Forks Community Hospital

ForksClallam CountyCritical Access Hospitals

New patient visit (30 min)

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

What you may pay

With insurance from an employer or private plan: $269 to $536Depends on your plan. Each plan’s price at this hospital:
AMBETTER CCWA EXCH - ALL PLANS $269 Lower than typical
COMMUNITY HEALTH EXCHANGE $379 Typical
MOLINA COMMERCIAL-ALL OTHER PLANS $471 Higher than typical
FIRST CHOICE-ALL PLANS $536 Higher than typical
Typical at 17 hospitals we cover: $202 to $374 (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): $447 Higher than typicalTypical hospital’s fee at 24 hospitals we cover: $156 to $224.Hospital’s fee $347 + doctor’s fee $99.78, both billed by the hospital.

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).

41 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 New patient visit (30 min) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$347	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	—	Outpatient	2026-10-27
$99.78	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	—	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 New patient visit (30 min) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$434	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	—	Outpatient	2026-10-27
$125	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	—	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 New patient visit (30 min) 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	$186	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
AMBETTER CCWA EXCH - ALL PLANS	AMBETTER CCWA EXCH - ALL PLANS	$83.02	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
COMMUNITY HEALTH EXCHANGE	COMMUNITY HEALTH EXCHANGE	$282	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
COMMUNITY HEALTH EXCHANGE	COMMUNITY HEALTH EXCHANGE	$96.62	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$434	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$102	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANS	MOLINA COMMERCIAL-ALL OTHER PLANS	$399	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANS	MOLINA COMMERCIAL-ALL OTHER PLANS	$71.57	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27

Medicare Advantage 6 prices

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

Medicare Advantage prices for New patient visit (30 min) 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	$161	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
HUMANA MCR ADV - ALL PLANS	HUMANA MCR ADV - ALL PLANS	$161	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICARE	MOLINA MEDICARE	$557	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
UHC MCR ADV	UHC MCR ADV	$161	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
UHC MCR ADV	UHC MCR ADV	$43.66	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
WELLCARE MED ADV - ALL PLANS	WELLCARE MED ADV - ALL PLANS	$186	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	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 New patient visit (30 min) 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	$159	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
AMERIGROUP MEDICAID-ALL PLANS	AMERIGROUP MEDICAID-ALL PLANS	$53.72	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANS	COORDINATED CARE (MCO) MCD-ALL PLANS	$162	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANS	COORDINATED CARE (MCO) MCD-ALL PLANS	$50.68	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$150	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$50.68	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$150	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$50.68	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
UHC MEDICAID	UHC MEDICAID	$193	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
UHC MEDICAID	UHC MEDICAID	$50.68	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27

Other government program 5 prices

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

Other government program prices for New patient visit (30 min) 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	$195	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
TRICARE-ALL PLANS	TRICARE-ALL PLANS	$72.29	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
TRIWEST-ALL PLANS	TRIWEST-ALL PLANS	$161	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
TRIWEST-ALL PLANS	TRIWEST-ALL PLANS	$71.57	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
VA-IHS - ALL PLANS	VA-IHS - ALL PLANS	$71.57	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27

Unknown 8 prices

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

Unknown prices for New patient visit (30 min) 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	$412	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
AETNA-ALL PLANS	AETNA-ALL PLANS	$118	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
CIGNA-ALL PLANS	CIGNA-ALL PLANS	$434	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
CIGNA-ALL PLANS	CIGNA-ALL PLANS	$99.78	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
PREMERA BLUE CROSS-ALL PLANS	PREMERA BLUE CROSS-ALL PLANS	$412	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27
PREMERA BLUE CROSS-ALL PLANS	PREMERA BLUE CROSS-ALL PLANS	$105	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
REGENCE-ALL OTHER PLANS	REGENCE-ALL OTHER PLANS	$250	Hospital’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	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	$99.22	Doctor’s fee	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27

Doctors here who do this procedure

9 doctors affiliated with Forks Community Hospital billed Traditional Medicare for New patient visit (30 min) in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctors affiliated with Forks Community Hospital who billed Traditional Medicare for New patient visit (30 min)
Doctor or practice	Practice	Medicare quality score	Times billed to Traditional Medicare (2024)	Traditional Medicare amount for their own service (2024)
Matthew Rand, PAPhysician Assistant · Port Angeles	Silver Falls Dermatology LLCGroup of 101 clinicians	Not rated	237	$93.82 in the office (no hospital amount)
Samone Blunk, MDFamily Practice · Port Angeles	North Olympic Healthcare NetworkGroup of 31 clinicians	Not rated	43	$110 in the office (no hospital amount)
Lance Bear, MDOrthopedic Surgery · Gig Harbor	Clallam County Public Hospital District No 1Group of 33 clinicians	Not rated	28	$109 in the office (no hospital amount)
Michael Longo, MDCardiovascular Disease (Cardiology) · SeattleOffers telehealth visits	Virginia Mason Medical CenterGroup of 867 clinicians	Not rated	23	$86.18 at a hospital or surgery center
Kevin Chong, MDPulmonary Disease · Port Townsend	Jefferson County Public Hospital District No 2Group of 147 clinicians	82 of 100CMS MIPS 2024, reported by their group	19	$80.23 at a hospital or surgery center
Dirk Gouge, DOOrthopedic Surgery · Port Angeles	Olympic Medical PhysiciansGroup of 110 clinicians	82 of 100CMS MIPS 2024, reported by their group	16	$80.38 at a hospital or surgery center
Jennifer WishinskiNurse Practitioner · Bainbridge IslandOffers telehealth visits	Virginia Mason Medical CenterGroup of 867 clinicians	Not rated	16	$94.79 in the office (no hospital amount)
David Stinard, PA-CPhysician Assistant · Sequim	Olympic Medical PhysiciansGroup of 110 clinicians	82 of 100CMS MIPS 2024, reported by their group	14	$68.21 in the office (no hospital amount)
Steven Giss, MD, FACSGeneral Surgery · Gig Harbor	Clallam County Public Hospital District No 1Group of 33 clinicians	Not rated	14	$111 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.

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