Mammogram (Diagnostic) vs Office Visit (Established Patient)
Medicare Cost Comparison 2025
Quick Answer
Mammogram (Diagnostic): $350 total · Medicare pays $280 · Patient pays $70
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Cost Comparison
| Metric | Mammogram (Diagnostic) | Office Visit (Established Patient) |
|---|---|---|
| Total Average Cost | $350 | $150 |
| Medicare Pays | $280 | $120 |
| Patient Pays | $70 | $30 |
| Category | imaging | physician |
FAQ
What is the cost difference between Mammogram (Diagnostic) and Office Visit (Established Patient)?
Mammogram (Diagnostic) costs $350 on average, while Office Visit (Established Patient) costs $150 — a difference of $200.
How much does Medicare pay for Mammogram (Diagnostic) vs Office Visit (Established Patient)?
Medicare typically pays $280 for Mammogram (Diagnostic) (patient owes $70). For Office Visit (Established Patient), Medicare pays $120 (patient owes $30).
What is Mammogram (Diagnostic)?
Diagnostic breast X-ray for evaluating abnormalities.
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.