Average Medicaid Mammogram Payments in Grand Rapids, MI: $26.29
Avg. Paid
$26.29
Range
$3.19 – $82.01
Total Claims
159,802
Providers
23
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 Grand Rapids, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Advanced Radiology Services, P.C.
3264 N Evergreen Dr Ne |
$21.84 | 107,541 | 105,987 |
|
Spectrum Health Hospitals
100 Michigan St Ne |
$46.30 | 16,377 | 16,095 |
|
Spartan Radiology, Inc
3264 N Evergreen Dr Ne |
$21.87 | 10,073 | 9,995 |
|
Kent Radiology Pc
200 Jefferson Ave Se |
$26.25 | 7,805 | 7,668 |
|
Saint Mary'S Health Services
200 Jefferson Ave Se |
$47.56 | 6,986 | 6,918 |
|
Spectrum Health Primary Care Partners
4100 Lake Dr Se |
$50.07 | 3,956 | 3,889 |
|
Kyle Micheal Lewis
25 Michigan St Ne |
$18.95 | 2,563 | 2,485 |
|
Kathleen Justice Kirtek
3264 N Evergreen Dr Ne |
$22.57 | 773 | 338 |
|
Alan B Engel
3264 N Evergreen Dr Ne |
$22.13 | 759 | 716 |
|
Kasey Lynn Morden
3264 N Evergreen Dr Ne |
$3.19 | 747 | 274 |
|
Angela Gonda
3264 N Evergreen Dr Ne |
$21.66 | 483 | 452 |
|
Matthew James Rose
3264 N Evergreen Dr Ne |
$16.97 | 296 | 244 |
|
Caroline Plowden Daly
3264 N Evergreen Dr Ne |
$28.50 | 294 | 292 |
|
Anna M Chojnacki
3264 N Evergreen Dr Ne |
$21.89 | 265 | 215 |
|
Annie Nguyet Dinh
221 Michigan St Ne Ste 402 |
$30.35 | 226 | 226 |
|
Serena M Chacko
3264 N Evergreen Dr Ne |
$32.90 | 200 | 171 |
|
Brendan Michael Banyon
3264 N Evergreen Dr Ne |
$10.37 | 166 | 145 |
|
Brandy M Conner
3264 N Evergreen Dr Ne |
$33.97 | 137 | 130 |
|
Nicole Kapral
3264 N Evergreen Dr Ne |
$17.19 | 74 | 73 |
|
Spectrum Health Primary Care Partners
1840 Wealthy St Se |
$40.98 | 44 | 36 |
|
William Wilder Davis
3264 N Evergreen Dr Ne |
$33.22 | 13 | 13 |
|
Grand Rapids Womens Health Pc
555 Midtowne Ne |
$82.01 | 12 | 12 |
|
Bogna Irena Targonska
3264 N Evergreen Dr Ne |
$24.72 | 12 | 12 |
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 Grand Rapids, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Grand Rapids, MI is $26.29 per claim, based on 159,802 claims from 23 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 Grand Rapids, MI?
There are 23 Medicaid providers offering Mammogram related services in Grand Rapids, MI according to public payment data.
What is the price range for Mammogram in Grand Rapids, MI?
Medicaid reimbursement for Mammogram in Grand Rapids, MI ranges from $3.19 to $82.01 per claim, with an average of $26.29. 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
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