Skyline Hospital
White SalmonKlickitat CountyCritical Access Hospitals
Mammogram (one breast)
Quality: not rated by CMSEarliest available date: call (509) 491-1101
What you may pay
- With insurance from an employer or private plan
- $51.00 – $534
- Paying yourself (cash price)
- $131 – $409
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
51 published prices, grouped by who each price applies to.
Cash price 3 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $316 | Hospital’s fee | Diagnostic mammography of 1 breast | — | Outpatient | 2026-08-21 |
| $409 | Hospital’s fee | Diagnostic mammography of 1 breast | — | Outpatient | 2026-08-21 |
| $131 | Radiologist’s fee | Diagnostic mammography of 1 breast | — | Outpatient | 2026-08-21 |
List price (before discounts) 3 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $439 | Hospital’s fee | Diagnostic mammography of 1 breast | — | Outpatient | 2026-08-21 |
| $569 | Hospital’s fee | Diagnostic mammography of 1 breast | — | Outpatient | 2026-08-21 |
| $183 | Radiologist’s fee | Diagnostic mammography of 1 breast | — | Outpatient | 2026-08-21 |
Commercial insurance 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| PROVIDENCE SIGNATURE | PROVIDENCE SIGNATURE | $373 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE SIGNATURE | PROVIDENCE SIGNATURE | $483 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE SIGNATURE | PROVIDENCE SIGNATURE | $76.56 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $413 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $534 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $51.00 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
Medicare Advantage 9 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| COMM HEALTH FIRST MCR ADV - ALL PLANS | COMM HEALTH FIRST MCR ADV - ALL PLANS | $211 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| COMM HEALTH FIRST MCR ADV - ALL PLANS | COMM HEALTH FIRST MCR ADV - ALL PLANS | $273 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| COMM HEALTH FIRST MCR ADV - ALL PLANS | COMM HEALTH FIRST MCR ADV - ALL PLANS | $38.20 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| MOLINA MEDICARE | MOLINA MEDICARE | $211 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| MOLINA MEDICARE | MOLINA MEDICARE | $273 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| MOLINA MEDICARE | MOLINA MEDICARE | $38.20 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| PACIFICSOURCE MCR ADV - ALL PLANS | PACIFICSOURCE MCR ADV - ALL PLANS | $211 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PACIFICSOURCE MCR ADV - ALL PLANS | PACIFICSOURCE MCR ADV - ALL PLANS | $273 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PACIFICSOURCE MCR ADV - ALL PLANS | PACIFICSOURCE MCR ADV - ALL PLANS | $128 | Radiologist’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
Medicaid managed care 9 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| CHPW APPLE HEALTH MCAID - ALL PLANS | CHPW APPLE HEALTH MCAID - ALL PLANS | $219 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| CHPW APPLE HEALTH MCAID - ALL PLANS | CHPW APPLE HEALTH MCAID - ALL PLANS | $283 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| CHPW APPLE HEALTH MCAID - ALL PLANS | CHPW APPLE HEALTH MCAID - ALL PLANS | $75.51 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $258 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $334 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $79.29 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| MOLINA MEDICAID - ALL OTHER PLANS | MOLINA MEDICAID - ALL OTHER PLANS | $219 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| MOLINA MEDICAID - ALL OTHER PLANS | MOLINA MEDICAID - ALL OTHER PLANS | $283 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| MOLINA MEDICAID - ALL OTHER PLANS | MOLINA MEDICAID - ALL OTHER PLANS | $75.51 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
Other government program 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $316 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $409 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $38.20 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
Unknown 18 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AMERIGROUP- ALL PLANS | AMERIGROUP- ALL PLANS | $232 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| AMERIGROUP- ALL PLANS | AMERIGROUP- ALL PLANS | $300 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| AMERIGROUP- ALL PLANS | AMERIGROUP- ALL PLANS | $80.04 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| PREMERA FIRST - ALL PLANS | PREMERA FIRST - ALL PLANS | $325 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PREMERA FIRST - ALL PLANS | PREMERA FIRST - ALL PLANS | $421 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PREMERA FIRST - ALL PLANS | PREMERA FIRST - ALL PLANS | $51.62 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| PROVIDENCE CHOICE | PROVIDENCE CHOICE | $373 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE CHOICE | PROVIDENCE CHOICE | $483 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE CHOICE | PROVIDENCE CHOICE | $76.56 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| PROVIDENCE HEALTH - ALL OTHER PLANS | PROVIDENCE HEALTH - ALL OTHER PLANS | $373 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE HEALTH - ALL OTHER PLANS | PROVIDENCE HEALTH - ALL OTHER PLANS | $483 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE HEALTH - ALL OTHER PLANS | PROVIDENCE HEALTH - ALL OTHER PLANS | $76.56 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| REGENCE BS CARE | REGENCE BS CARE | $413 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS CARE | REGENCE BS CARE | $534 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS CARE | REGENCE BS CARE | $51.00 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
| REGENCE BS PAR | REGENCE BS PAR | $439 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS PAR | REGENCE BS PAR | $569 | Hospital’s fee | Diagnostic mammography of 1 breast | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS PAR | REGENCE BS PAR | $51.00 | Radiologist’s fee | Diagnostic mammography of 1 breast | fee schedule | Outpatient | 2026-08-21 |
Doctors here who do this procedure
No doctor affiliated with Skyline Hospital billed Traditional Medicare for this often enough for CMS to publish it (11 or more patients a year). That doesn’t mean no one here does it. See all doctors and practices for this procedure.
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