Average Medicaid Mammogram Payments in Nutley, NJ: $34.74
Avg. Paid
$34.74
Range
$15.21 – $67.18
Total Claims
7,511
Providers
11
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 Nutley, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anuj J Tolia
20 High St |
$60.02 | 12 | 12 |
|
Konstantin Krepkin
20 High St |
$55.40 | 13 | 13 |
|
Brett D Ferdinand
20 High St |
$67.18 | 15 | 15 |
|
Sarah A Dodge
20 High St |
$15.21 | 36 | 36 |
|
Michael A Pollack
20 High St |
$52.76 | 52 | 51 |
|
Ross Mondshine
20 High St |
$59.77 | 114 | 112 |
|
Montclair Radiological Assoc ,Pa
20 High St |
$48.71 | 114 | 114 |
|
Lisa Taub Bash
20 High St |
$19.63 | 202 | 198 |
|
Denise C Mcfadden
20 High St |
$61.90 | 223 | 223 |
|
Nicole Lynn Lacz
20 High St |
$18.50 | 709 | 691 |
|
Jessica Torrente
20 High St |
$35.19 | 6,021 | 6,002 |
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 Nutley, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Nutley, NJ is $34.74 per claim, based on 7,511 claims from 11 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 Nutley, NJ?
There are 11 Medicaid providers offering Mammogram related services in Nutley, NJ according to public payment data.
What is the price range for Mammogram in Nutley, NJ?
Medicaid reimbursement for Mammogram in Nutley, NJ ranges from $15.21 to $67.18 per claim, with an average of $34.74. 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 Nutley, NJ
Office Visit
Avg $49.06
69,464 claims
Ambulance Transport
Avg $64.36
60,896 claims
Psychiatric Evaluation
Avg $70.01
46,857 claims
Non-Emergency Medical Transportation
Avg $49.11
36,285 claims
X-Ray
Avg $6.94
32,881 claims
Physical Therapy
Avg $31.17
22,932 claims
Nursing Facility Care
Avg $13.87
17,530 claims
Ultrasound
Avg $39.08
15,305 claims