CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Forks Community Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$92
about 0.7× the $136 Medicare rate · typically $61–$152
modeled estimate · not a bill or quote
What this hospital charges insurers
$99
About the fair price
about $7 over the fair price · 0.7× Medicare
Medicare pays $136 Fair price $92 This hospital $99 Cash price $320 Hospital's list price $401

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WA hospitals compared.

Cheapest $50 Priciest $102

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $92 (about 0.7× the $136 Medicare rate). Forks Community Hospital charges insurers about $99, or about $320 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 $37 - $319 27%
Blue Cross Blue Shieldmajor $106 - $590 78%
Aetnamajor $101 - $590 74%
Cignamajor $85 - $621 63%
Humanamajor $169 - $279 125%
Ambetter (Centene) $99 - $324 73%
Health Net $169 - $279 125%
Molina $85 - $571 63%
WellCare $196 - $324 145%
+ 4 smaller / regional plans $58 - $621
Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

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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