Average Medicaid Mammogram Payments in Hamilton, NJ: $43.14
Avg. Paid
$43.14
Range
$15.22 – $70.58
Total Claims
8,643
Providers
18
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 Hamilton, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert Wood Johnson University Hospital At Hamilton
1 Hamilton Health Pl |
$56.91 | 4,164 | 4,079 |
|
Anthony Burgos
2501 Kuser Rd |
$19.25 | 970 | 946 |
|
Sandip N. Nayee
2501 Kuser Rd |
$29.30 | 693 | 677 |
|
Jeffrey Daniel Steinig
2501 Kuser Rd |
$29.44 | 506 | 482 |
|
William J. Mcgroarty
2501 Kuser Rd |
$20.31 | 480 | 470 |
|
Jeffrey John Mathews
2501 Kuser Rd |
$51.01 | 356 | 346 |
|
Joseph J. Kim
2501 Kuser Rd |
$20.92 | 245 | 231 |
|
Thomas Joseph Reilly
2501 Kuser Rd |
$15.22 | 235 | 219 |
|
Christopher Thomas Kirkpatrick
2501 Kuser Rd |
$48.80 | 216 | 209 |
|
Paul J. Weiser
2501 Kuser Rd |
$29.90 | 206 | 203 |
|
Larry A. Lecavalier
2501 Kuser Rd |
$70.58 | 205 | 203 |
|
Eric Bosworth
2501 Kuser Rd |
$41.77 | 87 | 77 |
|
Michael Vincent Dutka
2501 Kuser Rd |
$66.83 | 82 | 82 |
|
Radiology Affiliates Of Central New Jersey Pc
2501 Kuser Rd |
$29.97 | 70 | 58 |
|
Richard F. Scafidi
2501 Kuser Rd |
$17.41 | 42 | 42 |
|
Erik Leonard Gellella
2501 Kuser Rd |
$16.98 | 41 | 41 |
|
Derek J Plakyda
2501 Kuser Rd |
$26.37 | 31 | 31 |
|
Davindra Seelagan
2501 Kuser Rd |
$55.11 | 14 | 14 |
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 Hamilton, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Hamilton, NJ is $43.14 per claim, based on 8,643 claims from 18 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 Hamilton, NJ?
There are 18 Medicaid providers offering Mammogram related services in Hamilton, NJ according to public payment data.
What is the price range for Mammogram in Hamilton, NJ?
Medicaid reimbursement for Mammogram in Hamilton, NJ ranges from $15.22 to $70.58 per claim, with an average of $43.14. 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 Hamilton, NJ
Office Visit
Avg $51.75
477,985 claims
Home Health Visit
Avg $123.37
261,417 claims
Non-Emergency Medical Transportation
Avg $11.56
188,973 claims
Dental Cleaning & Exam
Avg $24.74
183,027 claims
Psychiatric Evaluation
Avg $96.04
174,367 claims
Blood Work & Lab Tests
Avg $5.04
156,478 claims
Pathology & Lab Services
Avg $13.45
150,773 claims
Physical Therapy
Avg $24.57
149,451 claims