Average Medicaid Mammogram Payments in Wheeling, WV: $45.42
Avg. Paid
$45.42
Range
$17.00 – $331.92
Total Claims
14,178
Providers
22
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 Wheeling, WV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian Schambach
1 Medical Park |
$17.00 | 17 | 16 |
|
Thomas Fuk-Ching Lee
2000 Eoff St |
$35.86 | 25 | 25 |
|
Vincent J Caruso
1 Medical Park |
$32.93 | 29 | 29 |
|
Alecto Healthcare Services Wheeling Llc
2000 Eoff St |
$331.92 | 38 | 34 |
|
Jacob W Sechrist
1 Medical Park |
$18.43 | 42 | 41 |
|
Stacey Lin Brown-Brocklehurst
1 Medical Park |
$29.73 | 44 | 38 |
|
Christopher Thomas Taylor
1 Medical Park |
$26.70 | 60 | 60 |
|
Carter A Kenamond
1 Medical Park |
$25.13 | 67 | 67 |
|
Michael L Slaysman
1 Medical Park |
$33.58 | 70 | 70 |
|
Eric Irwin
1 Medical Park |
$49.31 | 83 | 81 |
|
Gary Loh
1 Medical Park |
$36.26 | 85 | 85 |
|
Eric R Balzano
1 Medical Park |
$44.63 | 112 | 111 |
|
Joseph C Capito
2000 Eoff St |
$22.03 | 117 | 116 |
|
John L Defilippo
1 Medical Park |
$25.79 | 173 | 168 |
|
James D Patrizi
1 Medical Park |
$31.95 | 187 | 181 |
|
John Frank Balzano
1 Medical Park |
$39.82 | 366 | 360 |
|
Christopher Cory Nicely
1 Medical Park |
$23.40 | 390 | 381 |
|
Mark L Benson
1 Medical Park |
$33.55 | 489 | 472 |
|
Kara L Leslie
1 Medical Park |
$28.41 | 1,109 | 1,076 |
|
Carl A Seynnaeve
1 Medical Park |
$31.22 | 2,403 | 2,289 |
|
Wheeling Hospital Inc
1 Medical Park |
$113.31 | 2,752 | 2,495 |
|
Radiology Associates, Inc
1 Medical Park |
$24.97 | 5,520 | 5,205 |
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 Wheeling, WV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Wheeling, WV is $45.42 per claim, based on 14,178 claims from 22 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 Wheeling, WV?
There are 22 Medicaid providers offering Mammogram related services in Wheeling, WV according to public payment data.
What is the price range for Mammogram in Wheeling, WV?
Medicaid reimbursement for Mammogram in Wheeling, WV ranges from $17.00 to $331.92 per claim, with an average of $45.42. 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 Wheeling, WV
Office Visit
Avg $51.57
471,387 claims
Blood Work & Lab Tests
Avg $21.61
404,602 claims
Personal Care Services
Avg $190.69
361,754 claims
Emergency Room Visit
Avg $121.67
300,977 claims
X-Ray
Avg $10.54
285,734 claims
Substance Abuse Treatment
Avg $104.80
253,274 claims
CT Scan (Computed Tomography)
Avg $67.30
113,973 claims
Durable Medical Equipment (DME)
Avg $40.01
113,360 claims