Average Medicaid Mammogram Payments in Middletown, NY: $92.93
Avg. Paid
$92.93
Range
$28.94 – $151.87
Total Claims
38,843
Providers
25
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 Middletown, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jerome Anthony Molitor
155 Crystal Run Rd |
$99.48 | 8,474 | 8,462 |
|
Nathaniel E Margolis
155 Crystal Run Rd |
$73.70 | 7,984 | 7,913 |
|
Michael E Waldman
185 Rykowski Ln Ste 101 |
$103.68 | 4,715 | 4,683 |
|
Pallavi Cherukuri
707 E Main St |
$85.36 | 3,275 | 3,167 |
|
Garnet Health Medical Center
707 East Main Street |
$75.48 | 2,580 | 2,550 |
|
Elina Zaretsky
707 E Main St |
$28.94 | 1,794 | 1,790 |
|
Victor Hsueh-Wen Wu
155 Crystal Run Rd |
$150.60 | 1,603 | 1,601 |
|
Michele M Greco
707 E Main St |
$48.79 | 1,522 | 1,522 |
|
Carl A. Silverio
155 Crystal Run Rd |
$151.87 | 1,508 | 1,507 |
|
Mussarat Chaudhry
707 East Main St. |
$88.74 | 1,208 | 1,207 |
|
Vivek Vinay Patil
707 E Main St |
$141.77 | 1,128 | 1,128 |
|
Anthony George Caramico
155 Crystal Run Rd |
$150.66 | 884 | 883 |
|
Radiologic Associates Prof Corp
707 E Main St |
$61.79 | 678 | 677 |
|
Joseph Louis Racanelli
707 E Main St |
$67.70 | 474 | 463 |
|
Crystal Run Healthcare Physicians Llp
155 Crystal Run Rd |
$148.82 | 427 | 427 |
|
Lawrence S Pan
155 Crystal Run Rd |
$149.55 | 146 | 146 |
|
Noaman Vaidya
155 Crystal Run Rd |
$151.21 | 145 | 145 |
|
Teresa Julia Karcnik
155 Crystal Run Rd |
$150.64 | 132 | 132 |
|
Luis Rodriguez
707 E Main St |
$74.24 | 64 | 64 |
|
Martin S Palmer
111 Maltese Dr |
$132.91 | 40 | 40 |
|
Lawrence Angelo Cicchiello
707 E Main St |
$32.33 | 14 | 14 |
|
Qing-Hua Zhao
155 Crystal Run Rd |
$146.00 | 12 | 12 |
|
Rosa E Atkinson
111 Maltese Dr |
$113.78 | 12 | 12 |
|
Rafael Vazquez
155 Crystal Run Rd |
$143.19 | 12 | 12 |
|
Kelly Rolison
60 Dunning Rd |
$128.68 | 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 Middletown, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Middletown, NY is $92.93 per claim, based on 38,843 claims from 25 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 Middletown, NY?
There are 25 Medicaid providers offering Mammogram related services in Middletown, NY according to public payment data.
What is the price range for Mammogram in Middletown, NY?
Medicaid reimbursement for Mammogram in Middletown, NY ranges from $28.94 to $151.87 per claim, with an average of $92.93. 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 Middletown, NY
Office Visit
Avg $89.34
849,019 claims
Blood Work & Lab Tests
Avg $8.75
466,678 claims
Home Health Visit
Avg $130.57
264,098 claims
Dental Cleaning & Exam
Avg $34.48
202,343 claims
Emergency Room Visit
Avg $124.41
199,236 claims
Psychiatric Evaluation
Avg $105.46
199,025 claims
Substance Abuse Treatment
Avg $67.54
169,986 claims
X-Ray
Avg $9.37
113,864 claims