Summit Pacific Medical Center
ElmaGrays Harbor CountyCritical Access Hospitals
New patient visit (60 min)
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
- $537 to $604
- FIRST CHOICE - ALL PLANS $537 Typical
- CHPW PEBB - ALL OTHER PLANS $570 Typical
- AETNA COMM - ALL PLANS $604 Higher than typical
- Paying yourself (cash price)
- $725 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 2 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $362 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | — | Outpatient | 2026-08-31 |
| $362 | Clinic doctor’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | — | Outpatient | 2026-08-31 |
List price (before discounts) 2 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $671 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | — | Outpatient | 2026-08-31 |
| $671 | Clinic doctor’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | — | Outpatient | 2026-08-31 |
Commercial insurance 4 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AETNA COMM - ALL PLANS | AETNA COMM - ALL PLANS | $604 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW PEBB - ALL OTHER PLANS | CHPW PEBB - ALL OTHER PLANS | $470 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW PEBB - ALL OTHER PLANS | CHPW PEBB - ALL OTHER PLANS | $99.91 | Clinic doctor’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $537 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | percent of total billed charges | Outpatient | 2026-08-31 |
Medicare Advantage 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| CHPW MCR ADV | CHPW MCR ADV | $387 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
| REGENCE BS MCR ADV - ALL PLANS | REGENCE BS MCR ADV - ALL PLANS | $375 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
| WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $375 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
Medicaid managed care 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $171 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | percent of total billed charges | Outpatient | 2026-08-31 |
| AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $110 | Clinic doctor’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
| CHPW CHIP | CHPW CHIP | $155 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW CHIP | CHPW CHIP | $99.91 | Clinic doctor’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
| CHPW HEALTHY OPTIONS | CHPW HEALTHY OPTIONS | $155 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW HEALTHY OPTIONS | CHPW HEALTHY OPTIONS | $99.91 | Clinic doctor’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
Other government program 2 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $375 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
| TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $161 | Clinic doctor’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
Unknown 4 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| CHPW BASIC HP | CHPW BASIC HP | $155 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW BASIC HP | CHPW BASIC HP | $99.91 | Clinic doctor’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $537 | Hospital’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | percent of total billed charges | Outpatient | 2026-08-31 |
| UHC ALL PAYER - ALL PLANS | UHC ALL PAYER - ALL PLANS | $223 | Clinic doctor’s fee | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | fee schedule | Outpatient | 2026-08-31 |
Doctors here who do this procedure
30 doctors affiliated with Summit Pacific Medical Center billed Traditional Medicare for New patient visit (60 min) in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.
| Doctor or practice | Practice | Medicare quality score | Times billed to Traditional Medicare (2024) | Traditional Medicare amount for their own service (2024) |
|---|---|---|---|---|
| Leo Kesting, MD | Providence Health And Services Washington | 168 | $214 | |
| John Miller, MD | Independent practice | 83 of 100 | 164 | $205 |
| Brent Tinnel, MD | Radiantcare Physicians PLLC | 106 | $177 | |
| Gregory Allen, MD, PHD | Radiantcare Physicians PLLC | 100 of 100 | 79 | $176 |
| Michael Connor, MD | Radiantcare Physicians PLLC | 100 of 100 | 77 | $177 |
| Xingwei Sui, MD | Providence Health And Services Washington | 54 | $219 | |
| Mijung Lee, MD | Providence Health And Services Washington | 45 | $214 | |
| Suchit Khanijao, MD | Providence Health And Services Washington | 45 | $210 | |
| Bojia Li, MD | Providence Health And Services Washington | 44 | $219 | |
| Richard Krug, MD | Surgical Associates PLLC | 89 of 100 | 44 | $217 |
| David Nesheim, MD | Providence Health And Services Washington | 43 | $219 | |
| Raul Manuel Cruz, MD | Providence Health And Services Washington | 43 | $214 | |
| Anish Konde, MD | Providence Health And Services Washington | 39 | $219 | |
| Rebecca Freeman, MD | Surgical Associates PLLC | 39 | $213 | |
| Allison Imel, PA-C | Independent practice | 34 | $186 | |
| David Brown, MD | Olympia Orthopaedic Associates PLLC | 33 | $214 | |
| Joseph Ye, MD, PHD | American Oncology Partners PA | 33 | $219 | |
| Rami Kafa, MD | Providence Health And Services Washington | 32 | $171 | |
| Hanan Batarseh, MD | Yakima Valley Memorial Physicians | 29 | $219 | |
| Brady Miller, MD | Providence Health And Services Washington | 28 | $219 | |
| Binod Wagle, MD | Providence Health And Services Oregon | 25 | $220 | |
| Philip Gibbs, MD | Independent practice | 26 of 100 | 24 | $212 |
| Frederick Jensen, MD | Independent practice | 23 | $210 | |
| Sarah Witecki, ARNP | Providence Health And Services Washington | 18 | $186 | |
| Niranjan Sivakumar, MD | Memorial Nephrology Associates PLLC | 16 | $208 | |
| Roger Chan, MD | Lewis County Hospital District No 1 | 16 | $219 | |
| Richard Redman, MD | Providence Health And Services Washington | 15 | $219 | |
| Thuan Nguyen, MD | Memorial Nephrology Associates PLLC | 14 | $207 | |
| Warangkhana Wongba, MD | Providence Health And Services Washington | 13 | $218 | |
| Tsering Dhondup, MD | Memorial Nephrology Associates PLLC | 11 | $203 |
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.