Island Hospital

AnacortesSkagit CountyAcute Care Hospitals

Vein ultrasound, arm or leg (one side or limited)

Quality: 4 of 5 (CMS overall rating)Earliest available date: call (360) 299-1300

What you may pay

With insurance from an employer or private plan
$162 – $647At least one plan lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.
Paying yourself (cash price)
$269 – $681The hospital lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.

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: Island Hospital’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 (Washington outside 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——
Reading doctorReading the ultrasound and writing the reportThe radiology group or specialist practice that reads itExpectedBilled separately; amount estimated$21$24 to $37
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 $37 to $40 of about $186 to $199 billed to your plan.

Your share of the hospital's bill is about $32; 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 chargeThe hospital's price file doesn't list one charge for this; in network it doesn't change what you owe.
    Not published
    Allowed amountWhat the insurer counts for this bill.
    $162
    Your plan pays
    $129
    Your coinsurance
    $32.35
    You oweThe provider bills you this after the insurer pays.
    $32.35
  2. Reading doctorSent by the radiology group or specialist practice that reads it
    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.
    $24.27
    Your plan pays
    $19.42
    Your coinsurance
    $4.85
    You oweThe provider bills you this after the insurer pays.
    $4.85
All bills: allowed amounts
$186
Your plan pays
$149
You owe in all
$37.20
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

Island Hospital

The largest bill.

Request to send

Subject: Estimate request: vein ultrasound, arm or leg (one side or limited) at Island Hospital

Hello,

I am planning a vein ultrasound, arm or leg (one side or limited) (billing code CPT 93971) at Island Hospital.

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) 299-1300 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my vein ultrasound, arm or leg (one side or 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).

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

Cash price 4 prices

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

Cash price prices for Vein ultrasound, arm or leg (one side or limited) at Island Hospital
PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$269Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMI—Inpatient or outpatient—
$681Hospital’s feeUS PVE UNILATERAL RIGHT—Inpatient or outpatient—
$681Hospital’s feeUS PVE UNILATERAL LEFT—Inpatient or outpatient—
$681Hospital’s feeVENOUS INSUFF LIMITED—Inpatient or outpatient—

List price (before discounts) 4 prices

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

List price (before discounts) prices for Vein ultrasound, arm or leg (one side or limited) at Island Hospital
PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$269Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMI—Inpatient or outpatient—
$681Hospital’s feeVENOUS INSUFF LIMITED—Inpatient or outpatient—
$681Hospital’s feeUS PVE UNILATERAL RIGHT—Inpatient or outpatient—
$681Hospital’s feeUS PVE UNILATERAL LEFT—Inpatient or outpatient—

Commercial insurance 30 prices

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

Commercial insurance prices for Vein ultrasound, arm or leg (one side or limited) at Island Hospital
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AetnaCommercial$256Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
AetnaCommercial$647Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
CignaCommercial$215Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
CignaCommercial$545Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
Coordinated CareAmbetter$225Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Coordinated CareAmbetter$225Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
Coordinated CareCOCARE Ambetter Cascade$200Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
Coordinated CareCOCARE Ambetter Cascade$200Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Coordinated CareCascase Select plan$200Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
Coordinated CareCascase Select plan$200Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
First ChoiceAll Plans$229Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
First ChoiceAll Plans$579Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
First HealthCommercial$229Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
First HealthCommercial$579Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
HumanaCommercial$229Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
HumanaCommercial$579Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
Integrated Health PlanCommercial$229Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Integrated Health PlanCommercial$579Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
KaiserCommercial$162Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
KaiserCommercial$162Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Lifewise Health Plan of WAAlpine$200Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Lifewise Health Plan of WAAlpine$200Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
Lifewise Health Plan of WAExchange$178Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Lifewise Health Plan of WAExchange$451Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
MultiplanCommercial$229Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
MultiplanCommercial$579Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
PremeraCommercial$178Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
PremeraCommercial$451Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
RegenceCommercial$202Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
RegenceCommercial$511Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—

Medicare Advantage 22 prices

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

Medicare Advantage prices for Vein ultrasound, arm or leg (one side or limited) at Island Hospital
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AetnaMedicare Advantage$131Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
AetnaMedicare Advantage$131Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
HumanaMedicare Advantage$125Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
HumanaMedicare Advantage$125Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
KaiserMedicare Advantage$125Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
KaiserMedicare Advantage$125Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Optum Care NetworkAARP Medicare OCN$127Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
Optum Care NetworkAARP Medicare OCN$127Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Optum Care NetworkHumana Medicare OCN$127Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
Optum Care NetworkHumana Medicare OCN$127Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Optum Care NetworkUHC Medicare OCN$127Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
Optum Care NetworkUHC Medicare OCN$127Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
PremeraMedicare Advantage$131Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
PremeraMedicare Advantage$131Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
RegenceMedicare Advantage$132Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
RegenceMedicare Advantage$132Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
United HealthcareAARP Medicare$131Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
United HealthcareAARP Medicare$131Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
United HealthcareMedicare Advantage$131Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
United HealthcareMedicare Advantage$131Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
WellcareMedicare Advantage$132Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
WellcareMedicare Advantage$132Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—

Medicaid managed care 6 prices

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

Medicaid managed care prices for Vein ultrasound, arm or leg (one side or limited) at Island Hospital
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
Coordinated CareMedicaid$84.59Hospital’s feeVENOUS INSUFF LIMITEDcase rateInpatient or outpatient—
Coordinated CareMedicaid$84.59Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIcase rateInpatient or outpatient—
MolinaHealthy Options$80.92Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIcase rateInpatient or outpatient—
MolinaHealthy Options$80.92Hospital’s feeVENOUS INSUFF LIMITEDcase rateInpatient or outpatient—
WellpointMedicaid$77.97Hospital’s feeVENOUS INSUFF LIMITEDcase rateInpatient or outpatient—
WellpointMedicaid$77.97Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIcase rateInpatient or outpatient—

Other government program 6 prices

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

Other government program prices for Vein ultrasound, arm or leg (one side or limited) at Island Hospital
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
Department of Labor and IndustriesAll Plans$131Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
Department of Labor and IndustriesAll Plans$131Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
TricareTriwest$125Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
TricareTriwest$125Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
USFHPAll Plans$125Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
USFHPAll Plans$125Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—

Unknown 6 prices

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

Unknown prices for Vein ultrasound, arm or leg (one side or limited) at Island Hospital
PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
Community Health Plan of WashingtonHealth Options$88.27Hospital’s feeVENOUS INSUFF LIMITEDcase rateInpatient or outpatient—
Community Health Plan of WashingtonHealth Options$88.27Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIcase rateInpatient or outpatient—
United HealthcareHO$131Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
United HealthcareHO$131Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—
United HealthcareUBH Optum$125Hospital’s feeVENOUS INSUFF LIMITEDfee scheduleInpatient or outpatient—
United HealthcareUBH Optum$125Hospital’s feeDUPLEX SCAN OF EXT.VEINS, LIMIfee scheduleInpatient or outpatient—

Doctors here who do this procedure

18 doctors affiliated with Island Hospital billed Traditional Medicare for Vein ultrasound, arm or leg (one side or limited) in 2024, most Medicare services first. See all doctors and practices, including those with no hospital affiliation.

Doctors affiliated with Island Hospital who billed Traditional Medicare for Vein ultrasound, arm or leg (one side or limited)
Doctor or practicePracticeMedicare quality scoreTimes billed to Traditional Medicare (2024)Traditional Medicare amount for their own service (2024)
Germaine Johnson, MDDiagnostic Radiology · LynnwoodJefferson County Public Hospital District No 2Group of 147 cliniciansNot rated131$19.82 at a hospital or surgery center
Frederic Joseph, MDDiagnostic Radiology · SeattleAvera MckennanGroup of 959 cliniciansNot rated107$20.46 at a hospital or surgery center
Casey Medina, MDDiagnostic Radiology · Mount VernonJefferson County Public Hospital District No 2Group of 147 cliniciansNot rated101$20.79 at a hospital or surgery center
Kelley Cline, MDDiagnostic Radiology · SeattleJefferson County Public Hospital District No 2Group of 147 cliniciansNot rated96$20.64 at a hospital or surgery center
Anthony Holmes, MDCardiovascular Disease (Cardiology) · BellinghamPeacehealthGroup of 298 cliniciansNot rated90$20.23 at a hospital or surgery center
Laurence Cambron, MD PHDDiagnostic Radiology · Mount VernonMori Bean And Brooks IncGroup of 977 cliniciansNot rated83$20.42 at a hospital or surgery center
Mark Papenhausen, MDVascular Surgery · EverettOffers telehealth visitsProvidence Health And Services- WashingtonGroup of 529 cliniciansNot rated81$20.18 at a hospital or surgery center
Paul Craig, MDDiagnostic Radiology · SpokaneJefferson County Public Hospital District No 2Group of 147 cliniciansNot rated76$20.84 at a hospital or surgery center
Larry Cai, MDDiagnostic Radiology · SeattleThe Association Of University PhysiciansGroup of 3,535 cliniciansNot rated69$20.15 at a hospital or surgery center
Gita Rabbani, MDDiagnostic Radiology · BellinghamMt Baker Imaging LLCGroup of 35 clinicians88 of 100CMS MIPS 2024, reported by their group54$21.07 at a hospital or surgery center
Andrew Robbins, MDDiagnostic Radiology · Mount VernonJefferson County Public Hospital District No 2Group of 147 cliniciansNot rated50$20.90 at a hospital or surgery center
Aaron Yu, MDDiagnostic Radiology · Mount VernonJefferson County Public Hospital District No 2Group of 147 cliniciansNot rated42$20.94 at a hospital or surgery center
Elyse Blum, MDDiagnostic Radiology · SeattleThe Association Of University PhysiciansGroup of 3,535 cliniciansNot rated37$23.58 at a hospital or surgery center
Muneer Desai, MDDiagnostic Radiology · SeattleState University Of IowaGroup of 1,897 cliniciansNot rated37$21.21 at a hospital or surgery center
Shawn CallDiagnostic Radiology · SeattleJefferson County Public Hospital District No 2Group of 147 cliniciansNot rated35$20.05 at a hospital or surgery center
Scott Harrison, MDDiagnostic Radiology · Mount VernonWhidbey Island Public Hospital DistrictGroup of 103 cliniciansNot rated31$20.46 at a hospital or surgery center
Kristin Grant, MDDiagnostic Radiology · ArlingtonJefferson County Public Hospital District No 2Group of 147 cliniciansNot rated20$20.48 at a hospital or surgery center
Allen Chen, MDDiagnostic Radiology · SeattleVanderbilt University Medical CenterGroup of 3,567 cliniciansNot rated13$20.87 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.