Average Medicaid Mammogram Payments in Madison, WI: $29.86
Avg. Paid
$29.86
Range
$9.12 – $675.35
Total Claims
23,740
Providers
35
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 Madison, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Emily Jane Burdick
600 Highland Ave |
$41.82 | 4,543 | 4,246 |
|
University Of Wisconsin Hospitals And Clinics Authority
600 Highland Ave |
$19.77 | 3,501 | 3,257 |
|
Christine Lynnette Vetter
600 Highland Ave |
$30.33 | 1,946 | 1,806 |
|
Anand Kumar Narayan
600 Highland Ave |
$28.10 | 1,883 | 1,806 |
|
John Bisges
600 Highland Ave |
$33.65 | 1,603 | 1,566 |
|
Michael Llewellyn
600 Highland Ave |
$12.57 | 1,454 | 1,416 |
|
Giustino Patrizio Luca Albanese
600 Highland Ave |
$14.67 | 1,322 | 1,293 |
|
Matthew David Nitz
600 Highland Ave |
$25.85 | 1,172 | 1,148 |
|
Christoph Ilsuk Lee
600 Highland Ave |
$21.89 | 919 | 915 |
|
Urvi A Tailor
600 Highland Ave |
$22.90 | 733 | 673 |
|
Erin Bravo
600 Highland Ave # H4831 |
$64.24 | 533 | 501 |
|
Adrienne Schwartz Dekarske
University Of Wisconsin Radiology Department |
$29.45 | 489 | 463 |
|
Shane Arthur Rassman
600 Highland Ave |
$21.44 | 446 | 442 |
|
Thomas D Reed
700 S Park St |
$27.74 | 409 | 388 |
|
Neal Hall
600 Highland Ave |
$9.12 | 398 | 390 |
|
Ryan William Woods
600 Highland Ave |
$51.54 | 364 | 349 |
|
Kathleen M Baus
1 S Park St |
$38.09 | 278 | 273 |
|
Pamela A Propeck
1 S Park St |
$36.78 | 245 | 233 |
|
Anthony M Shadid
600 Highland Ave |
$25.36 | 231 | 186 |
|
Andrew Kanarek
309 W Washington Ave Unit 208 |
$25.16 | 208 | 208 |
|
Gillian M Battino
600 Highland Ave |
$37.38 | 208 | 193 |
|
Andrew J. Ziegert
600 Highland Ave. |
$26.13 | 187 | 167 |
|
Nicholas John Stabo
Uw Hospital And Clinics |
$30.07 | 132 | 115 |
|
Lonie R Salkowski
600 Highland Ave |
$42.33 | 114 | 112 |
|
Edward James Borman
600 Highland Ave |
$57.01 | 96 | 92 |
|
Mai A Elezaby
600 Highland Ave |
$57.41 | 86 | 84 |
|
Jeannine Ruby
Uw Hospital And Clinics |
$25.55 | 79 | 72 |
|
Naila Qazi
600 Highland Ave |
$18.49 | 46 | 44 |
|
Jordan Ross
Uw Hospitals And Clinics |
$675.35 | 26 | 26 |
|
Catherine Breck Holznecht
Uw Hospital And Clinics |
$18.68 | 19 | 18 |
|
Michael Bergquist
Uw Hospitals And Clinics 600 Highland Ave |
$25.47 | 15 | 14 |
|
Alison Rebecca Gegios
600 Highland Ave |
$56.60 | 14 | 14 |
|
Harold F. Bennett
700 S Park St |
$20.86 | 14 | 12 |
|
Nicholas G Reason
1211 Fish Hatchery Rd |
$90.79 | 14 | 12 |
|
Roberta Marie Strigel
600 Highland Ave |
$74.57 | 13 | 13 |
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 Madison, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Madison, WI is $29.86 per claim, based on 23,740 claims from 35 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 Madison, WI?
There are 35 Medicaid providers offering Mammogram related services in Madison, WI according to public payment data.
What is the price range for Mammogram in Madison, WI?
Medicaid reimbursement for Mammogram in Madison, WI ranges from $9.12 to $675.35 per claim, with an average of $29.86. 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 Madison, WI
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Avg $12.67
1,509,772 claims
Behavioral & Mental Health Therapy
Avg $110.40
1,504,873 claims
Office Visit
Avg $49.22
1,187,844 claims
Blood Work & Lab Tests
Avg $11.76
1,154,690 claims
Emergency Room Visit
Avg $59.96
734,593 claims
X-Ray
Avg $5.48
502,669 claims
Physical Therapy
Avg $19.46
343,028 claims
EKG / ECG (Electrocardiogram)
Avg $5.11
290,457 claims