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 |
|---|---|---|---|
|
Ray A Abarintos
129 N 11Th St Fl 1 |
$95.81 | 12 | 12 |
|
Katrina Esther Korhonen
800 Spruce St |
$22.86 | 12 | 12 |
|
Rita Carabello
9880 Bustleton Ave Ste 301 |
$107.90 | 13 | 13 |
|
Bruce Carnivale
3401 N Broad St |
$101.30 | 13 | 13 |
|
Independent Physicians Medical Center, Llc
9908 Roosevelt Blvd |
$100.95 | 13 | 13 |
|
Karen Melissa Duckworth
131 E Chelten Ave |
$82.01 | 13 | 13 |
|
Courtney A. Woodfield
3998 Red Lion Road |
$32.54 | 13 | 13 |
|
Arun K Mohanty
135 E Lehigh Ave |
$124.34 | 14 | 13 |
|
Bruce Ian Blatt
7131 Frankford Ave |
$114.89 | 14 | 14 |
|
Partha Venkata Hota
3401 N Broad St |
$89.34 | 14 | 13 |
|
Andrew Charles Friedman
3401 N Broad St |
$60.35 | 14 | 14 |
|
Catherine M Tuite
333 Cottman Ave |
$47.08 | 15 | 15 |
|
Andrew Joseph Degnan
160 E Erie Ave |
$13.38 | 17 | 15 |
|
Arwa Alzaghal
3400 Spruce Street |
$33.85 | 21 | 21 |
|
Jeanes Radiology Associates, Llc
1619 Grant Ave |
$116.84 | 24 | 24 |
|
Horacio David Hares
5501 Old York Rd - Paley Building 1St Floor |
$104.48 | 25 | 25 |
|
John K Moran
10800 Knights Rd |
$33.86 | 25 | 25 |
|
Elena Adamov
1427 Vine St |
$108.44 | 26 | 25 |
|
Gloria Janet Diaz
2301 E Allegheny Ave |
$95.02 | 26 | 26 |
|
Matthew Blair Behme
5501 Old York Rd |
$93.66 | 27 | 27 |
|
Mary Gentile Mallon
3601 A St |
$17.09 | 28 | 27 |
|
Steven P Schmidt
1909/17 E Washington Lane |
$114.19 | 30 | 30 |
|
Jefferson University Physicians
33 S. 9Th Street |
$26.13 | 34 | 33 |
|
Haroon H Durrani
111 S 11Th St |
$12.00 | 36 | 35 |
|
Jefferson University Radiology Associates, Llc
10160 Bustleton Ave Ste E |
$119.31 | 38 | 31 |
|
Steven David Herman
3400 Spruce St |
$19.85 | 38 | 38 |
|
Nimidia Oviedo
136 Diamond St |
$102.44 | 40 | 39 |
|
Andrew Kim
3401 N Broad St |
$83.73 | 43 | 42 |
|
Wendy P Klein
51 N 39Th St |
$35.17 | 43 | 43 |
|
Steven S Greensweig
4900 Frankford Ave |
$27.10 | 45 | 44 |
|
August Tuan
3400 Spruce St |
$0.00 | 48 | 31 |
|
Dennis G Winkelman
5325 Old York Rd Ste 15 |
$95.84 | 56 | 55 |
|
Marta Cecilia Jaramillo
133 W Hunting Park Ave |
$95.66 | 56 | 56 |
|
Sandra Q Mccarthy
3509 N Broad St |
$89.85 | 68 | 62 |
|
Loren C Macey
3401 N Broad St |
$48.40 | 69 | 69 |
|
Jefferson Health - Northeast
4900 Frankford Ave |
$79.90 | 77 | 77 |
|
Marlane Casper Guttmann
333 Cottman Ave |
$35.15 | 81 | 77 |
|
Presbyterian Medical Center Of The University Of Pennsylvania Health S
51 N 39Th St |
$85.31 | 88 | 88 |
|
Nazareth Hospital
2601 Holme Ave |
$76.58 | 91 | 91 |
|
Andrew Joseph Curtin
1619 Grant Ave |
$14.91 | 95 | 94 |
|
Keri Lynn Johnson
8815 Germantown Ave |
$81.58 | 103 | 103 |
|
Temple Faculty Practice Plan, Inc
3401 N Broad St |
$43.97 | 105 | 105 |
|
Elizabeth R Barak
3400 Spruce Street |
$28.47 | 105 | 105 |
|
Thomas Jefferson University Hospitals Inc
111 S 11Th St |
$77.44 | 107 | 107 |
|
American Oncologic Hospital
333 Cottman Ave |
$78.78 | 117 | 117 |
|
Temple University Hospital, Inc
7600 Central Ave |
$79.30 | 120 | 120 |
|
William Carter Heppenstall
101 E Olney Ave Ste C5 |
$98.42 | 126 | 125 |
|
Jefferson Health - Northeast
10800 Knights Rd |
$80.22 | 133 | 133 |
|
Eugene Chough
3400 Spruce St |
$30.73 | 140 | 140 |
|
Trustees Of The University Of Pennsylvania
3400 Spruce St |
$89.94 | 143 | 143 |
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