Average Medicaid Mammogram Payments in Philadelphia, PA: $55.76
Avg. Paid
$55.76
Range
$0.00 – $290.19
Total Claims
150,991
Providers
120
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 Philadelphia, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Theresa C Power
3401 N Broad St |
$57.42 | 19,711 | 19,352 |
|
Renee Kendzierski
3401 N Broad St |
$54.27 | 10,099 | 9,855 |
|
Lisa M Zorn
111 S 11Th St |
$48.07 | 9,208 | 8,843 |
|
Mindy Lee Yang
3401 N Broad St |
$61.94 | 8,519 | 7,893 |
|
Shqiponja Hajdinaj
3401 N Broad St |
$64.42 | 7,554 | 7,432 |
|
Bethany Ann Richman
5501 Old York Rd |
$109.30 | 5,965 | 5,918 |
|
Ripple Sheth Patel
3400 Spruce St |
$61.57 | 5,352 | 5,266 |
|
Jason Paul Shames
1100 Walnut St Fl 4 |
$43.83 | 4,569 | 4,402 |
|
Alexander B Sevrukov
132 S 10Th St Ste 3390 |
$70.83 | 4,503 | 4,432 |
|
Chhavi Kaushik
111 S 11Th St |
$55.38 | 4,398 | 4,205 |
|
Dina Caroline
3401 N Broad St |
$57.33 | 4,365 | 4,283 |
|
Zi Zhang
3401 N Broad St |
$37.09 | 4,058 | 3,963 |
|
Rani Sewatkar
5501 Old York Rd |
$35.31 | 3,871 | 3,808 |
|
Suzanne Pascarella
3401 N Broad St |
$58.14 | 3,802 | 3,704 |
|
Debra Somers Copit
5501 Old York Road, Ground Floor - Levy Building |
$46.70 | 3,401 | 3,363 |
|
Samantha Pearl Zuckerman
3400 Spruce St |
$37.88 | 2,783 | 2,756 |
|
Priya Kumar Sareen
5501 Old York Rd |
$32.63 | 2,742 | 2,717 |
|
Annina N. Wilkes
111 S 11Th St |
$66.79 | 2,432 | 2,383 |
|
Jennifer D Tobey
800 Spruce Street |
$35.67 | 2,221 | 2,163 |
|
Marta Chaplynsky
3401 N Broad St |
$61.73 | 2,191 | 2,174 |
|
Elana I. Den
5501 Old York Rd |
$38.88 | 2,135 | 2,100 |
|
Nishi Talati
1500 Locust St |
$46.31 | 1,911 | 1,909 |
|
Julia A Birnbaum
800 Spruce Street |
$36.04 | 1,765 | 1,721 |
|
Christine Elizabeth Edmonds
3400 Spruce Street |
$34.25 | 1,530 | 1,506 |
|
Dayna Levin Weissberger
800 Spruce St |
$36.14 | 1,292 | 1,265 |
|
Bonmyong Lee
3400 Spruce Street |
$50.17 | 1,277 | 1,250 |
|
Susan P Weinstein
3400 Spruce St |
$35.02 | 1,256 | 1,233 |
|
Brian Samuel Englander
800 Spruce Street |
$36.42 | 1,254 | 1,233 |
|
Hassan Irshad
5501 Old York Rd |
$290.19 | 1,231 | 1,205 |
|
Sonja L Cerra-Gilch
10800 Knights Rd |
$29.61 | 1,112 | 1,074 |
|
Susie J Shah
8835 Germantown Ave |
$51.84 | 1,023 | 1,007 |
|
Susan L. Summerton
3400 Spruce St |
$37.12 | 999 | 991 |
|
Temple University Hospital, Inc
3401 N Broad St |
$83.80 | 995 | 994 |
|
Ariel Kanevsky
3401 N Broad St |
$33.78 | 991 | 977 |
|
Sarah Ihab Kamel
132 S 10Th St |
$43.57 | 986 | 939 |
|
Anita M. Bajaj
3998 Red Lion Road |
$87.45 | 957 | 934 |
|
Kathleen V Greatrex
3400 Spruce St |
$20.26 | 944 | 940 |
|
Kelli J Pokorny
5501 Old York Rd |
$40.84 | 848 | 839 |
|
Elizabeth Holly Steinberg Hsu
111 S 11Th St Ste 3390 |
$39.59 | 804 | 801 |
|
Andrea Michelle Abbott
333 Cottman Ave |
$61.85 | 782 | 765 |
|
Emily Fox Conant
3400 Spruce St |
$35.58 | 760 | 718 |
|
Mark W. Castaldi
3998 Red Lion Road |
$45.62 | 758 | 675 |
|
Danika A Hogan
230 N Broad St |
$32.03 | 731 | 730 |
|
Pratik Mansukh Mavani
132 S 10Th St |
$46.57 | 723 | 723 |
|
Elizabeth S Mcdonald
3400 Spruce St |
$37.62 | 663 | 661 |
|
Andrey Sinelnikov
200 Lothrop St. |
$24.15 | 653 | 638 |
|
Nancy Jacobs Goldenberg
1619 Grant Ave |
$102.38 | 617 | 614 |
|
Ashlee Byrd
111 S 11Th St |
$54.72 | 615 | 603 |
|
Tara Raquel Eisenberg
111 S 11Th St |
$36.20 | 552 | 525 |
|
Barbara C. Cavanaugh
333 Cottman Ave |
$32.49 | 511 | 504 |
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 Philadelphia, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Philadelphia, PA is $55.76 per claim, based on 150,991 claims from 120 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 Philadelphia, PA?
There are 120 Medicaid providers offering Mammogram related services in Philadelphia, PA according to public payment data.
What is the price range for Mammogram in Philadelphia, PA?
Medicaid reimbursement for Mammogram in Philadelphia, PA ranges from $0.00 to $290.19 per claim, with an average of $55.76. 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 Philadelphia, PA
Office Visit
Avg $47.22
5,853,067 claims
Substance Abuse Treatment
Avg $57.23
5,131,687 claims
Psychiatric Evaluation
Avg $69.22
3,688,209 claims
Emergency Room Visit
Avg $135.52
3,661,931 claims
X-Ray
Avg $9.69
1,822,183 claims
Behavioral & Mental Health Therapy
Avg $119.23
1,618,868 claims
Blood Work & Lab Tests
Avg $6.85
1,492,079 claims
Dental Cleaning & Exam
Avg $29.51
1,399,541 claims