EvergreenHealth Medical Center

KirklandKing CountyAcute Care Hospitals

Arm or leg ultrasound (limited)

Quality: 5 of 5 (CMS overall rating)Earliest available date: call (425) 899-1000

What you may pay

With insurance from an employer or private plan
$51.01 to $427Depends on your plan. Each plan’s price at this hospital:
  • LIFEWISE HEALTH PLANS: KLH PREMERA ALPINE $51.01Below what Traditional Medicare pays this hospital for this ($121, CY2026 rate). Private plans almost always pay more than Medicare, so this may cover only part of the bill or be a mistake in the hospital’s file. Ask LIFEWISE HEALTH PLANS for its rate before relying on it.
  • FCHN EVERGREEN HC FIRST CHOICE HLTH ADMN: KLH First Choice Domestic $88.96Below what Traditional Medicare pays this hospital for this ($121, CY2026 rate). Private plans almost always pay more than Medicare, so this may cover only part of the bill or be a mistake in the hospital’s file. Ask FCHN EVERGREEN HC FIRST CHOICE HLTH ADMN for its rate before relying on it.
  • KAISER PERMANENTE: KLH KAISER PPO $339 Typical
  • FIRST CHOICE: KLH First Choice PPO $427 Higher than typical
The 2 lowest and 2 highest of 28 plans. Find yours in the table below.Typical at 28 hospitals we cover: $289 to $401 (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)
$222 Lower than typicalTypical hospital’s fee at 18 hospitals we cover: $244 to $419.

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: EvergreenHealth Medical Center’s own price file. 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 (King County) and an estimate for private plans.

Separate bills for this procedure and their estimated amounts
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$35$41 to $62
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 $36 to $40 of about $178 to $199 billed to your plan.

Your share of the hospital's bill is about $27; 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
    $278
    Insurance adjustmentWritten off by the provider: you don't owe it.
    −$141
    Allowed amountWhat the insurer counts for this bill.
    $137
    Your plan pays
    $110
    Your coinsurance
    $27.38
    You oweThe provider bills you this after the insurer pays.
    $27.38
  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.
    $41.10
    Your plan pays
    $32.88
    Your coinsurance
    $8.22
    You oweThe provider bills you this after the insurer pays.
    $8.22
All bills: allowed amounts
$178
Your plan pays
$142
You owe in all
$35.60
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

EvergreenHealth Medical Center

The largest bill.

Request to send

Subject: Estimate request: arm or leg ultrasound (limited) at EvergreenHealth Medical Center

Hello,

I am planning a arm or leg ultrasound (limited) (billing code CPT 76882) at EvergreenHealth 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 (425) 899-1000 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my arm or leg ultrasound (limited)."

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).

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

Cash price 1 price

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

Cash price prices for Arm or leg ultrasound (limited) at EvergreenHealth Medical Center
PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$222Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limited—Inpatient or outpatient—

List price (before discounts) 1 price

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

List price (before discounts) prices for Arm or leg ultrasound (limited) at EvergreenHealth Medical Center
PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$278Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limited—Inpatient or outpatient—

Commercial insurance 28 prices

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

Prices marked “below Medicare” are less than Traditional Medicare pays this hospital for the same code. They may be one line of a bigger bill or a mistake in the hospital’s file: ask the plan for its rate.

Commercial insurance prices for Arm or leg ultrasound (limited) at EvergreenHealth Medical Center
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AETNAKLH Aetna PPO$315Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedcase rateInpatient or outpatient—
ALLIED BENEFIT SYSTEMSKLH Aetna PPO$315Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedcase rateInpatient or outpatient—
AMBETTERKLH Coordinated Care Ambetter$137Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
ASURISKLH Regence PPO$285Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedfee scheduleInpatient or outpatient—
BRIDGESPANKLH Regence PPO$285Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedfee scheduleInpatient or outpatient—
CIGNAKLH CIGNA PPO$276Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedfee scheduleInpatient or outpatient—
COASTAL ADMINISTRATIVE SERVICESPHCS 6 DEGREES$236Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedpercent of total billed chargesInpatient or outpatient—
FCHN EVERGREEN HC FIRST CHOICE HLTH ADMNKLH First Choice Domestic$88.96Below Medicare ($121)Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedpercent of total billed chargesInpatient or outpatient—
FEDERAL EMPLOYEES PROGRAM ALTERNATE PAYORKLH Premera PPO$307Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
FIRST CHOICEKLH First Choice Domestic$88.96Below Medicare ($121)Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedpercent of total billed chargesInpatient or outpatient—
FIRST CHOICEKLH First Choice PPO$427Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedfee scheduleInpatient or outpatient—
FIRST HEALTHKLH Aetna PPO$315Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedcase rateInpatient or outpatient—
KAISER PERMANENTEKLH KAISER PPO$339Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
LIFEWISE HEALTH PLANSKLH PREMERA ALPINE$51.01Below Medicare ($121)Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
LIFEWISE HEALTH PLANSKLH Premera PPO$307Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
MERITAINKLH Aetna PPO$315Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedcase rateInpatient or outpatient—
MOLINA MARKETPLACEKLH Molina Marketplace$214Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
MULTIPLANMULTIPLAN$259Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedpercent of total billed chargesInpatient or outpatient—
PHCSKLH Private Healthcare System$236Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedpercent of total billed chargesInpatient or outpatient—
PHCSPHCS 6 DEGREES$236Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedpercent of total billed chargesInpatient or outpatient—
PREMERA BLUE CROSSKLH PREMERA HERITAGE PRIME$287Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
PREMERA BLUE CROSSKLH Premera Exchange$290Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
PREMERA BLUE CROSSKLH Premera PPO$307Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
REGENCE BLUE SHIELDKLH REGENCE INDIVIDUAL AND FAMILY$256Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedfee scheduleInpatient or outpatient—
REGENCE BLUE SHIELDKLH Regence PPO$285Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedfee scheduleInpatient or outpatient—
REGENCE BLUE SHIELDKLH UMP$278Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedfee scheduleInpatient or outpatient—
REGENCE BLUE SHIELD ALTERNATEKLH Regence PPO$285Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedfee scheduleInpatient or outpatient—
UNITED HEALTHCAREKLH UHC PPO$315Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedcase rateInpatient or outpatient—

Medicare Advantage 5 prices

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

Medicare Advantage prices for Arm or leg ultrasound (limited) at EvergreenHealth Medical Center
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AARPKLH 103% of Medicare$123Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
AETNA MEDICARE ADVANTAGEKLH 103% of Medicare$123Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
PREMERA BLUE CROSS MEDICARE ADVANTAGEKLH 105% OF MEDICARE - PREMERA MED ADVANTAGE$125Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
REGENCE MEDICARE ADVANTAGEKLH 103.5% of Medicare$123Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—
UNITED HEALTHCARE MEDICARE ADVANTAGEKLH 103% of Medicare$123Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—

Other government program 1 price

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Other government program prices for Arm or leg ultrasound (limited) at EvergreenHealth Medical Center
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
TRICAREKLH TriCare/CHAMPUS$122Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity LimitedotherInpatient or outpatient—

Unknown 1 price

The source file doesn't say which population this rate applies to.

Unknown prices for Arm or leg ultrasound (limited) at EvergreenHealth Medical Center
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
HUMANAKLH HUMANA$250Hospital’s feeHC US Lmtd Jt/Nonvasc Xtr Strux - US Extremity Limitedpercent of total billed chargesInpatient or outpatient—

Doctors here who do this procedure

5 doctors affiliated with EvergreenHealth Medical Center billed Traditional Medicare for Arm or leg ultrasound (limited) in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctors affiliated with EvergreenHealth Medical Center who billed Traditional Medicare for Arm or leg ultrasound (limited)
Doctor or practicePracticeMedicare quality scoreTimes billed to Traditional Medicare (2024)Traditional Medicare amount for their own service (2024)
Frank Marinkovich, MDInternal Medicine · KirklandOffers telehealth visitsIndependent practiceNot rated32$71.14 in the office (no hospital amount)
Ronald Loch, MDDiagnostic Radiology · LynnwoodSwedish Health ServicesGroup of 1,037 cliniciansNot rated28$34.20 at a hospital or surgery center
Juan Millan, MDDiagnostic Radiology · LynnwoodSwedish Health ServicesGroup of 1,037 cliniciansNot rated27$34.18 at a hospital or surgery center
Philip Lowe, MDDiagnostic Radiology · LynnwoodSwedish Health ServicesGroup of 1,037 cliniciansNot rated27$32.85 at a hospital or surgery center
Matthew Lacourse, MDPhysical Medicine And Rehabilitation · KirklandOffers telehealth visitsKing County Public Hospital District No 2Group of 608 clinicians87 of 100CMS MIPS 2024, reported by their care program (APM)12$34.19 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.
  • 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.