Prov Sacred HRT Med Ctr & Childs Hosp.
SpokaneSpokane CountyAcute Care Hospitals
Abdominal ultrasound (limited)
Quality: 3 of 5 (CMS overall rating)Earliest available date: call (509) 474-3131
What you may pay
- With insurance from an employer or private plan
- $197 to $678
- Molina: Exchange $197 Lower than typical
- Blue Cross: Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan $210 Lower than typical
- First Choice: All Commercial Plans $403 Typical
- Aetna: All Commercial Plans $678 Higher than typical
- Paying yourself (cash price)
- $205 – $1,025
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
Bills to expect
A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (Washington outside King County) and an estimate for private plans.
| Bill | Who sends it | How likely | Status | Traditional Medicare allows | Private plans (estimate) |
|---|---|---|---|---|---|
| Hospital's fee | The hospital | Expected | Published by the hospital: the prices above | — | — |
| Radiologist | The radiology group | Expected | Billed separately; amount estimated | $28 | $33 to $50 |
| Ordering doctor's visit | Your doctor | Possible | Billed separately; not priced | — | — |
What you’d pay for these bills
You pay about $46 to $49 of about $230 to $247 billed to your plan.
How each bill comes to you
Hospital's fee
- The provider's charge
- Not published
- Allowed amount
- $197
- Your plan pays
- $158
- Your coinsurance
- $39.38
- You owe
- $39.38
Radiologist
- The provider's charge
- Not published
- Allowed amount
- $32.77
- Your plan pays
- $26.21
- Your coinsurance
- $6.55
- You owe
- $6.55
- All bills: allowed amounts
- $230
- Your plan pays
- $184
- You owe in all
- $45.93
Who owes what, and when you might owe more
- The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
- Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
- Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
- Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
- Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
- Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
- Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
- Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
- A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
- Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
- Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
- If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.
Get it confirmed before your care
The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.
Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.
Prov Sacred HRT Med Ctr & Childs Hosp.
Request to send
Subject: Estimate request: abdominal ultrasound (limited) at Prov Sacred HRT Med Ctr & Childs Hosp. Hello, I am planning a abdominal ultrasound (limited) (billing code CPT 76705) at Prov Sacred HRT Med Ctr & Childs Hosp.. Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use. Name: [YOUR NAME] Date of birth: [DATE OF BIRTH] Insurance: [PLAN NAME], member ID [MEMBER ID] Planned date: [DATE, IF KNOWN] Thank you.
If you call. Call (509) 474-3131 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my abdominal ultrasound (limited)."
27 published prices, grouped by who each price applies to.
Cash price 3 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $205 | Hospital’s fee | HC US ABDOMEN LIMITED | — | Outpatient | 2026-04-01 |
| $1,025 | Hospital’s fee | HC US ABDOMEN LIMITED | — | Inpatient or outpatient | 2026-04-01 |
| $1,025 | Hospital’s fee | HC US ED ABDOMEN LIMITED CDM | — | Inpatient or outpatient | 2026-04-01 |
List price (before discounts) 3 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $293 | Hospital’s fee | HC US ABDOMEN LIMITED | — | Outpatient | 2026-04-01 |
| $1,464 | Hospital’s fee | HC US ED ABDOMEN LIMITED CDM | — | Inpatient or outpatient | 2026-04-01 |
| $1,464 | Hospital’s fee | HC US ABDOMEN LIMITED | — | Inpatient or outpatient | 2026-04-01 |
Commercial insurance 14 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Aetna | All Commercial Plans | $678 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Blue Cross | Premera - Lifewise Health Plan Of Washington Affordable Care Network Other Commercial Plan | $210 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Blue Cross | Premera All Commercial Plans | $285 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Blue Cross | Premera Heritage Signature Exchange | $221 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Blue Shield | Asuris All Commercial Plans | $290 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Cigna | All Commercial Plans | $377 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Coordinated Care | Exchange | $216 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| First Choice | All Commercial Plans | $403 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Kaiser | All Commercial Plans | $294 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Molina | Exchange | $197 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Providence Health Plan | All Commercial Plans | $296 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Unitedhealthcare | Aco Tiered Other Commercial Plan | $314 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Unitedhealthcare | All Commercial Plans | $386 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Unitedhealthcare | Navigate Exchange | $344 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
Medicare Advantage 7 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Aetna | Medicare Managed Care - Hmo | $120 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Aetna | Medicare Managed Care - Ppo | $121 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Blue Shield | Asuris Medicare Managed Care Plan | $126 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Cigna | Medicare Managed Care Plan | $140 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Community Health Plan | Medicare Managed Care Plan | $128 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Kaiser | Medicare Managed Care Plan | $117 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
| Unitedhealthcare | Medicare Managed Care Plan | $122 | Hospital’s fee | Echo exam of abdomen | fee schedule | Outpatient | 2026-04-01 |
Doctors here who do this procedure
41 doctors affiliated with Prov Sacred HRT Med Ctr & Childs Hosp. billed Traditional Medicare for Abdominal ultrasound (limited) in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.
| Doctor or practice | Practice | Medicare quality score | Times billed to Traditional Medicare (2024) | Traditional Medicare amount for their own service (2024) |
|---|---|---|---|---|
| Scott Hoefer, MD | The Polyclinic PLLC | 355 | $26.65 | |
| Gregory Balmforth, MD | The Polyclinic PLLC | 230 | $26.46 | |
| Wendy Ehieli, MD | The Polyclinic PLLC | 217 | $26.82 | |
| Gregory Kujawski, DO | The Polyclinic PLLC | 215 | $26.67 | |
| Terri Lewis, MD | Inland Imaging LLC | 194 | $27.58 | |
| Eric Graham, MD | The Polyclinic PLLC | 157 | $26.86 | |
| Michael Posch, MD | The Polyclinic PLLC | 143 | $28.64 | |
| Philip Smith, MD | The Polyclinic PLLC | 143 | $27.98 | |
| Scott King, MD | The Polyclinic PLLC | 142 | $26.71 | |
| Robert Townsend | Inland Imaging LLC | 137 | $26.54 | |
| Seth Gillham, MD | Oregon Healthcare Resources LLC | 137 | $26.59 | |
| Ishwar Bhat, MD | The Polyclinic PLLC | 127 | $28.55 | |
| George Keng, MD | The Polyclinic PLLC | 115 | $26.45 | |
| Shawn Jones, MD | Inland Imaging LLC | 96 | $26.90 | |
| David Keaton, MD | The Polyclinic PLLC | 86 | $25.75 | |
| Samuel Plesner, DO | The Polyclinic PLLC | 82 | $26.36 | |
| Allison Tillack, MD, PHD | The Polyclinic PLLC | 81 | $25.85 | |
| Rupinder Penna, DO | The Polyclinic PLLC | 75 | $27.88 | |
| Terry Chun, MD | Oregon Healthcare Resources LLC | 73 | $26.61 | |
| Jeffrey Nackos, MD | The Polyclinic PLLC | 62 | $26.72 | |
| Jade Regan, DO | The Polyclinic PLLC | 60 | $26.81 | |
| James Buratto, MD | Oregon Healthcare Resources LLC | 57 | $26.88 | |
| Zachary Winter, MD | The Polyclinic PLLC | 47 | $26.19 | |
| Jennifer Xiao, MD | Kaiser Foundation Health Plan Of Washington | 46 | $28.21 | |
| Marc Bruce, MD | Oregon Healthcare Resources LLC | 44 | $26.47 | |
| Steven Wilhelm, MD | The Polyclinic PLLC | 35 | $26.84 | |
| Scott Bruschwein, MD | Inland Imaging LLC | 33 | $26.62 | |
| Julie Kaczmark, MD | Inland Imaging LLC | 31 | $26.36 | |
| Richard Casey, MD | Oregon Healthcare Resources LLC | 29 | $26.33 | |
| Brian Rich, MD | Inland Imaging LLC | 26 | $26.42 | |
| Chen Yin, MD | Multicare Health System | 25 | $26.40 | |
| Patrick Davis, MD | Inland Imaging LLC | 25 | $26.46 | |
| Matthew Curtis, MD, PHD | Inland Imaging LLC | 24 | $26.39 | |
| Paula Shepherd, MD | Inland Imaging LLC | 24 | $28.03 | |
| Jace Hilton, DO | The Polyclinic PLLC | 22 | $26.37 | |
| Logan Beebe, DO | Oregon Healthcare Resources LLC | 20 | $26.70 | |
| Sadaf Zaidi, MD | The Polyclinic PLLC | 20 | $26.75 | |
| David Holt, MD | Oregon Healthcare Resources LLC | 19 | $26.82 | |
| Amy Henkel, MD | Inland Imaging LLC | 16 | $26.64 | |
| David Thayer, MD | Inland Imaging LLC | 16 | $25.81 | |
| David Kim, MD | Inland Imaging LLC | 13 | $26.80 |
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.
See a price that looks wrong? Tell us about it.