Neck spine CT scan without contrast

CT scan of upper spine (neck) without contrast

Radiology ServicesCPT 72125

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

All hospitals we cover so far are in Washington; other states will appear here to compare as we add them.

Price estimate: Medicaid managed care

Typical Medicaid managed care rate$89.45middle of 20 hospitals
Lowest hospital$15.54
Highest hospital$1,507
Typical cash price$1,32837 hospitals

Typical range: $87.41 to $123. The middle half of the 20 hospitals we cover that list a Medicaid managed care rate for this procedure. Each hospital below is labeled lower than, within or higher than this range.

Each hospital’s figure is the middle of the rates it lists, one per plan. Hospitals that list several separate lines for one plan or for their cash price are shown with their range and left out of these figures: the lines may be parts of one bill that you pay together. This is what hospitals published, not a quote.

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.

Estimate what you’d pay

Three questions turn each hospital’s Medicaid managed care rate into your share. Nothing you enter leaves your browser.

Question 1 of 3

Have you met your deductible this year?

Your deductible is what you pay each year before your plan starts sharing costs. Your insurer’s app shows how much is left.

A rough estimate, not a quote. It leaves out copays, separate bills (such as the doctor or anesthesia), and whether a hospital is in your plan’s network. Your insurer can tell you your real cost.

Compare hospitals

50 hospitals with a Medicaid managed care rate, cash price or list price; 21 of them list Medicaid managed care rates. Lowest Medicaid managed care rate first.

Prices for Neck spine CT scan without contrast at the hospitals we cover. Negotiated rates are for Medicaid managed care.
HospitalQuality (CMS)Medicaid managed care rate (middle of plans)Compared with typicalCash priceList price (before discounts)
Skagit Valley HospitalMount Vernon, WA(360) 424-4111 3 of 5$15.54Middle of 5 plans; each plan sets its own price: $14.60 – $76.70 Lower than typical$2,010$2,512
MultiCare Valley HospitalSpokane Valley, WA(509) 924-6650 5 of 5$79.90Middle of 5 plans; each plan sets its own price: $79.12 – $83.78 Lower than typical$631$1,577
Deaconess Medical CenterSpokane, WA(509) 473-5800 3 of 5$80.47Middle of 5 plans; each plan sets its own price: $79.69 – $84.38 Lower than typical$631$1,577
Island HospitalAnacortes, WA(360) 299-1300 4 of 5$85.33Middle of 3 plans; each plan sets its own price: $82.23 – $89.21 Lower than typical$1,298$1,298
MultiCare Auburn Medical CenterAuburn, WA(253) 833-7711 2 of 5$87.41Middle of 5 plans; each plan sets its own price: $80.93 – $87.41 Typical$713$1,783
MultiCare Covington Medical CenterCovington, WA(253) 372-7400 3 of 5$87.41Middle of 5 plans; each plan sets its own price: $80.93 – $87.41 Typical$713$1,783
Capital Medical CenterOlympia, WA(360) 956-2550 3 of 5$88.71Middle of 5 plans; each plan sets its own price: $87.10 – $129 Typical$1,868$4,670
Mary Bridge Children's HospitalTacoma, WA(253) 403-1400Not rated by CMS$89.02Middle of 5 plans; each plan sets its own price: $82.42 – $89.02 Typical$713$1,783
Yakima Valley MemorialYakima, WA(509) 575-8000 1 of 5$89.25Middle of 5 plans; each plan sets its own price: $79.16 – $91.96 Typical$1,149$2,872
MultiCare Good Samaritan HospitalPuyallup, WA(253) 697-2102 2 of 5$89.43Middle of 5 plans; each plan sets its own price: $82.80 – $89.43 Typical$713$1,783
Tacoma General Allenmore HospitalTacoma, WA(253) 403-1000 2 of 5$89.46Middle of 5 plans; each plan sets its own price: $82.84 – $89.46 Typical$713$1,783
Olympic Medical CenterPort Angeles, WA(360) 417-7000 3 of 5$107Middle of 5 plans; each plan sets its own price: $102 – $112 Typical$1,207$1,509
Cascade Valley HospitalArlington, WA(360) 435-2133 4 of 5$119Middle of 4 plans; each plan sets its own price: $115 – $2,169 Typical$1,731$2,164
EvergreenHealth MonroeMonroe, WA(360) 794-7497 3 of 5$120 Typical$1,647$2,059
PeaceHealth Southwest Medical CenteVancouver, WA(360) 256-2000 3 of 5$121 Typical$1,254 – $1,2923 separate lines; open the hospital to see each one$1,929 – $1,9873 separate lines; open the hospital to see each one
PeaceHealth St Joseph Medical CenterBellingham, WA(360) 734-5400 4 of 5$130Middle of 2 plans; each plan sets its own price: $130 Higher than typical$1,918 – $1,9762 separate lines; open the hospital to see each one$2,951 – $3,0402 separate lines; open the hospital to see each one
PeaceHealth St John Medical CenterLongview, WA(360) 414-2000 4 of 5$131Middle of 3 plans; each plan sets its own price: $96.96 – $131 Higher than typical$1,431 – $1,4743 separate lines; open the hospital to see each one$2,202 – $2,2683 separate lines; open the hospital to see each one
St Elizabeth HospitalEnumclaw, WA(360) 825-2505 5 of 5$830Middle of 5 plans; each plan sets its own price: $783 – $954 Higher than typical$1,628$4,608
Cascade Medical CenterLeavenworth, WA(509) 548-5815Not rated by CMS$1,105Middle of 4 plans; each plan sets its own price: $1,105 – $1,661Includes the radiologist’s fee the hospital lists Higher than typical$1,590Includes the radiologist’s fee the hospital lists$1,987Includes the radiologist’s fee the hospital lists
Three Rivers HospitalBrewster, WA(509) 689-2517Not rated by CMS$1,771Includes the radiologist’s fee the hospital lists Higher than typical$2,530Includes the radiologist’s fee the hospital lists$2,530Includes the radiologist’s fee the hospital lists
BHC Fairfax HospitalKirkland, WA(425) 821-2000Not rated by CMSNot published—$1,400$1,400
Coulee Medical CenterGrand Coulee, WA(509) 633-1753Not rated by CMSNot published—$2,006$2,229
EvergreenHealth Medical CenterKirkland, WA(425) 899-1000 5 of 5Not published—$1,534$1,917
Harborview Medical CenterSeattle, WA(206) 744-9535 2 of 5Not published—$1,945$2,778
Highline Medical CenterBurien, WA(206) 431-5237 4 of 5Not published—$1,407$4,608
Kadlec Regional Medical CenterRichland, WA(509) 946-4611 4 of 5Not published—$1,644 – $1,8262 separate lines; open the hospital to see each one$2,349 – $2,6092 separate lines; open the hospital to see each one
Overlake Hospital Medical Center & ClinicsBellevue, WA(425) 688-5000 2 of 5Not published—$652$1,303
PeaceHealth Peace Island Medical CenterFriday Harbor, WA(360) 378-2141Not rated by CMSNot published—$1,892$2,910
PeaceHealth United General Medical CenterSedro Woolley, WA(360) 856-6021 3 of 5Not published—$1,715$2,639
Prov Sacred HRT Med Ctr & Childs Hosp.Spokane, WA(509) 474-3131 3 of 5Not published—$377 – $1,4972 separate lines; open the hospital to see each one$538 – $2,1392 separate lines; open the hospital to see each one
Providence Centralia HospitalCentralia, WA(360) 330-8530 3 of 5Not published—$1,004$1,931
Providence Holy Family HospitalSpokane, WA(509) 482-0111 3 of 5Not published—$347 – $1,9952 separate lines; open the hospital to see each one$496 – $2,8502 separate lines; open the hospital to see each one
Providence Mount Carmel HospitalColville, WA(509) 684-2561 3 of 5Not published—$1,108$1,583
Providence Regional Medical Center EverettEverett, WA(425) 261-2000 4 of 5Not published—$788$1,515
Providence St Joseph HospitalChewelah, WA(509) 935-8211Not rated by CMSNot published—$1,108$1,583
Providence St Mary Medical CenterWalla Walla, WA(509) 522-5900 3 of 5Not published—$1,080 – $1,3502 separate lines; open the hospital to see each one$1,543 – $1,9292 separate lines; open the hospital to see each one
Providence St Peter HospitalOlympia, WA(360) 493-7179 3 of 5Not published—$1,004$1,931
Seattle Children's HospitalSeattle, WA(206) 987-2000Not rated by CMS$27.73 – $94230 separate lines; open the hospital to see each oneNot compared: several separate lines$195 – $2,8992 separate lines; open the hospital to see each one$195 – $2,8993 separate lines; open the hospital to see each one
St Anthony HospitalGig Harbor, WA(253) 530-2050 5 of 5Not published—$1,402$4,608
St Clare HospitalLakewood, WA(253) 588-1711 4 of 5Not published—$1,328$4,608
St Francis Community HospitalFederal Way, WA(253) 944-8100 4 of 5Not published—$1,446$4,608
St Joseph Medical CenterTacoma, WA(253) 627-4101 3 of 5Not published—$1,526$4,608
St Michael Medical CenterSilverdale, WA(360) 377-3911 4 of 5Not published—$2,034$4,608
Swedish IssaquahIssaquah, WA(425) 313-4000 4 of 5Not published—$192 – $3042 separate lines; open the hospital to see each one$401 – $6342 separate lines; open the hospital to see each one
Swedish Medical CenterSeattle, WA(206) 386-6000 4 of 5Not published—$192 – $3042 separate lines; open the hospital to see each one$401 – $6342 separate lines; open the hospital to see each one
Swedish Medical Center / Cherry HillSeattle, WA(206) 320-2000 4 of 5Not published—$192 – $3042 separate lines; open the hospital to see each one$401 – $6342 separate lines; open the hospital to see each one
Trios HealthKennewick, WA(509) 586-6111 2 of 5Not published—Not published$4,591
University of Washington Medical CtrSeattle, WA(206) 598-3300 4 of 5Not published—$1,455$2,079
Virginia Mason Medical CenterSeattle, WA(206) 223-6600 5 of 5Not published—$733$1,437
WhidbeyHealth Medical CenterCoupeville, WA(360) 678-5151 2 of 5Not published—$125 – $2,3233 separate lines; open the hospital to see each one$125 – $2,3233 separate lines; open the hospital to see each one

Reading these prices

  • A higher price does not mean better care. Quality stars come from CMS and are shown separately; they don’t go into the price labels.
  • A hospital can list several rates for the same procedure, one per plan; we show the middle of them. When one plan, or the cash price, has several separate lines, they may be parts of one bill (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We show their range, don’t compare them yet, and list every line on the hospital’s page.
  • A very low rate can be one line item (for example, a supply charge), not the whole procedure.
  • Not published means the hospital’s own price file has no price of that kind for this service (some list insurer rates but leave the cash or list price blank). If you’re uninsured or paying yourself, ask the hospital for a Good Faith Estimate; federal law (No Surprises Act) requires one when you schedule or ask.

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

Doctors and practices

Doctors, independent practices, labs and centers in Washington that billed Traditional Medicare for Neck spine CT scan without contrast, most Medicare services first. Doctors with no hospital affiliation are included.

No hospital affiliation who billed Traditional Medicare for Neck spine CT scan without contrast
Doctor or practicePracticeHospital affiliationsMedicare quality scoreTimes billed to Traditional Medicare (2024)Traditional Medicare amount for their own service (2024)
Asif Abdullah, MDDiagnostic Radiology · TacomaNot on fileNone on fileNot rated585$46.45 at a hospital or surgery center
John Kim, MDDiagnostic Radiology · SeattleNot on fileNone on file91 of 100CMS MIPS 2024, reported by their group305$44.25 at a hospital or surgery center
Christopher Potter, MDDiagnostic Radiology · SeattleThe Association Of University PhysiciansGroup of 3,535 cliniciansNone on fileNot rated271$47.70 at a hospital or surgery center
Michael Berven, MDDiagnostic Radiology · BothellNot on fileNone on fileNot rated245$43.29 at a hospital or surgery center
Mark Mayhle, MDDiagnostic Radiology · LynnwoodSwedish Health ServicesGroup of 1,037 cliniciansNone on fileNot rated224$48.44 at a hospital or surgery center
Stephen Eigles, MDDiagnostic Radiology · SeattleNot on fileNone on fileNot rated213$46.30 at a hospital or surgery center
Zafar Bajwa, MDDiagnostic Radiology · SeattleNot on fileNone on file96 of 100CMS MIPS 2024, reported by their group210$44.00 at a hospital or surgery center
Lawrence Rose, MDDiagnostic Radiology · VancouverWinchester Radiologists PCGroup of 79 cliniciansNone on fileNot rated199$45.65 at a hospital or surgery center
Evan Johnson, MDInterventional Radiology · SeattleChristiana Care Health Services IncGroup of 1,483 cliniciansNone on fileNot rated189$50.55 at a hospital or surgery center
Marc Koenig, MDDiagnostic Radiology · LynnwoodSwedish Health ServicesGroup of 1,037 cliniciansNone on fileNot rated183$43.58 at a hospital or surgery center
Patrick Cox, MD, PHDDiagnostic Radiology · LynnwoodAmerican Radiology Consultants PLLCGroup of 119 cliniciansNone on fileNot rated177$45.46 at a hospital or surgery center
David Tu Nguyen, DODiagnostic Radiology · TacomaReono Bertagnolli A Medical GroupGroup of 47 cliniciansNone on file94 of 100CMS MIPS 2024, reported by their group170$45.78 at a hospital or surgery center
Howard Nelson, MDDiagnostic Radiology · VancouverNot on fileNone on file78 of 100CMS MIPS 2024, reported by their group169$46.17 at a hospital or surgery center
Shannon St. Clair, MDDiagnostic Radiology · BellinghamState University Of IowaGroup of 1,897 cliniciansNone on fileNot rated168$44.46 at a hospital or surgery center
Gregory Morris, MDDiagnostic Radiology · EdmondsSt Vincent Medical GroupGroup of 240 cliniciansNone on fileNot rated147$49.08 at a hospital or surgery center
Ryan Joyce, MDDiagnostic Radiology · SeattleNew York UniversityGroup of 6,134 cliniciansNone on fileNot rated147$50.37 at a hospital or surgery center$49.45 in the office
Mohammad Taheri, MD, PHDDiagnostic Radiology · SeattleNot on fileNone on fileNot rated141$49.22 at a hospital or surgery center
William Lewis, DODiagnostic Radiology · TacomaNot on fileNone on file97 of 100CMS MIPS 2024, reported by their group134$44.24 at a hospital or surgery center
Justin Dodge, MDDiagnostic Radiology · TacomaMori Bean And Brooks IncGroup of 977 cliniciansNone on fileNot rated131$45.95 at a hospital or surgery center
Erik Velez, MDDiagnostic Radiology · VancouverThe Vancouver Clinic Inc PSGroup of 590 cliniciansNone on fileNot rated125$48.58 at a hospital or surgery center$68.94 in the office
Jesse Knight, MDDiagnostic Radiology · SilverdaleCumberland County Hospital System IncGroup of 574 cliniciansNone on fileNot rated125$46.59 at a hospital or surgery center
Sophie Cowan, MDDiagnostic Radiology · LynnwoodMadison Radiologists S CGroup of 57 cliniciansNone on fileNot rated125$49.08 at a hospital or surgery center
Eric BreadyDiagnostic Radiology · SpokaneNot on fileNone on fileNot rated116$42.75 at a hospital or surgery center
Howard Molitch, MDDiagnostic Radiology · SeattleVirtual Radiologic Professionals LLCGroup of 397 cliniciansNone on fileNot rated110$49.54 at a hospital or surgery center
Brian Eichinger, MDDiagnostic Radiology · TacomaShannon ClinicGroup of 559 cliniciansNone on fileNot rated109$44.51 at a hospital or surgery center
Isaac Reeve, MDDiagnostic Radiology · RichlandNot on fileNone on fileNot rated108$44.32 at a hospital or surgery center
Scott Vanderheiden, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated104$47.88 at a hospital or surgery center
Daniel Pak, MDDiagnostic Radiology · YakimaNot on fileNone on file100 of 100CMS MIPS 2024, reported by their group103$45.37 at a hospital or surgery center
Uhng-Kyu Shim, MDDiagnostic Radiology · BellevueVirtual Radiologic Professionals LLCGroup of 397 cliniciansNone on fileNot rated97$48.71 at a hospital or surgery center
Mark Broadbent, MDDiagnostic Radiology · TacomaRadiology Associates LLCGroup of 83 cliniciansNone on fileNot rated89$45.13 at a hospital or surgery center
David Blood, MDDiagnostic Radiology · WenatcheeNot on fileNone on fileNot rated86$48.71 at a hospital or surgery center
Evan Narasimhan, MDDiagnostic Radiology · SeattleNot on fileNone on file100 of 100CMS MIPS 2024, reported by their group84$43.24 at a hospital or surgery center
Daniel Fullmer, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated82$44.73 at a hospital or surgery center
Lakhwant Singh, DODiagnostic Radiology · SilverdaleNot on fileNone on file79 of 100CMS MIPS 2024, reported by their group78$44.82 at a hospital or surgery center
Thomas Sullivan, MDDiagnostic Radiology · BellevueCorvallis Radiology PCGroup of 56 cliniciansNone on file94 of 100CMS MIPS 2024, reported by their group75$44.07 at a hospital or surgery center
Harrison March, MDDiagnostic Radiology · LynnwoodNot on fileNone on file92 of 100CMS MIPS 2024, reported by their group71$45.63 at a hospital or surgery center
Andrew Dearden, MDDiagnostic Radiology · SeattleNot on fileNone on fileNot rated69$47.33 at a hospital or surgery center
Margaret Chapman, MDDiagnostic Radiology · SeattleNew York UniversityGroup of 6,134 cliniciansNone on fileNot rated69$73.98 in the office
Robert DunlapDiagnostic Radiology · SeattleNot on fileNone on file85 of 100CMS MIPS 2024, reported by their group66$44.12 at a hospital or surgery center
Benjamin Park, DODiagnostic Radiology · BothellNot on fileNone on fileNot rated65$45.64 at a hospital or surgery center
James Brittin, MDDiagnostic Radiology · SeattleShannon ClinicGroup of 559 cliniciansNone on file94 of 100CMS MIPS 2024, reported by their care program (APM)61$47.02 at a hospital or surgery center
Phillip Setran, MDDiagnostic Radiology · VancouverNot on fileNone on fileNot rated56$45.78 at a hospital or surgery center
Thomas Keskey, MDDiagnostic Radiology · TacomaNot on fileNone on fileNot rated55$45.32 at a hospital or surgery center
Ly Huynh, MDDiagnostic Radiology · VancouverTexas Radiology Associates LLPGroup of 153 cliniciansNone on file91 of 100CMS MIPS 2024, reported by their group54$45.33 at a hospital or surgery center
Prabhakar Kesava, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated54$44.27 at a hospital or surgery center
Jason Hibbard, MDDiagnostic Radiology · SeattleNot on fileNone on fileNot rated52$44.95 at a hospital or surgery center
Parag Rami, MDInterventional Radiology · TacomaNot on fileNone on fileNot rated48$47.66 at a hospital or surgery center
Laura Hotchkiss, MDDiagnostic Radiology · Liberty LakeCarolinas Physicians Network IncGroup of 2,325 cliniciansNone on fileNot rated45$45.99 at a hospital or surgery center
William Kuhle, MDDiagnostic Radiology · VancouverNot on fileNone on fileNot rated41$45.57 at a hospital or surgery center
Alireza Abadi, MDDiagnostic Radiology · SeattleThe Association Of University PhysiciansGroup of 3,535 cliniciansNone on file94 of 100CMS MIPS 2024, reported by their care program (APM)39$48.84 at a hospital or surgery center
Ceayee Mak, MDDiagnostic Radiology · SeattleNot on fileNone on file100 of 100CMS MIPS 2024, reported by their group36$48.23 at a hospital or surgery center
Carrie Marder, MDDiagnostic Radiology · SeattleNot on fileNone on file79 of 100CMS MIPS 2024, reported by their group34$107 in the office
James DunnDiagnostic Radiology · SpokaneNot on fileNone on file85 of 100CMS MIPS 2024, reported by their group31$43.42 at a hospital or surgery center
Joshua KnightDiagnostic Radiology · SpokaneNot on fileNone on file100 of 100CMS MIPS 2024, reported by their group31$48.36 at a hospital or surgery center
Matthew ShutskeDiagnostic Radiology · SilverdaleCentral Illinois Radiological Associates LTDGroup of 209 cliniciansNone on fileNot rated31$45.58 at a hospital or surgery center
Erik Borgnes, MDDiagnostic Radiology · EverettNot on fileNone on file97 of 100CMS MIPS 2024, reported by their group30$45.81 at a hospital or surgery center
Alan Chan, MDDiagnostic Radiology · LynnwoodQueens University Medical GroupGroup of 614 cliniciansNone on fileNot rated25$48.42 at a hospital or surgery center
Alekhya YechoorDiagnostic Radiology · SeattleNot on fileNone on fileNot rated25$45.17 at a hospital or surgery center
Frederick Kash, MDDiagnostic Radiology · LynnwoodConcord Radiology PLLCGroup of 225 cliniciansNone on fileNot rated25$44.13 at a hospital or surgery center
Sumathi Wable, MDDiagnostic Radiology · SeattleNot on fileNone on fileNot rated24$46.86 at a hospital or surgery center
Cameron Evans, MDDiagnostic Radiology · KelsoNot on fileNone on file96 of 100CMS MIPS 2024, reported by their group23$43.27 at a hospital or surgery center
Jessica Mchugh, MDFamily Practice · SeattleMulticare Health SystemGroup of 2,325 cliniciansNone on fileNot rated23$76.76 in the office
Thomas Markel, MDDiagnostic Radiology · VancouverNot on fileNone on fileNot rated23$43.20 at a hospital or surgery center
Julie Lee, MDDiagnostic Radiology · LynnwoodNot on fileNone on file95 of 100CMS MIPS 2024, reported by their group22$48.22 at a hospital or surgery center
Michael Park, DODiagnostic Radiology · TacomaNot on fileNone on file79 of 100CMS MIPS 2024, reported by their group22$75.49 in the office
Alaa Elmaoued, MDDiagnostic Radiology · SeattleNot on fileNone on file94 of 100CMS MIPS 2024, reported by their care program (APM)20$45.66 at a hospital or surgery center
Harold Scott, MDDiagnostic Radiology · Federal WayMedical Scanning Consultants PAGroup of 84 cliniciansNone on file75 of 100CMS MIPS 202420$113 in the office
Dara Omer, MDDiagnostic Radiology · KirklandNot on fileNone on fileNot rated19$43.99 at a hospital or surgery center
Joseph Herring, MDDiagnostic Radiology · SeattleNot on fileNone on fileNot rated19$45.25 at a hospital or surgery center
Roderick Saxey, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated18$44.99 at a hospital or surgery center
Amy Condos, MDDiagnostic Radiology · SeattleNot on fileNone on file94 of 100CMS MIPS 2024, reported by their care program (APM)17$48.68 at a hospital or surgery center
Steven Pollei, MDDiagnostic Radiology · Federal WayMedical Scanning Consultants PAGroup of 84 cliniciansNone on file75 of 100CMS MIPS 202416$96.07 in the office
Victoria Campbell, MDDiagnostic Radiology · SeattleThe Association Of University PhysiciansGroup of 3,535 cliniciansNone on fileNot rated16$47.22 at a hospital or surgery center
Jessica Germino, MDDiagnostic Radiology · SeattleNot on fileNone on file94 of 100CMS MIPS 2024, reported by their group15$45.09 at a hospital or surgery center
Leah Kiviat, MDDiagnostic Radiology · SeattleSkagit Radiology Inc P SGroup of 40 cliniciansNone on fileNot rated15$45.13 at a hospital or surgery center
Michael Peters, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated15$48.24 at a hospital or surgery center
Lee Mitsumori, MDDiagnostic Radiology · SeattleNot on fileNone on file84 of 100CMS MIPS 2024, reported by their group14$46.16 at a hospital or surgery center
Loren Laybourn, MDDiagnostic Radiology · AberdeenNot on fileNone on fileNot rated14$57.31 at a hospital or surgery center
John Falardeau, MDDiagnostic Radiology · SeattleNot on fileNone on fileNot rated12$48.84 at a hospital or surgery center
Virginia Mason Medical CenterIndependent Diagnostic Testing Facility (IDTF) · SeattlePractice, lab or centerNone on fileNot rated11$89.65 in the office

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.
  • Independent practice means CMS lists no group for the doctor, or a group of one. None on file for hospitals is common for office-based doctors and doesn’t mean anything is wrong.