Average Medicaid Mammogram Payments in Winston Salem, NC: $22.03
Avg. Paid
$22.03
Range
$16.97 – $89.04
Total Claims
12,477
Providers
21
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 Winston Salem, NC
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sumin Lee Kong
Medical Center Blvd |
$61.45 | 14 | 13 |
|
Lauren Parks Nicola
3010 Trenwest Dr |
$22.25 | 14 | 14 |
|
James M Davis
3155 Maplewood Ave |
$16.97 | 18 | 15 |
|
Wendell Stephen Myers
153 Club Pointe Dr |
$89.04 | 19 | 16 |
|
Richard H Reid
3155 Maplewood Avenue |
$28.34 | 32 | 27 |
|
Kelly Ann Brozzetti-Cronin
Medical Center Blvd |
$54.97 | 61 | 55 |
|
Sean M Ploof
3010 Trenwest Dr |
$22.34 | 86 | 74 |
|
Paul Kevin Hiatt
Medical Center Blvd |
$24.45 | 98 | 89 |
|
James R Sancrant
3155 Maplewood Avenue |
$23.66 | 104 | 87 |
|
Jeffrey Arnold Brody
3010 Trenwest Dr |
$23.82 | 122 | 90 |
|
Clifford Howard
Medical Center Blvd |
$51.05 | 144 | 107 |
|
Elizabeth Denny Brown
Department Of Radiology Medical Center Boulevard |
$27.47 | 241 | 213 |
|
Thomas Delaney Santoro
Medical Center Blvd |
$24.00 | 242 | 211 |
|
Jeffrey J Horvath
1900 S Hawthorne Rd |
$24.16 | 300 | 241 |
|
Helena G Summers
3010 Trenwest Dr |
$23.14 | 364 | 305 |
|
Marcella Maria Butler
3155 Maplewood Ave |
$24.83 | 400 | 352 |
|
Douglas Mark Johnson
Medical Center Blvd |
$25.46 | 469 | 387 |
|
Maroon B Khoury
3010 Trenwest Dr |
$22.87 | 706 | 637 |
|
Caron Lee Boyd Dover
3010 Trenwest Dr |
$32.41 | 955 | 837 |
|
Geoffrey D Rieser
3155 Maplewood Avenue |
$21.94 | 978 | 740 |
|
Jennifer Ruth Cranny
3010 Trenwest Dr Ste 200 |
$18.55 | 7,110 | 5,648 |
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 Winston Salem, NC?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Winston Salem, NC is $22.03 per claim, based on 12,477 claims from 21 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 Winston Salem, NC?
There are 21 Medicaid providers offering Mammogram related services in Winston Salem, NC according to public payment data.
What is the price range for Mammogram in Winston Salem, NC?
Medicaid reimbursement for Mammogram in Winston Salem, NC ranges from $16.97 to $89.04 per claim, with an average of $22.03. 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 Winston Salem, NC
Office Visit
Avg $56.55
2,112,661 claims
Blood Work & Lab Tests
Avg $9.95
1,100,364 claims
Emergency Room Visit
Avg $152.58
1,052,025 claims
Dental Cleaning & Exam
Avg $30.19
626,976 claims
Speech Therapy
Avg $48.12
581,644 claims
X-Ray
Avg $8.19
523,133 claims
Vaccines & Immunizations
Avg $16.89
496,876 claims
Personal Care Services
Avg $105.36
383,584 claims