Skyline Hospital
White SalmonKlickitat CountyCritical Access Hospitals
Mammogram (both breasts)
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 – $674
- Paying yourself (cash price)
- $164 – $516
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 |
|---|---|---|---|---|---|
| $414 | Hospital’s fee | Diagnostic mammography of both breasts | — | Outpatient | 2026-08-21 |
| $516 | Hospital’s fee | Diagnostic mammography of both breasts | — | Outpatient | 2026-08-21 |
| $164 | Radiologist’s fee | Diagnostic mammography of both breasts | — | 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 |
|---|---|---|---|---|---|
| $575 | Hospital’s fee | Diagnostic mammography of both breasts | — | Outpatient | 2026-08-21 |
| $717 | Hospital’s fee | Diagnostic mammography of both breasts | — | Outpatient | 2026-08-21 |
| $228 | Radiologist’s fee | Diagnostic mammography of both breasts | — | 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 | $489 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE SIGNATURE | PROVIDENCE SIGNATURE | $609 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE SIGNATURE | PROVIDENCE SIGNATURE | $93.72 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $541 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS PPO/POS - ALL OTHER PLANS | REGENCE BS PPO/POS - ALL OTHER PLANS | $674 | Hospital’s fee | Diagnostic mammography of both breasts | 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 both breasts | 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 | $276 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| COMM HEALTH FIRST MCR ADV - ALL PLANS | COMM HEALTH FIRST MCR ADV - ALL PLANS | $344 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| COMM HEALTH FIRST MCR ADV - ALL PLANS | COMM HEALTH FIRST MCR ADV - ALL PLANS | $46.99 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| MOLINA MEDICARE | MOLINA MEDICARE | $276 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| MOLINA MEDICARE | MOLINA MEDICARE | $344 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| MOLINA MEDICARE | MOLINA MEDICARE | $46.99 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| PACIFICSOURCE MCR ADV - ALL PLANS | PACIFICSOURCE MCR ADV - ALL PLANS | $276 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PACIFICSOURCE MCR ADV - ALL PLANS | PACIFICSOURCE MCR ADV - ALL PLANS | $344 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PACIFICSOURCE MCR ADV - ALL PLANS | PACIFICSOURCE MCR ADV - ALL PLANS | $160 | Radiologist’s fee | Diagnostic mammography of both breasts | 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 | $287 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| CHPW APPLE HEALTH MCAID - ALL PLANS | CHPW APPLE HEALTH MCAID - ALL PLANS | $357 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| CHPW APPLE HEALTH MCAID - ALL PLANS | CHPW APPLE HEALTH MCAID - ALL PLANS | $95.14 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $338 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $421 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| COORDINATED CARE MCAID - ALL PLANS | COORDINATED CARE MCAID - ALL PLANS | $99.90 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| MOLINA MEDICAID - ALL OTHER PLANS | MOLINA MEDICAID - ALL OTHER PLANS | $287 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| MOLINA MEDICAID - ALL OTHER PLANS | MOLINA MEDICAID - ALL OTHER PLANS | $357 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| MOLINA MEDICAID - ALL OTHER PLANS | MOLINA MEDICAID - ALL OTHER PLANS | $95.14 | Radiologist’s fee | Diagnostic mammography of both breasts | 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 | $414 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $516 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $46.99 | Radiologist’s fee | Diagnostic mammography of both breasts | 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 | $304 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| AMERIGROUP- ALL PLANS | AMERIGROUP- ALL PLANS | $378 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| AMERIGROUP- ALL PLANS | AMERIGROUP- ALL PLANS | $101 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| PREMERA FIRST - ALL PLANS | PREMERA FIRST - ALL PLANS | $426 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PREMERA FIRST - ALL PLANS | PREMERA FIRST - ALL PLANS | $530 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PREMERA FIRST - ALL PLANS | PREMERA FIRST - ALL PLANS | $64.17 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| PROVIDENCE CHOICE | PROVIDENCE CHOICE | $489 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE CHOICE | PROVIDENCE CHOICE | $609 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE CHOICE | PROVIDENCE CHOICE | $93.72 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| PROVIDENCE HEALTH - ALL OTHER PLANS | PROVIDENCE HEALTH - ALL OTHER PLANS | $489 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE HEALTH - ALL OTHER PLANS | PROVIDENCE HEALTH - ALL OTHER PLANS | $609 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| PROVIDENCE HEALTH - ALL OTHER PLANS | PROVIDENCE HEALTH - ALL OTHER PLANS | $93.72 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| REGENCE BS CARE | REGENCE BS CARE | $541 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS CARE | REGENCE BS CARE | $674 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS CARE | REGENCE BS CARE | $51.00 | Radiologist’s fee | Diagnostic mammography of both breasts | fee schedule | Outpatient | 2026-08-21 |
| REGENCE BS PAR | REGENCE BS PAR | $575 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS PAR | REGENCE BS PAR | $717 | Hospital’s fee | Diagnostic mammography of both breasts | percent of total billed charges | Outpatient | 2026-08-21 |
| REGENCE BS PAR | REGENCE BS PAR | $51.00 | Radiologist’s fee | Diagnostic mammography of both breasts | 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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