Average Medicaid Mammogram Payments in Lexington, KY: $42.39
Avg. Paid
$42.39
Range
$19.41 – $86.91
Total Claims
105,331
Providers
34
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 Lexington, KY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baptist Healthcare System, Inc
1740 Nicholasville Rd |
$78.87 | 15,498 | 14,241 |
|
University Of Kentucky
800 Rose St |
$86.91 | 14,240 | 12,641 |
|
Francie Tanner Masters
1221 S Broadway |
$24.13 | 11,816 | 11,020 |
|
Saint Joseph Health System, Inc
150 N Eagle Creek Dr |
$40.31 | 7,062 | 6,375 |
|
Lori Atkins
1218 S Broadway Ste 310 |
$24.20 | 3,448 | 3,332 |
|
Nanditha George
800 Rose St |
$21.80 | 3,373 | 3,144 |
|
Richard D Gibbs
800 Rose St |
$24.69 | 3,361 | 3,219 |
|
Marta H Kenney
160 N Eagle Creek Dr |
$23.56 | 2,987 | 2,852 |
|
Robert Counts Pope
1218 S Broadway Ste 310 |
$24.53 | 2,880 | 2,797 |
|
Jason A Harper
1218 South Broadway |
$24.15 | 2,709 | 2,616 |
|
Margaret M Szabunio
800 Rose St |
$24.24 | 2,646 | 2,529 |
|
Xiaoqin Jennifer Wang
800 Rose St |
$24.81 | 2,606 | 2,480 |
|
Tamara F Patsey
1760 Nicholasville Rd |
$25.37 | 2,542 | 2,424 |
|
Angela R Moore
1760 Nicholasville Rd |
$24.73 | 2,428 | 2,257 |
|
Sandra Robbin Shuffett
1760 Nicholasville Rd |
$26.54 | 2,399 | 2,327 |
|
John W. West
1221 S Broadway |
$38.26 | 2,271 | 2,175 |
|
Kimberly B Stigers
160 N Eagle Creek Dr |
$23.17 | 2,139 | 2,047 |
|
Rhonda G Grissom
1218 S Broadway |
$23.91 | 2,081 | 2,019 |
|
Fara Shikoh
800 Rose St |
$24.25 | 1,985 | 1,902 |
|
Molly Young Hester
1760 Nicholasville Rd |
$26.01 | 1,940 | 1,870 |
|
Adam Bryant
800 Rose St |
$19.41 | 1,931 | 1,732 |
|
Wendi A Owen
800 Rose St |
$25.80 | 1,803 | 1,721 |
|
Saint Joseph Health System, Inc
1 Saint Joseph Dr |
$49.32 | 1,733 | 1,670 |
|
Richard E Scalf
1218 S. Broadway |
$24.24 | 1,350 | 1,311 |
|
Ivo O Besong Mangeb
1218 S Broadway Ste 310 |
$24.00 | 1,322 | 1,275 |
|
Andersen Irvin Grigg
University Of Kentucky And Affiliates |
$20.12 | 1,261 | 1,242 |
|
Richard W Hartsough
1218 S Broadway Ste 310 |
$22.36 | 1,209 | 1,129 |
|
Raymonda Stevens
1218 South Broadway |
$23.61 | 1,052 | 1,008 |
|
Paul James Spicer
University Of Kentucky |
$26.70 | 1,043 | 1,012 |
|
Joseph Mitchell Kinner
800 Rose St |
$21.88 | 816 | 769 |
|
Jeffrey R Kinner
800 Rose St |
$20.88 | 676 | 618 |
|
Sanjay Agarwala
1221 S Broadway |
$19.42 | 485 | 475 |
|
Christine Noble Riley
1218 S Broadway |
$25.73 | 207 | 203 |
|
Allen R Bond
800 Rose St |
$28.30 | 32 | 31 |
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 Lexington, KY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Lexington, KY is $42.39 per claim, based on 105,331 claims from 34 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 Lexington, KY?
There are 34 Medicaid providers offering Mammogram related services in Lexington, KY according to public payment data.
What is the price range for Mammogram in Lexington, KY?
Medicaid reimbursement for Mammogram in Lexington, KY ranges from $19.41 to $86.91 per claim, with an average of $42.39. 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 Lexington, KY
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Avg $14.22
4,452,973 claims
Office Visit
Avg $40.42
4,343,155 claims
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Avg $156.12
2,128,548 claims
X-Ray
Avg $27.62
1,657,833 claims
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Avg $54.73
1,162,452 claims
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Avg $62.23
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Avg $82.19
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Avg $36.91
818,313 claims