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The mission of the Harvey L. Neiman Health Policy Institute® is to establish foundational evidence for health policy and radiology practice that promotes the effective and efficient use of health care resources and improves patient care.

Breast Screening Bundle Tool

The Breast Screening Bundle Tool is designed to help radiology practices develop bundled payment models for breast cancer screening. The calculated weighted bundled prices are a single price for patients that would cover initial mammography screening and all subsequent imaging screening and diagnostic testing for either: 1) 364 days after the initial screen or 2) a referral for biopsy or positive cancer diagnosis.

If a practice desires to cover only specific services in a bundle, for example, only screening and diagnostic mammography, then the other services in the tool should be assigned values of zero to calculate the bundled price.




  1. Only the percentages are used to calculate the bundled prices. However, volume data is provided so that users can input either their practice's percentage or volume data to calculate new bundled rates. The service volume and percentage defaults were estimated with 2013-2015 Medicare 5% Research Identifiable Files (RIF) data using the method detailed in Hughes et al. An Empirical Framework for Breast Screening Bundled Payments. JACR, 2017. 14(1): 17-23.
  2. The professional component and technical component reimbursements default to the 2017 National Medicare Physician Fee Schedule (MPFS) rates.