CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Forks Community Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$84
about 0.7× the $118 Medicare rate · typically $62–$124
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $1 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $84 This hospital $83 Cash price $223 Hospital's list price $279

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 WA hospitals compared.

Cheapest $54 Priciest $98

Black dot = this hospital, among the 9 WA hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $84 (about 0.7× the $118 Medicare rate). Forks Community Hospital charges insurers about $83, or about $223 in cash — about the fair price. Located in Forks, WA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $44 - $195 37%
Blue Cross Blue Shieldmajor $105 - $412 89%
Aetnamajor $118 - $412 100%
Cignamajor $100 - $434 85%
Humanamajor $195 166%
Ambetter (Centene) $83 - $227 71%
Health Net $195 166%
Molina $72 - $399 61%
WellCare $227 193%
+ 4 smaller / regional plans $72 - $434
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 530 Bogachiel Way, Forks, WA 98331
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals