Kittitas Valley Community Hospital

EllensburgKittitas CountyCritical Access Hospitals

New patient visit (30 min)

Quality: not rated by CMSEarliest available date: call (509) 962-9841

What you may pay

With insurance from an employer or private plan
$196 – $302At least one plan lists 4 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.
Paying yourself (cash price)
$196 – $302The hospital lists 4 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.

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: Kittitas Valley Community Hospital’s own price file, dated 2026-10-07. CareNavIQ last refreshed prices on 2026-11-09.

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

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

Cash price 7 prices

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

Cash price prices for New patient visit (30 min) at Kittitas Valley Community Hospital
PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$238Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$238Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$293Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$196Emergency doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$197Doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$213Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$302Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07

List price (before discounts) 7 prices

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

List price (before discounts) prices for New patient visit (30 min) at Kittitas Valley Community Hospital
PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$280Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$280Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$345Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$230Emergency doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$232Doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$250Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07
$355Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more—Outpatient2026-10-07

Commercial insurance 7 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 Kittitas Valley Community Hospital
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$238Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$238Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$293Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$196Emergency doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$197Doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$213Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
FIRST CHOICE-ALL PLANSFIRST CHOICE-ALL PLANS$302Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07

Medicare Advantage 3 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 Kittitas Valley Community Hospital
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AETNA MCR ADVAETNA MCR ADV$101Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
AETNA MCR ADVAETNA MCR ADV$124Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
AETNA MCR ADVAETNA MCR ADV$345Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07

Unknown 37 prices

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

Unknown prices for New patient visit (30 min) at Kittitas Valley Community Hospital
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AETNA-ALL OTHER PLANSAETNA-ALL OTHER PLANS$266Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
AETNA-ALL OTHER PLANSAETNA-ALL OTHER PLANS$266Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
AETNA-ALL OTHER PLANSAETNA-ALL OTHER PLANS$328Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
AETNA-ALL OTHER PLANSAETNA-ALL OTHER PLANS$93.90Doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
AETNA-ALL OTHER PLANSAETNA-ALL OTHER PLANS$93.90Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
AETNA-ALL OTHER PLANSAETNA-ALL OTHER PLANS$93.90Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
AETNA-ALL OTHER PLANSAETNA-ALL OTHER PLANS$93.90Emergency doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
CHPW-ALL PLANSCHPW-ALL PLANS$238Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
CHPW-ALL PLANSCHPW-ALL PLANS$238Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
CHPW-ALL PLANSCHPW-ALL PLANS$293Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
CHPW-ALL PLANSCHPW-ALL PLANS$115Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
CHPW-ALL PLANSCHPW-ALL PLANS$115Emergency doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
CHPW-ALL PLANSCHPW-ALL PLANS$115Doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
CHPW-ALL PLANSCHPW-ALL PLANS$115Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
CIGNA-ALL PLANSCIGNA-ALL PLANS$328Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
CIGNA-ALL PLANSCIGNA-ALL PLANS$107Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
CIGNA-ALL PLANSCIGNA-ALL PLANS$107Emergency doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
CIGNA-ALL PLANSCIGNA-ALL PLANS$107Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
CIGNA-ALL PLANSCIGNA-ALL PLANS$107Doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
PREMERA FIRST-ALL PLANSPREMERA FIRST-ALL PLANS$236Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
PREMERA FIRST-ALL PLANSPREMERA FIRST-ALL PLANS$236Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
PREMERA FIRST-ALL PLANSPREMERA FIRST-ALL PLANS$290Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
PREMERA FIRST-ALL PLANSPREMERA FIRST-ALL PLANS$108Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
PREMERA FIRST-ALL PLANSPREMERA FIRST-ALL PLANS$108Doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
PREMERA FIRST-ALL PLANSPREMERA FIRST-ALL PLANS$108Emergency doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
PREMERA FIRST-ALL PLANSPREMERA FIRST-ALL PLANS$108Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
REGENCE BLUE SHIELD-ALL PLANSREGENCE BLUE SHIELD-ALL PLANS$276Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
REGENCE BLUE SHIELD-ALL PLANSREGENCE BLUE SHIELD-ALL PLANS$120Emergency doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
REGENCE BLUE SHIELD-ALL PLANSREGENCE BLUE SHIELD-ALL PLANS$120Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
REGENCE BLUE SHIELD-ALL PLANSREGENCE BLUE SHIELD-ALL PLANS$120Doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
REGENCE BLUE SHIELD-ALL PLANSREGENCE BLUE SHIELD-ALL PLANS$120Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
UHC-ALL PLANSUHC-ALL PLANS$266Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
UHC-ALL PLANSUHC-ALL PLANS$328Hospital’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morepercent of total billed chargesOutpatient2026-10-07
UHC-ALL PLANSUHC-ALL PLANS$119Doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
UHC-ALL PLANSUHC-ALL PLANS$119Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
UHC-ALL PLANSUHC-ALL PLANS$119Clinic doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07
UHC-ALL PLANSUHC-ALL PLANS$119Emergency doctor’s feeNew patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or morefee scheduleOutpatient2026-10-07

Doctors here who do this procedure

44 doctors affiliated with Kittitas Valley 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 Kittitas Valley Community Hospital who billed Traditional Medicare for New patient visit (30 min)
Doctor or practicePracticeMedicare quality scoreTimes billed to Traditional Medicare (2024)Traditional Medicare amount for their own service (2024)
Joshua Johnson, DPMPodiatry · YakimaKittitas County Public Hospital Dist 1Group of 82 clinicians0 of 100CMS MIPS 2024233$111 in the office (no hospital amount)
Patricia Nichols, PA-CPhysician Assistant · YakimaJason Berreman, Arnp, PSGroup of 3 clinicians98 of 100CMS MIPS 2024, reported by their group158$90.93 in the office (no hospital amount)
Ryan Nathe, MDOrthopedic Surgery · IssaquahOffers telehealth visitsProliance Surgeons Inc P SGroup of 397 cliniciansNot rated142$121 in the office (no hospital amount)
Trevor Scott, MDOrthopedic Surgery · BellevueOffers telehealth visitsProliance Surgeons Inc P SGroup of 397 cliniciansNot rated114$123 in the office (no hospital amount)
Michael Sailer, MDOrthopedic Surgery · IssaquahOffers telehealth visitsProliance Surgeons Inc P SGroup of 397 cliniciansNot rated113$122 in the office (no hospital amount)
Jennifer Simons, FNPNurse Practitioner · Cle ElumKittitas Valley Urgent Care PLLCGroup of 24 clinicians81 of 100CMS MIPS 2024, reported by their group77$94.66 in the office (no hospital amount)
Christopher Petty, MDGeneral Surgery · PuyallupKittitas County Public Hospital Dist 1Group of 82 cliniciansNot rated75$111 in the office (no hospital amount)
Amir Abdul-Jabbar, MDOrthopedic Surgery · SeattleOffers telehealth visitsSwedish Health ServicesGroup of 1,037 clinicians87 of 100CMS MIPS 2024, reported by their group74$122 in the office (no hospital amount)
Alexander Arzeno, MDOrthopedic Surgery · IssaquahOffers telehealth visitsProliance Surgeons Inc P SGroup of 397 cliniciansNot rated71$123 in the office (no hospital amount)
Robert Greene, MDOrthopedic Surgery · YakimaYakima Valley Memorial PhysiciansGroup of 391 cliniciansNot rated70$110 in the office (no hospital amount)
Herbie Yung, MDPhysical Medicine And Rehabilitation · Mount VernonOffers telehealth visitsOverlake Medical Clinics LLCGroup of 425 cliniciansNot rated69$108 in the office (no hospital amount)
Samson Lee, MDOtolaryngology · BellevueProliance Surgeons Inc P SGroup of 397 cliniciansNot rated68$85.70 at a hospital or surgery center
Gavin Bakker, ARNPNurse Practitioner · YakimaKittitas County Public Hospital Dist 1Group of 82 clinicians98 of 100CMS MIPS 2024, reported by their group59$94.75 in the office (no hospital amount)
Jonah Hulst, MDOrthopedic Surgery · BellevueOffers telehealth visitsProliance Surgeons Inc P SGroup of 397 cliniciansNot rated56$123 in the office (no hospital amount)
Stuart Cardon, DPMPodiatry · YakimaKittitas County Public Hospital Dist 1Group of 82 clinicians81 of 100CMS MIPS 2024, reported by their group54$111 in the office (no hospital amount)
Gene Griffiths, MDOrthopedic Surgery · YakimaYakima Valley Memorial PhysiciansGroup of 391 cliniciansNot rated44$111 in the office (no hospital amount)
Nina Flavin, MDRheumatology · WenatcheeOffers telehealth visitsCentral Washington Health Services AssociationGroup of 721 cliniciansNot rated44$80.09 at a hospital or surgery center
Michelle Smeback, ARNPNurse Practitioner · YakimaKittitas County Public Hospital Dist 1Group of 82 clinicians81 of 100CMS MIPS 2024, reported by their group43$98.32 in the office (no hospital amount)
Thomas Penoyar, MDGeneral Surgery · EllensburgKittitas County Public Hospital Dist 1Group of 82 clinicians81 of 100CMS MIPS 2024, reported by their group40$117 in the office (no hospital amount)
Matthew Robon, MDOrthopedic Surgery · BellevueProliance Surgeons Inc P SGroup of 397 cliniciansNot rated38$123 in the office (no hospital amount)
Daniel Thorner, DOUrology · YakimaYakima Urology At Memorial TRGroup of 7 clinicians84 of 100CMS MIPS 2024, reported by their group36$118 in the office (no hospital amount)
Allen Rubin, MDVascular Surgery · TacomaOffers telehealth visitsFranciscan Medical GroupGroup of 1,421 cliniciansNot rated28$111 in the office (no hospital amount)
Brandon Godfrey, MDEmergency Medicine · YakimaOffers telehealth visitsYakima Valley Memorial PhysiciansGroup of 391 cliniciansNot rated28$112 in the office (no hospital amount)
Heather Galgon, DOPhysical Medicine And Rehabilitation · IssaquahOffers telehealth visitsSwedish Health ServicesGroup of 1,037 cliniciansNot rated28$121 in the office (no hospital amount)
Kevin Walkenhauer, PA-CPhysician Assistant · YakimaYakima Valley Memorial PhysiciansGroup of 391 cliniciansNot rated28$92.44 in the office (no hospital amount)
Dennis Gaskill, MDUrology · YakimaOffers telehealth visitsYakima Urology At Memorial TRGroup of 7 clinicians84 of 100CMS MIPS 2024, reported by their group26$117 in the office (no hospital amount)
Naveen Prasad Gopalakrishnan Ravikumar, MDNephrology · YakimaJ. Hamilton Licht, M.D., P.C.Group of 3 clinicians20 of 100CMS MIPS 202426$111 in the office (no hospital amount)
Michael Longo, MDCardiovascular Disease (Cardiology) · SeattleOffers telehealth visitsVirginia Mason Medical CenterGroup of 867 cliniciansNot rated23$86.18 at a hospital or surgery center
Xiao Ling, MDInternal Medicine · YakimaJ. Hamilton Licht, M.D., P.C.Group of 3 clinicians24 of 100CMS MIPS 202422$111 in the office (no hospital amount)
George Liu, MDOrthopedic Surgery · YakimaOffers telehealth visitsYakima Valley Memorial PhysiciansGroup of 391 cliniciansNot rated21$111 in the office (no hospital amount)
Howard Lewis, MDInterventional Cardiology · SeattleOffers telehealth visitsSwedish Health ServicesGroup of 79 clinicians87 of 100CMS MIPS 2024, reported by their group17$117 in the office (no hospital amount)
James Byrd, MD, PHDRheumatology · WenatcheeOffers telehealth visitsCentral Washington Health Services AssociationGroup of 721 cliniciansNot rated17$79.92 at a hospital or surgery center
Matthew Uhlman, MDUrology · YakimaOffers telehealth visitsYakima Urology At Memorial TRGroup of 7 clinicians26 of 100CMS MIPS 202417$117 in the office (no hospital amount)
Zane Tymchak, MDNeurosurgery · SeattleOffers telehealth visitsSwedish Health ServicesGroup of 1,037 cliniciansNot rated17$122 in the office (no hospital amount)
Samer Hafi, MDInternal Medicine · IssaquahOffers telehealth visitsSwedish Health ServicesGroup of 1,037 clinicians87 of 100CMS MIPS 2024, reported by their group16$123 in the office (no hospital amount)
Parker FaithOphthalmology · YakimaValley Vision Associates LLPGroup of 6 clinicians86 of 100CMS MIPS 2024, reported by their group15$111 in the office (no hospital amount)
Ashit Patel, MDOrthopedic Surgery · BellevueOffers telehealth visitsProliance Surgeons Inc P SGroup of 397 cliniciansNot rated13$122 in the office (no hospital amount)
Jason Kim, MDPain Management · IssaquahOffers telehealth visitsIndependent practice28 of 100CMS MIPS 202412$114 in the office (no hospital amount)
Madeleine Solomon-Naleway, PA-CPhysician Assistant · IssaquahProliance Surgeons Inc P SGroup of 397 cliniciansNot rated12$100 in the office (no hospital amount)
Sajal Kumar, MDNephrology · YakimaJ. Hamilton Licht, M.D., P.C.Group of 3 clinicians24 of 100CMS MIPS 202412$105 in the office (no hospital amount)
Jean-Christophe Leveque, MDNeurosurgery · SeattleOffers telehealth visitsFranciscan Medical GroupGroup of 1,421 cliniciansNot rated11$122 in the office (no hospital amount)
Jodi Tinkel, MDCardiovascular Disease (Cardiology) · SeattleOffers telehealth visitsThe Association Of University PhysiciansGroup of 3,535 clinicians88 of 100CMS MIPS 2024, reported by their group11$105 in the office (no hospital amount)
Sarah Storrs, ODOptometry · EllensburgValley Eye And Vision Clinic , PLLCGroup of 7 cliniciansNot rated11$111 in the office (no hospital amount)
Shane Sigler, PA-CPhysician Assistant · YakimaKittitas County Public Hospital Dist 1Group of 82 cliniciansNot rated11$94.32 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.