Medicare Physician Fee Schedule · Q3 2026 release
CPT 77065 in New York City, NY
A mammogram of a single breast performed to investigate a specific problem, with computer-aided detection included when it is used. Diagnostic means the study is driven by a finding - a lump, nipple discharge, focal pain, or something flagged on a screening exam - so the technologist tailors the views and the radiologist typically reviews images while the patient is still there. The one-breast version is used when the concern is confined to a single side.
Medicare pays, Office (non-facility) setting, in New York City, NY
$142.26
Before the ~2% sequestration cut. Q3 2026 Physician Fee Schedule.
Local vs. national amount
New York City, NY pays above the national baseline by 14.8%, driven by this locality's GPCIs.
ZIP codes in this locality
This payment locality covers 165 ZIP codes, including 10001, 10002, 10003, 10004, 10005, 10006, 10007, 10008, 10009, 10010, 10011, 10012 and others . Every ZIP in this locality is priced the same under the Physician Fee Schedule.