Summit Pacific Medical Center
ElmaGrays Harbor CountyCritical Access Hospitals
Annual physical (new patient 40-64)
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
- $300 to $386
- CHPW PEBB - ALL OTHER PLANS $300 Typical
- FIRST CHOICE - ALL PLANS $343 Typical
- AETNA COMM - ALL PLANS $386 Higher than typical
- Paying yourself (cash price)
- $232 Lower than typical
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
14 published prices, grouped by who each price applies to.
Cash price 1 price
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $232 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | — | Outpatient | 2026-08-31 |
List price (before discounts) 1 price
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $429 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | — | Outpatient | 2026-08-31 |
Commercial insurance 3 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 | $386 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW PEBB - ALL OTHER PLANS | CHPW PEBB - ALL OTHER PLANS | $300 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | percent of total billed charges | Outpatient | 2026-08-31 |
| FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | $343 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | 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 | Initial new patient preventive medicine evaluation (40-64 years) | fee schedule | Outpatient | 2026-08-31 |
| REGENCE BS MCR ADV - ALL PLANS | REGENCE BS MCR ADV - ALL PLANS | $375 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | fee schedule | Outpatient | 2026-08-31 |
| WELLCARE MCR ADV - ALL PLANS | WELLCARE MCR ADV - ALL PLANS | $375 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | fee schedule | Outpatient | 2026-08-31 |
Medicaid managed care 3 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 | $109 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW CHIP | CHPW CHIP | $99.10 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | percent of total billed charges | Outpatient | 2026-08-31 |
| CHPW HEALTHY OPTIONS | CHPW HEALTHY OPTIONS | $99.10 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | percent of total billed charges | Outpatient | 2026-08-31 |
Other government program 1 price
| 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 | Initial new patient preventive medicine evaluation (40-64 years) | fee schedule | Outpatient | 2026-08-31 |
Unknown 2 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| CHPW BASIC HP | CHPW BASIC HP | $99.10 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | percent of total billed charges | Outpatient | 2026-08-31 |
| CIGNA - ALL PLANS | CIGNA - ALL PLANS | $343 | Hospital’s fee | Initial new patient preventive medicine evaluation (40-64 years) | percent of total billed charges | Outpatient | 2026-08-31 |
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.