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Based on public Medicaid payment data.

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

Other Procedures in Worcester, MA