Why do 3D Mammogram Add-On prices vary so much?

Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 5.9 times what the cheapest tenth did, and state medians run from $20.70 in Alabama to $184 in New Mexico.

Is the cash price cheaper than using insurance?

Sometimes. At 297 of the 772 hospitals that list a cash price (38%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.

All procedures / 3D Mammogram Add-On

3D Mammogram Add-On Cost in the US (2026): What 1,042 Hospitals NegotiatedNPI VERIFIED

Across 1,042 US hospitals that publish federally required price files, the median negotiated rate for the 3D (tomosynthesis) add-on to a screening mammogram is $52. The middle half of hospitals negotiated between $31.66 and $84; the priciest tenth negotiated more than $134, 5.9× the cheapest tenth (under $22.56). Hospitals that list a self-pay price ask a median of $71 (772 hospitals).

Code CPT 77063 · Source: hospital machine-readable files (45 CFR §180), file dates 2023-11-10 to 2026-09-28 (median 2026-04-01) · Medicare baseline: CMS OPPS Addendum B · Data extracted 2026-10-06 · Page updated 2026-10-07

National median

$52

all plan types · 1,042 hospitals

Middle half

$31.66–$84

25th–75th percentile of hospitals

Median cash price

$71

self-pay · 772 hospitals list one

Medicare baseline

—

no OPPS rate for this service

1,042 hospitals, one bar per price band

median $52

$0$100$200

Each bar counts hospitals whose median rate falls in that price band; the last, dashed bar holds the 42 at $200 or more. The cheapest tenth negotiated under $22.56, the priciest tenth over $134 — 5.9× apart for the same procedure.

These are contract reference rates, not your bill. A median across hospitals is not a quote for your plan or network. Your out-of-pocket cost depends on your deductible, coinsurance and network status.

This is an add-on code. CPT 77063 is billed together with a screening mammogram (CPT 77067); the figures here are the 3D add-on charge only. For a 3D screening, the hospital bills both — see screening mammogram prices.

This is the hospital's facility fee. The radiologist who reads the images bills separately.

Medicare does not pay this service through the outpatient (OPPS) rate table we use as a baseline, so no Medicare multiple is shown.

Coverage: 1,042 of the 5,419 hospitals in the CMS roster have an identity-verified price file with this procedure in our data. It is not a random sample, and a hospital missing here has not been judged non-compliant — we may simply not have its file yet. 72 of these 1,042 hospital files were more than 12 months old at extraction — hospitals must update yearly; we keep the figures and say so rather than hide them.

By insurance type

Insurance type	Hospitals	Median	Middle half	× Medicare
Commercial (plan type not stated)	650	$76	$49.92 – $108	—
PPO	648	$79	$52 – $123	—
HMO	431	$72	$49.68 – $124	—
EPO	104	$71	$47.78 – $146	—
POS	43	$60	$43.78 – $117	—
ACA Marketplace	395	$48.32	$34.36 – $79	—
Medicare Advantage	542	$42.26	$22.45 – $56	—
Medicare (as listed)	518	$24.92	$21.67 – $47.62	—
Medicaid	632	$47.70	$25.36 – $69	—
Federal employees (FEP)	22	$109	$94 – $133	—
Workers' comp	117	$78	$45.02 – $107	—

Plan types are grouped from each hospital's plan names. Each figure is a median of hospital-level medians; types with fewer than 20 hospitals are left out.

By state

State	Hospitals	Median	Middle half	× Medicare	Median cash
Alabama	14	$20.70	$20.33 – $22.92	—	$82
Arizona	10	$33.66	$27.40 – $50	—	$39.25
Arkansas	9	$27.31	$25.17 – $48.90	—	$62
California	29	$62	$32.97 – $110	—	$80
Colorado	6	$35.91	$28.89 – $43.28	—	$62
Florida	39	$32.27	$25.34 – $43.89	—	$106
Georgia	30	$70	$34.13 – $89	—	$106
Hawaii	6	$54	$54 – $56	—	$72
Idaho	9	$75	$70 – $109	—	$88
Illinois	45	$81	$49.02 – $116	—	$99
Indiana	25	$52	$48.75 – $69	—	$40.17
Iowa	44	$51	$29.89 – $89	—	$62
Kansas	41	$79	$45.44 – $99	—	$86
Kentucky	34	$48.41	$43.04 – $58	—	$44.35
Louisiana	27	$47.57	$24.05 – $63	—	$47.54
Maine	8	$97	$42.56 – $118	—	$99
Maryland	9	$180	$160 – $209	—	$176
Massachusetts	8	$55	$42.12 – $58	—	$146
Michigan	28	$37.51	$30.13 – $65	—	$52
Minnesota	30	$59	$40.53 – $94	—	$80
Mississippi	17	$29.19	$20.04 – $53	—	$42.77
Missouri	27	$36.36	$21.40 – $44.80	—	$68
Montana	14	$73	$59 – $107	—	$77
Nebraska	28	$78	$52 – $104	—	$89
New Hampshire	6	$177	$62 – $230	—	$115
New Jersey	22	$39.91	$39.91 – $60	—	$59
New Mexico	17	$184	$29.21 – $254	—	$110
New York	36	$50	$23.61 – $61	—	$76
North Carolina	22	$48.70	$24.10 – $96	—	$70
North Dakota	12	$121	$89 – $134	—	$95
Ohio	56	$44.24	$24.65 – $62	—	$61
Oklahoma	22	$46.15	$32.14 – $79	—	$75
Oregon	21	$42.13	$29.37 – $55	—	$120
Pennsylvania	52	$57	$44.25 – $70	—	$59
South Carolina	26	$25.47	$22.36 – $51	—	$85
South Dakota	10	$79	$69 – $84	—	$83
Tennessee	21	$29.75	$22.10 – $52	—	$34.80
Texas	69	$55	$41.70 – $87	—	$42.00
Utah	20	$94	$52 – $94	—	$104
Vermont	8	$104	$51 – $132	—	$92
Virginia	18	$23.98	$23.87 – $55	—	$29.75
Washington	14	$42.42	$33.21 – $56	—	$75
West Virginia	7	$48.23	$38.01 – $91	—	$88
Wisconsin	22	$74	$41.31 – $114	—	$67
Wyoming	8	$57	$46.92 – $88	—	$76

middle half of hospitalsstate median · a dotted end means the range runs past $200

States with at least 5 hospitals in our data (45 states). 5 smaller states are counted in the national figures but not listed — a median of two or three hospitals says more about those hospitals than about the state.

Get the data

Hospital-level and insurer-level rates for this procedure are in the full dataset. A free three-procedure sample (brain MRI, head CT, diagnostic colonoscopy) is open under CC BY 4.0: DOI 10.5281/zenodo.23199844 · Kaggle.

Frequently asked questions

How much does the 3D (tomosynthesis) add-on to a screening mammogram cost in the US?: Across 1,042 hospitals that publish federally required price files, the median negotiated rate is $52, and the middle half of hospitals fall between $31.66 and $84. Self-pay cash prices have a median of $71 across the 772 hospitals that list one. What you pay out of pocket depends on your deductible, coinsurance and network.
Why do 3D Mammogram Add-On prices vary so much?: Each hospital negotiates separately with each insurer. In these files the priciest tenth of hospitals negotiated more than 5.9 times what the cheapest tenth did, and state medians run from $20.70 in Alabama to $184 in New Mexico.
Is the cash price cheaper than using insurance?: Sometimes. At 297 of the 772 hospitals that list a cash price (38%), it is lower than that hospital's own median negotiated rate. If you have a high deductible, ask the hospital for its self-pay price before you book.

Other women's health prices

Pregnancy Ultrasound

median $200 · 1,155 hospitals

Screening Mammogram

median $172 · 1,121 hospitals

See all 30 procedures →