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Based on public Medicaid payment data.

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 Radiology Associates, P.C.

1255 Portland Ave

$32.95 13 13
Anthony Conde

601 Elmwood Ave

$33.52 14 12
Radiologists Of Univ Of Rochester

601 Elmwood Ave

$31.79 43 43
Patricia Elisa Melendez Moreno

601 Elmwood Ave

$16.03 45 40
Allan Bernstein

4901 Lac De Ville Blvd

$28.12 69 69
Donnette Aletha Dabydeen

1425 Portland Ave

$30.48 80 80
Patricia Somerville

170 Sawgrass Dr

$119.81 107 107
Mammography Of The University Of Rochester

601 Elmwood Ave

$32.55 122 122
Rochester General Hospital

2350 Ridgeway Ave

$29.33 139 139
Susan Danahy

1401 Stone Rd

$111.77 208 208
Alicia Christine Shaikh

4901 Lac De Ville Blvd Bldg D

$41.22 216 216
Eslam Adel Mohamed

601 Elmwood Ave

$47.32 285 285
Peter Alan Dvorak

36 Edgemont Rd

$33.79 296 296
Shrey Kumar Thawait

1555 Long Pond Rd

$39.35 306 281
Nancy A Gadziala

2263 S Clinton Ave

$108.07 309 308
Matthew Stanley Wang

601 Elmwood Ave Box 648

$30.79 352 352
Elizabeth Wende Breast Care Llc

170 Sawgrass Dr

$110.71 520 519
Jane S Bennett

1555 Long Pond Rd

$111.53 523 523
Billy Zhao

1425 Portland Ave

$35.65 678 678
Borg & Ide Imaging, Pc

2263 S Clinton Ave

$110.80 712 711
Matthew Daniel Diamond

1425 Portland Ave

$29.22 775 775
Ariel Chaim Fisher

500 Red Creek

$40.13 832 831
Satpal Kaur

601 Elmwood Ave

$32.66 909 909
Monica Bhattacharjee

1425 Portland Ave

$32.82 910 910
Usa Cain

1425 Portland Ave

$31.68 990 990
Jennifer A. Harvey

601 Elmwood Ave

$31.42 1,044 1,029
Lisa Siripun

601 Elmwood Ave

$76.46 1,843 982
University Of Rochester

601 Elmwood Ave

$63.97 1,853 1,850
Kenneth N Van Sickel

1425 Portland Ave

$31.23 1,905 1,905
Ted D Barnett

1555 Long Pond Rd

$110.04 1,913 1,913
Alison Matich

601 Elmwood Ave

$47.27 1,973 1,586
William D Bowen

1425 Portland Ave

$31.93 2,285 2,282
Lisa Vasant Paulis

170 Sawgrass Dr

$112.09 2,508 2,508
Jinnah Alexandra Phillips

170 Sawgrass Dr

$75.74 2,676 2,597
Ruby L Belton

2263 S Clinton Ave

$36.10 2,685 2,683
Leah Rossett

601 Elmwood Ave

$35.84 2,729 2,727
Sarah Vanderlinde

170 Sawgrass Dr

$113.80 2,741 2,741
Kamal Kothari

2263 Clinton Ave S

$108.36 2,867 2,859
Stamatia V Destounis

170 Sawgrass Dr

$112.68 2,919 2,919
Philip F Murphy

170 Sawgrass Dr

$112.40 2,920 2,920
Farooq Khokhar

170 Sawgrass Dr

$106.89 3,001 2,960
Wade C Hedegard

170 Sawgrass Dr

$112.44 3,074 3,074
Alena Levit

170 Sawgrass Dr

$115.56 3,113 3,113
Martine S Backenstoss

1425 Portland Ave

$33.06 4,165 4,159
Radha R. Iyer

601 Elmwood Ave

$35.42 5,441 5,430
Tahira Fasihi Ahmed

1425 Portland Ave

$100.23 6,871 6,624
Avice M O'Connell

1000 South Ave

$34.48 8,063 8,058
Highland Hospital Of Rochester

1000 South Ave

$67.23 11,690 11,617
Rochester General Hospital

1425 Portland Ave

$67.97 15,698 15,540

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

Other Procedures in Rochester, NY