Average Medicaid Mammogram Payments in Mishawaka, IN: $32.80
Avg. Paid
$32.80
Range
$21.90 – $195.00
Total Claims
8,508
Providers
13
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 Mishawaka, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Samir B Patel
620 W Edison Rd |
$24.98 | 2,262 | 2,175 |
|
Russell B Midkiff
620 W Edison Rd |
$25.68 | 2,091 | 1,995 |
|
Allison M Lamont
620 W Edison Rd |
$23.68 | 1,871 | 1,791 |
|
Alexander Marcus Tawadros
620 W Edison Rd |
$25.99 | 509 | 487 |
|
Radiology, Inc
620 W Edison Rd |
$21.90 | 426 | 426 |
|
Saint Joseph Regional Medical Center-South Bend Campus, Inc.
5215 Holy Cross Pkwy |
$195.00 | 395 | 362 |
|
Nicholas Abel
620 W Edison Rd Ste 110 |
$24.97 | 361 | 350 |
|
Jody M Barber
620 W Edison Rd |
$24.02 | 209 | 205 |
|
Michael T. Brendle
620 W Edison Rd |
$23.21 | 152 | 145 |
|
Katrina T Vanderveen
620 W Edison Rd |
$25.09 | 147 | 145 |
|
Christine Marsch O'Malley
620 W Edison Rd |
$23.25 | 40 | 39 |
|
Katherine Lisoni
420 W 4Th St |
$74.32 | 33 | 24 |
|
David D'Andrea
620 W Edison Rd |
$26.04 | 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 Mishawaka, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Mishawaka, IN is $32.80 per claim, based on 8,508 claims from 13 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 Mishawaka, IN?
There are 13 Medicaid providers offering Mammogram related services in Mishawaka, IN according to public payment data.
What is the price range for Mammogram in Mishawaka, IN?
Medicaid reimbursement for Mammogram in Mishawaka, IN ranges from $21.90 to $195.00 per claim, with an average of $32.80. 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
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Avg $54.11
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