Average Medicaid Mammogram Payments in Springfield, MA: $31.20
Avg. Paid
$31.20
Range
$0.77 – $44.23
Total Claims
52,419
Providers
18
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, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baystate Medical Center Inc
759 Chestnut St |
$34.77 | 23,835 | 23,349 |
|
The Mercy Hospital Inc
271 Carew St |
$34.17 | 9,978 | 9,895 |
|
Bernita Marie Spagnoli
271 Carew Street |
$19.80 | 4,870 | 4,831 |
|
Michael E. Swirsky
759 Chestnut St |
$25.95 | 2,813 | 2,697 |
|
Providence Diagnostic Imaging, Inc.
271 Carew St |
$42.13 | 2,175 | 2,172 |
|
Vivian I Miller
759 Chestnut St |
$25.51 | 1,961 | 1,871 |
|
Rhett Krause
759 Chestnut St |
$26.16 | 1,845 | 1,757 |
|
Gregory E Blackman
271 Carew St |
$19.74 | 1,575 | 1,572 |
|
Steven Bailey Allen
271 Carew St |
$25.34 | 966 | 916 |
|
Lawrence H Goodman
759 Chestnut St |
$22.02 | 852 | 807 |
|
Mario A Grosso
759 Chestnut St |
$22.21 | 460 | 459 |
|
David Bennet Mernoff
271 Carew St |
$21.73 | 350 | 348 |
|
Wayne J Gilbertie
1350 Main St Ste 1007 |
$22.10 | 252 | 228 |
|
Carlos M Valdes
271 Carew St |
$18.52 | 251 | 242 |
|
Christopher C Moore
759 Chestnut St |
$17.35 | 94 | 90 |
|
David E March
780 Chestnut St |
$22.22 | 77 | 71 |
|
Radiology & Imaging, Inc.
759 Chestnut St |
$0.77 | 53 | 53 |
|
Adam J Chamberlain
759 Chestnut St |
$44.23 | 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 Springfield, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Springfield, MA is $31.20 per claim, based on 52,419 claims from 18 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, MA?
There are 18 Medicaid providers offering Mammogram related services in Springfield, MA according to public payment data.
What is the price range for Mammogram in Springfield, MA?
Medicaid reimbursement for Mammogram in Springfield, MA ranges from $0.77 to $44.23 per claim, with an average of $31.20. 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, MA
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Avg $20.44
8,386,620 claims
Office Visit
Avg $71.94
2,654,243 claims
Blood Work & Lab Tests
Avg $7.91
2,608,014 claims
Psychiatric Evaluation
Avg $77.04
2,573,099 claims
Behavioral & Mental Health Therapy
Avg $146.55
1,190,715 claims
Emergency Room Visit
Avg $119.65
960,403 claims
Non-Emergency Medical Transportation
Avg $22.82
911,143 claims
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Avg $86.61
764,746 claims