Average Medicaid Mammogram Payments in Fairmont, WV: $28.40
Avg. Paid
$28.40
Range
$23.06 – $210.06
Total Claims
16,414
Providers
14
Typical Payment Range
Typical Medicaid Mammogram payments fall between $22.83 and $64.57 per claim (median: $31.80). The top 10% of payments exceed $101.82.
Based on per-provider averages across all Medicaid claims in this category.
A mammogram is an X-ray of the breast used to detect and diagnose breast disease. Screening mammograms check for breast cancer in women without symptoms.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Mammogram in Fairmont, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Radiological Physician Associates Inc
700 Village Dr |
$23.14 | 12,371 | 12,012 |
|
Joseph R Migaiolo
700 Village Dr |
$23.12 | 1,522 | 1,440 |
|
Thomas C Koay
700 Village Dr |
$32.71 | 759 | 728 |
|
John A Leon
700 Village Dr |
$38.46 | 509 | 497 |
|
Alecto Healthcare Services Fairmont Llc
1325 Locust Ave |
$210.06 | 312 | 281 |
|
Joseph J Dorchak
700 Village Dr |
$43.85 | 311 | 301 |
|
Cory Andrew Smith
700 Village Dr |
$23.06 | 200 | 193 |
|
Jon S Laplante
700 Village Dr |
$35.92 | 161 | 160 |
|
Walter P Thrush
700 Village Dr |
$38.15 | 113 | 113 |
|
David C Rosiello
700 Village Dr |
$30.89 | 46 | 42 |
|
Charles D Burtner
700 Village Dr |
$42.42 | 41 | 40 |
|
James A Ross
700 Village Dr |
$46.12 | 31 | 31 |
|
Mark A Hackney
700 Village Dr |
$54.47 | 25 | 25 |
|
Frederick J Gabriele
700 Village Dr |
$37.38 | 13 | 13 |
What to Expect: Mammogram
A mammogram takes about 20 minutes. Each breast is compressed between two plates while X-ray images are taken from different angles. The compression may be uncomfortable but lasts only a few seconds. No radiation stays in your body. Results are typically available within a few days.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 77067 | Screening mammography bilat | $54.55 | 16,804,864 | 14,213 |
| 77066 | Mammography bilateral | $69.03 | 1,739,653 | 4,212 |
| 77065 | Mammography unilateral | $54.40 | 1,315,705 | 3,633 |
| G0202 | Scr mammo bi incl cad | $40.71 | 4,792 | 88 |
| G0204 | Dx mammo incl cad bi | $49.50 | 367 | 9 |
| G0206 | Dx mammo incl cad uni | $51.17 | 126 | 5 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Mammogram cost in Fairmont, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Fairmont, WV is $28.40 per claim, based on 16,414 claims from 14 providers. Typical payments fall between $22.83 and $64.57. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Mammogram in Fairmont, WV?
There are 14 Medicaid providers offering Mammogram related services in Fairmont, WV according to public payment data.
What is the price range for Mammogram in Fairmont, WV?
Medicaid reimbursement for Mammogram in Fairmont, WV ranges from $23.06 to $210.06 per claim, with an average of $28.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Mammogram in Other Cities
New York, NY
Avg $96.89
590,370 claims · 204 providers
Los Angeles, CA
Avg $89.04
465,286 claims · 243 providers
San Diego, CA
Avg $92.45
293,275 claims · 98 providers
Boston, MA
Avg $43.14
279,778 claims · 152 providers
Chicago, IL
Avg $34.46
204,702 claims · 133 providers
Brooklyn, NY
Avg $82.65
200,435 claims · 90 providers
Bronx, NY
Avg $85.57
190,383 claims · 49 providers
Cleveland, OH
Avg $20.56
177,724 claims · 114 providers
Other Procedures in Fairmont, WV
X-Ray
Avg $8.06
290,319 claims
Physical Therapy
Avg $26.22
144,321 claims
Substance Abuse Treatment
Avg $85.18
141,089 claims
Office Visit
Avg $32.75
120,059 claims
CT Scan (Computed Tomography)
Avg $52.96
108,485 claims
Blood Work & Lab Tests
Avg $28.17
94,772 claims
Emergency Room Visit
Avg $107.25
56,270 claims
Ambulance Transport
Avg $145.54
51,934 claims