For Appointments: 208-625-6300
What does my bill include?
As the doctors who interpret your radiologic exam, your bill from Kootenai Imaging includes the professional component of the exam.
The technical portion of the exam will be billed separately by Kootenai Health. For questions related call 208-625-6199 or visit https://www.kh.org/pay-my-bill.
Why does my bill show a different date of service than the date of the actual exam?
The date our radiologist read your exam may not be the same date as your face-to-face exam at the facility. Our bill will reflect the date the exam was read by our radiologist.
Do I need to get pre-authorization?
Certain insurance companies require some procedures to be pre-authorized prior to your appointment. Your doctor may assist you with this.
It is advisable to check with your insurance carrier to confirm if pre-authorization is required. If you have questions about the pre-authorization process, please call the member customer service phone number typically found on the back of your insurance ID card.
If the procedure was not pre-authorized by your physician, and your insurance company denies payment, you may be responsible for the bill.
Is Kootenai Imaging a provider with my insurance?
Kootenai Imaging is contracted with Medicare, Medicaid, Blue Cross, Regence Blue Shield, Aetna, Tricare, and most other major insurance carriers. Please call your insurance carrier prior to scheduling your exam to confirm your coverage.
How often will my insurance pay for a mammogram?
A Medicare patient may get a screening mammogram every 12 months. If you are not covered by Medicare, please check with your insurer regarding benefits. Your insurance company customer service phone number is typically found on the back of your insurance ID card.
Please note that a diagnostic mammogram typically falls under your medical deductible and plan coinsurance allowance. A screening mammogram usually falls under the wellness benefits of your plan.
Also note that nearly all mammograms include an additional procedure called a Computer Aided Diagnostic (CAD) to aid the radiologist in reading the mammogram.
Why am I being billed for a procedure different than what my doctor ordered?
The radiologist, working in consult with your physician, ultimately determines the best sequences that are beneficial for specific diagnoses. This includes using or not using contrast materials to enhance the visual aspect of the procedure, or adding an anatomical section to aid the radiologist in their diagnosis.
Our radiologists follow national published guidelines and imaging protocols established by the American College of Radiology.
What if multiple studies are performed at the same time?
Occasionally, multiple studies are requested during the same visit. An order for a CT of the Chest, Abdomen, and Pelvis, for example, may result in three separate charges.
How do you determine your fees/charges?
We follow national and regional guidelines when setting our fees. Your insurance company may establish a fee they believe is “reasonable and customary,” however; it may not reflect charges in our area.