Average Medicaid Mammogram Payments in Rockford, IL: $38.99
Avg. Paid
$38.99
Range
$6.28 – $114.29
Total Claims
15,235
Providers
22
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 Rockford, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alan S. Wagner
3849 N Perryville Rd |
$29.20 | 12 | 12 |
|
Ari D Plosker
8201 E Riverside Blvd |
$33.19 | 12 | 12 |
|
Robert Hamilton Pierce
3871 N Perryville Rd |
$22.72 | 13 | 13 |
|
Samuel Azeze
8201 E Riverside Blvd |
$30.37 | 13 | 13 |
|
Steven Bach
3871 N Perryville Rd |
$20.29 | 28 | 28 |
|
Bruce W Cardone
3871 N Perryville Rd |
$27.49 | 98 | 70 |
|
Martin A. Urban
3871 N Perryville Rd |
$25.45 | 213 | 183 |
|
Charles Arthur Ambelang
5666 E State St |
$28.64 | 228 | 181 |
|
Joseph R Stein
8201 E Riverside Blvd |
$114.29 | 240 | 236 |
|
James Chatham
8201 E Riverside Blvd |
$30.74 | 245 | 212 |
|
Christopher Vittore
5666 E State St |
$29.46 | 302 | 228 |
|
Matthew Dodaro
6952 Rote Rd |
$87.21 | 386 | 364 |
|
Pierre Lanthiez
8201 E Riverside Blvd |
$32.84 | 430 | 389 |
|
Rajesh Kumar Kakarla
8201 E Riverside Blvd |
$67.13 | 433 | 292 |
|
Keith Alan Mcguire
8201 E Riverside Blvd |
$22.86 | 687 | 679 |
|
Martin Butler
1401 E State St |
$28.58 | 696 | 566 |
|
Atul Jayant Patel
8201 E Riverside Blvd |
$6.28 | 1,001 | 892 |
|
Migena Betz
7180 Spring Brook Rd |
$55.86 | 1,217 | 1,008 |
|
Marc Bernstein
1401 E State St |
$24.02 | 1,333 | 1,306 |
|
Eric Cuasay
1401 E State St |
$28.53 | 2,474 | 1,969 |
|
Justin Hung Pham
8201 E Riverside Blvd |
$67.79 | 2,511 | 2,506 |
|
Stephen Bernsten
1401 E State St |
$27.76 | 2,663 | 2,180 |
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 Rockford, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Rockford, IL is $38.99 per claim, based on 15,235 claims from 22 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 Rockford, IL?
There are 22 Medicaid providers offering Mammogram related services in Rockford, IL according to public payment data.
What is the price range for Mammogram in Rockford, IL?
Medicaid reimbursement for Mammogram in Rockford, IL ranges from $6.28 to $114.29 per claim, with an average of $38.99. 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 Rockford, IL
Office Visit
Avg $30.80
1,227,594 claims
Blood Work & Lab Tests
Avg $4.91
864,122 claims
Dental Cleaning & Exam
Avg $30.40
556,400 claims
X-Ray
Avg $7.26
279,317 claims
Vaccines & Immunizations
Avg $3.11
257,183 claims
Speech Therapy
Avg $17.51
256,309 claims
Urinalysis & Urine Tests
Avg $1.91
245,520 claims
Emergency Room Visit
Avg $69.98
227,177 claims