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How Much Does a Mammogram Cost in Florida?

Updated
11/29/24
Written by:

Elmira Dunn

Mammogram costs in Florida can vary depending on location and insurance coverage. Typically, the price ranges from $100 to $250 for a routine mammogram without insurance. However, many health insurance plans cover the cost of regular breast cancer screenings, especially for women over 40. If you're looking for accessible mammography screening options, Osprey PolyClinic provides expert services to ensure you receive the care you need at an affordable price.

What Is a Mammogram?

A mammogram is an X-ray imaging procedure used to detect early signs of developing breast cancer, often before symptoms appear. It helps identify abnormal growths or changes in breast tissue. There are two types: standard mammograms, which provide 2D images, and 3D mammograms, which offer more detailed views, helping to improve breast cancer detection and accuracy. The difference between screening and diagnostic mammograms is crucial for appropriate application and effective early detection strategies.

Factors Affecting Mammogram Costs 

The cost of a mammogram can vary significantly due to several factors:

  • Location: The price may change depending on your geographic area, with urban centers often being more expensive than rural regions.
  • Facility type: Mammograms at hospitals tend to cost more than those at outpatient clinics or independent imaging centers.
  • Type of mammogram: 3D mammograms, which provide more detailed images, are generally priced higher than standard 2D mammograms.
  • Insurance coverage: If you have insurance, including Medicare, many plans will cover the cost of preventive mammograms, significantly lowering your out-of-pocket expenses. However, coverage may depend on the type of insurance and the specifics of your plan.

Average Costs of Mammograms in Florida

Type of Mammogram Cost Without Insurance Cost with Insurance
Screening Mammogram $99, $100, $143, $250 Likely $0 for over 40s
Diagnostic Mammogram $168, $185 $187, $550

In Florida, insured individuals typically pay between $0 and $50 for a standard mammogram, depending on their plan. 3D mammograms, however, can cost $100–$250 with insurance coverage. Nationally, insurance plans often fully cover preventive mammograms, especially for women over 40. However, the costs of national breast under may vary depending on the insurance provider.

How Much Does a Mammogram Cost Without Insurance?

A standard 2D mammogram in Florida generally ranges from $100 to $250, while a 3D mammogram can cost between $150 and $400. Nationally, the costs of clinical breast exams tend to align with Florida prices, although certain regions may charge more due to local healthcare costs.

The cost of breast cancer may also differ between hospitals and outpatient clinics, with hospitals typically charging more. It's important to consider insurance coverage, as many plans, including Medicare, cover preventive mammograms, significantly reducing out-of-pocket costs.

How Much Does a Mammogram Cost Without Insurance?

How Much Does a Mammogram Cost with Insurance?

In Florida, the cost of a mammogram with insurance generally ranges from $0 to $150, depending on the provider and coverage plan. Insurance usually covers preventive mammograms, reducing the out-of-pocket expense. However, deductibles and co-pays may apply based on the specific insurance company and plan. The average cost may also vary if you opt for additional imaging, like a 3D mammogram.

Free and Low-Cost Mammogram Options in Florida

Florida residents can access free or low-cost mammograms through several state programs and national organizations. Programs like the Florida Breast and Cervical Cancer Early Detection Program (BCCEDP) offer free mammograms for eligible women who meet certain age and income requirements.

National organizations for breast cancer screening like Susan G. Komen, the American Cancer Society and the National Breast Cancer Foundation (NBCF) also provide resources to help find free or low-cost mammograms. To qualify, applicants typically need to meet income guidelines and may need to provide proof of residence. Contact local healthcare providers or search online for application instructions and eligibility criteria.

Additional Costs and Considerations

Statistics on Financial Barriers to Mammogram Screenings

Additional costs may arise from follow-up tests, such as ultrasounds or biopsies if the mammogram results are abnormal. It's important to discuss potential costs with healthcare providers upfront to avoid surprise bills. Inquire about pricing for screening mammograms and follow-up procedures and confirm what is covered by insurance. Clear communication can help manage expectations and ensure that you're fully informed about any extra expenses.

Ready for Peace of Mind? Schedule Your Mammogram Today!

Ready to prioritize your health and peace of mind? Schedule your mammogram at Osprey PolyClinic today. Our expert team in Sarasota, SW Florida, is here to provide you with the highest quality care. Contact us to book your free mammogram appointment now!

Elmira Dunn
Elmira Dunn

FAQs

  • How often does Medicare cover screening mammograms?

    Medicare Part B covers annual screening mammograms for women aged 40 and older. These screenings are essential for early detection of breast cancer and are provided at no cost if your healthcare provider accepts Medicare assignment.

  • Does Medicare cover 3D mammograms?

    Yes, Medicare covers 3D mammograms, also known as digital breast tomosynthesis, under the same conditions as conventional mammograms. These provide a more detailed view of breast tissue and are covered if deemed medically necessary.

  • Does Medicare pay for mammograms after 70?

    No, Medicare does not have an age limit for mammogram coverage. Women aged 40 and older are eligible for annual screening mammograms, and diagnostic mammograms are covered if medically necessary, regardless of age.

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