Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Screening mammography
The hospitals that file a Premera rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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80 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $421.20 | $382.20 – $460.20 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $448.20 | $406.70 – $489.70 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $200.80 | $200.80 – $200.80 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $200.80 | $200.80 – $200.80 |
| 5 | Central Washington Health Services Association Wenatchee, WA fee schedule · outpatient | 4 | $303.11 | $210.35 – $318.57 |
| 6 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $345.00 | $345.00 – $345.00 |
| 7 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $345.00 | $345.00 – $345.00 |
| 8 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $379.05 | $379.05 – $379.05 |
| 9 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $368.21 | $279.97 – $456.45 |
| 10 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $108.26 | $108.26 – $108.26 |
| 11 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 2 | $185.51 | $182.52 – $188.50 |
| 12 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 2 | $161.03 | $133.55 – $188.50 |
| 13 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 2 | $161.03 | $133.55 – $188.50 |
| 14 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $175.19 | $154.11 – $207.35 |
| 15 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 2 | $202.17 | $164.94 – $239.40 |
| 16 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 2 | $156.79 | $148.63 – $164.94 |
| 17 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $656.32 | $656.32 – $656.32 |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $477.00 | $477.00 – $477.00 |
| 19 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · outpatient | 1 | $477.00 | $477.00 – $477.00 |
| 20 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $690.31 | $690.31 – $690.31 |
| 21 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $79.00 | $79.00 – $79.00 |
| 22 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $412.45 | $412.45 – $412.45 |
| 23 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $175.19 | $154.11 – $207.35 |
| 24 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $251.62 | $251.62 – $251.62 |
| 25 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $251.29 | $251.29 – $251.29 |
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