Kidney ultrasound (complete)

Ultrasound of kidneys and back of abdomen, complete

Radiology ServicesCPT 76770

Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.

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

Price estimate: Medicare (traditional)

Typical Medicare (traditional) rate$284middle of 3 hospitals
Lowest hospital$219
Highest hospital$317
Typical cash price$55037 hospitals

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 Medicare (traditional) 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 Medicare (traditional) rate, cash price or list price; 3 of them list Medicare (traditional) rates. Lowest Medicare (traditional) rate first.

Prices for Kidney ultrasound (complete) at the hospitals we cover. Negotiated rates are for Medicare (traditional).
HospitalQuality (CMS)Medicare (traditional) rate (middle of plans)Compared with typicalCash priceList price (before discounts)
Cascade Medical CenterLeavenworth, WA(509) 548-5815Not rated by CMS$258Includes the radiologist’s fee the hospital listsToo few hospitals to compare$501Includes the radiologist’s fee the hospital lists$626Includes the radiologist’s fee the hospital lists
Three Rivers HospitalBrewster, WA(509) 689-2517Not rated by CMS$321Middle of 2 plans; each plan sets its own price: $143 – $499Includes the radiologist’s fee the hospital listsToo few hospitals to compare$912Includes the radiologist’s fee the hospital lists$912Includes the radiologist’s fee the hospital lists
Trios HealthKennewick, WA(509) 586-6111 2 of 5$317Middle of 5 plans; each plan sets its own price: $317Too few hospitals to compareNot published$1,515
BHC Fairfax HospitalKirkland, WA(425) 821-2000Not rated by CMSNot published—$740$740
Capital Medical CenterOlympia, WA(360) 956-2550 3 of 5Not published—$629$1,573
Cascade Valley HospitalArlington, WA(360) 435-2133 4 of 5Not published—$745$931
Coulee Medical CenterGrand Coulee, WA(509) 633-1753Not rated by CMSNot published—$1,010$1,122
Deaconess Medical CenterSpokane, WA(509) 473-5800 3 of 5Not published—$421$1,052
EvergreenHealth Medical CenterKirkland, WA(425) 899-1000 5 of 5Not published—$883$1,104
EvergreenHealth MonroeMonroe, WA(360) 794-7497 3 of 5Not published—$883$1,104
Harborview Medical CenterSeattle, WA(206) 744-9535 2 of 5Not published—$1,347$1,925
Highline Medical CenterBurien, WA(206) 431-5237 4 of 5Not published—$535$1,752
Island HospitalAnacortes, WA(360) 299-1300 4 of 5Not published—$550$550
Kadlec Regional Medical CenterRichland, WA(509) 946-4611 4 of 5Not published—$809 – $8972 separate lines; open the hospital to see each one$1,155 – $1,2822 separate lines; open the hospital to see each one
Mary Bridge Children's HospitalTacoma, WA(253) 403-1400Not rated by CMSNot published—$338$844
MultiCare Auburn Medical CenterAuburn, WA(253) 833-7711 2 of 5Not published—$338$844
MultiCare Covington Medical CenterCovington, WA(253) 372-7400 3 of 5Not published—$338$844
MultiCare Good Samaritan HospitalPuyallup, WA(253) 697-2102 2 of 5Not published—$338$844
MultiCare Valley HospitalSpokane Valley, WA(509) 924-6650 5 of 5Not published—$421$1,052
Olympic Medical CenterPort Angeles, WA(360) 417-7000 3 of 5Not published—$922$1,152
Overlake Hospital Medical Center & ClinicsBellevue, WA(425) 688-5000 2 of 5Not published—$277$554
PeaceHealth Peace Island Medical CenterFriday Harbor, WA(360) 378-2141Not rated by CMSNot published—$595$916
PeaceHealth Southwest Medical CenteVancouver, WA(360) 256-2000 3 of 5Not published—$588 – $6002 separate lines; open the hospital to see each one$905 – $9232 separate lines; open the hospital to see each one
PeaceHealth St John Medical CenterLongview, WA(360) 414-2000 4 of 5Not published—$623 – $6353 separate lines; open the hospital to see each one$958 – $9773 separate lines; open the hospital to see each one
PeaceHealth St Joseph Medical CenterBellingham, WA(360) 734-5400 4 of 5Not published—$722 – $7363 separate lines; open the hospital to see each one$1,111 – $1,1333 separate lines; open the hospital to see each one
PeaceHealth United General Medical CenterSedro Woolley, WA(360) 856-6021 3 of 5Not published—$615$946
Prov Sacred HRT Med Ctr & Childs Hosp.Spokane, WA(509) 474-3131 3 of 5Not published—$205 – $1,4842 separate lines; open the hospital to see each one$293 – $2,1202 separate lines; open the hospital to see each one
Providence Centralia HospitalCentralia, WA(360) 330-8530 3 of 5Not published—$543$1,045
Providence Holy Family HospitalSpokane, WA(509) 482-0111 3 of 5Not published—$256 – $9722 separate lines; open the hospital to see each one$366 – $1,3882 separate lines; open the hospital to see each one
Providence Mount Carmel HospitalColville, WA(509) 684-2561 3 of 5Not published—$1,105$1,578
Providence Regional Medical Center EverettEverett, WA(425) 261-2000 4 of 5Not published—$478$919
Providence St Joseph HospitalChewelah, WA(509) 935-8211Not rated by CMSNot published—$785$1,121
Providence St Mary Medical CenterWalla Walla, WA(509) 522-5900 3 of 5Not published—$543 – $8512 separate lines; open the hospital to see each one$776 – $1,2152 separate lines; open the hospital to see each one
Providence St Peter HospitalOlympia, WA(360) 493-7179 3 of 5Not published—$543$1,045
Seattle Children's HospitalSeattle, WA(206) 987-2000Not rated by CMSNot published—$145 – $1,3363 separate lines; open the hospital to see each one$145 – $1,3364 separate lines; open the hospital to see each one
Skagit Valley HospitalMount Vernon, WA(360) 424-4111 3 of 5Not published—$742$927
St Anthony HospitalGig Harbor, WA(253) 530-2050 5 of 5Not published—$533$1,752
St Clare HospitalLakewood, WA(253) 588-1711 4 of 5Not published—$505$1,752
St Elizabeth HospitalEnumclaw, WA(360) 825-2505 5 of 5Not published—$619$1,752
St Francis Community HospitalFederal Way, WA(253) 944-8100 4 of 5Not published—$550$1,752
St Joseph Medical CenterTacoma, WA(253) 627-4101 3 of 5Not published—$580$1,752
St Michael Medical CenterSilverdale, WA(360) 377-3911 4 of 5Not published—$773$1,752
Swedish IssaquahIssaquah, WA(425) 313-4000 4 of 5Not published—$338 – $6172 separate lines; open the hospital to see each one$705 – $1,2862 separate lines; open the hospital to see each one
Swedish Medical CenterSeattle, WA(206) 386-6000 4 of 5Not published—$338 – $6172 separate lines; open the hospital to see each one$705 – $1,2862 separate lines; open the hospital to see each one
Swedish Medical Center / Cherry HillSeattle, WA(206) 320-2000 4 of 5Not published—$338 – $6172 separate lines; open the hospital to see each one$705 – $1,2862 separate lines; open the hospital to see each one
Tacoma General Allenmore HospitalTacoma, WA(253) 403-1000 2 of 5Not published—$338$844
University of Washington Medical CtrSeattle, WA(206) 598-3300 4 of 5Not published—$645$922
Virginia Mason Medical CenterSeattle, WA(206) 223-6600 5 of 5Not published—$461$904
WhidbeyHealth Medical CenterCoupeville, WA(360) 678-5151 2 of 5Not published—$92.00 – $7683 separate lines; open the hospital to see each one$92.00 – $7683 separate lines; open the hospital to see each one
Yakima Valley MemorialYakima, WA(509) 575-8000 1 of 5Not published—$459$1,148

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 Kidney ultrasound (complete), most Medicare services first. Doctors with no hospital affiliation are included.

No hospital affiliation who billed Traditional Medicare for Kidney ultrasound (complete)
Doctor or practicePracticeHospital affiliationsMedicare quality scoreTimes billed to Traditional Medicare (2024)Traditional Medicare amount for their own service (2024)
Andrew Mosier, DODiagnostic Radiology · TacomaReono Bertagnolli A Medical GroupGroup of 47 cliniciansNone on file75 of 100CMS MIPS 2024462$34.17 at a hospital or surgery center$34.18 in the office
Daniel Fullmer, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated385$33.20 at a hospital or surgery center$33.26 in the office
Helen Xu, MDDiagnostic Radiology · SeattleNot on fileNone on file100 of 100CMS MIPS 2024, reported by their care program (APM)139$37.81 at a hospital or surgery center$122 in the office
Ying Wang, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated139$34.22 at a hospital or surgery center$65.00 in the office
Garvit Khatri, MBBSDiagnostic Radiology · SeattleNot on fileNone on fileNot rated126$34.31 at a hospital or surgery center
Michael Park, DODiagnostic Radiology · TacomaNot on fileNone on file79 of 100CMS MIPS 2024, reported by their group125$73.50 in the office
Matthew ShutskeDiagnostic Radiology · SilverdaleCentral Illinois Radiological Associates LTDGroup of 209 cliniciansNone on fileNot rated116$34.06 at a hospital or surgery center$99.05 in the office
William Lewis, DODiagnostic Radiology · TacomaNot on fileNone on file97 of 100CMS MIPS 2024, reported by their group106$33.15 at a hospital or surgery center
Chad Adams, MDDiagnostic Radiology · TacomaGeisinger ClinicGroup of 3,467 cliniciansNone on file75 of 100CMS MIPS 2024103$32.98 at a hospital or surgery center$33.08 in the office
Neal Passante, MDDiagnostic Radiology · TacomaGrays Harbor Community HospitalGroup of 88 cliniciansNone on fileNot rated102$34.22 at a hospital or surgery center$34.27 in the office
Quality Medical Imaging Of Washington IncIndependent Diagnostic Testing Facility (IDTF) · KentPractice, lab or centerNone on fileNot rated94$34.38 at a hospital or surgery center$58.10 in the office
David Blood, MDDiagnostic Radiology · WenatcheeNot on fileNone on fileNot rated92$35.64 at a hospital or surgery center
Cameron Evans, MDDiagnostic Radiology · KelsoNot on fileNone on file96 of 100CMS MIPS 2024, reported by their group75$32.49 at a hospital or surgery center$61.90 in the office
Mark Mayhle, MDDiagnostic Radiology · LynnwoodSwedish Health ServicesGroup of 1,037 cliniciansNone on fileNot rated70$36.23 at a hospital or surgery center
Jessica Mchugh, MDFamily Practice · SeattleMulticare Health SystemGroup of 2,325 cliniciansNone on fileNot rated68$73.57 in the office
John Kim, MDDiagnostic Radiology · SeattleNot on fileNone on file91 of 100CMS MIPS 2024, reported by their group67$33.02 at a hospital or surgery center
Frederick Kash, MDDiagnostic Radiology · LynnwoodConcord Radiology PLLCGroup of 225 cliniciansNone on fileNot rated64$34.22 at a hospital or surgery center$86.21 in the office
James Brittin, MDDiagnostic Radiology · SeattleShannon ClinicGroup of 559 cliniciansNone on file94 of 100CMS MIPS 2024, reported by their care program (APM)64$33.62 at a hospital or surgery center
David Bork, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated63$34.38 at a hospital or surgery center$62.13 in the office
Neal Conti, MDDiagnostic Radiology · SeattleUniversity Hospitals Medical Group IncGroup of 2,294 cliniciansNone on fileNot rated56$36.50 at a hospital or surgery center$117 in the office
Robert DunlapDiagnostic Radiology · SeattleNot on fileNone on file85 of 100CMS MIPS 2024, reported by their group56$32.71 at a hospital or surgery center
Daniel Bess, MDDiagnostic Radiology · Joint Base Lewis McchordReono Bertagnolli A Medical GroupGroup of 47 cliniciansNone on file75 of 100CMS MIPS 2024, reported by their care program (APM)55$35.63 at a hospital or surgery center$35.69 in the office
Kan-Di-Ki LlcIndependent Diagnostic Testing Facility (IDTF) · TukwilaPractice, lab or centerNone on fileNot rated55$78.20 in the office
Marc Koenig, MDDiagnostic Radiology · LynnwoodSwedish Health ServicesGroup of 1,037 cliniciansNone on fileNot rated55$32.04 at a hospital or surgery center
Elisa Morgan, MDDiagnostic Radiology · VancouverThe Vancouver Clinic Inc PSGroup of 590 cliniciansNone on fileNot rated53$109 in the office
Grant Tibbetts, MDDiagnostic Radiology · TacomaTra-Minw P SGroup of 155 cliniciansNone on fileNot rated52$84.90 in the office
Jonah Zwemer, MDDiagnostic Radiology · VancouverThe Vancouver Clinic Inc PSGroup of 590 cliniciansNone on fileNot rated52$105 in the office
Patrick Wright, DODiagnostic Radiology · LynnwoodNot on fileNone on file86 of 100CMS MIPS 2024, reported by their group50$118 in the office
Sunny Rhee, MDDiagnostic Radiology · VancouverThe Vancouver Clinic Inc PSGroup of 590 cliniciansNone on fileNot rated49$108 in the office
Geoffrey Rutledge, MDDiagnostic Radiology · SeattleNot on fileNone on fileNot rated47$36.45 at a hospital or surgery center$121 in the office
Isaac Reeve, MDDiagnostic Radiology · RichlandNot on fileNone on fileNot rated47$33.33 at a hospital or surgery center
Brian Mccallie, MDDiagnostic Radiology · LynnwoodRadia Inc P SGroup of 277 cliniciansNone on fileNot rated46$106 in the office
Daniel Pak, MDDiagnostic Radiology · YakimaNot on fileNone on file100 of 100CMS MIPS 2024, reported by their group46$34.03 at a hospital or surgery center$33.98 in the office
Leah Kiviat, MDDiagnostic Radiology · SeattleSkagit Radiology Inc P SGroup of 40 cliniciansNone on fileNot rated45$34.15 at a hospital or surgery center
Junzi Shi, MDDiagnostic Radiology · VancouverThe Vancouver Clinic Inc PSGroup of 590 cliniciansNone on fileNot rated44$108 in the office
Lakhwant Singh, DODiagnostic Radiology · SilverdaleNot on fileNone on file79 of 100CMS MIPS 2024, reported by their group44$33.99 at a hospital or surgery center
Lee Mitsumori, MDDiagnostic Radiology · SeattleNot on fileNone on file84 of 100CMS MIPS 2024, reported by their group43$34.88 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 group42$34.17 at a hospital or surgery center$34.32 in the office
Lisa Finch, MDDiagnostic Radiology · SeattleObstetrix Medical Group Of Washington Inc PSGroup of 32 cliniciansNone on file94 of 100CMS MIPS 2024, reported by their care program (APM)41$36.54 at a hospital or surgery center$38.09 in the office
Eric BreadyDiagnostic Radiology · SpokaneNot on fileNone on fileNot rated39$32.21 at a hospital or surgery center
Aaron Kaplan, MDDiagnostic Radiology · VancouverThe Vancouver Clinic Inc PSGroup of 590 cliniciansNone on fileNot rated38$109 in the office
Howard Nelson, MDDiagnostic Radiology · VancouverNot on fileNone on file78 of 100CMS MIPS 2024, reported by their group36$34.60 at a hospital or surgery center
David Chang, MDDiagnostic Radiology · VancouverThe Vancouver Clinic Inc PSGroup of 590 cliniciansNone on fileNot rated34$108 in the office
Ly Huynh, MDDiagnostic Radiology · VancouverTexas Radiology Associates LLPGroup of 153 cliniciansNone on file91 of 100CMS MIPS 2024, reported by their group34$33.81 at a hospital or surgery center
Brett Flory, PAPhysician Assistant · SpanawayNot on fileNone on fileNot rated33$70.13 in the office
Filip Turcer, MDDiagnostic Radiology · LynnwoodState University Of IowaGroup of 1,897 cliniciansNone on fileNot rated32$106 in the office
Thomas Keskey, MDDiagnostic Radiology · TacomaNot on fileNone on fileNot rated32$33.54 at a hospital or surgery center
Andrew Wong, MDDiagnostic Radiology · Federal WayMedical Scanning Consultants PAGroup of 84 cliniciansNone on fileNot rated30$41.41 in the office
Berthina Coleman, MDDiagnostic Radiology · SeattleNot on fileNone on file90 of 100CMS MIPS 2024, reported by their group30$34.81 at a hospital or surgery center
Ceayee Mak, MDDiagnostic Radiology · SeattleNot on fileNone on file100 of 100CMS MIPS 2024, reported by their group30$36.39 at a hospital or surgery center
Brian Eichinger, MDDiagnostic Radiology · TacomaShannon ClinicGroup of 559 cliniciansNone on fileNot rated28$33.03 at a hospital or surgery center
George Wang, MDDiagnostic Radiology · TacomaNot on fileNone on fileNot rated27$35.93 at a hospital or surgery center
Scott Vanderheiden, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated26$35.81 at a hospital or surgery center
Evan Johnson, MDInterventional Radiology · SeattleChristiana Care Health Services IncGroup of 1,483 cliniciansNone on fileNot rated25$37.26 at a hospital or surgery center
Amber Hsiao, MDDiagnostic Radiology · TacomaNot on fileNone on file81 of 100CMS MIPS 2024, reported by their group24$36.13 at a hospital or surgery center
Dara Omer, MDDiagnostic Radiology · KirklandNot on fileNone on fileNot rated24$33.21 at a hospital or surgery center
Jessica Germino, MDDiagnostic Radiology · SeattleNot on fileNone on file94 of 100CMS MIPS 2024, reported by their group23$32.62 at a hospital or surgery center
Mark Broadbent, MDDiagnostic Radiology · TacomaRadiology Associates LLCGroup of 83 cliniciansNone on fileNot rated23$33.61 at a hospital or surgery center
Alaa Elmaoued, MDDiagnostic Radiology · SeattleNot on fileNone on file94 of 100CMS MIPS 2024, reported by their care program (APM)22$33.51 at a hospital or surgery center
Aubrey Slaughter, MDDiagnostic Radiology · VancouverDiagnostic Imaging Associates IncGroup of 87 cliniciansNone on fileNot rated22$33.88 at a hospital or surgery center
Lisa Vu, MDDiagnostic Radiology · LynnwoodCentral Washington Health Services AssociationGroup of 721 cliniciansNone on fileNot rated22$106 in the office
Western Washington Medical Group, Inc PsIndependent Diagnostic Testing Facility (IDTF) · EverettPractice, lab or centerNone on fileNot rated22$75.16 in the office
Justin Dodge, MDDiagnostic Radiology · TacomaMori Bean And Brooks IncGroup of 977 cliniciansNone on fileNot rated21$34.05 at a hospital or surgery center
Ryan Joyce, MDDiagnostic Radiology · SeattleNew York UniversityGroup of 6,134 cliniciansNone on fileNot rated21$37.67 at a hospital or surgery center
William Kuhle, MDDiagnostic Radiology · VancouverNot on fileNone on fileNot rated21$34.02 at a hospital or surgery center
James DunnDiagnostic Radiology · SpokaneNot on fileNone on file85 of 100CMS MIPS 2024, reported by their group20$32.53 at a hospital or surgery center
Saritha Boyapati, MDNephrology · PuyallupNot on fileNone on fileNot rated20$64.38 in the office
Hardik Shah, MDDiagnostic Radiology · SeattleNot on fileNone on file95 of 100CMS MIPS 2024, reported by their care program (APM)19$35.11 at a hospital or surgery center
Carrie Marder, MDDiagnostic Radiology · SeattleNot on fileNone on file79 of 100CMS MIPS 2024, reported by their group17$68.45 in the office
Dustin Nguyen, DODiagnostic Radiology · CamasNot on fileNone on file48 of 100CMS MIPS 2024, reported by their group17$35.03 at a hospital or surgery center
Christopher Hartness, MDDiagnostic Radiology · OlympiaMusc Community PhysiciansGroup of 1,544 cliniciansNone on fileNot rated16$34.01 at a hospital or surgery center
Harrison March, MDDiagnostic Radiology · LynnwoodNot on fileNone on file92 of 100CMS MIPS 2024, reported by their group16$34.27 at a hospital or surgery center
Howard Molitch, MDDiagnostic Radiology · SeattleVirtual Radiologic Professionals LLCGroup of 397 cliniciansNone on fileNot rated16$36.81 at a hospital or surgery center
Nathanial Durkee, MDDiagnostic Radiology · Federal WayMedical Scanning Consultants PAGroup of 84 cliniciansNone on file75 of 100CMS MIPS 202416$66.98 in the office
Alekhya YechoorDiagnostic Radiology · SeattleNot on fileNone on fileNot rated14$33.71 at a hospital or surgery center
Erik Borgnes, MDDiagnostic Radiology · EverettNot on fileNone on file97 of 100CMS MIPS 2024, reported by their group14$34.58 at a hospital or surgery center
Phillip Setran, MDDiagnostic Radiology · VancouverNot on fileNone on fileNot rated13$34.72 at a hospital or surgery center
Joshua KnightDiagnostic Radiology · SpokaneNot on fileNone on file100 of 100CMS MIPS 2024, reported by their group12$36.84 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)11$36.79 at a hospital or surgery center
David Kim, MDDiagnostic Radiology · LynnwoodNot on fileNone on fileNot rated11$32.20 at a hospital or surgery center
James Chen, MDDiagnostic Radiology · Federal WayNot on fileNone on fileNot rated11$36.57 at a hospital or surgery center
John Falardeau, MDDiagnostic Radiology · SeattleNot on fileNone on fileNot rated11$36.62 at a hospital or surgery center
Michael Berven, MDDiagnostic Radiology · BothellNot on fileNone on fileNot rated11$32.51 at a hospital or surgery center
Uhng-Kyu Shim, MDDiagnostic Radiology · BellevueVirtual Radiologic Professionals LLCGroup of 397 cliniciansNone on fileNot rated11$36.51 at a hospital or surgery center
Yan Gao, MDDiagnostic Radiology · VancouverThe Vancouver Clinic Inc PSGroup of 590 cliniciansNone on file89 of 100CMS MIPS 2024, reported by their group11$34.43 at a hospital or surgery center

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.