Average Medicaid Mammogram Payments in Springfield, IL: $38.09
Avg. Paid
$38.09
Range
$13.39 – $77.90
Total Claims
18,131
Providers
35
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 Springfield, IL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charles Neal
3050 Montvale Dr Ste A |
$22.72 | 13 | 13 |
|
Mary Joelle Curry
1025 S 6Th St |
$27.31 | 20 | 13 |
|
Robert Nordstrom
800 E Carpenter St |
$35.89 | 22 | 15 |
|
Kavita K Erickson
800 E Carpenter St |
$13.39 | 37 | 37 |
|
Theodore J. Gleason
800 E Carpenter St |
$22.26 | 49 | 48 |
|
Adam King
1025 S 6Th St |
$24.04 | 52 | 42 |
|
Curtis Settlemoir
800 E Carpenter St |
$26.01 | 54 | 43 |
|
Clarence Raymond Reilly
800 E Carpenter St |
$24.24 | 62 | 61 |
|
Prashanth C Shekar
800 E Carpenter St |
$30.37 | 65 | 58 |
|
Terence Edward Wade
800 E Carpenter St |
$26.32 | 78 | 63 |
|
Lara L. Dennis
800 E Carpenter St |
$57.25 | 96 | 84 |
|
Pranav Sharma
1025 S 6Th St |
$24.70 | 98 | 49 |
|
David Randal Ruskey
3050 Montvale Dr Ste A |
$77.90 | 121 | 121 |
|
Patricia Whitworth
3050 Montvale Dr Ste A |
$23.66 | 187 | 186 |
|
Kenneth Kraudel
3050 Montvale Dr Ste A |
$35.06 | 197 | 195 |
|
Syam Vasireddy
701 N 1St St |
$30.60 | 201 | 153 |
|
Aaron James Konrad
1025 S 6Th St |
$30.89 | 237 | 205 |
|
Minesh Suresh Patel
3050 Montvale Dr Ste A |
$35.77 | 242 | 230 |
|
Prasad B Patel
1025 S 6Th St |
$36.68 | 253 | 214 |
|
Gaspar Fernandez
701 N 1St St |
$25.14 | 320 | 301 |
|
Timothy Alan Mikesell
701 N 1St St |
$22.89 | 344 | 343 |
|
Rebecca Miller Baggett
3050 Montvale Dr Ste A |
$25.78 | 361 | 329 |
|
Daniel Richard Keys
800 E Carpenter St |
$26.16 | 395 | 346 |
|
Charles Smittkamp
800 E Carpenter St |
$24.98 | 563 | 529 |
|
Ronald V Hublall
800 E Carpenter St |
$23.04 | 566 | 549 |
|
David Thomas Downs
701 N 1St St |
$26.44 | 585 | 529 |
|
Wallace M Anderson
800 E Carpenter St |
$24.60 | 661 | 617 |
|
James W Farn
800 E Carpenter St |
$26.03 | 668 | 586 |
|
Catherine M Barteau
1025 S 6Th St |
$39.71 | 698 | 541 |
|
Deepa Ann Cyriac
800 E Carpenter St |
$23.93 | 751 | 718 |
|
Omer M Aker
800 E Carpenter St |
$25.34 | 874 | 769 |
|
Mary Ludolph
3050 Montvale Dr Ste A |
$48.15 | 1,128 | 988 |
|
Daniel Shekleton
1025 S 6Th St |
$43.35 | 2,137 | 1,796 |
|
Eileen Figuerres
1025 S 6Th St |
$49.38 | 2,967 | 2,403 |
|
Brandon Snyder
3050 Montvale Dr |
$48.22 | 3,029 | 2,438 |
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 Springfield, IL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Springfield, IL is $38.09 per claim, based on 18,131 claims from 35 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 Springfield, IL?
There are 35 Medicaid providers offering Mammogram related services in Springfield, IL according to public payment data.
What is the price range for Mammogram in Springfield, IL?
Medicaid reimbursement for Mammogram in Springfield, IL ranges from $13.39 to $77.90 per claim, with an average of $38.09. 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 Springfield, IL
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Avg $5.40
1,969,993 claims
Office Visit
Avg $38.46
1,154,993 claims
X-Ray
Avg $6.66
606,310 claims
Urinalysis & Urine Tests
Avg $3.01
520,146 claims
Emergency Room Visit
Avg $69.78
490,116 claims
Speech Therapy
Avg $17.02
248,732 claims
CT Scan (Computed Tomography)
Avg $50.70
241,309 claims
Dental Cleaning & Exam
Avg $32.13
212,993 claims