Forks Community Hospital

ForksClallam CountyCritical Access Hospitals

Mammogram (one breast)

Quality: not rated by CMSEarliest available date: call (360) 374-6271

What you may pay

With insurance from an employer or private plan: $425 to $991Depends on your plan. Each plan’s price at this hospital:
AMBETTER CCWA EXCH - ALL PLANS $425 Higher than typical
COMMUNITY HEALTH EXCHANGE $644 Higher than typical
MOLINA COMMERCIAL-ALL OTHER PLANS $912 Higher than typical
FIRST CHOICE-ALL PLANS $991 Higher than typical
Typical at 31 hospitals we cover: $159 to $257 (each hospital’s middle plan price, hospital’s fee). Don’t see your plan? Ask your insurer for its rate here.
Paying yourself (cash price): $793 Higher than typicalTypical hospital’s fee at 35 hospitals we cover: $240 to $450.Hospital’s fee $495 + doctor’s fee $298, both billed by the hospital.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: Forks Community Hospital’s own price file, dated 2026-10-27. CareNavIQ last refreshed prices on 2026-11-09.

Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).

46 published prices, grouped by who each price applies to.

Cash price 2 prices

The hospital's discounted price for patients paying without insurance.

Cash price prices for Mammogram (one breast) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$495	Hospital’s fee	Diagnostic mammography of 1 breast	—	Outpatient	2026-10-27
$298	Doctor’s fee	Diagnostic mammography of 1 breast	—	Outpatient	2026-10-27

List price (before discounts) 2 prices

The hospital's full chargemaster price. Few patients pay this amount.

List price (before discounts) prices for Mammogram (one breast) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$619	Hospital’s fee	Diagnostic mammography of 1 breast	—	Outpatient	2026-10-27
$372	Doctor’s fee	Diagnostic mammography of 1 breast	—	Outpatient	2026-10-27

Commercial insurance 8 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Commercial insurance prices for Mammogram (one breast) at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AMBETTER CCWA EXCH - ALL PLANS	AMBETTER CCWA EXCH - ALL PLANS	$266	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
AMBETTER CCWA EXCH - ALL PLANS	AMBETTER CCWA EXCH - ALL PLANS	$160	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
COMMUNITY HEALTH EXCHANGE	COMMUNITY HEALTH EXCHANGE	$402	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
COMMUNITY HEALTH EXCHANGE	COMMUNITY HEALTH EXCHANGE	$242	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$619	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$372	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANS	MOLINA COMMERCIAL-ALL OTHER PLANS	$569	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANS	MOLINA COMMERCIAL-ALL OTHER PLANS	$342	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27

Medicare Advantage 10 prices

Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Medicare Advantage prices for Mammogram (one breast) at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS	COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS	$229	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS	COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS	$138	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
HUMANA MCR ADV - ALL PLANS	HUMANA MCR ADV - ALL PLANS	$229	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
HUMANA MCR ADV - ALL PLANS	HUMANA MCR ADV - ALL PLANS	$138	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICARE	MOLINA MEDICARE	$557	Hospital’s fee	Diagnostic mammography of 1 breast	fee schedule	Outpatient	2026-10-27
MOLINA MEDICARE	MOLINA MEDICARE	$557	Doctor’s fee	Diagnostic mammography of 1 breast	fee schedule	Outpatient	2026-10-27
UHC MCR ADV	UHC MCR ADV	$229	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
UHC MCR ADV	UHC MCR ADV	$138	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
WELLCARE MED ADV - ALL PLANS	WELLCARE MED ADV - ALL PLANS	$266	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
WELLCARE MED ADV - ALL PLANS	WELLCARE MED ADV - ALL PLANS	$160	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27

Medicaid managed care 10 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Medicaid managed care prices for Mammogram (one breast) at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AMERIGROUP MEDICAID-ALL PLANS	AMERIGROUP MEDICAID-ALL PLANS	$227	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
AMERIGROUP MEDICAID-ALL PLANS	AMERIGROUP MEDICAID-ALL PLANS	$136	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANS	COORDINATED CARE (MCO) MCD-ALL PLANS	$231	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANS	COORDINATED CARE (MCO) MCD-ALL PLANS	$139	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$214	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$129	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$214	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$129	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
UHC MEDICAID	UHC MEDICAID	$276	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
UHC MEDICAID	UHC MEDICAID	$166	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27

Other government program 4 prices

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Other government program prices for Mammogram (one breast) at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
TRICARE-ALL PLANS	TRICARE-ALL PLANS	$279	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
TRICARE-ALL PLANS	TRICARE-ALL PLANS	$167	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
TRIWEST-ALL PLANS	TRIWEST-ALL PLANS	$229	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
TRIWEST-ALL PLANS	TRIWEST-ALL PLANS	$138	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27

Unknown 10 prices

The source file doesn't say which population this rate applies to.

Unknown prices for Mammogram (one breast) at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AETNA-ALL PLANS	AETNA-ALL PLANS	$588	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
AETNA-ALL PLANS	AETNA-ALL PLANS	$353	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
CIGNA-ALL PLANS	CIGNA-ALL PLANS	$619	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
CIGNA-ALL PLANS	CIGNA-ALL PLANS	$372	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
PREMERA BLUE CROSS-ALL PLANS	PREMERA BLUE CROSS-ALL PLANS	$588	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
PREMERA BLUE CROSS-ALL PLANS	PREMERA BLUE CROSS-ALL PLANS	$353	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
REGENCE-ALL OTHER PLANS	REGENCE-ALL OTHER PLANS	$356	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
REGENCE-ALL OTHER PLANS	REGENCE-ALL OTHER PLANS	$214	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	$526	Hospital’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27
UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	$316	Doctor’s fee	Diagnostic mammography of 1 breast	percent of total billed charges	Outpatient	2026-10-27

Doctors here who do this procedure

2 doctors affiliated with Forks Community Hospital billed Traditional Medicare for Mammogram (one breast) in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctors affiliated with Forks Community Hospital who billed Traditional Medicare for Mammogram (one breast)
Doctor or practice	Practice	Medicare quality score	Times billed to Traditional Medicare (2024)	Traditional Medicare amount for their own service (2024)
Marc Bruce, MDDiagnostic Radiology · Walla Walla	Oregon Healthcare Resources LLCGroup of 159 clinicians	Not rated	95	$37.32 at a hospital or surgery center
Alexi Phinney, MDDiagnostic Radiology · Seattle	Virginia Mason Medical CenterGroup of 867 clinicians	Not rated	56	$40.31 at a hospital or surgery center

Reading the doctor list

A higher price doesn’t mean better care. The quality score and the price come from different CMS files and are shown separately on purpose.
The amount is what Traditional Medicare (original Medicare) approved for the doctor’s or lab’s own service: Medicare’s payment plus the patient’s share. It is not what commercial insurance or Medicare Advantage pays, and the hospital or surgery center bills separately (surgery centers aren’t in this list).
The Medicare quality score is CMS’s MIPS final score (0 to 100), based mostly on the doctor’s Medicare patients. About half of doctors aren’t scored, so Not rated says nothing bad about a doctor. A group’s score covers everyone in the group.
CMS doesn’t publish counts under 11 patients, so doctors who rarely bill Medicare for this aren’t listed, and No price published means CMS has no amount for that setting.
Medicare’s file doesn’t say where a doctor did the procedure, only that they billed it in Washington. Affiliations are the hospitals each doctor lists with Medicare.

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