Is CPT 77065 overcharged?
77065: Diagnostic mammogram, one side (Imaging)
Approximate Medicare national rate
$123.92
Source: CMS Physician Fee Schedule CY2026, Oct release (national, non-facility). National amount; actual Medicare payment varies by locality. Facility-setting physician rate: $123.92 (hospital facility fee billed separately).
What's a reasonable charge?
Commercial insurers typically pay roughly 1.5 to 2.5 times Medicare. If you were billed more than $371.76 for 77065, ask for an itemized bill, request the provider's cash price, and dispute the difference.
Check your whole bill
Duplicates and unbundling are often worth more than a single high price. Scan your bill free