Screening Mammogram Cost in Texas
Scr mammo bi incl cad
$124.73Texas physician fee2026 Medicare office rate- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Texas Medicare physician rate (2026)
-1.2% vs nationalAverage of 8 localities. Office range $117.15–$131.91.
Your ZIP in Texas
With so many Texas localities, check your exact ZIP: Houston, Dallas-Fort Worth, Austin, the Galveston and Beaumont coast, San Antonio, El Paso, the Valley, and rural West Texas can all price differently.
What screening mammogram costs at hospitals near you
Everything above is a national average. The hospital you pick in Texas 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.
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 centre 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.
National vs Texas
Where Texas ranks for this CPT
CPT 77067 by Texas locality
| Locality | Office |
|---|---|
| austin | $131.91 |
| houston | $126.38 |
| dallas | $125.84 |
| galveston | $125.47 |
| brazoria | $125.19 |
| fort worth | $124.86 |
| rest of texas | $121.00 |
| beaumont | $117.15 |
PE GPCI ranges from 0.910 to 1.058 in Texas. That index is why the same CPT is not one price statewide.
Screening Mammogram and how Texas is priced
Texas is carved into grouped metro localities rather than priced statewide: Houston, Dallas, Fort Worth, Austin, Galveston, Beaumont, and Brazoria each carry their own locality, and the enormous remainder of the state shares rest-of-state pricing. The big-city localities approve higher amounts than rural Texas, with Houston and Dallas at the top of the state's range. Uniquely, several smaller Gulf Coast areas kept their own localities from an earlier era, which is why Galveston and Beaumont are priced separately from Houston. San Antonio and El Paso, despite their size, fall under rest-of-state factors.
Texas contains several of the largest medical complexes in the world, most famously in Houston, plus deep hospital markets in Dallas-Fort Worth, San Antonio, and Austin. At the other extreme, West Texas and the Panhandle include counties with no physician at all, and rural hospital closures have hit Texas harder than almost any state. Border communities from El Paso to the Rio Grande Valley have distinct markets, and some residents cross into Mexico for lower-cost dental and pharmacy care.
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 Texas
Screening Mammogram in other states
Screening Mammogram in Texas: questions
The 2026 Medicare physician office rate for CPT 77067 averages $124.73 across 8 Texas localities, from $117.15 in BEAUMONT to $131.91 in AUSTIN. The hospital physician rate averages $124.73. Enter a ZIP for the exact locality.
Yes. CMS splits Texas into 8 payment localities. For this CPT the office physician fee spans $14.76 from the lowest to highest locality. With so many Texas localities, check your exact ZIP: Houston, Dallas-Fort Worth, Austin, the Galveston and Beaumont coast, San Antonio, El Paso, the Valley, and rural West Texas can all price differently.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $25 for the office physician line or $25 for the hospital physician line in Texas. Medigap may cover that 20%. This is not the hospital facility fee.
No. $124.73 is the Medicare physician allowed amount for CPT 77067. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Texas ranks #29 of 51 states on this physician line (within 2% of the national office rate of $126.26).