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All procedures › Transrectal ultrasound

Capital Medical Center

OlympiaThurston CountyAcute Care Hospitals

Transrectal ultrasound

Quality: 3 of 5 (CMS overall rating)Earliest available date: call (360) 956-2550

What you may pay

With insurance from an employer or private plan
$200 to $740Depends on your plan. Each plan’s price at this hospital:
  • Community Health Plan of Washington: Cascade Care $200 Lower than typical
  • Premera $200 Lower than typical
  • First Choice $712 Higher than typical
  • First Health: All Commercial Plans $740 Higher than typical
The 2 lowest and 2 highest of 20 plans. Find yours in the table below.Typical at 33 hospitals we cover: $307 to $412 (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)
$348 TypicalTypical hospital’s fee at 28 hospitals we cover: $294 to $421.

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: Capital Medical Center’s own price file, dated 2026-08-27. CareNavIQ last refreshed prices on 2026-11-05.

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.

BillWho sends itHow likelyStatusTraditional Medicare allowsPrivate plans (estimate)
Hospital's feeThe ultrasound: equipment and sonographerThe hospitalExpectedPublished by the hospital: the prices above——
RadiologistReading the ultrasound and writing the reportThe radiology groupExpectedBilled separately; amount estimated$32$38 to $58
Ordering doctor's visitThe visit where the ultrasound is ordered or the results are explainedYour doctorPossibleBilled separately; not priced——

What you’d pay for these bills

Adds up your share of the hospital’s bill and the expected doctors’ bills above (not the possible ones). What you type stays in your browser.

Your coverage

Your plan’s summary of benefits says how it charges for each kind of care. Leave these as they are if it uses the deductible and coinsurance.

The hospital's bill
The bill from the doctor doing the procedure

You pay about $48 to $52 of about $238 to $258 billed to your plan.

Your share of the hospital's bill is about $40; the rest is your share of the doctors' bills. The doctors' bills are estimates. Enter your out-of-pocket maximum to see whether you'd reach it. Assumes everyone is in your network.

How each bill comes to you

Each provider sends a claim to your plan. It applies its allowed amount, then your deductible, copay and coinsurance, and sends you an Explanation of Benefits. Then the provider bills you the “You owe” line. Bills are in the order your plan is assumed to process them, the hospital first. The doctors' bills are estimates.

Show the bills at
  1. Hospital's feeSent by the hospital
    The provider's charge
    $870
    Insurance adjustmentWritten off by the provider: you don't owe it.
    −$670
    Allowed amountWhat the insurer counts for this bill.
    $200
    Your plan pays
    $160
    Your coinsurance
    $40.01
    You oweThe provider bills you this after the insurer pays.
    $40.01
  2. RadiologistSent by the radiology group
    The provider's chargeDoctors don't publish their charges; in network it doesn't change what you owe.
    Not published
    Allowed amountWhat the insurer counts for this bill.
    $38.17
    Your plan pays
    $30.54
    Your coinsurance
    $7.63
    You oweThe provider bills you this after the insurer pays.
    $7.63
All bills: allowed amounts
$238
Your plan pays
$191
You owe in all
$47.64
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.

How you’ll pay

Capital Medical Center

The largest bill.

Request to send

Subject: Estimate request: transrectal ultrasound at Capital Medical Center

Hello,

I am planning a transrectal ultrasound (billing code CPT 76872) at Capital Medical Center.

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.

Replace the words in [brackets] with your details before you send it.

Open in my email

If you call. Call (360) 956-2550 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my transrectal ultrasound."

0 of 3 sent. Washington law gives you the right to these estimates but sets no deadline: if you haven't heard back in five business days, send it again or call.

How these are worked out. Medicare amounts are CMS’s 2026 physician fee schedule for this area, at the rate for care in a hospital. Private-plan estimates are 118% to 179% of Medicare for doctors (the range across 19 studies in KFF’s review of what private insurers pay) and 3 to 5 times Medicare for anesthesia (a published industry estimate). Anesthesia is paid by the minute, so its range assumes the time shown. Medicare pays an assistant at surgery 13.6% to 16% of the surgeon’s fee. Where we have your insurer’s own published rates for the doctors here (below), the estimator uses those for that insurer’s employer plans instead. Your plan’s own rates may be outside these ranges: ask each office for an estimate, and for its network status. At an in-network hospital, the anesthesia, radiology, pathology and assistant groups can’t charge you more than your in-network cost share, even if they are out of network (No Surprises Act).

74 published prices, grouped by who each price applies to.

Cash price 4 prices

The hospital's discounted price for patients paying without insurance.

PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$348Hospital’s feeC PACU-PROSTATE, ULTRASOUND—Outpatient2026-08-27
$348Hospital’s feeC PACU-PROSTATE, ULTRASOUND—Inpatient2026-08-27
$348Hospital’s feeHC US TRANSRECTAL EXAM—Outpatient2026-08-27
$348Hospital’s feeHC US TRANSRECTAL EXAM—Inpatient2026-08-27

List price (before discounts) 4 prices

The hospital's full chargemaster price. Few patients pay this amount.

PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$870Hospital’s feeHC US TRANSRECTAL EXAM—Inpatient2026-08-27
$870Hospital’s feeC PACU-PROSTATE, ULTRASOUND—Inpatient2026-08-27
$870Hospital’s feeC PACU-PROSTATE, ULTRASOUND—Outpatient2026-08-27
$870Hospital’s feeHC US TRANSRECTAL EXAM—Outpatient2026-08-27

Commercial insurance 44 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AetnaAll Commercial Plans$345Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
AetnaAll Commercial Plans$345Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
AmbetterCoordinated Care Exchange$219Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
AmbetterCoordinated Care Exchange$219Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
CignaAll Commercial Plans$541Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
CignaAll Commercial Plans$541Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
Community Health Plan of WashingtonCascade Care$200Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
Community Health Plan of WashingtonCascade Care$200Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
First ChoiceMCC Wellfound Employee$712Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
First ChoiceMCC Wellfound Employee$712Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
First ChoiceMHS Employee MCC/PPO$434Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
First ChoiceMHS Employee MCC/PPO$434Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
First ChoicePPO$712Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
First ChoicePPO$712Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
First HealthAll Commercial Plans$740Hospital’s feeHC US TRANSRECTAL EXAMpercent of total billed chargesOutpatient2026-08-27
First HealthAll Commercial Plans$740Hospital’s feeC PACU-PROSTATE, ULTRASOUNDpercent of total billed chargesOutpatient2026-08-27
First HealthAll Commercial Plans$740Hospital’s feeC PACU-PROSTATE, ULTRASOUNDpercent of total billed chargesInpatient2026-08-27
First HealthAll Commercial Plans$740Hospital’s feeHC US TRANSRECTAL EXAMpercent of total billed chargesInpatient2026-08-27
KaiserPPO$497Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
KaiserPPO$497Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
Multiplan/PHCSAll Commercial Plans$635Hospital’s feeHC US TRANSRECTAL EXAMpercent of total billed chargesOutpatient2026-08-27
Multiplan/PHCSAll Commercial Plans$635Hospital’s feeC PACU-PROSTATE, ULTRASOUNDpercent of total billed chargesOutpatient2026-08-27
Multiplan/PHCSAll Commercial Plans$696Hospital’s feeC PACU-PROSTATE, ULTRASOUNDpercent of total billed chargesInpatient2026-08-27
Multiplan/PHCSAll Commercial Plans$696Hospital’s feeHC US TRANSRECTAL EXAMpercent of total billed chargesInpatient2026-08-27
PremeraHMO$200Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
PremeraHMO$200Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
PremeraOther Commercial Plans$289Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
PremeraOther Commercial Plans$289Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
PremeraPrime$289Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
PremeraPrime$289Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
PremeraSignature$289Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
PremeraSignature$289Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
RegenceBlue High Performance$287Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
RegenceBlue High Performance$287Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
RegenceCommercial$287Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
RegenceCommercial$287Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
RegenceMCC/AHN$287Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
RegenceMCC/AHN$287Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
RegenceRealValue$258Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
RegenceRealValue$258Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
Uniform MedicalAll Commercial Plans$275Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
Uniform MedicalAll Commercial Plans$275Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
United HealthcareAll Commercial Plans$596Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
United HealthcareAll Commercial Plans$596Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27

Medicare Advantage 12 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AetnaMedAdvantage$122Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
AetnaMedAdvantage$122Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
Community Health Plan of WashingtonMedAdvantage$131Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
Community Health Plan of WashingtonMedAdvantage$131Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
RegenceMedAdvantage$122Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
RegenceMedAdvantage$122Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
SCANMedAdvantage$119Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
SCANMedAdvantage$119Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
United HealthcareMedAdvantage$123Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
United HealthcareMedAdvantage$123Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
WellCareMedAdvantage$125Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
WellCareMedAdvantage$125Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27

Medicaid managed care 10 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
Community Health Plan of WashingtonApple Health$82.59Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
Community Health Plan of WashingtonApple Health$82.59Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
Coordinated CareApple Health$84.12Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
Coordinated CareApple Health$84.12Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
MolinaApple Health$84.12Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
MolinaApple Health$84.12Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
United HealthcareApple Health$84.12Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27
United HealthcareApple Health$84.12Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
WellPointApple Health$122Hospital’s feeC PACU-PROSTATE, ULTRASOUNDfee scheduleOutpatient2026-08-27
WellPointApple Health$122Hospital’s feeHC US TRANSRECTAL EXAMfee scheduleOutpatient2026-08-27

Doctors here who do this procedure

5 doctors affiliated with Capital Medical Center billed Traditional Medicare for Transrectal ultrasound in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctor or practicePracticeMedicare quality scoreTimes billed to Traditional Medicare (2024)Traditional Medicare amount for their own service (2024)
Yi HsiehUrology · Federal WaySurgical Associates Northwest PCGroup of 13 cliniciansNot rated356$159 in the office (no hospital amount)
Richard Greene, MDUrology · OlympiaOffers telehealth visitsCapital Medical Center Specialty Physicians LLCGroup of 99 cliniciansNot rated107$48.77 in the office (no hospital amount)
Patrick Murray, MDUrology · OlympiaCapital Medical Center Specialty Physicians LLCGroup of 99 cliniciansNot rated85$65.27 in the office (no hospital amount)
Daniel Brown, MDUrology · OlympiaIndependent practice87 of 100CMS MIPS 202439$142 in the office (no hospital amount)
Eric Lauer, MDUrology · YakimaProvidence Health And Services WashingtonGroup of 475 clinicians94 of 100CMS MIPS 2024, reported by their care program (APM)16$33.66 in the office (no hospital amount)

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.