Forks Community Hospital

ForksClallam CountyCritical Access Hospitals

New patient visit (60 min)

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

What you may pay

With insurance from an employer or private plan: $549 to $1,073Depends on your plan. Each plan’s price at this hospital:
AMBETTER CCWA EXCH - ALL PLANS $549 Typical
COMMUNITY HEALTH EXCHANGE $767 Typical
MOLINA COMMERCIAL-ALL OTHER PLANS $939 Higher than typical
FIRST CHOICE-ALL PLANS $1,073 Higher than typical
Typical at 18 hospitals we cover: $350 to $593 (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): $857 Higher than typicalTypical hospital’s fee at 24 hospitals we cover: $247 to $364.Hospital’s fee $677 + doctor’s fee $181, 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 (60 min) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$677	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	2026-10-27
$181	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	2026-10-27

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 (60 min) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$846	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	2026-10-27
$226	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	2026-10-27

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 (60 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	$363	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	2026-10-27
AMBETTER CCWA EXCH - ALL PLANS	AMBETTER CCWA EXCH - ALL PLANS	$186	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	2026-10-27
COMMUNITY HEALTH EXCHANGE	COMMUNITY HEALTH EXCHANGE	$550	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	2026-10-27
COMMUNITY HEALTH EXCHANGE	COMMUNITY HEALTH EXCHANGE	$217	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	2026-10-27
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$846	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	2026-10-27
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$227	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	2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANS	MOLINA COMMERCIAL-ALL OTHER PLANS	$778	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	2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANS	MOLINA COMMERCIAL-ALL OTHER PLANS	$161	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	2026-10-27

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 (60 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	$313	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	2026-10-27
HUMANA MCR ADV - ALL PLANS	HUMANA MCR ADV - ALL PLANS	$313	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	2026-10-27
MOLINA MEDICARE	MOLINA MEDICARE	$557	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	2026-10-27
UHC MCR ADV	UHC MCR ADV	$313	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	2026-10-27
UHC MCR ADV	UHC MCR ADV	$78.98	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	percent of total billed charges	Outpatient	2026-10-27
WELLCARE MED ADV - ALL PLANS	WELLCARE MED ADV - ALL PLANS	$363	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	2026-10-27

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 (60 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	$310	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	2026-10-27
AMERIGROUP MEDICAID-ALL PLANS	AMERIGROUP MEDICAID-ALL PLANS	$166	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	2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANS	COORDINATED CARE (MCO) MCD-ALL PLANS	$316	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	2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANS	COORDINATED CARE (MCO) MCD-ALL PLANS	$156	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	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$293	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	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$156	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	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$293	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	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$156	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	2026-10-27
UHC MEDICAID	UHC MEDICAID	$377	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	2026-10-27
UHC MEDICAID	UHC MEDICAID	$156	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	2026-10-27

Other government program 5 prices

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

Other government program prices for New patient visit (60 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	$381	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	2026-10-27
TRICARE-ALL PLANS	TRICARE-ALL PLANS	$162	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	2026-10-27
TRIWEST-ALL PLANS	TRIWEST-ALL PLANS	$313	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	2026-10-27
TRIWEST-ALL PLANS	TRIWEST-ALL PLANS	$161	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	2026-10-27
VA-IHS - ALL PLANS	VA-IHS - ALL PLANS	$161	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	2026-10-27

Unknown 8 prices

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

Unknown prices for New patient visit (60 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	$804	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	2026-10-27
AETNA-ALL PLANS	AETNA-ALL PLANS	$214	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	percent of total billed charges	Outpatient	2026-10-27
CIGNA-ALL PLANS	CIGNA-ALL PLANS	$846	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	2026-10-27
CIGNA-ALL PLANS	CIGNA-ALL PLANS	$181	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	percent of total billed charges	Outpatient	2026-10-27
PREMERA BLUE CROSS-ALL PLANS	PREMERA BLUE CROSS-ALL PLANS	$804	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	2026-10-27
PREMERA BLUE CROSS-ALL PLANS	PREMERA BLUE CROSS-ALL PLANS	$234	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	2026-10-27
REGENCE-ALL OTHER PLANS	REGENCE-ALL OTHER PLANS	$487	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	2026-10-27
UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	$223	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	2026-10-27

Doctors here who do this procedure

11 doctors affiliated with Forks Community Hospital 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.

Doctors affiliated with Forks Community Hospital who billed Traditional Medicare for New patient visit (60 min)
Doctor or practice	Practice	Medicare quality score	Times billed to Traditional Medicare (2024)	Traditional Medicare amount for their own service (2024)
Manuel Macapinlac, MDMedical Oncology · Sequim	Olympic Medical PhysiciansGroup of 110 clinicians	89 of 100CMS MIPS 2024, reported by their group	128	$173 at a hospital or surgery center
Martin Palmer, MDHematology/Oncology · SequimOffers telehealth visits	Olympic Medical PhysiciansGroup of 110 clinicians	82 of 100CMS MIPS 2024, reported by their group	83	$177 in the office (no hospital amount)
Zina Hajduczok, MDCardiovascular Disease (Cardiology) · Port Angeles	Olympic Medical PhysiciansGroup of 110 clinicians	Not rated	75	$179 at a hospital or surgery center
Amir Kazerouninia, MD PHDCardiovascular Disease (Cardiology) · Port Angeles	Franciscan Medical GroupGroup of 1,421 clinicians	82 of 100CMS MIPS 2024, reported by their group	50	$178 at a hospital or surgery center
Jennifer WishinskiNurse Practitioner · Bainbridge IslandOffers telehealth visits	Virginia Mason Medical CenterGroup of 867 clinicians	Not rated	41	$182 in the office (no hospital amount)
Zinnia San Juan, MDEndocrinology · BremertonOffers telehealth visits	Franciscan Medical GroupGroup of 1,421 clinicians	Not rated	21	$219 in the office (no hospital amount)
Matthew Voorsanger, MDCardiovascular Disease (Cardiology) · PoulsboOffers telehealth visits	Franciscan Medical GroupGroup of 1,421 clinicians	Not rated	20	$219 in the office (no hospital amount)
Patrick Goleski, MDInterventional Cardiology · SeattleOffers telehealth visits	Franciscan Medical GroupGroup of 1,421 clinicians	Not rated	20	$218 in the office (no hospital amount)
Allen Rassa, MDInterventional Cardiology · BremertonOffers telehealth visits	Franciscan Medical GroupGroup of 1,421 clinicians	Not rated	16	$206 in the office (no hospital amount)
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	12	$178 at a hospital or surgery center
Thomas Fitzgerald, MD PH DHematology/Oncology · Sequim	Kaiser Foundation Health Plan Of WashingtonGroup of 1,526 clinicians	Not rated	11	$163 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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