CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Forks Community Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $599
Cash Discount Price: $1,098
vs. Medicare Baseline: 5.61x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Forks Community Hospital is $599. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,098. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.61x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.

Cash / Self-Pay

$1,098

Average discount available for prompt cash payment at this facility.

Insurance Median

$599

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,098 (1028%)

Insurance Median: $599 (561%)

Cash: $1,098 (1028% of Medicare)

Ins. Median: $599 (561% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 561% of the Medicare baseline (a markup of 461%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$207 - $787	194%
Coordinated Care (Mco) Mcd-All Plans	$224 - $802	210%
UnitedHealthcare	$267 - $1,824	250%
Community Health Network Mcr-All Other Plans	$270 - $966	253%
Humana	$270 - $966	253%
Tricare	$270 - $966	253%
Triwest-All Plans	$270 - $966	253%
Ambetter / Centene	$313 - $1,120	293%
Wellcare Med Adv - All Plans	$313 - $1,120	293%
Medicare (plans)	$318	298%
Regence-All Other Plans	$345 - $1,236	323%
Community Health Exchange	$389 - $1,395	364%
Molina Commercial-All Other Plans	$551 - $1,974	516%
Aetna	$569 - $2,039	533%
Blue Cross Blue Shield	$569 - $2,039	533%
Cigna	$599 - $2,146	561%
First Choice-All Plans	$599 - $2,146	561%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,098.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Forks Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.