Average Medicaid Mammogram Payments in Rochester, NY: $69.90
Avg. Paid
$69.90
Range
$16.03 – $119.81
Total Claims
105,430
Providers
49
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 Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rochester General Hospital
1425 Portland Ave |
$67.97 | 15,698 | 15,540 |
|
Highland Hospital Of Rochester
1000 South Ave |
$67.23 | 11,690 | 11,617 |
|
Avice M O'Connell
1000 South Ave |
$34.48 | 8,063 | 8,058 |
|
Tahira Fasihi Ahmed
1425 Portland Ave |
$100.23 | 6,871 | 6,624 |
|
Radha R. Iyer
601 Elmwood Ave |
$35.42 | 5,441 | 5,430 |
|
Martine S Backenstoss
1425 Portland Ave |
$33.06 | 4,165 | 4,159 |
|
Alena Levit
170 Sawgrass Dr |
$115.56 | 3,113 | 3,113 |
|
Wade C Hedegard
170 Sawgrass Dr |
$112.44 | 3,074 | 3,074 |
|
Farooq Khokhar
170 Sawgrass Dr |
$106.89 | 3,001 | 2,960 |
|
Philip F Murphy
170 Sawgrass Dr |
$112.40 | 2,920 | 2,920 |
|
Stamatia V Destounis
170 Sawgrass Dr |
$112.68 | 2,919 | 2,919 |
|
Kamal Kothari
2263 Clinton Ave S |
$108.36 | 2,867 | 2,859 |
|
Sarah Vanderlinde
170 Sawgrass Dr |
$113.80 | 2,741 | 2,741 |
|
Leah Rossett
601 Elmwood Ave |
$35.84 | 2,729 | 2,727 |
|
Ruby L Belton
2263 S Clinton Ave |
$36.10 | 2,685 | 2,683 |
|
Jinnah Alexandra Phillips
170 Sawgrass Dr |
$75.74 | 2,676 | 2,597 |
|
Lisa Vasant Paulis
170 Sawgrass Dr |
$112.09 | 2,508 | 2,508 |
|
William D Bowen
1425 Portland Ave |
$31.93 | 2,285 | 2,282 |
|
Alison Matich
601 Elmwood Ave |
$47.27 | 1,973 | 1,586 |
|
Ted D Barnett
1555 Long Pond Rd |
$110.04 | 1,913 | 1,913 |
|
Kenneth N Van Sickel
1425 Portland Ave |
$31.23 | 1,905 | 1,905 |
|
University Of Rochester
601 Elmwood Ave |
$63.97 | 1,853 | 1,850 |
|
Lisa Siripun
601 Elmwood Ave |
$76.46 | 1,843 | 982 |
|
Jennifer A. Harvey
601 Elmwood Ave |
$31.42 | 1,044 | 1,029 |
|
Usa Cain
1425 Portland Ave |
$31.68 | 990 | 990 |
|
Monica Bhattacharjee
1425 Portland Ave |
$32.82 | 910 | 910 |
|
Satpal Kaur
601 Elmwood Ave |
$32.66 | 909 | 909 |
|
Ariel Chaim Fisher
500 Red Creek |
$40.13 | 832 | 831 |
|
Matthew Daniel Diamond
1425 Portland Ave |
$29.22 | 775 | 775 |
|
Borg & Ide Imaging, Pc
2263 S Clinton Ave |
$110.80 | 712 | 711 |
|
Billy Zhao
1425 Portland Ave |
$35.65 | 678 | 678 |
|
Jane S Bennett
1555 Long Pond Rd |
$111.53 | 523 | 523 |
|
Elizabeth Wende Breast Care Llc
170 Sawgrass Dr |
$110.71 | 520 | 519 |
|
Matthew Stanley Wang
601 Elmwood Ave Box 648 |
$30.79 | 352 | 352 |
|
Nancy A Gadziala
2263 S Clinton Ave |
$108.07 | 309 | 308 |
|
Shrey Kumar Thawait
1555 Long Pond Rd |
$39.35 | 306 | 281 |
|
Peter Alan Dvorak
36 Edgemont Rd |
$33.79 | 296 | 296 |
|
Eslam Adel Mohamed
601 Elmwood Ave |
$47.32 | 285 | 285 |
|
Alicia Christine Shaikh
4901 Lac De Ville Blvd Bldg D |
$41.22 | 216 | 216 |
|
Susan Danahy
1401 Stone Rd |
$111.77 | 208 | 208 |
|
Rochester General Hospital
2350 Ridgeway Ave |
$29.33 | 139 | 139 |
|
Mammography Of The University Of Rochester
601 Elmwood Ave |
$32.55 | 122 | 122 |
|
Patricia Somerville
170 Sawgrass Dr |
$119.81 | 107 | 107 |
|
Donnette Aletha Dabydeen
1425 Portland Ave |
$30.48 | 80 | 80 |
|
Allan Bernstein
4901 Lac De Ville Blvd |
$28.12 | 69 | 69 |
|
Patricia Elisa Melendez Moreno
601 Elmwood Ave |
$16.03 | 45 | 40 |
|
Radiologists Of Univ Of Rochester
601 Elmwood Ave |
$31.79 | 43 | 43 |
|
Anthony Conde
601 Elmwood Ave |
$33.52 | 14 | 12 |
|
Rochester Radiology Associates, P.C.
1255 Portland Ave |
$32.95 | 13 | 13 |
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 Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Rochester, NY is $69.90 per claim, based on 105,430 claims from 49 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 Rochester, NY?
There are 49 Medicaid providers offering Mammogram related services in Rochester, NY according to public payment data.
What is the price range for Mammogram in Rochester, NY?
Medicaid reimbursement for Mammogram in Rochester, NY ranges from $16.03 to $119.81 per claim, with an average of $69.90. 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
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Avg $155.96
4,468,559 claims
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Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
Psychiatric Evaluation
Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims