Average Medicaid Mammogram Payments in St Francis, WI: $45.58
Avg. Paid
$45.58
Range
$27.08 – $106.98
Total Claims
12,357
Providers
25
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 St Francis, WI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joshua David Smith
2000 E Layton Ave |
$106.98 | 12 | 12 |
|
William Burgess Macdonald
2000 E Layton Ave |
$97.27 | 12 | 12 |
|
Ryan Thomas Hilbelink
2000 E Layton Ave |
$38.76 | 13 | 13 |
|
Lawrence Dubin
2000 E Layton Ave |
$100.51 | 18 | 18 |
|
Eric R. Sover
2000 E Layton Ave |
$98.04 | 25 | 24 |
|
Mark S Glazer
2000 E Layton Ave |
$99.24 | 40 | 40 |
|
Scott W Gage
2000 E Layton Ave |
$39.48 | 43 | 41 |
|
Justin E Friske
2000 E Layton Ave |
$86.87 | 48 | 48 |
|
Jamie B Hosmer
2000 E Layton Ave |
$32.22 | 75 | 71 |
|
Rick G Thyes
2000 E Layton Ave |
$92.61 | 107 | 106 |
|
John E. Schuck
2000 E Layton Ave |
$89.51 | 107 | 103 |
|
Molly Peterson
2000 E Layton Ave |
$44.99 | 123 | 116 |
|
Daniel A Peterson
2000 E Layton Ave |
$90.35 | 147 | 141 |
|
Christopher J. Zellmer
2000 E Layton Ave |
$94.78 | 234 | 223 |
|
Orlin Hadjiev
2000 E Layton Ave |
$28.12 | 340 | 329 |
|
Sushil S. Sabnis
2000 E Layton Ave |
$86.59 | 379 | 350 |
|
Mack Karnes
2000 E Layton Ave |
$95.90 | 471 | 448 |
|
Kevin J Kass
2000 E Layton Ave |
$39.97 | 556 | 539 |
|
Melissa R Themar Geck
2000 E Layton Ave |
$50.50 | 789 | 758 |
|
Mark Thomas Lawton
2000 E Layton Ave |
$40.07 | 877 | 842 |
|
Paul Madsen
2000 E Layton Ave |
$33.53 | 1,012 | 982 |
|
Supriya Sharma
2000 E Layton Ave |
$91.93 | 1,056 | 1,023 |
|
Katherine Ann Hallenbeck
2000 E Layton Ave |
$27.08 | 1,461 | 1,405 |
|
Kathleen Ann Senebouttarath
2000 E Layton Ave |
$28.44 | 1,854 | 1,768 |
|
Sabina Chowdhury Mullin
2000 E Layton Ave |
$29.42 | 2,558 | 2,415 |
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 St Francis, WI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in St Francis, WI is $45.58 per claim, based on 12,357 claims from 25 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 St Francis, WI?
There are 25 Medicaid providers offering Mammogram related services in St Francis, WI according to public payment data.
What is the price range for Mammogram in St Francis, WI?
Medicaid reimbursement for Mammogram in St Francis, WI ranges from $27.08 to $106.98 per claim, with an average of $45.58. 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 St Francis, WI
X-Ray
Avg $7.29
271,883 claims
CT Scan (Computed Tomography)
Avg $38.60
91,558 claims
Office Visit
Avg $37.23
48,559 claims
Ultrasound
Avg $33.00
22,679 claims
Prescription Medications
Avg $0.01
18,744 claims
MRI (Magnetic Resonance Imaging)
Avg $72.38
18,148 claims
Chiropractic Care
Avg $18.00
11,129 claims
Vaccines & Immunizations
Avg $6.87
10,959 claims