Average Medicaid Mammogram Payments in Pittsburgh, PA: $41.68
Avg. Paid
$41.68
Range
$0.00 – $129.11
Total Claims
50,832
Providers
70
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 Pittsburgh, PA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Terri Gizienski
200 Lothrop St Ste 3950 |
$35.46 | 5,185 | 5,138 |
|
Benjamin L Harris
401 Liberty Avenue, Suite 2000 |
$88.65 | 4,063 | 4,013 |
|
Michael S Kelleher
200 Lothrop St Ste 700 |
$23.74 | 3,599 | 3,039 |
|
Richard Witt Rupp
3705 Fifth Avenue |
$37.53 | 3,026 | 2,990 |
|
Nils Schnor
300 Halket St |
$96.01 | 2,775 | 2,622 |
|
Antoine Wadih
9100 Babcock Blvd |
$32.53 | 2,292 | 2,259 |
|
Karl Nicholas Yaeger
200 Lothrop St |
$31.50 | 1,908 | 1,890 |
|
Grace Y Rathfon
320 E North Ave |
$20.06 | 1,546 | 1,482 |
|
Alisa Sumkin
320 E North Ave |
$94.89 | 1,526 | 1,520 |
|
Betty E Shindel
320 E North Ave |
$17.41 | 1,520 | 1,408 |
|
Sahand Sohrabi
200 Lothrop St Ste N713 |
$39.11 | 1,461 | 1,013 |
|
Brandon W Chan
565 Coal Valley Road |
$52.73 | 1,411 | 1,234 |
|
Denise Chough
200 Lothrop St |
$28.27 | 1,384 | 1,377 |
|
Amy Lu
200 Lothrop St |
$28.90 | 1,298 | 1,294 |
|
Jamie Hartman
4800 Friendship Ave |
$30.36 | 1,098 | 1,090 |
|
Marie Ganott
200 Lothrop St |
$28.96 | 1,090 | 1,078 |
|
Swetha Bindu Dasari
300 Halket St |
$41.47 | 1,087 | 1,084 |
|
Dina Novitskaya
3705 Fifth Ave Chpmt 3950 |
$33.65 | 879 | 872 |
|
Margarita Zuley
200 Lothrop St |
$27.98 | 878 | 876 |
|
Thomas Daniel Cassady
1400 Locust St |
$19.42 | 785 | 753 |
|
Nandish Gaurang Shah
300 Halket St |
$24.61 | 766 | 760 |
|
Amy Kelly
3705 5Th Ave |
$28.47 | 696 | 693 |
|
Cathy Cohen
200 Lothrop St |
$31.40 | 689 | 689 |
|
Gregory T Trecha
401 Liberty Ave Ste 2000 |
$17.69 | 685 | 670 |
|
William R Poller
320 E North Ave |
$38.37 | 678 | 644 |
|
Matthew Jochum Miller
320 E North Ave |
$52.32 | 663 | 653 |
|
Ratan Shah
200 Lothrop St |
$36.40 | 649 | 640 |
|
Chuanxing Qu
200 Lothrop St |
$32.16 | 590 | 590 |
|
Jennifer Ames
3705 5Th Ave |
$31.59 | 550 | 550 |
|
Dilip D Shinde
300 Halket St |
$29.79 | 479 | 479 |
|
Saadia Khan Gosalia
401 Liberty Ave |
$31.34 | 463 | 462 |
|
Latika Sinha Prasad
401 Liberty Ave Ste 2000 |
$31.01 | 427 | 422 |
|
Paul A Depippo
401 Liberty Ave Ste 2000 |
$31.36 | 413 | 413 |
|
Andrew Reed Swihart
300 Halket St |
$27.49 | 394 | 387 |
|
Nimisha Parikh
320 E North Ave |
$32.00 | 375 | 373 |
|
Guillaume Boiteau
220 S Home Ave |
$5.90 | 368 | 356 |
|
Michael Allen Packard
320 E North Ave |
$29.19 | 348 | 331 |
|
Peter Hoy
200 Lothrop St |
$18.20 | 218 | 203 |
|
Luisa Paula Wallace
200 Lothrop St |
$28.60 | 208 | 207 |
|
Allegheny Clinic Radiology
320 E North Ave |
$27.27 | 203 | 203 |
|
Patrick Fitzgerald Williams
320 E North Ave |
$25.77 | 194 | 185 |
|
Ronald Daniel Kunst
401 Liberty Ave Ste 2000 |
$29.46 | 173 | 171 |
|
Jeffrey D. Poot
3600 Forbes Ave Ste 140 |
$25.20 | 158 | 154 |
|
Shaifali Sharma
3705 5Th Ave |
$42.31 | 153 | 152 |
|
Carolyn M Happ
1000 Bower Hill Rd |
$39.31 | 128 | 126 |
|
Mark Scoggins
320 E North Ave |
$58.04 | 128 | 126 |
|
Adam Jeffrey Fang
320 E North Ave |
$46.41 | 121 | 115 |
|
Matthew H. Smith
200 Lothrop St Ste E204 |
$129.11 | 117 | 117 |
|
Zeba Aziz Syed
320 E North Ave |
$29.67 | 110 | 110 |
|
Sarah Thomas
320 E North Ave |
$47.64 | 102 | 96 |
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 Pittsburgh, PA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Pittsburgh, PA is $41.68 per claim, based on 50,832 claims from 70 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 Pittsburgh, PA?
There are 70 Medicaid providers offering Mammogram related services in Pittsburgh, PA according to public payment data.
What is the price range for Mammogram in Pittsburgh, PA?
Medicaid reimbursement for Mammogram in Pittsburgh, PA ranges from $0.00 to $129.11 per claim, with an average of $41.68. 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 Pittsburgh, PA
Blood Work & Lab Tests
Avg $12.74
5,898,610 claims
Office Visit
Avg $58.11
1,594,344 claims
Emergency Room Visit
Avg $104.00
1,342,847 claims
Urinalysis & Urine Tests
Avg $4.28
839,744 claims
X-Ray
Avg $8.11
814,115 claims
Culture & Microbiology Tests
Avg $5.35
530,883 claims
Physical Therapy
Avg $57.35
415,480 claims
EKG / ECG (Electrocardiogram)
Avg $8.10
404,951 claims