Forks Community Hospital

ForksClallam CountyCritical Access Hospitals

Breast lump removal

Quality: not rated by CMSEarliest available date: call (360) 374-6271

What you may pay

With insurance from an employer or private plan: $2,102 – $7,143At least one plan lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.
Paying yourself (cash price): $3,918 – $5,714The hospital lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: Forks Community Hospital’s own price file, dated 2026-10-27. CareNavIQ last refreshed prices on 2026-11-09.

Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).

46 published prices, grouped by who each price applies to.

Cash price 2 prices

The hospital's discounted price for patients paying without insurance.

Cash price prices for Breast lump removal at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$3,918	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	—	Outpatient	2026-10-27
$5,714	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	—	Outpatient	2026-10-27

List price (before discounts) 2 prices

The hospital's full chargemaster price. Few patients pay this amount.

List price (before discounts) prices for Breast lump removal at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$4,898	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	—	Outpatient	2026-10-27
$7,143	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	—	Outpatient	2026-10-27

Commercial insurance 8 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Commercial insurance prices for Breast lump removal at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AMBETTER CCWA EXCH - ALL PLANS	AMBETTER CCWA EXCH - ALL PLANS	$2,102	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
AMBETTER CCWA EXCH - ALL PLANS	AMBETTER CCWA EXCH - ALL PLANS	$3,066	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
COMMUNITY HEALTH EXCHANGE	COMMUNITY HEALTH EXCHANGE	$3,184	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
COMMUNITY HEALTH EXCHANGE	COMMUNITY HEALTH EXCHANGE	$4,643	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$4,898	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$7,143	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANS	MOLINA COMMERCIAL-ALL OTHER PLANS	$4,506	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANS	MOLINA COMMERCIAL-ALL OTHER PLANS	$6,572	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27

Medicare Advantage 10 prices

Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Medicare Advantage prices for Breast lump removal at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS	COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS	$1,812	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS	COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS	$2,643	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
HUMANA MCR ADV - ALL PLANS	HUMANA MCR ADV - ALL PLANS	$1,812	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
HUMANA MCR ADV - ALL PLANS	HUMANA MCR ADV - ALL PLANS	$2,643	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICARE	MOLINA MEDICARE	$557	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	fee schedule	Outpatient	2026-10-27
MOLINA MEDICARE	MOLINA MEDICARE	$557	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	fee schedule	Outpatient	2026-10-27
UHC MCR ADV	UHC MCR ADV	$1,812	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
UHC MCR ADV	UHC MCR ADV	$2,643	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
WELLCARE MED ADV - ALL PLANS	WELLCARE MED ADV - ALL PLANS	$2,102	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
WELLCARE MED ADV - ALL PLANS	WELLCARE MED ADV - ALL PLANS	$3,066	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27

Medicaid managed care 10 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Medicaid managed care prices for Breast lump removal at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AMERIGROUP MEDICAID-ALL PLANS	AMERIGROUP MEDICAID-ALL PLANS	$1,795	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
AMERIGROUP MEDICAID-ALL PLANS	AMERIGROUP MEDICAID-ALL PLANS	$2,618	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANS	COORDINATED CARE (MCO) MCD-ALL PLANS	$1,829	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANS	COORDINATED CARE (MCO) MCD-ALL PLANS	$2,668	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$1,694	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$2,470	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$1,694	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$2,470	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
UHC MEDICAID	UHC MEDICAID	$2,180	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
UHC MEDICAID	UHC MEDICAID	$3,179	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27

Other government program 4 prices

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Other government program prices for Breast lump removal at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
TRICARE-ALL PLANS	TRICARE-ALL PLANS	$2,204	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
TRICARE-ALL PLANS	TRICARE-ALL PLANS	$3,214	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
TRIWEST-ALL PLANS	TRIWEST-ALL PLANS	$1,812	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
TRIWEST-ALL PLANS	TRIWEST-ALL PLANS	$2,643	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27

Unknown 10 prices

The source file doesn't say which population this rate applies to.

Unknown prices for Breast lump removal at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AETNA-ALL PLANS	AETNA-ALL PLANS	$4,898	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
AETNA-ALL PLANS	AETNA-ALL PLANS	$7,143	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
CIGNA-ALL PLANS	CIGNA-ALL PLANS	$4,898	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
CIGNA-ALL PLANS	CIGNA-ALL PLANS	$7,143	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
PREMERA BLUE CROSS-ALL PLANS	PREMERA BLUE CROSS-ALL PLANS	$4,653	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
PREMERA BLUE CROSS-ALL PLANS	PREMERA BLUE CROSS-ALL PLANS	$6,786	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
REGENCE-ALL OTHER PLANS	REGENCE-ALL OTHER PLANS	$2,820	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
REGENCE-ALL OTHER PLANS	REGENCE-ALL OTHER PLANS	$4,113	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	$4,163	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27
UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	$6,072	Hospital’s fee	Removal of growth and tissue of breast, duct, or nipple	percent of total billed charges	Outpatient	2026-10-27

Doctors here who do this procedure

We don’t have doctor data for this procedure yet. CMS publishes what doctors bill Traditional Medicare by billing code, and no Washington doctor billed this one often enough for CMS to publish it (11 or more patients a year).

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