Cost analysis for CPT 77065 — Diagnostic mammography of 1 breast
Average Medicare Payment
$44.78
2023 data
Total Payments (2023)
$32.2M
Services (2023)
687.1K
Price Change (2018–2023)
-5.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2018 | $47.45 | $37.2M | 761.4K | — |
| 2019 | $47.82 | $37.5M | 763.2K | +0.8% |
| 2020 | $47.75 | $31.7M | 636.4K | -0.1% |
| 2021 | $46.71 | $34.8M | 714.0K | -2.2% |
| 2022 | $45.07 | $33.1M | 699.3K | -3.5% |
| 2023 | $44.78 | $32.2M | 687.1K | -0.6% |
The most expensive state pays 2.9x more than the cheapest for this procedure. MD averages $76.67 vs VT at $26.32.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| MD | $76.67 | $1.5M | 19.3K | 169 |
| GU | $72.26 | $22.1K | 306 | 7 |
| NJ | $69.59 | $1.7M | 23.9K | 298 |
| AZ | $67.76 | $847.5K | 12.5K | 132 |
| NV | $66.05 | $218.9K | 3.3K | 70 |
| NY | $65.03 | $3.1M | 48.4K | 607 |
| NM | $61.42 | $211.0K | 3.4K | 47 |
| FL | $59.58 | $3.0M | 50.7K | 595 |
| DC | $59.15 | $288.9K | 4.9K | 46 |
| CA | $57.83 | $3.4M | 58.4K | 765 |
| WY | $56.96 | $73.8K | 1.3K | 24 |
| AP | $56.07 | $7.4K | 132 | 2 |
| AK | $54.26 | $119.4K | 2.2K | 23 |
| CO | $52.60 | $554.2K | 10.5K | 138 |
| WA | $52.23 | $798.8K | 15.3K | 174 |
| HI | $52.04 | $121.5K | 2.3K | 38 |
| RI | $51.07 | $210.3K | 4.1K | 37 |
| CT | $50.23 | $424.1K | 8.4K | 145 |
| NC | $47.55 | $1.3M | 26.5K | 376 |
| DE | $46.88 | $172.8K | 3.7K | 34 |
| MN | $46.11 | $514.1K | 11.2K | 201 |
| VA | $44.76 | $1.0M | 22.8K | 253 |
| PR | $43.47 | $9.7K | 223 | 10 |
| AR | $43.39 | $320.5K | 7.4K | 87 |
| TX | $43.38 | $1.6M | 36.0K | 536 |
| IA | $43.23 | $325.7K | 7.5K | 117 |
| NE | $40.78 | $250.9K | 6.2K | 85 |
| KS | $40.70 | $272.4K | 6.7K | 107 |
| NH | $39.13 | $133.3K | 3.4K | 64 |
| TN | $38.96 | $626.8K | 16.1K | 260 |
| MA | $38.11 | $982.8K | 25.8K | 312 |
| OR | $37.96 | $266.5K | 7.0K | 110 |
| IL | $37.05 | $1.2M | 32.8K | 411 |
| WI | $37.00 | $407.4K | 11.0K | 238 |
| AL | $35.96 | $236.6K | 6.6K | 140 |
| GA | $35.48 | $685.5K | 19.3K | 292 |
| MT | $34.99 | $75.3K | 2.2K | 38 |
| MS | $34.91 | $211.1K | 6.0K | 102 |
| PA | $34.72 | $1.2M | 33.3K | 422 |
| ND | $33.78 | $64.6K | 1.9K | 34 |
| SC | $33.19 | $412.3K | 12.4K | 134 |
| SD | $33.18 | $70.8K | 2.1K | 42 |
| UT | $32.98 | $91.8K | 2.8K | 58 |
| MO | $32.77 | $520.6K | 15.9K | 222 |
| IN | $32.76 | $483.9K | 14.8K | 167 |
| LA | $32.03 | $239.9K | 7.5K | 142 |
| MI | $31.85 | $584.6K | 18.4K | 267 |
| KY | $30.57 | $261.7K | 8.6K | 116 |
| OH | $30.08 | $715.1K | 23.8K | 318 |
| OK | $29.79 | $249.8K | 8.4K | 94 |
| ME | $28.73 | $71.5K | 2.5K | 55 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Sergio Dromi | Diagnostic Radiology | FL | $67.5K | 709 | $95.17 |
| Saint Barnabas Outpatient Centers | Independent Diagnostic Testing Facility (IDTF) | NJ | $58.3K | 735 | $79.33 |
| Hattiesburg Clinic Pa | Mammography Center | MS | $46.8K | 592 | $78.99 |
| Stacey Tashman | Diagnostic Radiology | NY | $46.4K | 420 | $110.56 |
| Shore Health System Inc | Independent Diagnostic Testing Facility (IDTF) | MD | $44.5K | 713 | $62.38 |
| Reema Munir | Diagnostic Radiology | CA | $44.4K | 408 | $108.93 |
| Ewa Bauer | Diagnostic Radiology | CA | $44.3K | 465 | $95.24 |
| Annie Yuen | Diagnostic Radiology | FL | $42.1K | 418 | $100.74 |
| Providence Imaging Center | Independent Diagnostic Testing Facility (IDTF) | AK | $41.8K | 623 | $67.15 |
| Curtis Burhoop | Diagnostic Radiology | NE | $40.6K | 593 | $68.40 |
| Kimberly Kubek | Diagnostic Radiology | PA | $40.5K | 469 | $86.29 |
| Guy Bassis | Diagnostic Radiology | NY | $39.6K | 346 | $114.57 |
| Jon Foran | Diagnostic Radiology | CA | $39.1K | 353 | $110.79 |
| Krystal Smith | Diagnostic Radiology | FL | $37.8K | 412 | $91.73 |
| Naomi Kraut | Diagnostic Radiology | MD | $37.3K | 385 | $96.94 |
| Anderson Diagnostic Imaging, Llc | Independent Diagnostic Testing Facility (IDTF) | SC | $37.2K | 455 | $81.70 |
| Cristina Campassi | Diagnostic Radiology | MD | $37.1K | 371 | $99.93 |
| Daniel Aronson | Diagnostic Radiology | MD | $36.8K | 386 | $95.40 |
| Joan Berkowitz | Diagnostic Radiology | MD | $36.0K | 385 | $93.59 |
| Steven Nokes | Diagnostic Radiology | TN | $36.0K | 418 | $86.18 |
The data suggests significant pricing inconsistencies for CPT 77065. With a 2.9x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 5.6% since 2018, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.