Average Medicaid Mammogram Payments in Santa Monica, CA: $53.61
Avg. Paid
$53.61
Range
$0.00 – $128.57
Total Claims
42,896
Providers
19
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 Santa Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bernard Gero
2428 Santa Monica Blvd |
$109.25 | 16 | 16 |
|
Omar Arafat
2428 Santa Monica Blvd |
$128.57 | 19 | 19 |
|
Anita Wong
1920 Colorado Ave |
$0.00 | 27 | 27 |
|
Curtis S Hammerman
2428 Santa Monica Blvd |
$41.02 | 30 | 30 |
|
Andrew Paul Thierry
1112 Montana Ave Ste 392 |
$109.23 | 31 | 31 |
|
Theodore Allen Hittle
2202 Wilshire Blvd |
$24.34 | 118 | 118 |
|
Jaspreet Singh Batra
1423 6Th St Apt 206 |
$28.63 | 135 | 135 |
|
Sophia Symko
2428 Santa Monica Blvd |
$48.83 | 238 | 236 |
|
Khalid Kurbanali Javeri
2428 Santa Monica Blvd |
$85.97 | 260 | 254 |
|
Kourosh Naeini
2428 Santa Monica Blvd |
$17.09 | 262 | 261 |
|
Bonnie Dell Flannigan
2428 Santa Monica Blvd |
$15.95 | 265 | 265 |
|
Seyed H Shahrokni
2428 Santa Monica Blvd |
$19.75 | 552 | 552 |
|
Dalia Artal
2428 Santa Monica Blvd |
$50.64 | 658 | 654 |
|
Waleed Qaisi
2428 Santa Monica Blvd |
$33.71 | 683 | 682 |
|
Jack Berman
2428 Santa Monica Blvd |
$104.96 | 711 | 710 |
|
Robert M Krasny
2336 Santa Monica Blvd |
$66.74 | 842 | 839 |
|
Amir Hossein Talebi Liasi
2428 Santa Monica Blvd |
$22.26 | 1,839 | 1,825 |
|
Timothy J Carmody
2428 Santa Monica Blvd |
$33.07 | 2,391 | 2,322 |
|
Khadija Aziz
2428 Santa Monica Blvd |
$56.87 | 33,819 | 33,668 |
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 Santa Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Santa Monica, CA is $53.61 per claim, based on 42,896 claims from 19 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 Santa Monica, CA?
There are 19 Medicaid providers offering Mammogram related services in Santa Monica, CA according to public payment data.
What is the price range for Mammogram in Santa Monica, CA?
Medicaid reimbursement for Mammogram in Santa Monica, CA ranges from $0.00 to $128.57 per claim, with an average of $53.61. 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 Santa Monica, CA
Office Visit
Avg $22.57
373,557 claims
Blood Work & Lab Tests
Avg $4.49
329,206 claims
X-Ray
Avg $8.96
258,632 claims
Emergency Room Visit
Avg $63.11
219,456 claims
Dental Cleaning & Exam
Avg $54.55
178,189 claims
Ultrasound
Avg $30.17
163,467 claims
Nursing Facility Care
Avg $51.77
135,686 claims
CT Scan (Computed Tomography)
Avg $61.05
127,182 claims