Average Medicaid Mammogram Payments in Providence, RI: $53.09
Avg. Paid
$53.09
Range
$24.28 – $215.08
Total Claims
31,541
Providers
16
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 Providence, RI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Susan Lyn Koelliker
593 Eddy St |
$38.17 | 6,068 | 5,529 |
|
Rhode Island Medical Imaging
593 Eddy St |
$59.97 | 4,729 | 4,501 |
|
Elizabeth Lazarus
593 Eddy St |
$46.15 | 4,496 | 4,209 |
|
Tyler Campbell
593 Eddy St |
$71.41 | 3,448 | 3,376 |
|
Ana P Lourenco
593 Eddy St |
$42.01 | 3,180 | 3,005 |
|
Martha B Mainiero
593 Eddy St |
$48.52 | 2,806 | 2,633 |
|
Jill Steinkeler
593 Eddy St |
$24.28 | 2,716 | 2,707 |
|
Linda R Demello
593 Eddy St |
$37.53 | 1,397 | 1,210 |
|
Dan Nir
825 Chalkstone Ave |
$196.20 | 929 | 877 |
|
Alice Kim
593 Eddy St |
$75.05 | 782 | 779 |
|
Sandra S. Rao
593 Eddy St |
$26.40 | 527 | 458 |
|
Kevin Sun
825 Chalkstone Ave |
$215.08 | 214 | 212 |
|
Eleanor Dibiasio
593 Eddy St |
$97.64 | 124 | 122 |
|
Eduardo Felipe Matto
593 Eddy St |
$27.69 | 68 | 68 |
|
Sarah-Kim Shields
593 Eddy St |
$43.80 | 31 | 31 |
|
Christina Pinto
2 Angell St |
$46.79 | 26 | 26 |
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 Providence, RI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Providence, RI is $53.09 per claim, based on 31,541 claims from 16 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 Providence, RI?
There are 16 Medicaid providers offering Mammogram related services in Providence, RI according to public payment data.
What is the price range for Mammogram in Providence, RI?
Medicaid reimbursement for Mammogram in Providence, RI ranges from $24.28 to $215.08 per claim, with an average of $53.09. 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 Providence, RI
Personal Care Services
Avg $125.03
2,057,051 claims
Office Visit
Avg $73.05
1,843,254 claims
Emergency Room Visit
Avg $92.98
754,000 claims
Behavioral & Mental Health Therapy
Avg $129.47
740,415 claims
Dental Cleaning & Exam
Avg $30.60
677,431 claims
Case Management Services
Avg $18.33
599,589 claims
Psychiatric Evaluation
Avg $71.24
531,502 claims
Substance Abuse Treatment
Avg $47.48
496,940 claims