Average Medicaid Mammogram Payments in Portland, ME: $31.87
Avg. Paid
$31.87
Range
$0.00 – $57.81
Total Claims
35,372
Providers
30
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 Portland, ME
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mainehealth
22 Bramhall St |
$57.81 | 9,422 | 9,095 |
|
Mercy Hospital
175 Fore River Pkwy |
$51.58 | 3,511 | 3,392 |
|
Christina M Cinelli
22 Bramhall St |
$15.76 | 3,250 | 3,164 |
|
Christopher Matthew Mutter
22 Bramhall St |
$16.51 | 2,831 | 2,630 |
|
Joshua B Farb
22 Bramhall St |
$28.54 | 2,471 | 2,468 |
|
Cydney J. Cox
22 Bramhall Street |
$16.04 | 2,463 | 2,390 |
|
Elizabeth S Pietras
22 Bramhall St |
$15.81 | 2,406 | 2,361 |
|
Henry P Talarico
144 State St |
$14.76 | 1,957 | 1,880 |
|
Sonya Daphne Edwards Ives
22 Bramhall St |
$15.15 | 1,936 | 1,854 |
|
Jerald Christopher Kuhn
144 State St |
$14.87 | 989 | 961 |
|
Jennifer Fife
22 Bramhall St |
$12.18 | 839 | 825 |
|
Kathryn Jeanne-Henault Heaphy
22 Bramhall St |
$40.08 | 712 | 683 |
|
Christine Nicole Meade
22 Bramhall St |
$15.40 | 672 | 665 |
|
Emily Ebert
22 Bramhall St |
$17.48 | 668 | 659 |
|
Omar Ashour
22 Bramhall St |
$15.14 | 648 | 647 |
|
Brad R Huot
331 Veranda St |
$40.32 | 116 | 115 |
|
Michael Vincent Frazier
22 Bramhall St |
$16.46 | 75 | 75 |
|
Brad Evans
22 Bramhall St |
$17.00 | 72 | 70 |
|
Steven M Amberson
22 Bramhall St |
$11.53 | 68 | 66 |
|
Elena Leah Resnick
22 Bramhall St |
$7.96 | 41 | 40 |
|
Thomas Carraway
22 Bramhall St |
$16.02 | 30 | 26 |
|
Charles K Grimes
22 Bramhall St |
$16.53 | 30 | 30 |
|
David R Greatorex
144 State St |
$27.20 | 30 | 30 |
|
Daniel Greentree
22 Bramhall St |
$17.02 | 27 | 26 |
|
Kaitlyn Marie Weidenbach
22 Bramhall St |
$15.41 | 26 | 26 |
|
Paul S. Kim
22 Bramhall St |
$12.15 | 20 | 17 |
|
Jennifer C Talmadge
22 Bramhall St |
$17.40 | 17 | 17 |
|
Michael O'Malley Quinn
22 Bramhall St |
$10.41 | 17 | 17 |
|
Edward M Cruz
22 Bramhall St |
$15.59 | 16 | 16 |
|
Archie R Mcgowan
175 Fore River Pkwy |
$0.00 | 12 | 12 |
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 Portland, ME?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Portland, ME is $31.87 per claim, based on 35,372 claims from 30 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 Portland, ME?
There are 30 Medicaid providers offering Mammogram related services in Portland, ME according to public payment data.
What is the price range for Mammogram in Portland, ME?
Medicaid reimbursement for Mammogram in Portland, ME ranges from $0.00 to $57.81 per claim, with an average of $31.87. 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 Portland, ME
Blood Work & Lab Tests
Avg $1.50
622,485 claims
Office Visit
Avg $36.14
593,977 claims
Home Health Visit
Avg $319.11
499,937 claims
Case Management Services
Avg $67.60
459,038 claims
Substance Abuse Treatment
Avg $116.83
397,924 claims
Emergency Room Visit
Avg $145.93
357,964 claims
X-Ray
Avg $10.50
304,258 claims
Behavioral & Mental Health Therapy
Avg $199.04
231,478 claims