CareNavIQ

All procedures › Abdominal ultrasound (complete)

Summit Pacific Medical Center

ElmaGrays Harbor CountyCritical Access Hospitals

Abdominal ultrasound (complete)

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
$835 to $1,074Depends on your plan. Each plan’s price at this hospital:
  • CHPW PEBB - ALL OTHER PLANS $835 Higher than typical
  • FIRST CHOICE - ALL PLANS $954 Higher than typical
  • AETNA COMM - ALL PLANS $1,074 Higher than typical
Typical at 46 hospitals we cover: $313 to $575 (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)
$644 TypicalTypical hospital’s fee at 46 hospitals we cover: $542 to $806.

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.

BillWho sends itHow likelyStatusTraditional Medicare allowsPrivate plans (estimate)
Hospital's feeThe ultrasound: equipment and sonographerThe hospitalExpectedPublished by the hospital: the prices above——
RadiologistReading the ultrasound and writing the reportThe radiology groupExpectedBilled separately; amount estimated$38$45 to $68
Ordering doctor's visitThe visit where the ultrasound is ordered or the results are explainedYour doctorPossibleBilled separately; not priced——

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

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 bill
The bill from the doctor doing the procedure

You pay about $176 to $181 of about $880 to $903 billed to your plan.

Your share of the hospital's bill is about $167; 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. 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
  1. Hospital's feeSent by the hospital
    The provider's charge
    $1,193
    Insurance adjustmentWritten off by the provider: you don't owe it.
    −$358
    Allowed amountWhat the insurer counts for this bill.
    $835
    Your plan pays
    $668
    Your coinsurance
    $167
    You oweThe provider bills you this after the insurer pays.
    $167
  2. RadiologistSent by the radiology 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.
    $44.78
    Your plan pays
    $35.82
    Your coinsurance
    $8.96
    You oweThe provider bills you this after the insurer pays.
    $8.96
All bills: allowed amounts
$880
Your plan pays
$704
You owe in all
$176
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 pay

Summit Pacific Medical Center

The largest bill.

Request to send

Subject: Estimate request: abdominal ultrasound (complete) at Summit Pacific Medical Center

Hello,

I am planning a abdominal ultrasound (complete) (billing code CPT 76700) 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.

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 abdominal ultrasound (complete)."

0 of 3 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.

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).

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

Cash price 1 price

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

PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$644Hospital’s feeComplete ultrasound scan of abdomen—Outpatient2026-08-31

List price (before discounts) 1 price

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

PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$1,193Hospital’s feeComplete ultrasound scan of abdomen—Outpatient2026-08-31

Commercial insurance 3 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AETNA COMM - ALL PLANSAETNA COMM - ALL PLANS$1,074Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31
CHPW PEBB - ALL OTHER PLANSCHPW PEBB - ALL OTHER PLANS$835Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31
FIRST CHOICE - ALL PLANSFIRST CHOICE - ALL PLANS$954Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31

Medicare Advantage 3 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
CHPW MCR ADVCHPW MCR ADV$307Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31
REGENCE BS MCR ADV - ALL PLANSREGENCE BS MCR ADV - ALL PLANS$298Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31
WELLCARE MCR ADV - ALL PLANSWELLCARE MCR ADV - ALL PLANS$316Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31

Medicaid managed care 3 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AMERIGROUP MCAID - ALL PLANSAMERIGROUP MCAID - ALL PLANS$303Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31
CHPW CHIPCHPW CHIP$276Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31
CHPW HEALTHY OPTIONSCHPW HEALTHY OPTIONS$276Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31

Other government program 1 price

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
TRIWEST - ALL PLANSTRIWEST - ALL PLANS$298Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31

Unknown 3 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
CHPW BASIC HPCHPW BASIC HP$276Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31
CIGNA - ALL PLANSCIGNA - ALL PLANS$954Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31
UHC ALL PAYER - ALL PLANSUHC ALL PAYER - ALL PLANS$1,014Hospital’s feeComplete ultrasound scan of abdomenpercent of total billed chargesOutpatient2026-08-31

Doctors here who do this procedure

17 doctors affiliated with Summit Pacific Medical Center billed Traditional Medicare for Abdominal ultrasound (complete) in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctor or practicePracticeMedicare quality scoreTimes billed to Traditional Medicare (2024)Traditional Medicare amount for their own service (2024)
Gregory Balmforth, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated114$37.10 at a hospital or surgery center
Michael Posch, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated88$39.54 at a hospital or surgery center
Joseph Stengel, DODiagnostic Radiology · AberdeenGrays Harbor Community HospitalGroup of 88 clinicians85 of 100CMS MIPS 202487$36.64 at a hospital or surgery center
Gregory Kujawski, DODiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated73$37.16 at a hospital or surgery center
Ishwar Bhat, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated66$38.01 at a hospital or surgery center
Philip Smith, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated50$125 in the office (no hospital amount)
Wendy Ehieli, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated50$37.23 at a hospital or surgery center
Scott Hoefer, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated45$37.20 at a hospital or surgery center
Eric Graham, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated38$37.18 at a hospital or surgery center
Gurpreet Dhillon, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated38$39.74 at a hospital or surgery center
Scott King, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated21$112 in the office (no hospital amount)
Jeffrey Nackos, MDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated18$111 in the office (no hospital amount)
John Kuczynski, MDGastroenterology · OlympiaOlympia Multi Specialty ClinicGroup of 21 cliniciansNot rated17$76.84 in the office (no hospital amount)
Jade Regan, DODiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated16$129 in the office (no hospital amount)
Allison Tillack, MD, PHDDiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated14$106 in the office (no hospital amount)
Darien Heap, MDGastroenterology · OlympiaOlympia Multi Specialty ClinicGroup of 21 cliniciansNot rated13$80.23 in the office (no hospital amount)
Samuel Plesner, DODiagnostic Radiology · SpokaneThe Polyclinic PLLCGroup of 365 cliniciansNot rated12$117 in the office (no hospital amount)

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.