Average Medicaid Mammogram Payments in Sioux Falls, SD: $40.83
Avg. Paid
$40.83
Range
$15.60 – $64.19
Total Claims
5,719
Providers
12
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 Sioux Falls, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sanford Medical Center
1420 W 22Ndst Ste 104 |
$42.75 | 2,037 | 1,048 |
|
Christopher K Johansen
1210 W 18Th St Ste Ll03 |
$39.44 | 1,121 | 1,095 |
|
Avera Mckennan
1325 S. Cliff Ave. |
$34.18 | 878 | 839 |
|
Mark Scott Vantassell
1400 W 22Nd St |
$30.93 | 613 | 586 |
|
Sanford Clinic
1309 W 17Th St Ste G01 |
$60.43 | 608 | 492 |
|
Charles E Flohr
1210 W 18Th St |
$25.85 | 203 | 199 |
|
Avera Mckennan
1200 S 7Th Ave |
$52.84 | 148 | 135 |
|
Daniel Lee Fetzer
1210 W 18Th St Ste Ll03 |
$27.30 | 55 | 52 |
|
Avera Mckennan
1000 E 23Rd St |
$64.19 | 16 | 15 |
|
Jamie Catherine Williams
1210 W 18Th St Ste Ll03 |
$15.60 | 15 | 12 |
|
Patsy Ann Uken
1210 W 18Th St |
$27.14 | 13 | 12 |
|
Bradley Alan Paulson
1325 S Cliff Ave |
$25.95 | 12 | 12 |
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 Sioux Falls, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Sioux Falls, SD is $40.83 per claim, based on 5,719 claims from 12 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 Sioux Falls, SD?
There are 12 Medicaid providers offering Mammogram related services in Sioux Falls, SD according to public payment data.
What is the price range for Mammogram in Sioux Falls, SD?
Medicaid reimbursement for Mammogram in Sioux Falls, SD ranges from $15.60 to $64.19 per claim, with an average of $40.83. 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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