Average Medicaid Mammogram Payments in Worcester, MA: $43.09
Avg. Paid
$43.09
Range
$6.24 – $164.06
Total Claims
98,849
Providers
47
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 Worcester, MA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Umass Memorial Medical Center, Inc.
55 Lake Avenue |
$46.26 | 9,561 | 9,479 |
|
Carolynn M. Debenedectis
55 Lake Ave N |
$26.78 | 6,408 | 6,384 |
|
Monique M Tyminski
55 Lake Ave N |
$25.50 | 5,874 | 5,845 |
|
Louise E Feldhaus
5 Neponset St |
$127.19 | 5,315 | 5,138 |
|
Anushree Arya Agrawal
55 Lake Ave N |
$24.91 | 5,084 | 5,070 |
|
Sohita Mehra
123 Summer St |
$36.32 | 4,658 | 4,651 |
|
Shambhavi Venkataraman
55 Lake Ave N |
$26.53 | 4,455 | 4,437 |
|
Gopal R Vijayaraghavan
55 Lake Ave N |
$25.14 | 4,428 | 4,409 |
|
Iryna Rastarhuyeva
55 Lake Ave North |
$112.77 | 4,305 | 4,164 |
|
Jodie M Skrzat
55 Lake Ave N |
$26.81 | 3,824 | 3,810 |
|
Adrienne R Newburg
55 Lake Ave N |
$25.28 | 3,800 | 3,768 |
|
Christine L Petersen
55 Lake Ave N |
$22.82 | 3,737 | 3,718 |
|
Erica Tyler Ghosh
55 Lake Ave N # S2-824 |
$117.77 | 3,691 | 3,242 |
|
Tejas S Mehta
55 Lake Ave N |
$24.18 | 3,307 | 3,298 |
|
Jade Elizabeth Watkins
55 Lake Ave N |
$25.10 | 3,207 | 3,194 |
|
Vhs Acquisition Subsidiary Number 7 Inc
123 Summer St |
$33.75 | 3,107 | 3,098 |
|
Hadeer Shaikhly
55 Lake Ave N |
$25.02 | 2,504 | 2,454 |
|
Family Health Center Of Worcester, Inc.
26 Queen St |
$55.62 | 2,392 | 1,196 |
|
Sughra Raza
55 Lake Ave N |
$25.55 | 2,071 | 2,052 |
|
Evan A Watkins
55 Lake Ave N |
$28.08 | 2,065 | 2,061 |
|
Steven Brian Birnbaum
55 Lake Ave N |
$25.94 | 1,877 | 1,873 |
|
Mary M Staffa
5 Neponset St |
$67.28 | 1,787 | 1,695 |
|
Rolina Levin
55 Lake Ave N |
$45.31 | 1,508 | 1,043 |
|
Christopher E Baker
55 Lake Ave N |
$23.79 | 1,386 | 1,382 |
|
Kenneth Sicard
123 Summer St |
$21.12 | 1,314 | 1,313 |
|
Susan Peltz
135 Gold Star Blvd |
$19.34 | 1,186 | 1,179 |
|
David Bindman
55 Lake Ave N |
$23.86 | 967 | 966 |
|
John Robinson
55 Lake Ave N |
$20.22 | 708 | 704 |
|
Eileen E. Delaney
55 Lake Ave N |
$22.90 | 600 | 597 |
|
Michael Sami Morrow
55 Lake Ave N |
$12.82 | 570 | 530 |
|
Joshua Ross Russell
123 Summer St |
$22.00 | 443 | 440 |
|
Timothy J Bresnahan
5 Neponset St |
$112.55 | 441 | 404 |
|
Ashwini Kulkarni
55 Lake Ave N |
$22.68 | 435 | 434 |
|
Suma Chandra Kannabiran
55 Lake Avenue North |
$23.36 | 313 | 312 |
|
Ola Ghaith
55 Lake Ave N |
$24.75 | 278 | 276 |
|
Justine E Morris
55 Lake Ave North |
$24.70 | 254 | 253 |
|
Derek M Chicarilli
55 Lake Avenue North |
$55.03 | 176 | 176 |
|
Billy Buff
55 Lake Ave North |
$20.14 | 172 | 172 |
|
Matthew Peckham
55 Lake Ave N |
$36.18 | 170 | 170 |
|
Kent K Min
55 Lake Ave North |
$25.14 | 163 | 163 |
|
Kathryn R Wagner
10 Belvidere Ave |
$99.53 | 106 | 106 |
|
Averi Leahy Gibson
55 Lake Ave N |
$164.06 | 69 | 69 |
|
Abigail M Childs
100 Grove St |
$29.36 | 44 | 44 |
|
Todd Wayne Hunter
67 Belmont St |
$70.69 | 31 | 16 |
|
Umass Memorial Radiology Phys Serv
55 Lake Ave N # S2-824 |
$6.24 | 28 | 28 |
|
Priyanka Prakash
55 Lake Ave N |
$23.42 | 17 | 15 |
|
Gregory Hapet Berberian
123 Summer St |
$23.15 | 13 | 13 |
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 Worcester, MA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Mammogram in Worcester, MA is $43.09 per claim, based on 98,849 claims from 47 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 Worcester, MA?
There are 47 Medicaid providers offering Mammogram related services in Worcester, MA according to public payment data.
What is the price range for Mammogram in Worcester, MA?
Medicaid reimbursement for Mammogram in Worcester, MA ranges from $6.24 to $164.06 per claim, with an average of $43.09. 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 Worcester, MA
Substance Abuse Treatment
Avg $21.52
6,777,067 claims
Office Visit
Avg $63.47
2,032,687 claims
Psychiatric Evaluation
Avg $73.77
1,006,360 claims
Non-Emergency Medical Transportation
Avg $31.12
1,000,136 claims
Home Health Visit
Avg $34.51
979,234 claims
Dental Cleaning & Exam
Avg $35.51
850,672 claims
Blood Work & Lab Tests
Avg $12.59
846,391 claims
Behavioral & Mental Health Therapy
Avg $166.04
808,172 claims