PeaceHealth Southwest Medical Cente
VancouverClark CountyAcute Care Hospitals
Kidney ultrasound (complete)
Quality: 3 of 5 (CMS overall rating)Earliest available date: call (360) 256-2000
What you may pay
- With insurance from an employer or private plan
- $46.37 to $376
- Molina Healthcare of WA $46.37
- First Choice Health $106
- PremeraFirst: LifeWise Alpine $185 Lower than typical
- Pacific Source: Commercial PSN/Voyager $203 Lower than typical
- Regence Blue Shield $337 Typical
- Providence Health Plan $376 Typical
- Paying yourself (cash price)
- $588 – $600
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 | $35 | $41 to $62 |
| Ordering doctor's visit | Your doctor | Possible | Billed separately; not priced | — | — |
What you’d pay for these bills
You pay about $45 to $49 of about $226 to $247 billed to your plan.
How each bill comes to you
Hospital's fee
- The provider's charge
- Not published
- Allowed amount
- $185
- Your plan pays
- $148
- Your coinsurance
- $37.10
- You owe
- $37.10
Radiologist
- The provider's charge
- Not published
- Allowed amount
- $40.73
- Your plan pays
- $32.59
- Your coinsurance
- $8.15
- You owe
- $8.15
- All bills: allowed amounts
- $226
- Your plan pays
- $181
- You owe in all
- $45.25
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.
PeaceHealth Southwest Medical Cente
Request to send
Subject: Estimate request: kidney ultrasound (complete) at PeaceHealth Southwest Medical Cente Hello, I am planning a kidney ultrasound (complete) (billing code CPT 76770) at PeaceHealth Southwest Medical Cente. 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 (360) 256-2000 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my kidney ultrasound (complete)."
50 published prices, grouped by who each price applies to.
Cash price 2 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $588 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | — | Outpatient | — |
| $600 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | — | Outpatient | — |
List price (before discounts) 2 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $905 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | — | Outpatient | — |
| $923 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | — | Outpatient | — |
Commercial insurance 12 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| First Choice Health | Commercial | $106 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | fee schedule | Outpatient | — |
| First Choice Health | Commercial | $106 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | fee schedule | Outpatient | — |
| Molina Healthcare of WA | Commercial | $46.37 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Molina Healthcare of WA | Commercial | $46.37 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Pacific Source | Commercial PSN/Voyager | $203 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | fee schedule | Outpatient | — |
| Pacific Source | Commercial PSN/Voyager | $203 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | fee schedule | Outpatient | — |
| PremeraFirst | LifeWise Alpine | $185 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| PremeraFirst | LifeWise Alpine | $185 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Providence Health Plan | Commercial | $376 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Providence Health Plan | Commercial | $376 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Regence Blue Shield | Commercial | $337 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Regence Blue Shield | Commercial | $337 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
Medicare Advantage 26 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Aetna Health | Medicare Advantage | $128 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Aetna Health | Medicare Advantage | $128 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Atrio Health Plans | Medicare Advantage | $133 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Atrio Health Plans | Medicare Advantage | $133 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Devoted | Medicare Advantage | $122 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Devoted | Medicare Advantage | $122 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Health Net Health Plan | Medicare Advantage | $128 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Health Net Health Plan | Medicare Advantage | $128 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Humana Health Plan | Medicare HMO/PPO | $128 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Humana Health Plan | Medicare HMO/PPO | $128 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Kaiser Northwest | Medicare Advantage | $121 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Kaiser Northwest | Medicare Advantage | $121 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Moda Health Plan | Medicare Advantage | $116 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Moda Health Plan | Medicare Advantage | $116 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Molina Healthcare of WA | Medicare Advantage | $124 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Molina Healthcare of WA | Medicare Advantage | $124 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Pacific Source | Medicare Advantage HMO and PPO | $122 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Pacific Source | Medicare Advantage HMO and PPO | $122 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Regence Blue Shield | Medicare Advantage HMO | $119 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Regence Blue Shield | Medicare Advantage HMO | $119 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Regence Blue Shield | Medicare Advantage PPO | $119 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Regence Blue Shield | Medicare Advantage PPO | $119 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| United Healthcare | Medicare Advantage | $122 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| United Healthcare | Medicare Advantage | $122 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Wellcare | Medicare Advantage | $128 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| Wellcare | Medicare Advantage | $128 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
Medicaid managed care 2 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Kaiser Northwest | Managed Medicaid | $121 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| Kaiser Northwest | Managed Medicaid | $121 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
Unknown 6 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| Pacific Source | Coordinated Care (Ind and NonInd) | $192 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | fee schedule | Outpatient | — |
| Pacific Source | Coordinated Care (Ind and NonInd) | $192 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | fee schedule | Outpatient | — |
| United Healthcare | All Payer Appendix | $324 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| United Healthcare | All Payer Appendix | $324 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
| United Healthcare | Doctors Plan | $306 | Hospital’s fee | COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY | other | Outpatient | — |
| United Healthcare | Doctors Plan | $306 | Hospital’s fee | US EXAM ABDO BACK WALL COMP | other | Outpatient | — |
Doctors here who do this procedure
12 doctors affiliated with PeaceHealth Southwest Medical Cente billed Traditional Medicare for Kidney ultrasound (complete) 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) |
|---|---|---|---|---|
| Ryan Herde, MD | Legacy Salmon Creek Hospital | 66 | $34.24 | |
| Kenneth Hebert, MD | Central Washington Health Services Association | 57 | $34.25 | |
| Greta Go, MD | Swedish Health Services | 48 | $36.60 | |
| Alice Josafat, MD | Central Washington Health Services Association | 40 | $34.07 | |
| David Atkins, MD | Central Washington Health Services Association | 39 | $35.37 | |
| John Mackenzie, MD | Yakima Valley Memorial Physicians | 31 | $38.37 | |
| Kirk Myers, DO | Central Washington Health Services Association | 31 | $34.04 | |
| Robert Bloch, MD | Optum Care Washington PLLC | 30 | $34.52 | |
| David Marlow, MD | Swedish Health Services | 27 | $36.20 | |
| John Schroeder, MD | Radia Inc P S | 19 | $34.17 | |
| Samuel Boynton, MD | Swedish Health Services | 15 | $33.79 | |
| Andrew Harrison, DO | Swedish Health Services | 14 | $34.32 |
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.