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Mammogram Cost


How Much Does a Mammogram Cost?


low cost With Insurance coverage: No charge or co-pay
low cost Without Insurance: $80-$212

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A mammogram is a breast X-ray used for early detection of breast cancer. It is recommended yearly starting at age 40. A clinical breast examination, in which a doctor or nurse examines the breast for lumps or irregularities, is recommended once every three years starting at age 20, then once a year at age 40 and up.
 
Typical costs:
  • For an uninsured patient, typical full-price cost of a mammogram ranges from $80 to $120 or more, with an average of about $102, according to Blue Cross Blue Shield of North Carolina. Some providers charge more, and some offer an uninsured discount. For example, at the Kapiolani Medical Center in Aiea, Hawaii, where the full price is about $212, an uninsured patient would pay about $127 to $148.
  • Mammograms usually are covered by health insurance for women in the recommended age bracket. Many states require health insurance companies to cover regular mammograms, usually after age 40. The National Women's Law Center offers a state-by-state chart.
  • For women covered by health insurance, some plans require no out-of-pocket expenses, while others charge a co-pay, generally between $10 and $35.
  • A clinical breast exam is much less expensive, and usually is included as part of a general or gynecological check-up.
What should be included:
  • The mammogram technician places the breast between two plastic plates, which compress the breast tissue so a clear X-ray can be taken. The procedure takes about 20 minutes.
  • The American Cancer Society offers a primer on early detection of breast cancer. Only two to four of every 1,000 women who undergo a mammogram end up receiving a diagnosis of cancer.
  • In a clinical breast exam, the doctor or nurse manually checks the breasts, lymph nodes and nipples for any palpable irregularities.
Additional costs:
  • Women at high risk for breast cancer, such as those with a known breast cancer gene mutation, should consider getting an MRI each year in addition to a mammogram, according to the American Cancer Society.
  • If an irregularity is found, more testing or follow-up testing might be required. About 10 percent of women who have a mammogram require more tests, usually just another mammogram. However, about 8 to 10 percent do require a biopsy.
Discounts:
  • During the month of October, Breast Cancer Awareness Month, some community or women's groups offer free or very low-cost mammograms, sometimes using a mobile clinic. To find a program, call the Susan G. Komen for the Cure Breast Care Helpline at 1-800 I'M AWARE (1-800-462-9273). Or contact the YWCA's ENCOREplus program any time for a referral for a free or low-cost mammogram.
  • Visit the U.S. Centers for Disease Control and Prevention website to find a program in your area that offers low-cost or free mammograms to uninsured and underinsured women who qualify.
Shopping for a mammogram:
  • If you have health insurance, consult with your general practitioner or gynecologist to get a mammogram and/or a clinical breast exam.
  • Otherwise, check with your local Susan G. Komen for the Cure affiliate to get more information on planned screening events. Or, call your local health department or use the Planned Parenthood Federation of America, Inc.'s online search feature to find a local clinic.
  • For mammorgrams, the American Cancer Society recommends using a facility that performs many mammograms each day, and is authorized by the U.S. Food and Drug Administration to perform mammograms.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
 
Article updated March 2008
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Recent Posts

Amount: $553.00 cost of mammogram
Posted by: Tricia in Dahlonega, GA.Purchased: 2008
Clinic or Doctor: Imaging Center of DawsonvilleInsurance Carrier: BC/BS
Type of Policy: PPo
My insurance company has a high deductible and I have to pay for my mammogram. I was under the impression that they cost about $200.00 but I was billed $553.00. Is this too high?
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Amount: $785.00 Cost of Mammagram
Posted by: Jen4402 in Minneapolis, MN.Purchased: July, 2008
Clinic or Doctor: FairviewInsurance Carrier: Preferred One
Type of Policy: PPO
I just got my bill for my mammagram on 7/22/08. My portion of the bill was $191, but the total charges were $785. I am outraged that they feel this is a reasonable fee. I\'m not so sure I\'ll have one every year at this price. I\'d be better off to have been uninsured.
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Amount: $2,599.00 Mammogram Costs MUCH higher
Posted by: Poor in New Jersey in Parsippany, NJ.Purchased: August, 2008
Clinic or Doctor: St Claire's Imaging CenterInsurance Carrier: Beech Street
Type of Policy: PPO
I read websites like this thinking I was getting a mammo for around $200. What this estimate fails to take into account is the fact that, if a mammo is done in a hospital, the hospital will charge you as an outpatient IN ADDITION to th cost charged by the radiologist. On top of thet, my screening mammo was abnormal, so here are my total costs for this nightmare:
Hospital Costs
$490.00 for baseline screening
$1,817.00 for follow up mammo and ultrasoung
PLUS...
Radiologist charges
103.00 baseline screening
185.00 ultrasound
107.00 follow up mammo
Yes, both the radiologist and the hospital charge you for the same exact services - WHAT A SCAM.
My crappy insurance covered half of this, so I am left with a bill for $1,200 dollars. No wonder so many women are dying. If I had known that it would cost this much I would have skipped the screening.
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Amount: $523.00 too much for service (mammogram)
Posted by: A cuser in GA in Americus, GA.Purchased: November, 2008
i had a mammogram done they did the routine baseline exam. my insurance paid $127 leaving me a total of $523. this i think is too much. the fact that mamagement is being audit in this hospital.a lot of the medical doctors are leaving and God is cleaning house.
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Amount: $433.00 Cost of Mammogram
Posted by: Citizen in Colorado in Longmont, CO.Purchased: October, 2008
Clinic or Doctor: United Hospital LongmontInsurance Carrier: United Health
Type of Policy: PPO
My insurace only cover 97.00 so I have to pay the balance.
Is the cost information provided by this webpage up to date or accurate? I would like to know where can I get a mammogran test for $80 to $120?
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Amount: $704.00 Cost of Mammogram Idaho
Posted by: TooMuchForMammogram in Boise, ID.Purchased: March, 2009
Clinic or Doctor: St. Lukes Breast ImagingInsurance Carrier: Primary Health
Type of Policy: PPO
Mammogram (St.Lukes) $187.32 --> to deductible
Mammogram (Radiologist) $104.00 --> to deductible
Ultrasound (St.Lukes) $271.32 --> to deductible
Ultrasound (Radiologist) $126.00 --> to deductible
Misc (Radiologist) $15.00 --> to deductible
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Amount: $713.00 Costs MUCH higher than expected
Posted by: CrazyCostsinCA in Manahattan Beach, CA.Purchased: February, 2009
Clinic or Doctor: Torrance Memorial Medical CenterInsurance Carrier: Guardian PPO
Type of Policy: PPO
Health care costs seemed to have ZOOMED even more out of countrol. This facility charged my insurance carrier $202 in 2008, $713 in 2009 for the same procedure at the same facility. This represents approx. 350% increase in 1 year. My out-of-pocket is $250 - more than the entire procedure cost last year.
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Amount: $667.00 Cost of a mammogram in 2009
Posted by: a user in Salt Lake City, UT.Purchased: January, 2009
Clinic or Doctor: LDS HospitalInsurance Carrier: Blue Cross Blue Sheild
Type of Policy: PPO
And, my insurance is only covering $200-something. So I owe the rest. Husband is out of work, not sure how I can pay this, and health care providers wonder WHY we don't have preventative procedures done? I won't be getting another one, that's for sure.
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Amount: $79,380.00 Cost of my Mammogram
Posted by: A dissatisfied customer in Auburn WA in Auburn, WA.Purchased: April, 2009
Clinic or Doctor: Breast Diagnostic CentersInsurance Carrier: Regence Blue Sheild
Type of Policy: PPO
I too had a Mammogram done and it came back suspect so they did an ultra sound and found nothing as I knew they would. My insurance only paid a portion of the bill and I was stuck paying an additional 204.96. What an outrage! Just like all the others that have posted comments...I am not going to be so quick to have another any time soon! And they wonder why women won't go yearly!
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Amount: $0.00 free or $600 or ???
Posted by: disgusted in WA in Camano Island, WA.Purchased: 2009
Clinic or Doctor: Insurance Carrier: Alliant Plus - Group Health
A Group Health representative previously told me that I'd need to pay a $30 copay plus 40% of the contracted fee. My Dr. referred me to Providence Breast Center in Everett, WA. I called them to find out that their fees would be $500-600. I called Group Health again to find out what their contracted fee would be, and this time a representative told me that mammograms were free. So after spending quite awhile canvasing my literature, waiting on hold, and talking with various people, I still have no real idea how much it will cost. I DO know, however, that the last time I had one, the first round was free but they called me back for additional images and that cost me several hundred dollars -- and I didn't have "catastrophic-only" insurance then. I think it's all a scam. I'm not at all encouraged to go through any of it again.
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Amount: $250.00 Mammogram
Posted by: The Green Forest in Kirkland, WA.Purchased: July, 2009
Clinic or Doctor: Evergreen Medical HospitalInsurance Carrier: Mega Life
Type of Policy: group
My wife had a mammogram two years ago and our insurance completely paid for the $340 procedure. We just got a bill for $250, and the total cost for the four X rays is $521! That is a 70% increase in
just two years. Inflation during the period is only 7%, and real wages have gone up only 7 percent too, in a recession. What is going on?

Folks, we need to protest this. I will. Our nation will soon be bankrupt from all this.
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Amount: $179.00 Hoping for what I was quoted
Posted by: AC in Calhoun, GA.Purchased: 2009
Clinic or Doctor: Summitt Radiology, Gordon HospitalInsurance Carrier:
I have an appointment next week for a mammogram and as a self-paying client, I was quoted $179 on the phone and told that it would be less than that if I tell them I am self-pay. Another facility in Dalton quoted me $195. So after reading the comments, I am keeping my fingers crossed that there won't be any surprise charges.
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Amount: $1,021.00 Cost
Posted by: -- in SLC, UT.Purchased: June, 2009
Clinic or Doctor: UtahInsurance Carrier: Cigna
Initial appt w/ gyn for referral - $91
Digital Mammo: 476
Ultrasound: 249
Radiologist to read mammo: 75
Follow up w/ specialized surgeon for another opinion: 130
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Amount: $0.00 Cost of Mammogram
Posted by: D in D in Dallas, TX.Purchased: July, 2009
Clinic or Doctor: Methodist Charlton DallasInsurance Carrier: First Health
Cost in 2009 $358.00
Cost in 2008 $200.00 same place.
Reason, new digital machine.
Don't know yet what the insurance wil pay.
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Amount: $500.00 too expensive
Posted by: very upset of my 1st routine check in harwich, MA.Purchased: January, 2009
Clinic or Doctor: fontaine medical centerInsurance Carrier: bluecross
im young and this was my 1st check in my life. i took test 1/27 and i got this bill now 09/2009
why do i have to pay 500$ i called here and there to straight out the story is he say she say and im trapped in middle.idk where to ask and where to get help anymore.ridiculous. im afraid to go next yr one around corner to get this kinda bill again
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Amount: $741.51 What's wrong in this country?
Posted by: Tomomi T in Bayonne, NJ.Purchased: August, 2009
Clinic or Doctor: Bayonne Meidical HospitalInsurance Carrier: BCBS
Type of Policy: HMO
$741.51 for the bill?? It's just Mammography. Unbelieable...! I could have all cancer screenings with CT/MRI for $500 in Japan. Again, why do we pay taxes for?
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Amount: $6,686.70 my cost beat you all!!!!
Posted by: Val Petro in Monterey, CA.Purchased: October, 2009
Clinic or Doctor: Community Hospital of Monterey PeninsulaInsurance Carrier: Medicare
Type of Policy: government
I have Medicare primary and Anthem secondary as we are on Cobra now due to no work for my husband. I received a notice called "This is not a Bill" from the Hospital which runs the mammogram center. Outrageous, don't you think? And the hospital cries poor all the time!!! You ought to see it. It is like a country club for all the rich people from Pebble Beach, Carmel, etc. But we get good care. Just really have to pay through the nose for it. Our private insurance is from our Carpenters Trust Fund so there is an important attention paid in costs as it is really "OUR" money. Disgusted with fees these days.
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Amount: $374.00 Cost of my mammogram is a rip off
Posted by: pat52 in Ellenwood, GA.Purchased: October, 2009
Clinic or Doctor: Metro Surgical AssociatesInsurance Carrier: United Healthcare
Type of Policy: ppo
I didn\'t pay anything but a $25.00 co-pay last year. This year, I paid my $25.00 co-pay and just got a bill for $135.43. The total bill is $ 334.00 What the hell is this? I can\'t believe it. It looks like my insurance company paid only $37. 19. I live in Georgia and this is outrageous.
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Amount: $945.00 Mammogram Conspiracy
Posted by: Sorry I Bothered! in Kirkland,, WA.Purchased: October, 2009
Clinic or Doctor: Evergreen Medical CenterInsurance Carrier: Blue Cross BS
My doctor ordered a yearly mammogram. Because I had some discomfort in one breast, the hospital outpatient center that I was sent to REQUIRED me to have a "diagnostic mammogram". What is a regular mammogram, if not diagnostic? Why is it that if the results of a mammogram are not conclusive, an ultrasound has to be done? The ultrasound must be a better test! It certainly doesn't squeeze your breasts into a vice, and it is a much faster test. Hmmm... Could it be that this is a way for hospital outpatient centers to make more money on the poor, frightened consumer?? It is a scam that I won't be a part of next time. I will just have a mammogram when it is offered at my grocery store!
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Amount: $180.00 breast examination
Posted by: Coach's Wife in Jackson, TN.Purchased: September, 2009
Clinic or Doctor: The Jackson ClinicInsurance Carrier: none
Type of Policy: none
I lost my insurance when I resigned from my high school secretary job in Jan. 2004 so that I might care for my 10 month old grandson while my son-in-law and daughter went to Iraq for TN Army National Guard. I have not had a checkup since then as I have been in good health (54 years old). In Sept 2009 I found a sore on breast and called The Jackson Clinic to get price on a breast exam (no insurance)... they told me $90-150. I was examined and was told it was a bug bite. The doctor said they would charge me the minimum price for the exam. I went back out and was charged $180.00, which I had to pay immediately. THIS INCLUDED A 20% DISCOUNT!! I was dumbstruck! And the doctor wanted me to get a mammogram. I had to decline as we didn't have any more money. I'm in the process of trying to find someone to give me a mammogram for a reasonable cost... no such luck yet.
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Amount: $366.00 Mammogram
Posted by: What is going on??? in Sequim, WA.Purchased: December, 2009
Clinic or Doctor: Olympic Medical CenterInsurance Carrier: PPO Next
Insurance does not cover any tests, so I have to pay every cent for this. Mammograms costs 244.00, someone to "read" the films 122.00. Now they want me to return for more images...HA! Not after reading all these complaints...I cannot afford more $$$. I will call and ask them if they want more images is this included in my first price. I have had 8 Mammograms through the years (57 yr.old)and have never had to return for "more" images.
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Amount: $0.00 Mammograms
Posted by: A Healthcare Worker in Rockford, IL.Purchased: 2009
Clinic or Doctor: n/aInsurance Carrier: n/a
Type of Policy: n/a
I\'m 25 and have yet to get a mamm. I\'m hoping that the absolutely ridiculous problems with healthcare in this country will have been solved by the time I have to have one.

I work with medical records for one of our local health systems. I\'m not a doctor, or a nurse, but I do see reports every day for various kinds of mammograms and other breast health issues.

A \"regular\" or \"yearly\" mamm is called a Screening Mamm. This is done yearly for women 40+ (earlier if you have problems or if you have strong family history of breast cancer) who are healthy (have not found lumps, no past breast cancer). These are relatively quick; each breast is x-rayed from 2 angles. The radiologist assigns the images a code on the BI-RADS scale, and this determines your follow-up path.

Relating to the posts of \"What is going on???\" and \"Sorry I Bothered!\": for MOST women, a Screening Mamm is the first step. IF on the Screening Mamm they see anything abnormal, the VERY FIRST THING they will do is call you back in for \"more images,\" or a Diagnostic Mamm. This is usually only done for whichever breast had an abnormal Screening Mamm, and it takes longer than a Screening Mamm even though it\'s often on only one breast, because they take x-rays from multiple angles. I read somewhere that ~10% of women are called back for a Diagnostic Mamm, and the Diagnostic Mamm clears up the issue for ~90% of those -- that is, things that look kind of funny on the Screening Mamm often are revealed on the more detailed Diagnostic Mamm to be, say, cysts, or benign calcifications, or something that docs are otherwise not worried about. But the Diagnostic Mamm is needed before they can know for sure.

Sometimes they skip the Screening and go straight to the Diagnostic Mamm -- e.g., if you have any personal history of breast cancer, or if you have any pain, nipple discharge, or if you or your doctor has noticed a lump.
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Amount: $0.00 (continued)
Posted by: A Healthcare Worker2 in Rockford, IL.Purchased: 2009
Clinic or Doctor: n/aInsurance Carrier: n/a
Type of Policy: n/a
If the Diagnostic Mamm confirms benign findings, cool. If it shows something suspicious, however, your doctor may recommend other things, such as ultrasound, or biopsy, or both, and maybe a surgical consult.

If you have a mamm and are called to have more images, it is SO SO SO important that you have them done! Early detection is extremely beneficial and doctors DO NOT take chances with this stuff!

Ultrasound is fantastic but it would be terribly inefficient as a screening method because it can only look at a small place at a time, in real time. For breasts, u/s is used mainly to look at a specific area of concern -- a lump, if you have one; or whatever area was worrisome on the mamm(s). To use it for screening would require them to go around and around each breast and watch the screen the whole time, as opposed to a static x-ray "snapshot" of your breast (which is what a Screening Mamm is). They're not going to do a u/s until they know what they're looking for.

The two best "first line" ways to check for breast cancer are the Screening Mamm, which is quick and general, and breast exams (at least monthly self-exams, and at least yearly doctor's exams).

As to the chain of events described above by one woman, it ended up adding up to over a thousand dollars, but I am so thankful that that's where it stopped. A false alarm is better than a true one!

One of the things we hate in healthcare is the fact that many insurance companies don't cover routine screenings such as Screening Mamms and Colonoscopies, but they WILL pay for your chemo when you get breast cancer or colon cancer. It would be SO MUCH CHEAPER in the long run -- for the company, for you, for society at large -- run for them just to pay for the screenings and catch cancer earlier!
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Amount: $0.00 (still continued)
Posted by: A Healthcare Worker3 in Rockford, IL.Purchased: 2009
Clinic or Doctor: n/aInsurance Carrier: n/a
Type of Policy: n/a
I will not be happy until every single citizen in this country has access to affordable screening tests like these, because they are invaluable. I also do not have insurance, and I feel for you ladies who have been charged outrageous sums whether because of lack of insurance or because your insurance doesn't cover mamms. If you want a mammogram but cannot afford one you might call your local Health Department to see if they have any programs for free or discounted mamms for women who have no insurance or whose insurance does not cover them. Pap smears, too.

For more information about mammograms and the BI-RADS categories, I found this website helpful:
http://www.cancer.gov/cancertopics/factsheet/Detection/mammograms

I wish you all good health.
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Amount: $945.00 Mammogram Conspiracy
Posted by: Sorry I Bothered! in Kirkland,, WA.Purchased: 2009
Clinic or Doctor: Evergreen Medical CenterInsurance Carrier: Blue Cross BS
One more comment. Although my insurance carrier, Blue Cross Blue Shield, is willing to pay 100% of a "Screening Mammogram", they view the "Diagnostic Mammogram" as "not preventative", so consider it major medical. That, in my opinion, is the conspiracy. I believe that the hospitals and outpatient centers are purposefully requiring "diagnostic" mammograms just to get more money from the consumer. My "breast pain" was not a new finding and the hospital had my previous records with NO changes noted. This is the first time that they charged me so much when in the past, ALL necessary views/mammogram testing was considered part of the service. Considering that they halready had years of my previous films to support my benign condition, there was absolutely no reason to subject me to the extra testing. Like I said, it is a conspiracy to make money, nothing more!!
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Amount: $500.00 Mammogram benefit a joke
Posted by: Baited and trapped in Marietta, GA.Purchased: December, 2009
Clinic or Doctor: WellStar KennestoneInsurance Carrier: United Health Care
Type of Policy: HMO
Got my yearly mammogram, as usual, age 63, breast cancer survivor, and expected not to pay out of pocket, as in the past years. My UHC pamphlets I got at open enrollment plainly stated, routine mammograms covered 100% with no copay or deductables. Then I started getting bills of $340 for hospital use, $160 for radiology dept. services. I called and complained and filled out complaints about the charges. They say my visit was not routine, I say it is. I go every year. My results were clear. However they continue to insists I am not getting a routine mammogram. In Georgia it is a state law that mammograms are covered by all Insurance company doing business in the state. I am in process of sending copies of my open enrollment pamphlets and copies of my bills to the State Insurance Commissioner for review. I hope you will also if you read this. His recent letter to the insurers stated he is to watch their efforts to reduce benefits to policy holders.
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Amount: $0.00 cost of mamogram
Posted by: a user in Kingman, AZ.Purchased: January, 2010
Clinic or Doctor: Kingman Regional Medial CenterInsurance Carrier: bc/bs
Type of Policy: 1000.00 deductible
unbelievable mamogram 580.00
ultrasound 740.00
professional fees 496.00

first insurance paid 708.24
waiting for other ins. but no hopes for more than 700.00 leaving a balance with 2 insurance carries of 500.00. This is ridiculous if I were on state aid I would get it for free.
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Amount: $10.00 Cost Comparission
Posted by: Not Being Ripped Off Anymore in Seoul, Other.Purchased: March, 2010
Clinic or Doctor: S. Korean HospitalInsurance Carrier: National Insurance
Type of Policy: copay
I have had experiences with both US & Canadian health care so I just wanted to point this out to show you the injustice.

Last week I decided to get my first mamogram because I found out here in Korea women start getting them in their 20s.

I was a walk-in (no appointment necessary/ no referral needed) I didn't even have to wait longer than 10 minutes. It cost me $10 USD.

I am part of the National Insurance Plan (all citizens are and foreigners who are legally employed here) I pay like $30/month.

Their healthcare system is much more efficent and their quality of care is way better.

In terms of preventive care everyone gets one free annual thorough physical exam. and prescriptions are covered too very interesting that meds that cost over $100 back home cost $2 here!
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Amount: $950.00 Cost
Posted by: a user in salt lake city, UT.Purchased: February, 2009
Clinic or Doctor: st marksInsurance Carrier: aetna
Type of Policy: hsa
Doc prescribed diagn. and additional ultrasound. Cost was over $950 (I still have not received radiologist bill). After insurance I am paying $522 plus radiologist portion. This is seriously messed up when I compare costs above and when I asked cost of this it was not provided prior to appt.
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Amount: $105.00 MAMMOGRAM
Posted by: SAN LUIS OBISPO in SAN LUIS OBISPO, CA.Purchased: February, 2008
Clinic or Doctor: FRENCH HOSPITALInsurance Carrier: CATHOLIC HEALTHCARE WEST
Type of Policy: CHW
I HAD MY ANNUAL MAMMO AT THE HOSPITAL I WORK AT (I ALSO CARRY CHW INSURANCE) I WAS BILLED FOR AN AMOUNT GREATER THAN A CASH PAYING CUSTOMER! I MET WITH THE HOSPITALS CFO...SHE REDUCED MY BILL TO THAT OF A CASH PAYING CUSTOMER. MY ADVICE...IF YOU HAVE A DEDUCTIBLE, CHECK TO SEE IF THE PRICE FOR YOUR MAMMO IS CHEAPER IF YOU PAY CASH. (USUALLY ~ $100.00) THIS YEAR,2009, I AM PAYING CASH. WHAT A SCAM, CHW IS A NON-PROFIT...WHAT A JOKE THAT IS.
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Amount: $1,046.00 regular yearly mammogram
Posted by: d hornback in Lubbock, TX.Purchased: 2009
Clinic or Doctor: Grace Medical lubbock txInsurance Carrier:
I got a regular mammogram form this clinic in Lubbock Texas and the cost was over 1000.00.
I was unaware of the cost as the year before I went to the normal place for 250.00
I am not going back.
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Amount: $354.00 AGE 30
Posted by: Sucky Insurance! in Tucson, AZ.Purchased: February, 2010
Clinic or Doctor: Radiology limitedInsurance Carrier: BCBS
I got a mammogram done in feb. and was billed for routine costing $291 and a CAD (2 additional x-rays) $63. I was told by radiology limited it would be billed medically nessecary since my mother was dx at age of 34 and later died at 40. Not the case. BCBS is refusing to see it as medically nessacary. They rather pay for my chemo and bone marrow transplant than a couple hundred dollars every year for a screaning. I got a mammogram when i was 26 under UNITED insurance and i didnt pay a dime. What is this world comming too. I'm so mad!
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Amount: $450.00 mammogram price gouging
Posted by: Faye in Tarzana, CA.Purchased: April, 2010
Clinic or Doctor: Providence Tarzana Medical CenterInsurance Carrier: United Health Care
Type of Policy: PPO
This is the first time in my life I have had insurance which I am not crazy about that has a high deductible, but it is a PPO. However in 2009 with this same insurance I had a colonoscopy, not the doctor or the facility tried to gouge me. This place did for the mammogram. I would have done better to tell them I had no insurance anymore. My insurance made them adjust this bill only by $184.50 so I still owe $265.50. I think they are trying to gouge patients due the health reform bill passing and make as much money as they can till they cannot anymore. My dad now deceased co created and co wrote Medicare and Medicaid working for the Government. Last year at another facility in Glendale, Ca the price before the insurance was about half of this. I chose to have it as this place because I bought a house and this is much closer to my new home. What a mistake to not ask for a price before hand, shop around or pretend to not have any insurance. To add insult to injury on their bill to me is an offer for a $100 mammogram in May and the coupon good till Dec. 31, 2010! Of course too late for me and they would have never told me this in April when I went in for my yearly. This is disgusting behavior. I would hate to go to medical school and work at a place like this, treat patients like this and have to look myself in the mirror.
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Amount: $152.00 Reasonable in Wisconsin
Posted by: SeemsReasonable in Appleton, WI.Purchased: May, 2010
Clinic or Doctor: Theda ClarkInsurance Carrier: United
Type of Policy: High Deductible
Billed $190 for basic screening and insurance paid all. This was covered under "preventative care."

However, billed $204 for follow up diagnostic, network reduced to $152. I paid the $152 because diagnostic is not part of preventative. The follow up (one view) including reading from radiologist took less than 15 minutes.

No family history so I go every other year. 44 years old.
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Amount: $638.00 OMG seriously was my reaction
Posted by: Lucy A in Waco, TX.Purchased: June, 2010
Clinic or Doctor: Scott & White Waco TexasInsurance Carrier: N/A
Type of Policy: N/A
I just got back from my mammogram and was floored when I seen my bill it was 638.00 after they took the 40% off. I really cried then I just couldn't hold back the tears. Allthough they were very nice there and I had a mammogram and an ultasound because they found something it was over $1000.00 minus the 40% for paying in full. Anywho, Im glad I went because it was needed Im 43, I found a lump and I have never had one before so I went, I did call first to find out how much money it would cost me and she said the mammogram starts around $180.00 so you can see I was shocked with $638.00 So regardless all women need one and forsure do your self exams every month.
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Amount: $0.00 Forgo Mamogram
Posted by: yls in mpls, MN.Purchased: 2010
After reading all the horror stories, at age 80 I'll forgo a mamogram, so much for all the coverage I think I have, there must be a cure for cancer and predatory pricing.
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Amount: $0.00 cost
Posted by: pissedoffmedstudent in Richmond, VA.Purchased: 2010
Clinic or Doctor: n/aInsurance Carrier: n/a
Type of Policy: n/a
You should shop around first. Then once you find a price that you like, get them to put it in writing first before you get the procedure (then if you get something different on a bill you can have something to back you up, especially if you have to go to court for not paying). You have a right to know just how much something is going to cost you before you get it, especially if you have to pay at the time of service. If you go in person it will also be easier to get a real price because you will be able to see the lies when you hear them (ask to speak to someone in billing for the real total cost and make an appt if you have to). And remember that if you really feel that you have been overcharged and especially if you have evidence of wrongful billing/procedures, you can always count on the labor board to get it straight.
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Amount: $2,757.15 mamogram and pelvic
Posted by: responsible party in miami, FL.Purchased: February, 2010
Clinic or Doctor: miami breast institueInsurance Carrier: assurant
Type of Policy: forgot
BIG TIME SCAM THEY SHOULD BE A SHAMED OF THIS , NOT ONLY DID I SPEND THE $250. 00 dollars on top of that ,as my 20% here how this reads, screening mammo dig $400.00 , cad screening $105.00 ultrasound pelvic -tra $475.00, ultrasound,pelvic $495.00, and yes i fell for the call back , which was another , out of my pocket of $133.00 but iam not finished , sorry i can not pay for this they really need to post the prices and have some type of sliding scale , health care we need , early heart attacks not yet , and they need to give a itemized bill at the end of office visit , shop around for a better price
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