
Pennsylvania is close to the national average of $156.98. Across all states, Pennsylvania ranks #25 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 Pennsylvania with Medicare?
Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In Pennsylvania that is roughly $31 for an office visit or $31 in a hospital setting.
How can I save on diagnostic mammogram in Pennsylvania?
Ask providers for a cash or self-pay price before scheduling; many in Pennsylvania 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.