AB
1
amount_chargedcomments
2
$0 The Avon foundation offers FREE cancer screening for women with no insurance. They are associated with Columbia Presbyterian Hospital. Women can get their standard mammograms and Pap smears and I believe they also offer free prostate exams for men. I used me for my first 3 mammograms in NYC and when I had a lump and needed a sonogram and biopsy I was not changed for that either. It's an incredible service for the low income uninsured.
3
$200 Free - if you have isurance they will bill them, but you won't ever see a bill. It's a mobil mammogram unit that parks in different places around the city. 631-581-4171 Let's hope they still exist.

4
$557 I had to call hospital billing just now to get the price of the routine mammogram, because on my bill it was lumped together with the cost of other procedures I had done that day. I was also told there is no price list of procedures per se (even for routine mammogram).
5
$$580.30The above reflects both the mammo and the radiologist costs and payments. I had no deductible or copay and no patient responsibility to pay.
6
$300 There was an additional charge for comparing this year's mammogram with a previous one: $50. charge. Medicare paid $11.73.
7
$486 There is also a fee for the Dr's analysis of the mammogram (the report). The Dr's fee was $126 the negotiated price was $40.90. My insurance pays 100% for annual mammograms.
8
$460 Insurance paid $368 or 80%.



I also had a sonogram for dense breast tissue for $360.00 that was covered also at 80% for $295.29
9
$450 Insurance didn't pay anything. Due to "dense" tissue, ionsurance-approved mammogram providers have been lower quality, forcing me to return to the radiology center or get multiple re-scans on several occasions until I found out about the (provider) l center. To avoid excess radiation and revisits, I pay out of my pocket. By only paying for lower quality mammogram providers, insurance companies don't appear to care how many times you are exposed to radiation - so much for preventative care! (provider) has at least 2 highly regarded radiologists reviewing mammograms and other X-rays at all times; they also gave me a baseline sonogram on my first visit (explaining about the problem of dense breast tissue, which no prior mammogram provider ever explained before; the sonogram picks up a lot of false positives but as a baseline in the hands of experienced radiologists it can be useful.)
10
$1,713.50 My copay amount was $ 109.63

Insurance payment: $ 820.00

Allowances: $ 793.50

NY surcharge: $ 9.63



Total: $ 1,713.50



I am not sure if "allowances" is the "insurance discount"
11
$2,266.74 When I had a mammogram in Texas at Solaris, I didn't pay a thing. My insurance covered it all. What a shock moving to Connecticut where I was charged $260.24 in addition to what my insurance paid, plus I had to pay the radiologist $73.91 additionally. In the future I'll fly back to Texas to have my mammograms. It's cheaper for me!
12
$850 I pay the provider directly ($850.) This is for a mammogram AND a sonogram.



The insurance company covers $294 of this fee with a reimbursement check.



I have tried to use "mammographers" on my insurance plan, but have never received a more thorough, quick and clear result than with my current provider. Yes, it costs quite a bit: every year, but I trust these skilled physicians with my life. Their office is also clean, beautiful and the staff could not be more pleasant or discreet.
13
969The price entered above is only that charged by the hospital. In addition, the radiologist charged $215.00. Further, the amount to the gynecologist was about $200.00, and the lab for the PAP test charged $536.97. However, if I had insurance, the cost of the premiums would be greater than the combined costs identified here.
14
$420 This was a digital mammogram. My provider is out of network. I paid cash and submitted a claim to my insurance company, which paid me $294, so the ultimate cost to me was $126. This provider does not accept Medicare, but I've been told that other radiologists at (provider) do.
15
$380 According to my Statement of Benefits, my insurance company did not pay any of this -- I had to pay all of the negotiated price out of my pocket (insurer) put it toward my deductible). I thought that routine mammos were supposed to be covered 100% under the ACA...
16
$425.OOI was reimbursed $65 by my carrier. I go to the Doctor I do because she is an outstanding radiolgist. The mammogram is only as valuable as the Doctor reading it. I have gone to Doctors who are covered but was not pleased. The doctor does an physical exam and reviews the images with me before I leave. So although it costs too much I choose to pay. I know they do take some insurance and Medicare just not mine.
17
$420 Doctor does not take Medicare. I have to pay the full amount myself.
18
$400 The plan allowance was $295.03 which was paid to the provider. I did not have to pay anything. I had a breast sonogram at the same time (most women I know get both a mamo & sono) for which the submitted charge was $325, the plan allowance was $202.90 and I paid $52.27 ($25.68 deductible + $26.69 co-pay).
19
$590 My (insurer) EOB breaks the bill into two services but doesn't describe either. ( No billing code or verbal description.) I have totaled the two. The prescription was for a screening mammogram. NJ requires insurers to pay for a screening mammogram, but not for a diagnostic one.
20
$420 My insurance allowed only about $185 of the amount charged, which was applied to my ridiculously high deductible.
21
$133 I'm a self-employed Texan where health insurance is ridiculous: I'm stuck with an independent PPO policy with a $11,500 deductible. However I paid $0 because it was covered, I think because of Obamacare. Yay Obama!
22
$623 The radiologists at this clinic do not look at the mammogram until after the appointment. This year something was not clear so I had to return to have part of the mammogram redone. This redo cost me $366 out of pocket because it was no longer the routine annual screening (which is covered without a deductible). Will find a radiologist who will look at the results while I am still in the office for the next time around.
23
$629 I seem to have 2 different EoBs one for $629...Medicare paid $137.12. A different EoB for same date and procedure shows charge of $105, and Medicare paid $41.97. I do not know which EoB is the correct one...too confusing.
24
$300 (?)Routine mammograms are not routine. There is knowledge needed to read the mammogram by the radiologist. My doctor insisted that I see (provider 1) because she was able to read the results so well. In a "routine mammogram" she did pick up some suspicious cells and said i should have a sonagram. She did not accept any insurance so I decided to go to (provider 2) which would accept my insurance. I went to (provider 2) and they said I first had to have a mammogram done by them. I agreed to this and when those results came back the radiologist said she saw nothing so I was fine. I said no-I really trusted (provider 1) who said I should have a sonogram. When I finally had the sonogram there was cancer which was later confirmed with a biopsy. I would probably be dead by now if I had not first gone to (provider 1) (This happened in 2006) or at least dealing with metastatic breast cancer.
25
$440 I paid $352 after the $88 discount for Medicare. They have opted out of Medicare. I have not yet received anything from my supplemental insurance claim. Last year, before I had Medicare, I paid $430, and my insurance reimbursed me $215.
26
$472 I am 32 with a family history of breast cancer...so when I felt a lump recently my OGBYN suggested I get a mammogram AND an ultrasound.

The Insurance company paid around 85.5% of the cost...

The mammogram was $472 and the Ultrasound was $800.10

Total for both procedures was $1272

Insurance paid $1087.86



I calculated 85.5% of $472 for the "Insurance Discount" figure above.

27
$580.30 There were actually two charges - one for the imaging, and one for the reading of the image by a radiologist. The imaging cost was $392.30 less a discount of $230.50, and the radiologist fee was $188 less a discount of 97.39, so the actual amount covered by the insurance company was $252.41. I had no out-of-pocket expense for this service.
28
$500 As preventive care, I paid nothing.
29
$531 There are actually two separate EOBs for my mammogram. One is for the facility ($381 billed/$297.18 paid) and the other is for the physician who read the results ($150 billed/$115.47 paid). I added these amounts respectively for the fields above. This is a generous payment for the truly awful (insurer). Normally their reimbursement is quite low (ie: $27 per physical therapy visit). I have horror stories about them should you ever want to do a program segment about them.
30
$803 for mammo; $135 for reading; $938 total
Medicare paid total mammo of $803 and $41.97 for the reading. so it paid a total of $844.97.
31
$175 Provider cost, including technician was $175. My insurance company paid $56.95. My cost zero.
32
$480 Insurance paid $90.00

with Mammogram get breast physical exam and same day results with top notch breast doctors/radiologists. Problem is many top places in NY have closed.

Insurance paid 90.00 but I get partial reimbursement from spouses union.

Worth it for piece of mind. I have friends who go for free or low-cost mammograms but don't get results for 2 weeks. I am grateful to be able to do this.

weeks minimum
33
$315 $315 is the total amount. (clinic) charged me $90 for a check-up, and sent me to (provider) for a mammogram, my first. (provider) charged $190 for the mammogram. (clinic) then charged another $35 to receive the results.
34
$340 I opted to have the 3D mammogram - which my insurance wouldn't cover - so I had to pay $75.00 out of pocket.
35
$301 Paid the insurance co-payment for the first mammogram scan ($25 I think). I was later notified by the provider that one breast image was not clear and that I needed to schedule another mammogram along with an ultra-sound. I scheduled the re-exam, they took another mammogram of the breast and told me everything was ok, and that we didn't even need to do the ultra-sound test. My insurance company made me pay $244 for the re-test because it was no longer categorized as my "Annual" exam. I eventually changed insurance companies as a result. The provider and insurance paperwork mailed was excessive and confusing.
36
$375 This is an excellent topic for discussion. Too many health care costs are unclear to consumers and we have to all learn to ask questions about services, cost, and view some types of health care purchases as we do other types of expenses.
37
$325 I have insurance--they didn't pay a thing. Called it "routine care."
38
$381 during the time I was in cancer treatment, I would receive bills for $16,000 or more, of which I was not responsible, because (provider) accepts my insurance with only a co-pay. When I confronted the billing office, I was told it was a clerical error. But imagine what it felt like, exhausted from treatment, scared, and now with a "fictitious" bill hanging over me. The business of cancer treatment is big corporate, run by the pharmaceutical houses and the technology companies. Survival rates show how unnecessary so many American treatments are, including constant mammograms.
39
$530.00 + 50.00I was charged $530. for mammogram and $50.00 for diagnostic. (insurer) paid $344.76 of the $530. and $37.31 of the $50.00. (insurer) has charged me for the remainder of $197.93. So,(provider) can pick an amount to charge, (insurer) can decide what they will pay, and without recourse the rest gets kicked to me!



I am outraged and I'm fighting the bill. For two years I've been standing my ground not to have a biopsy over a minuscule spot of unusual cells.
40
$350 Medicare paid $130.26 and I had to pay $32.56(20% of the negotiated price). 3 years ago I was uninsured and given many names in NYC to get quotes. The quotes varied from 500- 650 dollars (I needed sonograms too, and I cannot remember if those were in the quotes or not, probably was.)

41
$1,197.21 Total paid by (insurer).: $126.76 for my (insurer) Medicare PPO

plan, and if of any interest to your study, a very small invasive tumor was found, thus there are ongoing studies, a scheduled lumpectomy. As a result, there already are many further charges of which I have no idea as yet.
42
$656 No copay for mammogram. I also have an annual breast ultrasound at same time as mammogram due to dense breast tissue. Billed amount: $353. Actual amount paid by insurance $105.23. No copay.
43
$560 Medicare paid $160.36 and I had no co-pay.
44
$675 Above I have combined two charges, one $596 for the digital mammogram and one $79 for comp screen mammogram add-on. the above does not include reading the mammogram whis was $364 with and adjustment of $174 and a payment of $174. leaving a $15 balance.
45
$801 The amount represents a total of 4 items: Screening mammographydigital (G0202)@ $487.00 and Comp Screen mammogram add-on (77052)@ $144.00. Included also are separate "professional charges", which I believe is the "reading of the mammography". These are $155.00 and $15.00, respectively with Medicare allocated payments of $38.11 and $3.89, respectively.
46
$I have a very high deductible policy. I always say I don't have insurance as I never meet the deductible. This facility has new digital equipment. I pay $100 for the mammogram and a similar amount for the radiologist to read it. I have done this for the past 10 years. I am lucky enough to be very healthy but I have had an occasional expense. All have been out of pocket, paid by credit card and are far less than I would have paid using an insurance policy. I view insurance as catastrophic coverage only. Truly much cheaper for the individual.



I have read some of the comments below. The theme is -if the insurance company pays, the fee seems not to be an issue for the patient-. If we all took an interest in the total charges, fees would fall. We all pay in the long run since insurance premiums are very high because of high expenses insurance companies pay out. Let's face it, insurance is a pay as you go system. Insurance companies just pay the bills out of premiums collected and of course, they take their "fee" for their "service".

IF WE CALL CARED ABOUT THE ACTUAL FEE FOR MEDICAL SERVICE WE RECEIVE AND HELD INSURANCE COMPANIES ACCOUNTABLE, PREMIUMS WOULD HAVE TO DROP. This is especially truly with Medicare. Ask a Senior when was the last time they signed an insurance claim form. The answer is NEVER.



I will get off my "soapbox" now. Thanks for listening.

47
$1,105.42 The cost of a mammogram has increased enormously in the past 2 years. From the same facility in 2010 it was $175.



It took almost a year for (insurer) I to pay. In the meantime (provider) turned the billed over to a collection agency so I paid the 884.34. I have not as yet been reimbursed though I have tried, with calls to (provider) cutomer serivce and letters to them.

48
$480-$530A BC survivor (diagnosed at age 36), I need to get my mammograms. This was the first one I had after completing treatment. AFter being laid off in 2009, my COBRA insurance ended a few days before this appointment ( i was unaware) So I had to pay out of pocket- and still being underemployed.... Im still paying it off. I was shocked to see how much it cost, it only takes a few minutes! As a sidenote: becuase of the cost, I havent been able to get once since.
49
$250 my plan paid 100% of the discounted price. My bill was split into two parts. The mammogram (220) and the reading (30) ... the discount and negotiated price was allocated...

I am so glad you are doing this -- the pricing of care is really the crux of the health care cost problem in our country. And not to mention --if you even ASK the provider what the service costs -- they look at you like you are crazy for asking such a question!!! thank you thank you thank you!!
50
$1,285.42 member rate was 863.08 and that is what was paid ato the provider. included reading the mammogram. i paid nothing which I believe is set by New York State Law covering mammograms and insurance.
51
$835 Yeowch. Im high risk, and need a mammo every six months. High price to pay, either way.
52
$300 one breastrembursement $50 for one breast digital mamo, my plan covers cancer screening at 100%, but because I had a cancer diagnosis, that has never benefited me. But, the doctor saved my life 20 years ago, and I will stay with her. She does not accept any insurance. And I do not blaim her.
53
$0 The S.A.V.E. program at UMDNJ Newark provides mammography, Pap smear, colorectal cancer screenings and health and health services education at no cost to the uninsured and those with limited insurance and low/no income. There are also cancer screening/ education services for men. I believe a portion of the program is funded by the Komen Foundation. These services are a godsend and the time from first call to being seen to results reporting is very efficient. It is a multilingual, mobile program of strong quality. Please include the valuable services of the SAVE program at UMDNJ Newark in your study data, and thank you for this useful study.
54
$396 I paid 0 for the mammogram. It had to be repeated a week later, and the radiologist charged $170 to read the second one. I paid $22 for that. I paid 0 for the first mammogram.
55
$420 Because I have to meet my deductible, none of the cost was covered.
56
$325 This is such a great idea. Could it be done for other Dr. expenses? I am especially interested in mental health charges. Our family is self insured and we have huge 'out of pocket' expenses that are calculated in a ridiculous way that always seems to benefit the insurer.
57
$0 Section 1001(1) of Pub. L. 111-148 (the health care law) enacted a new section 2713 of the PHSA (Public Health Service Act), codified into the United States Code as section 300gg-13 of Title 42, which mandates the full coverage of certain health services. As of Mar. 23, 2010, the effective date of this section, no women having health insurance should be charged anything for a mammogram.
58
$917.90 This procedure was billed twice on the same date, with each one seeming to be paid at the rage of $428.12. Note on the record said it was paid at the agreed or contracted rate.
59
$295 Also had an ultrasound test on 4/8/13: amount billed= $350; negotiated price= $ 208.56; plan discount= $141.44. I had a follow-up mammogram and ultrasound on 4/11/13 with the following costs: Mammogram billed: $325; plan paid$ 175.86; plan discount $ 129.14; Ultrasound: billed $ 295; plan paid $144.43; plan discount $150.57.
60
$420 My annual mammo and breast MRI ($2,100) are covered 100%, but my provider does not accept any insurances or negotiate or anything like that. I pay up front then submit to my insurer for reimbursement. I make my deductible usually sometime in January (combination of low deductible and lots of medical expenses).
61
$803 On my Claim Summary it states:

"The amount Medicare paid the provider for this claim is $137.12"



I think the cost of my first mammogram (20-something years ago) was $75.00.
62
$1,191 Additional costs (Radiologist fees):



Mammogram To Aid Diagnosis

1. Amount billed $100.00

2. Plan discount $49.48

3. Your plan paid $50.52



Physician Review Of Mammogram

1. Amount billed $10.00

2. Plan discount $2.72

3. Your plan paid $7.28

63
$357 (provider) accepts no insurance. My insurance policy has a $500 annual allowance for out-of-network preventive care coverage. I pay the doctor directly and in full and then send the bill to (insurer) and hope that they will accept it under the annual allowance.
64
$1,195.90 Insurance paid in full, employer pays 100% of routine mammograms. Received separate bill from radiology for $175, plan discount $123.02, plan paid $51.98.
65
480Insurance paid provider $79.34 to provider. I paid $19.84.
66
$1,210 negotiated price as a term is not used, but a "Note" says "The amount Medicare paid the provider for this claim is $135.00." There was also charge for reading the mammogram (I think) - "professional charge" of $42.84, of which Medicare paid $41.95.
67
$670 There are two charges on the bill -- probably one for the scan, and the second for the radiologist to read the scan. The breakdown is:

$518 -- allowed amount = 184.98

$152 -- allowed amount = 16.24

On my last insurance plan (insurer), I used to have to pay a co-pay of about $105; now (insurer) covers the cost of an annual scan.

I don't know how people manage when they don't have insurance coverage!
68
$430 My employer-provided insurance (insurer) did not cover a penny of this, because I used an out-of-network provider. I am covered by a PPO Plan, and many, many other procedures are covered at 70% if you go out of network. But if you choose to get a routine mammogram out-of-network, zero. This came as a very unpleasant surprise!
69
$1,326.52 Instead of "Negotiated Price", our EOB reads "Allowable Charges" . However, under the terms of our policy, any preventive care is covered 100%, so even though the "Allowable Charge" is less than the provider billed, we have neither copay, coinsurance, nor deductible to be concerned with.
70
$440 My plan paid $175.02 (covered), and I was responsible for $264.98 (not covered). FYI, they didn't cover any of my routine breast sonogram (despite my family history) so I was responsible for $380.
71
$758 Bill shows:

Total amount charged: $758

Total non-covered charges $0

Medicare approved $758

Medicare paid you: $0

Medicare paid provider $117.08

Total amount you may be billed $29.26 (for "producing direct digital image, bilateral, all views"



I called my secondary (after-Medicare) insurance provider to ask if I'd be billed the $29.26. They said "no," because the provider had agreed to just accept the $758.

72
$350 The costs of doctor's office visits, in patient and out patient surgery, prescription medications, etc. are so outrageous in the United States. While many meds are discovered and made here, they cost less in other countries! I cannot wrap my head around this. HMOs and health insurance companies in general are among the greediest and most immoral corporations around. The idea of profiting from the misery of human beings is vile. Who ever came up with the despicable idea that health care should be tied to employment instead of citizenship? I hope that the new health care legislation is a first step towards affordable health care for all Americans. It is long overdue.
73
$194 Called to find out the cost since I don't currently have health insurance. Was quoted $194. I can afford this and won't have to wait until I do in fact have coverage.
74
$1,043 Medicare paid $135.00

Do not know what (insurer) supplemental policy paid, if anything.
75
$470 My insurance did reimburse me for the entire fee.
76
$1,105.42 Great idea, folks!

PS I had an additional bill associated with this service (same day, same doctor's name on a separate insurance Explanation of Benefits), and I don't know why. It was for $175 charged by (insurer), "discounted amount" of $123.02, and "allowed amount"/"amount paid" $51.98.
77
$540 Let me explain. I haven't actually had the mammogram yet, but since I can't afford the insurance premiums (over $1100 a month, individual plan, 3rd worst plan) I asked what it would cost me for a mammogram. The answer - $180 if I could pay it all that day, $540 if I wanted a payment plan. The amount of $180 appeared to be what they would collect from the insurance company if one was involved. This was for a digital mammo.
78
$237 unilateral digital mammogram $97.00

sonogram breasts b scan $140.00

limit of united healthcare allowance $153.41

patient out of pocket $83.59
79
$401 Charge was for mammo(G0202), $350, and comp screen mammo add-on (77052), $51. Medicare approved $160.36 for the mammo, $12.53 for the add-on, and pd the whole approved amount. (Is that the Negotiated Price?) I didn't have to pay anything, nor did my Medicare supplement insurance plan have to. This was my annual routine mammo. I have no idea what the add-on is.
80
$400 My insurance paid $320 of the $400 bill. It was confusing because on the claim form I received with the reimbursement, the "Covered Amount" was $400, or 100%. The deductable had been met. The next column on the form was "What my plan paid" (which was $320). I hadn't given it a second thought until I reviewed it for the WNYC request. I should have called by insurance company to ask about this.
81
$1,326.52 Insurance company covered %835.72; radiologist charted $122,92 to read it/write letter; insurance paid 67.66
82
$150 $150 cash price, at the place recommended by my GYN.
83
$250 Includes $30 fee for dr to review the mammogram

Also had ultrasound. Provider charged $295. Insurance paid 62.92
84
$I won't risk getting breast cancer by having a mammogram every year.If a 40 year old continues with these through 80 years old, that's 40 x-rays to one area; it's cumulative. Pancaking breasts and radiating them cannot be good for the tissue. I wonder how many cancers have been caused by these screenings.
85
$775.00 Breakdown billed as follows:

Screening mammogram - $400 Medicare Approved - $ 159.11

Physician review of mammogram - $ 50.00 Medicare Approve - $ 11.73

Mammogram to aid diagnosis - $ 325.00 Medicare Approve - $ 152.78



I am 71 years old, have been going, yearly, to (provider) since my gynecologist recommended them when I was 40 years old for my 1st baseline mammo. I have very dense & cystic breasts & get an ultrasound each time I get a mammogram. In 2004, they picked up a tiny tumor. I was given a core breast biopsy, which was benign. I'd rather get a false positive & have it checked out, than find out 2 years later that I'm at stage 3 or 4. Incidentally, 20 years ago, 2 friends told me that they'd been to other radiologists who did not pick up their breast problems. Ultimately, their gynos then recommended (provider), who found one benign & one malignant tumor at an early stage. My view is that they may be expensive, but my experience tells me that their expertise is worth the price. Before I was on Medicare, I paid a very high co-pay for their services & felt that I got care commensurate with fee. Additionally, many radiologists take the mammo, read it days later & patient may have to return for a follow-up. (provider) read the mammo immediately &, if necessary, additional views or ultrasounds are taken minutes later; another excellent reason to pay a higher price for their care. I also think that they are not paid enough by Medicare. I am fearful that at some point they will opt out of Medicare & I will be unable to afford their services.
86
$401
87
$500 I had no out-of-pocket costs related to my mammogram (not even a co-pay). The statement from my insurance provider stated the following:

radiology services--$350; plan discount--$193.23; plan paid--$156.77

physician review--$150; plan discount--$129.79; plan paid--$20.21
88
$200 + $302It's not listed as negotiated price, the columns are amt billed, not covered, covered, and amount you may owe provider (the total covered, none of which was paid for by my plan, because I have a $2,000 deductible)



You may be wondering why I owed anything, given the fact that preventative mammo's are supposed to be free.



The first mammo was free. Then they said they couldn't see anything on one side, and did a second mammo, that was the $200 charge. Then they said they still couldn't tell, because I have dense breast tissue (I was only 40) and did an ultrasound (the $302)



I was not warned I was racking up more charges. I was furious when I got the bill, and tried to fight it, but got nowhere.
89
$500 For my mammogram, the service provider submitted 2 "XRay" charges, totaling $500 ($350 + $150).

"Plan allowance" for these services totaled $137.46 ($123.30 + $14.16). This amount was paid directly to the service provider by my insurance company.

I paid $0.00, as no co-payment/co-insurance was required by my plan.
90
$140 plan paid = $87.22
91
$325 There was also a charge for $50 for CAD Screen Mammogram. (insurer) paid $12.53,my co-insurance was $3.13. The insurance discount was$34.13.
92
$175 Actually, the provider keeps making mistakes on their initial submission to my health insurance provider (insurer) and the EOBs always show $0.00 as approved and/or paid. I have no follow-up EOBs showing the amount paid to (provider) Sorry.
93