Summit Pacific Medical Center

ElmaGrays Harbor CountyCritical Access Hospitals

Colonoscopy with polyp removal

Quality: 2 of 5 (CMS overall rating)Earliest available date: call (360) 346-2222

What you may pay

With insurance from an employer or private plan: $259Only one plan lists a price here:
CHPW PEBB - ALL OTHER PLANS $259 Lower than typical
Typical at 38 hospitals we cover: $3,088 to $3,779 (each hospital’s middle plan price, hospital’s fee). Don’t see your plan? Ask your insurer for its rate here.
Paying yourself (cash price): $1,040Typical hospital’s fee at 15 hospitals we cover: $1,239 to $3,239.

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: Summit Pacific Medical Center’s own price file, dated 2026-08-31. CareNavIQ last refreshed prices on 2026-11-09.

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

Bills to expect

A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (Washington outside King County) and an estimate for private plans.

Separate bills for this procedure and their estimated amounts
Bill	Who sends it	How likely	Status	Traditional Medicare allows	Private plans (estimate)
Hospital's feeProcedure room, nursing, equipment and recovery	The hospital	Expected	Published by the hospital: the prices above	—	—
GastroenterologistDoing the colonoscopy	The gastroenterologist's practice	Expected	The hospital's price file includes this fee, so it may already be in the prices above	$224	$265 to $402
AnesthesiaDeep sedation by an anesthesia teamOnly if an anesthesia team sedates you. Sedation by the gastroenterologist's own team is not billed separately.Assumes 20 to 45 minutes of anesthesia.	An anesthesia group	Possible	Billed separately; amount estimated	$110 to $144	$329 to $719
PathologistExamining tissue that is removed (a biopsy or polyp), per sampleOne sample; each extra sample is billed again.	A pathology group	Expected	Billed separately; amount estimated	$36	$42 to $64

Assumes a diagnostic colonoscopy. A screening colonoscopy usually costs you less or nothing under preventive-care rules: ask your plan how a biopsy or polyp removal changes that.

What you’d pay for these bills

Adds up your share of the hospital’s bill and the expected doctors’ bills above (not the possible ones). What you type stays in your browser.

Your coverage Insurance from an employer or a private plan Traditional Medicare Medicare Advantage Apple Health (Medicaid)

Your plan’s price at this hospitalDeductible you still have to pay this yearYour coinsurance after the deductibleOut-of-pocket maximum you have left this year (optional)

Your plan’s summary of benefits says how it charges for each kind of care. Leave these as they are if it uses the deductible and coinsurance.

The hospital's billHow your plan charges

The bill from the doctor doing the procedureHow your plan charges

You pay about $60 to $65 of about $301 to $323 billed to your plan.

Your share of the hospital's bill is about $52; the rest is your share of the doctors' bills. The doctors' bills are estimates. Enter your out-of-pocket maximum to see whether you'd reach it. Anesthesia, assistant and pathology bills are worked out with your deductible and coinsurance: plans rarely charge a copay for them. Assumes everyone is in your network.

How each bill comes to you

Each provider sends a claim to your plan. It applies its allowed amount, then your deductible, copay and coinsurance, and sends you an Explanation of Benefits. Then the provider bills you the “You owe” line. Bills are in the order your plan is assumed to process them, the hospital first. The doctors' bills are estimates.

Show the bills at the lower estimate the higher estimate

Hospital's feeSent by the hospital
The provider's chargeThe hospital's listed charge includes some doctors' fees, so it isn't comparable with this bill; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$259
Your plan pays
$207
Your coinsurance
$51.81
You oweThe provider bills you this after the insurer pays.
$51.81
PathologistSent by a pathology group
The provider's chargeDoctors don't publish their charges; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$42.31
Your plan pays
$33.85
Your coinsurance
$8.46
You oweThe provider bills you this after the insurer pays.
$8.46

All bills: allowed amounts: $301
Your plan pays: $241
You owe in all: $60.27

Who owes what, and when you might owe more

The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.

Get it confirmed before your care

The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.

Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.

How you’ll payWith insurancePaying myself, without insurance

Summit Pacific Medical Center

The largest bill. Ask it for the names of the other groups who will bill you, since you usually can't choose them.

Request to send

Subject: Estimate request: colonoscopy with polyp removal at Summit Pacific Medical Center

Hello,

I am planning a colonoscopy with polyp removal (billing code CPT 45385) at Summit Pacific Medical Center.

Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use.

Your price list includes the fee for the gastroenterologist: please include it in the estimate.

Please also send the names and contact details of the groups who may bill me separately (anesthesia, pathologist).

Name: [YOUR NAME]
Date of birth: [DATE OF BIRTH]
Insurance: [PLAN NAME], member ID [MEMBER ID]
Planned date: [DATE, IF KNOWN]

Thank you.

Replace the words in [brackets] with your details before you send it.

Open in my email

If you call. Call (360) 346-2222 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my colonoscopy with polyp removal, and the names of the other groups who'll bill me."

I’ve sent this one

0 of 4 sent. Washington law gives you the right to these estimates but sets no deadline: if you haven't heard back in five business days, send it again or call.

What insurers pay the doctors here

Insurers publish what they pay each doctor group. These are the rates for groups with doctors of the right specialty who work at this hospital, for care in a hospital or surgery center. Employer and individual plans only, not Medicare or Medicaid.

Insurers’ negotiated rates for doctor groups at this hospital
Bill	Insurer and network	Typical	Lowest to highest group	Groups
Gastroenterologist	Premera Blue CrossHeritage PPO	$342	$328 to $366	5
Pathologist	Premera Blue CrossHeritage PPO	$49	—	1

Rates by doctor group

Gastroenterologist: Premera Blue Cross Heritage PPO

Grays Harbor County Public Hospital District No 1: $342 (3 clinicians here)
Olympia Multi-Specialty Clinic: $366 (3 clinicians here)
Surgical Associates PLLC: $336 (2 clinicians here)
Samaritan Hospital: $328 (1 clinician here)
GHCH Physician Services LLC: $342 (1 clinician here)

Pathologist: Premera Blue Cross Heritage PPO

Northwest Pathology PS: $49 (1 clinician here)

Typical is the middle rate, counting each group by how many of its doctors work here. Doctors often work at more than one hospital, so a group listed here may not do this procedure here. These are the totals the insurer allows in its own network; your share depends on your plan. Sources: Premera Blue Cross Heritage PPO price file, rates as of July 2026.

How these are worked out. Medicare amounts are CMS’s 2026 physician fee schedule for this area, at the rate for care in a hospital. Private-plan estimates are 118% to 179% of Medicare for doctors (the range across 19 studies in KFF’s review of what private insurers pay) and 3 to 5 times Medicare for anesthesia (a published industry estimate). Anesthesia is paid by the minute, so its range assumes the time shown. Medicare pays an assistant at surgery 13.6% to 16% of the surgeon’s fee. Where we have your insurer’s own published rates for the doctors here (below), the estimator uses those for that insurer’s employer plans instead. Your plan’s own rates may be outside these ranges: ask each office for an estimate, and for its network status. At an in-network hospital, the anesthesia, radiology, pathology and assistant groups can’t charge you more than your in-network cost share, even if they are out of network (No Surprises Act).

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

Cash price 1 price

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

Cash price prices for Colonoscopy with polyp removal at Summit Pacific Medical Center
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$1,040	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	—	Outpatient	2026-08-31

List price (before discounts) 1 price

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

List price (before discounts) prices for Colonoscopy with polyp removal at Summit Pacific Medical Center
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$1,926	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	—	Outpatient	2026-08-31

Commercial insurance 1 price

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

Commercial insurance prices for Colonoscopy with polyp removal at Summit Pacific Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
CHPW PEBB - ALL OTHER PLANS	CHPW PEBB - ALL OTHER PLANS	$259	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31

Medicare Advantage 3 prices

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

Medicare Advantage prices for Colonoscopy with polyp removal at Summit Pacific Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
CHPW MCR ADV	CHPW MCR ADV	$224	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31
REGENCE BS MCR ADV - ALL PLANS	REGENCE BS MCR ADV - ALL PLANS	$229	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31
WELLCARE MCR ADV - ALL PLANS	WELLCARE MCR ADV - ALL PLANS	$238	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31

Medicaid managed care 3 prices

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

Medicaid managed care prices for Colonoscopy with polyp removal at Summit Pacific Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AMERIGROUP MCAID - ALL PLANS	AMERIGROUP MCAID - ALL PLANS	$158	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31
CHPW CHIP	CHPW CHIP	$144	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31
CHPW HEALTHY OPTIONS	CHPW HEALTHY OPTIONS	$144	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31

Other government program 1 price

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

Other government program prices for Colonoscopy with polyp removal at Summit Pacific Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
TRIWEST - ALL PLANS	TRIWEST - ALL PLANS	$224	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31

Unknown 2 prices

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

Unknown prices for Colonoscopy with polyp removal at Summit Pacific Medical Center
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
CHPW BASIC HP	CHPW BASIC HP	$144	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31
UHC ALL PAYER - ALL PLANS	UHC ALL PAYER - ALL PLANS	$311	Surgeon’s fee	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	fee schedule	Outpatient	2026-08-31

Doctors here who do this procedure

6 doctors affiliated with Summit Pacific Medical Center billed Traditional Medicare for Colonoscopy with polyp removal in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctors affiliated with Summit Pacific Medical Center who billed Traditional Medicare for Colonoscopy with polyp removal
Doctor or practice	Practice	Medicare quality score	Times billed to Traditional Medicare (2024)	Traditional Medicare amount for their own service (2024)
John Kuczynski, MDGastroenterology · Olympia	Olympia Multi Specialty ClinicGroup of 21 clinicians	Not rated	211	$244 at a hospital or surgery center
Marshall Mccabe, DOGastroenterology · Olympia	Olympia Multi Specialty ClinicGroup of 21 clinicians	Not rated	169	$243 at a hospital or surgery center
Darien Heap, MDGastroenterology · Olympia	Olympia Multi Specialty ClinicGroup of 21 clinicians	Not rated	146	$240 at a hospital or surgery center
Ayan Rage, MDGastroenterology · Elma	Grays Harbor County Public Hospital District No 1Group of 63 clinicians	Not rated	64	$231 at a hospital or surgery center
Murali Nalluri, MDGastroenterology · Spokane	Grant County Public Hospital District 1Group of 116 clinicians	Not rated	23	$233 at a hospital or surgery center
Andrew Kowalski, DOGeneral Surgery · Aberdeen	GHCH Physician Services, LLCGroup of 12 clinicians	Not rated	11	$246 at a hospital or surgery center

Reading the doctor list

A higher price doesn’t mean better care. The quality score and the price come from different CMS files and are shown separately on purpose.
The amount is what Traditional Medicare (original Medicare) approved for the doctor’s or lab’s own service: Medicare’s payment plus the patient’s share. It is not what commercial insurance or Medicare Advantage pays, and the hospital or surgery center bills separately (surgery centers aren’t in this list).
The Medicare quality score is CMS’s MIPS final score (0 to 100), based mostly on the doctor’s Medicare patients. About half of doctors aren’t scored, so Not rated says nothing bad about a doctor. A group’s score covers everyone in the group.
CMS doesn’t publish counts under 11 patients, so doctors who rarely bill Medicare for this aren’t listed, and No price published means CMS has no amount for that setting.
Medicare’s file doesn’t say where a doctor did the procedure, only that they billed it in Washington. Affiliations are the hospitals each doctor lists with Medicare.

See a price that looks wrong? Tell us about it.

Summit Pacific Medical Center

What you may pay

Bills to expect

What you’d pay for these bills

How each bill comes to you

1 Hospital's feeSent by the hospital

2 PathologistSent by a pathology group

Get it confirmed before your care

Summit Pacific Medical Center

What insurers pay the doctors here

Gastroenterologist: Premera Blue Cross Heritage PPO

Pathologist: Premera Blue Cross Heritage PPO

Cash price 1 price

List price (before discounts) 1 price

Commercial insurance 1 price

Medicare Advantage 3 prices

Medicaid managed care 3 prices

Other government program 1 price

Unknown 2 prices

Doctors here who do this procedure

Reading the doctor list

Hospital's feeSent by the hospital

PathologistSent by a pathology group