Forks Community Hospital

ForksClallam CountyCritical Access Hospitals

Annual physical (new patient 40-64)

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

What you may pay

With insurance from an employer or private plan: $261 to $608Depends on your plan. Each plan’s price at this hospital:
AMBETTER CCWA EXCH - ALL PLANS $261 Typical
COMMUNITY HEALTH EXCHANGE $395 Higher than typical
MOLINA COMMERCIAL-ALL OTHER PLANS $559 Higher than typical
FIRST CHOICE-ALL PLANS $608 Higher than typical
Typical at 21 hospitals we cover: $192 to $343 (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): $486 Higher than typicalTypical hospital’s fee at 14 hospitals we cover: $239 to $360.

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).

22 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 Annual physical (new patient 40-64) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$486	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	—	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 Annual physical (new patient 40-64) at Forks Community Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$608	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	—	Outpatient	2026-10-27

Commercial insurance 4 prices

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

Commercial insurance prices for Annual physical (new patient 40-64) 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	$261	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
COMMUNITY HEALTH EXCHANGE	COMMUNITY HEALTH EXCHANGE	$395	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
FIRST CHOICE-ALL PLANS	FIRST CHOICE-ALL PLANS	$608	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
MOLINA COMMERCIAL-ALL OTHER PLANS	MOLINA COMMERCIAL-ALL OTHER PLANS	$559	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27

Medicare Advantage 5 prices

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

Medicare Advantage prices for Annual physical (new patient 40-64) 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	$225	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
HUMANA MCR ADV - ALL PLANS	HUMANA MCR ADV - ALL PLANS	$225	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICARE	MOLINA MEDICARE	$557	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	fee schedule	Outpatient	2026-10-27
UHC MCR ADV	UHC MCR ADV	$225	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
WELLCARE MED ADV - ALL PLANS	WELLCARE MED ADV - ALL PLANS	$261	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	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 Annual physical (new patient 40-64) 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	$223	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
COORDINATED CARE (MCO) MCD-ALL PLANS	COORDINATED CARE (MCO) MCD-ALL PLANS	$227	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
MOLINA MEDICAID	MOLINA MEDICAID	$210	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
REGENCE MEDICAID	REGENCE MEDICAID	$210	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
UHC MEDICAID	UHC MEDICAID	$271	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27

Other government program 2 prices

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

Other government program prices for Annual physical (new patient 40-64) 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	$274	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
TRIWEST-ALL PLANS	TRIWEST-ALL PLANS	$225	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27

Unknown 4 prices

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

Unknown prices for Annual physical (new patient 40-64) 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	$578	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
CIGNA-ALL PLANS	CIGNA-ALL PLANS	$608	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
PREMERA BLUE CROSS-ALL PLANS	PREMERA BLUE CROSS-ALL PLANS	$578	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	percent of total billed charges	Outpatient	2026-10-27
REGENCE-ALL OTHER PLANS	REGENCE-ALL OTHER PLANS	$350	Hospital’s fee	Initial new patient preventive medicine evaluation (40-64 years)	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.