Forks Community Hospital
ForksClallam CountyCritical Access Hospitals
Complete blood count with differential (CBC)
Quality: not rated by CMSEarliest available date: call (360) 374-6271
What you may pay
- With insurance from an employer or private plan
- $67.38 to $157
- AMBETTER CCWA EXCH - ALL PLANS $67.38 Higher than typical
- COMMUNITY HEALTH EXCHANGE $102 Higher than typical
- MOLINA COMMERCIAL-ALL OTHER PLANS $144 Higher than typical
- FIRST CHOICE-ALL PLANS $157 Higher than typical
- Paying yourself (cash price)
- $126 Higher than typical
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
23 published prices, grouped by who each price applies to.
Cash price 1 price
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $126 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | — | Outpatient | 2026-10-27 |
List price (before discounts) 1 price
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $157 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | — | Outpatient | 2026-10-27 |
Commercial insurance 4 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 | $67.38 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| COMMUNITY HEALTH EXCHANGE | COMMUNITY HEALTH EXCHANGE | $102 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $157 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA COMMERCIAL-ALL OTHER PLANS | MOLINA COMMERCIAL-ALL OTHER PLANS | $144 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
Medicare Advantage 5 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 | $58.09 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $58.09 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA MEDICARE | MOLINA MEDICARE | $557 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | fee schedule | Outpatient | 2026-10-27 |
| UHC MCR ADV | UHC MCR ADV | $12.20 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | fee schedule | Outpatient | 2026-10-27 |
| WELLCARE MED ADV - ALL PLANS | WELLCARE MED ADV - ALL PLANS | $67.38 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
Medicaid managed care 5 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 | $57.54 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| COORDINATED CARE (MCO) MCD-ALL PLANS | COORDINATED CARE (MCO) MCD-ALL PLANS | $58.64 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| MOLINA MEDICAID | MOLINA MEDICAID | $54.29 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE MEDICAID | REGENCE MEDICAID | $54.29 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| UHC MEDICAID | UHC MEDICAID | $69.88 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
Other government program 2 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| TRICARE-ALL PLANS | TRICARE-ALL PLANS | $70.65 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| TRIWEST-ALL PLANS | TRIWEST-ALL PLANS | $58.09 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
Unknown 5 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AETNA-ALL PLANS | AETNA-ALL PLANS | $149 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| CIGNA-ALL PLANS | CIGNA-ALL PLANS | $157 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| PREMERA BLUE CROSS-ALL PLANS | PREMERA BLUE CROSS-ALL PLANS | $149 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | percent of total billed charges | Outpatient | 2026-10-27 |
| REGENCE-ALL OTHER PLANS | REGENCE-ALL OTHER PLANS | $90.40 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 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 | $133 | Hospital’s fee | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 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.
See a price that looks wrong? Tell us about it.