Forks Community Hospital

ForksClallam CountyCritical Access Hospitals

Specialist consultation (40 min)

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

What you may pay

With insurance from an employer or private plan: $130Only one plan lists a price here:
FIRST CHOICE-ALL PLANS $130 Lower than typical
Typical at 14 hospitals we cover: $141 to $234 (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): $354Typical hospital’s fee at 10 hospitals we cover: $159 to $290.

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).

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

Cash price 1 price

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

Cash price prices for Specialist consultation (40 min) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$354	Doctor’s fee	Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	—	Outpatient	2026-10-27

List price (before discounts) 1 price

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

List price (before discounts) prices for Specialist consultation (40 min) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$443	Doctor’s fee	Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	—	Outpatient	2026-10-27

Commercial insurance 1 price

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Commercial insurance prices for Specialist consultation (40 min) at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$130	Doctor’s fee	Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27

Medicare Advantage 1 price

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

Medicare Advantage prices for Specialist consultation (40 min) at Forks Community Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
UHC MCR ADV	UHC MCR ADV	$155	Doctor’s fee	Office or other outpatient consultation 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 5 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Medicaid managed care prices for Specialist consultation (40 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	$53.50	Doctor’s fee	Office or other outpatient consultation 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	$50.47	Doctor’s fee	Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$50.47	Doctor’s fee	Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$50.47	Doctor’s fee	Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
UHC MEDICAID	UHC MEDICAID	$50.47	Doctor’s fee	Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27

Unknown 4 prices

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

Unknown prices for Specialist consultation (40 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	$421	Doctor’s fee	Office or other outpatient consultation 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	$354	Doctor’s fee	Office or other outpatient consultation 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	$134	Doctor’s fee	Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	fee schedule	Outpatient	2026-10-27
UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	UHC ALL PAYER/DOCTORS PLAN/NEXUS-ALL OTHER PLANS	$177	Doctor’s fee	Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	percent of total billed charges	Outpatient	2026-10-27

Doctors here who do this procedure

We don’t have doctor data for this procedure yet. CMS publishes what doctors bill Traditional Medicare by billing code, and no Washington doctor billed this one often enough for CMS to publish it (11 or more patients a year).

See a price that looks wrong? Tell us about it.