Understanding Your Mammogram

The Difference Between a Screening and a Diagnostic Mammogram

Screening Mammogram

A screening mammogram is a routine yearly breast check. It’s an important part of staying proactive about your breast health.

You are having a screening when:

  • You have no concerning breast symptoms.
  • There are no specific areas in question in your breast.

Diagnostic Mammogram

A mammogram is considered diagnostic when the care team needs a closer look. This may happen if you’ve noticed something new, your provider has a concern, or the radiologist sees something that requires additional imaging.

You are having a diagnostic mammogram when:

  • You have breast symptoms, such as a lump.
  • Your provider found something during an exam. 
  • The radiologist needs additional images after a screening.

Diagnostic imaging is billed differently by insurance and may involve a copay, coinsurance, or deductible.

Why the Differences in Exams Matter

If you have concerning symptoms or extra imaging is involved, we are required to perform a diagnostic exam, even if your appointment was scheduled as a routine screening. This change will be discussed with you prior to performing the exam, so you feel informed and supported every step of the way.

We’re Here to Support You

We understand that medical billing can feel confusing or stressful. Our team is here to help you understand your coverage and guide you through any financial questions.

Brown Health Patient Financial Advocate

For payment plans when you have no insurance, Rhode Island residents only can call 401-444-7850.

Women’s Cancer Screening Program Assistance Programs

Rhode Island residents only can call 401-222-4323.

Brown Health Patient Financial Services

For billing questions after the exam, contact us at 401-444-6966.