Average Medicaid Mammogram Payments in Flemington, NJ: $71.61
Avg. Paid
$71.61
Range
$48.06 – $97.82
Total Claims
10,471
Providers
4
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 Flemington, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lisa F. Falcon
312 Walter E Foran Blvd |
$56.59 | 6,384 | 6,126 |
|
Hunterdon Medical Center
2100 Wescott Dr |
$97.82 | 3,861 | 3,824 |
|
Andrew Cortes
2100 Westcott Drive |
$48.06 | 201 | 198 |
|
Flemington Radiology Associates, Llc
2100 Westcott Dr. |
$50.19 | 25 | 25 |
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 Flemington, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Flemington, NJ is $71.61 per claim, based on 10,471 claims from 4 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 Flemington, NJ?
There are 4 Medicaid providers offering Mammogram related services in Flemington, NJ according to public payment data.
What is the price range for Mammogram in Flemington, NJ?
Medicaid reimbursement for Mammogram in Flemington, NJ ranges from $48.06 to $97.82 per claim, with an average of $71.61. 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 Flemington, NJ
Behavioral & Mental Health Therapy
Avg $87.95
194,709 claims
Office Visit
Avg $81.77
189,240 claims
Blood Work & Lab Tests
Avg $5.04
128,149 claims
Psychiatric Evaluation
Avg $78.39
127,970 claims
Ambulance Transport
Avg $22.99
99,390 claims
Non-Emergency Medical Transportation
Avg $8.94
72,862 claims
Physical Therapy
Avg $33.05
68,948 claims
Emergency Room Visit
Avg $209.85
48,508 claims