Billing Information

Billing Customer Service

TRA Medical Imaging: 866-231-9211

Diagnostic Imaging Northwest: 866-807-9785

Carol Milgard Breast Center: 866-231-9215


Automated Phone Payment

TRA Medical Imaging: 888-965-1829

Diagnostic Imaging Northwest: 866-807-9817

Carol Milgard Breast Center: 888-965-1828


Additional Billing Contacts:

Online Bill Pay:

Dynamic Collectors: 800-464-3457


Frequently Asked Questions

Do you accept my insurance?

We are contracted with the majority of the insurance payers in Washington and can send them a claim for your services. For a list of all major in-network insurance payers click here.

How much will my exam cost?

If your services will be covered by insurance, you may want to contact your insurance payer directly to see how much your cost share will be for your procedure(s). Even though we may be contracted with your payer we do not know what your individual plan will cover. Your insurance company should be able to provide you with that information.

Please note: your insurance company may ask for the CPT code(s) for your procedure – you are welcome to call us at (855) 271-2416 and we can provide you with those codes.

If you are a self-pay patient, please contact us at (855) 271-2416 to speak with a financial counselor about our procedure pricing and available discounts for our self-pay patients.

Why did I received a text message from TRA Medical Imaging?

In addition to our outpatient imaging facilities, TRA Medical Imaging also provides radiology services for many of the hospitals and clinics in the area, including MultiCare Health System, CHI Franciscan Health and Highline Medical Center. If you or a family member had services with us or one of our health service partners then you will receive this text.  The text is not a bill, it is only a message to thank you for trusting your care to us, to make you aware that you may receive billing correspondence in the future, and to provide you with a link to check your account status.  If you do not wish to receive these types of texts from us, simply reply STOP to the text.

I received a statement - did you bill my insurance?

It is our practice to bill insurance for your services whenever possible. There are many reasons you may receive a notice of a balance due after providing your insurance information, including (but not limited to):

  • Insurance has processed your claim and the remaining balance is your portion due.
  • The insurance payer rejected the claim for missing or incorrect information.
  • The insurance payer indicated they need additional information from you before processing your claim.
  • Your claim denied because the insurance payer indicated that you are not eligible for the date of service.

Please contact our billing service at (866) 231-9211 to determine the reason you were billed. You will need your account number available to access your account and may want to have your insurance card handy to provide your policy information if needed.

I've never gone to TRA Medical Imaging - Why am I receiving a bill?

In addition to providing x-ray and other radiology services at our outpatient imaging facilities, TRA Medical Imaging provides diagnostic and interventional radiology services for many of the hospitals and clinics in the area, including MultiCare Health System, CHI Franciscan Health and Highline Medical Center. If you have had a diagnostic imaging exam or interventional procedure at one of our partner hospitals, you will receive a bill separate from your hospital bill for the radiologist’s professional services.

How can I set up a payment plan?

If you cannot pay your full balance right away, we encourage you to set up an automated payment plan to ensure your account stays current.

To set up a payment plan, please call the automated payment number noted on your statement or visit When you make a payment for less than the total amount due, the system will automatically set you up on a monthly payment plan for the remaining balance.

Please note: If you do not want to be on an automated payment plan, make your payment via the automated payment phone number and opt out when asked – the system will recommend a pre-determined payment amount for a set amount. Simply press 1 to accept or 2 to decline.

If you accept the automated payment plan, the pre-determined payment amount will be automatically withdrawn from your credit card or bank account each month until the balance is paid off. If you prefer, you can contact the billing service to get set up with monthly email notifications for the payment withdrawals.

If you decline the automated payment plan, you will still need to pay your balance within 30 days of the statement date to keep your account current. As part of our effort to ‘Go Green’, we do not send out reminder statements for the remaining balance due so please plan accordingly.

For more information on payment plans, including minimum payment amounts accepted, please contact the billing service at the numbers listed above.

Where can I find your financial assistance application?

You can find the application located in the “For Patients” tab under Financial Assistance or simply click here.

Can you honor the financial assistance I received from the local hospital?

We partner with many local area hospitals and urgent care centers to match the financial assistance they’ve approved for patients. Please contact us at (855) 271-2416 to see how we may be able to assist you.

Why am I receiving a call that says my account may be considered for collections?

If you receive an automated “pre-collection” call from our billing service, this indicates you may not have responded to the text (if you have a mobile phone), automated calls and statements previously sent to you*. The call is to make sure you’re aware that you have an outstanding balance due and that the billing service needs to hear back from you.

If you do receive one of these calls and feel the charges should have been covered by insurance, please contact the billing service right away to make sure your insurance has been billed. Many times if the billing service is attempting to reach you, it’s because they either do not have your correct insurance or your insurance may have denied your claim.

If you are unable to pay your balance due at the time you receive a statement, we do have several options for you such as payment plans, self-pay patient discounts and financial assistance to those who need it. Please reach out to us in these instances so we can work with you to find the best option for your situation.

*If you have opted out of receiving electronic notices you will not receive texts or calls prior to being sent a statement.

My account has gone to collections - who do I contact?

Please contact Dynamic Collectors directly at (800) 464-3457.

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