Average Medicaid Mammogram Payments in Lorain, OH: $25.48
Avg. Paid
$25.48
Range
$17.85 – $36.70
Total Claims
5,856
Providers
12
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 Lorain, OH
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mercy Health-Regional Medical Center Llc
3700 Kolbe Rd |
$36.70 | 2,107 | 1,869 |
|
Joe Emile Assaad
1720 Cooper Foster Park Rd W |
$19.27 | 1,471 | 1,419 |
|
Timothy Woisnet
221 W 8Th St |
$17.85 | 633 | 607 |
|
Matthew Sfiligoj
1720 Cooper Foster Park Rd W |
$18.63 | 318 | 307 |
|
Steven J Yousko
3700 Kolbe Rd |
$20.94 | 318 | 307 |
|
Cathy Miller
221 W 8Th St |
$19.39 | 289 | 283 |
|
Jeffrey S Ward
1720 Cooper Foster Park Rd W |
$20.88 | 199 | 197 |
|
Karen E. Basile
221 W 8Th St |
$18.17 | 182 | 176 |
|
Eduardo P Martinez
1720 Cooper Foster Park Rd W |
$20.23 | 161 | 160 |
|
Chad Cohen
221 W 8Th St |
$18.57 | 131 | 125 |
|
Francis Kearney
221 W 8Th St |
$18.64 | 33 | 30 |
|
Fredrich Dengel
1720 Cooper Foster Park Rd W |
$21.48 | 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 Lorain, OH?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Lorain, OH is $25.48 per claim, based on 5,856 claims from 12 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 Lorain, OH?
There are 12 Medicaid providers offering Mammogram related services in Lorain, OH according to public payment data.
What is the price range for Mammogram in Lorain, OH?
Medicaid reimbursement for Mammogram in Lorain, OH ranges from $17.85 to $36.70 per claim, with an average of $25.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Mammogram in Other Cities
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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 Lorain, OH
Office Visit
Avg $42.76
582,044 claims
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Avg $73.54
353,970 claims
Blood Work & Lab Tests
Avg $5.56
292,761 claims
Psychiatric Evaluation
Avg $68.76
200,757 claims
Substance Abuse Treatment
Avg $132.64
187,034 claims
Emergency Room Visit
Avg $85.32
173,745 claims
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Avg $12.47
139,698 claims
Home Health Visit
Avg $77.73
101,545 claims