Average Medicaid Mammogram Payments in Mission Viejo, CA: $50.02
Avg. Paid
$50.02
Range
$0.00 – $117.58
Total Claims
9,363
Providers
7
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 Mission Viejo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mission Hospital Regional Medical Center
27700 Medical Center Rd |
$117.58 | 3,838 | 3,799 |
|
Mission Hospital Regional Medical Center
27700 Medical Center Rd |
$0.98 | 2,580 | 2,570 |
|
Mission Hospital Regional Medical Center
27700 Medical Center Rd |
$0.00 | 1,153 | 1,146 |
|
Stephen M Simon
27700 Medical Center Rd |
$7.00 | 846 | 846 |
|
Charlyne Wu
26732 Crown Valley Pkwy |
$13.62 | 491 | 390 |
|
Dawn Terese Tanner
27700 Medical Center Rd |
$4.65 | 371 | 370 |
|
Elliot M Sacks
27700 Medical Center Rd |
$2.71 | 84 | 84 |
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 Mission Viejo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Mission Viejo, CA is $50.02 per claim, based on 9,363 claims from 7 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 Mission Viejo, CA?
There are 7 Medicaid providers offering Mammogram related services in Mission Viejo, CA according to public payment data.
What is the price range for Mammogram in Mission Viejo, CA?
Medicaid reimbursement for Mammogram in Mission Viejo, CA ranges from $0.00 to $117.58 per claim, with an average of $50.02. 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 Mission Viejo, CA
Office Visit
Avg $48.74
366,207 claims
Blood Work & Lab Tests
Avg $6.01
185,160 claims
X-Ray
Avg $7.43
112,984 claims
Urinalysis & Urine Tests
Avg $1.98
102,641 claims
Psychiatric Evaluation
Avg $59.33
80,891 claims
Eye Exam
Avg $28.87
68,595 claims
Emergency Room Visit
Avg $76.89
68,153 claims
CT Scan (Computed Tomography)
Avg $50.15
67,005 claims