Screening Mammogram price: Medicare anchor and facility lever
Anchor for Screening Mammogram - CPT 77067
$123.91
Professional (26) $35.67 plus technical (TC) $88.23.
A screening mammogram is the one imaging code on this site where Medicare cost sharing is usually zero, and the place where a 3D add-on most often changes a cash quote. CPT 77067 covers both breasts with two views each. Tomosynthesis is billed as add-on code 77063, and that line decides whether two quotes are comparable.
CPT code
77067
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection when performed
CPT 77067 is bilateral screening. Diagnostic mammography uses 77065 or 77066 and a different anchor. Tomosynthesis (3D) add-on code 77063 is commonly billed with screening and changes the total.
The codes this visit can be billed under
| CPT | PFS office or global | PFS facility (professional) | Global period | Hospital single-service APC | Minimum Medicare copay at hospital |
|---|---|---|---|---|---|
| 77067 (this page) | $123.91 | $123.91 | not a surgical global | not paid by APC | n/a |
| 77063 | $50.73 | $50.73 | add-on code | not paid by APC | n/a |
| 77066 | $154.56 | $154.56 | not a surgical global | not paid by APC | n/a |
Medicare.gov states that people with Medicare pay nothing for a screening mammogram once every 12 months when the provider accepts assignment. Screening mammography is paid under the Physician Fee Schedule even in hospital outpatient departments, which is why this page shows no OPPS facility anchor for 77067.
The tomosynthesis add-on 77063 has its own CY2026 anchor of $50.73 global for Michigan Locality 01, of which $28.16 is the professional component. For a self-pay patient, a 2D quote and a 3D quote can differ by roughly that amount before any facility markup, so ask which one the price covers.
For a self-pay patient, the 77067 global anchor of $123.91 breaks into $35.67 for the radiologist's interpretation and the rest for the technical work. A facility that quotes a single screening price should say whether that price covers both parts and whether it includes 3D imaging. If extra views are needed on the same day, the visit can be rebilled under a diagnostic code, which carries different cost sharing for insured patients.
Inside and outside the 77067 anchor
Covered by the anchor
- Two-view imaging of each breast
- Radiologist screening interpretation and report
- Computer-aided detection when performed as part of 77067
Billed outside it
- Tomosynthesis add-on (77063) when performed and billed separately
- Diagnostic follow-up imaging after an abnormal screening result
- The ordering visit and follow-up visit
Why prices vary for CPT 77067
Screening mammography is paid under the Physician Fee Schedule in most settings, including hospital outpatient departments, rather than under OPPS. That narrows the facility-type gap compared with MRI or CT, but cash prices still vary by site, by whether tomosynthesis is added, and by how the facility bundles the professional and technical components.
Ask two questions before you book: is tomosynthesis (77063) included in the quote, and is the quote the global price or only the facility portion with the radiologist billing separately.
Questions specific to Screening mammogram
- Does the quoted price include 3D tomosynthesis (77063), or is it 2D only?
- If the radiologist asks for extra views on the same day, will the visit be rebilled as diagnostic (77065 or 77066)?
- Is the reading included, or does a separate radiology group bill it?
- For Medicare patients: does this provider accept assignment for screening mammography?
Screening Mammogram: billing questions
Do people with Medicare pay for a screening mammogram?
Medicare.gov says you pay nothing for the screening test once every 12 months if the provider accepts assignment. A diagnostic mammogram is different: after the Part B deductible you pay 20 percent of the Medicare-approved amount.
What is 77063 on my mammogram bill?
77063 is the add-on code for screening digital breast tomosynthesis, often called 3D mammography. It bills alongside 77067 and has its own Medicare anchor, so a quote that includes it will be higher than one that does not.
Why is there no hospital facility anchor for this code?
Screening mammography is paid under the Physician Fee Schedule even when performed in a hospital outpatient department. The CY2026 OPPS Addendum B lists 77067 with a status indicator for services paid under a fee schedule rather than an APC.
What happens to the price if I need more pictures the same day?
If the radiologist asks for additional views, the visit may be billed as a diagnostic mammogram (77065 or 77066) instead of, or in addition to, screening. Diagnostic codes have their own anchors and, under Medicare, 20 percent coinsurance after the Part B deductible. Ask in advance how the facility bills a same-day callback.