Forks Community Hospital
ForksClallam CountyCritical Access Hospitals
Urine test with microscope
Quality: not rated by CMSEarliest available date: call (360) 374-6271
What you may pay
- With insurance from an employer or private plan
- $49.79 to $116
- AMBETTER CCWA EXCH - ALL PLANS $49.79 Higher than typical
- COMMUNITY HEALTH EXCHANGE $75.40 Higher than typical
- MOLINA COMMERCIAL-ALL OTHER PLANS $107 Higher than typical
- FIRST CHOICE-ALL PLANS $116 Higher than typical
- Paying yourself (cash price)
- $92.80 Higher than typical
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
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $92.80 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | — | Outpatient | 2026-10-27 |
| $92.80 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | — | Outpatient | 2026-10-27 |
List price (before discounts) 2 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $116 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | — | Outpatient | 2026-10-27 |
| $116 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | — | Outpatient | 2026-10-27 |
Commercial insurance 8 prices
| 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 | $49.79 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| AMBETTER CCWA EXCH - ALL PLANS | AMBETTER CCWA EXCH - ALL PLANS | $49.79 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| COMMUNITY HEALTH EXCHANGE | COMMUNITY HEALTH EXCHANGE | $75.40 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| COMMUNITY HEALTH EXCHANGE | COMMUNITY HEALTH EXCHANGE | $75.40 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $116 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $116 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA COMMERCIAL-ALL OTHER PLANS | MOLINA COMMERCIAL-ALL OTHER PLANS | $107 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA COMMERCIAL-ALL OTHER PLANS | MOLINA COMMERCIAL-ALL OTHER PLANS | $107 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
Medicare Advantage 10 prices
| 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 | $42.92 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS | COMMUNITY HEALTH NETWORK MCR-ALL OTHER PLANS | $42.92 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $42.92 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $42.92 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA MEDICARE | MOLINA MEDICARE | $557 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | fee schedule | Outpatient | 2026-10-27 |
| MOLINA MEDICARE | MOLINA MEDICARE | $557 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | fee schedule | Outpatient | 2026-10-27 |
| UHC MCR ADV | UHC MCR ADV | $3.68 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | fee schedule | Outpatient | 2026-10-27 |
| UHC MCR ADV | UHC MCR ADV | $4.66 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | fee schedule | Outpatient | 2026-10-27 |
| WELLCARE MED ADV - ALL PLANS | WELLCARE MED ADV - ALL PLANS | $49.79 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| WELLCARE MED ADV - ALL PLANS | WELLCARE MED ADV - ALL PLANS | $49.79 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
Medicaid managed care 10 prices
| 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 | $42.51 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $42.51 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| COORDINATED CARE (MCO) MCD-ALL PLANS | COORDINATED CARE (MCO) MCD-ALL PLANS | $43.33 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| COORDINATED CARE (MCO) MCD-ALL PLANS | COORDINATED CARE (MCO) MCD-ALL PLANS | $43.33 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA MEDICAID | MOLINA MEDICAID | $40.11 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA MEDICAID | MOLINA MEDICAID | $40.11 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE MEDICAID | REGENCE MEDICAID | $40.11 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE MEDICAID | REGENCE MEDICAID | $40.11 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| UHC MEDICAID | UHC MEDICAID | $51.63 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| UHC MEDICAID | UHC MEDICAID | $51.63 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
Other government program 4 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| TRICARE-ALL PLANS | TRICARE-ALL PLANS | $52.20 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| TRICARE-ALL PLANS | TRICARE-ALL PLANS | $52.20 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| TRIWEST-ALL PLANS | TRIWEST-ALL PLANS | $42.92 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| TRIWEST-ALL PLANS | TRIWEST-ALL PLANS | $42.92 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
Unknown 10 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AETNA-ALL PLANS | AETNA-ALL PLANS | $110 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| AETNA-ALL PLANS | AETNA-ALL PLANS | $110 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $116 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $116 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| PREMERA BLUE CROSS-ALL PLANS | PREMERA BLUE CROSS-ALL PLANS | $110 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
| PREMERA BLUE CROSS-ALL PLANS | PREMERA BLUE CROSS-ALL PLANS | $110 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE-ALL OTHER PLANS | REGENCE-ALL OTHER PLANS | $66.79 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE-ALL OTHER PLANS | REGENCE-ALL OTHER PLANS | $66.79 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | 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 | $98.60 | Hospital’s fee | Manual urinalysis test with examination using microscope, non-automated | 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 | $98.60 | Hospital’s fee | Manual urinalysis test with examination using microscope, automated | percent of total billed charges | Outpatient | 2026-10-27 |
Doctors here who do this procedure
No doctor affiliated with Forks Community Hospital billed Traditional Medicare for this often enough for CMS to publish it (11 or more patients a year). That doesn’t mean no one here does it. See all doctors and practices for this procedure.
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