Average Medicaid Mammogram Payments in Plattsburgh, NY: $41.02
Avg. Paid
$41.02
Range
$27.26 – $51.35
Total Claims
8,200
Providers
12
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 Plattsburgh, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michael Edward Phillips
762 Route 3 |
$35.20 | 52 | 52 |
|
Anthony Gabriel Conti
675 State Route 3 Ste 105 |
$30.87 | 136 | 136 |
|
Associates In Radiology Of Plattsburgh Ny Pc
762 Route 3 |
$31.64 | 146 | 146 |
|
Eric Bennett Herskowitz
16 Degrandpre Way Ste 600 |
$34.13 | 168 | 168 |
|
Lucy Magcalas Lane
75 Beekman St |
$27.26 | 171 | 161 |
|
Jeffrey J Buran
16 Degrandpre Way Ste 600 |
$33.75 | 382 | 382 |
|
Vincent Persaud
16 Degrandpre Way Ste 600 |
$30.64 | 462 | 462 |
|
Laurent Christophe Gilloteaux
16 Degrandpre Way Ste 600 |
$30.74 | 534 | 534 |
|
Curt Matthew Snyder
16 Degrandpre Way Ste 600 |
$31.13 | 603 | 603 |
|
David B. Wagar
16 Degrandpre Way |
$30.39 | 630 | 629 |
|
Wolodymyr Iwan Bula
16 Degrandpre Way Ste 600 |
$30.97 | 906 | 906 |
|
Champlain Valley Physicians Hospital Medical Center
75 Beekman St |
$51.35 | 4,010 | 4,004 |
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 Plattsburgh, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Plattsburgh, NY is $41.02 per claim, based on 8,200 claims from 12 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 Plattsburgh, NY?
There are 12 Medicaid providers offering Mammogram related services in Plattsburgh, NY according to public payment data.
What is the price range for Mammogram in Plattsburgh, NY?
Medicaid reimbursement for Mammogram in Plattsburgh, NY ranges from $27.26 to $51.35 per claim, with an average of $41.02. 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 Plattsburgh, NY
Office Visit
Avg $81.03
352,712 claims
Blood Work & Lab Tests
Avg $18.00
247,742 claims
Psychiatric Evaluation
Avg $108.77
96,574 claims
Emergency Room Visit
Avg $118.11
88,317 claims
Vaccines & Immunizations
Avg $12.72
64,934 claims
Physical Therapy
Avg $59.82
60,972 claims
Substance Abuse Treatment
Avg $83.72
54,971 claims
EKG / ECG (Electrocardiogram)
Avg $6.30
51,010 claims