Forks, WA
25
In-network payers
312
Disclosed rate categories
45
Beds
Forks Community Hospital is a 45-bed government - hospital district or authority hospital in Forks, WA. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 312 disclosed rate categories.
CCN (Medicare provider number)
501325
NPI
1891879680
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
45
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Forks Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$483 - $6,081
from 4 insurers · median $4,079
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$287 - $4,434
from 4 insurers · median $3,991
Typical for a hospital with this service line
CT imaging
CPT 74176
$298 - $3,667
from 3 insurers · median $3,117
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 788
$9,937
negotiated rate
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Digestive procedures
CPT 43239
$550 - $4,857
from 3 insurers · median $4,857
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$4,658
negotiated rate
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
CT imaging
CPT 70450
$149 - $2,060
from 4 insurers · median $918
Typical for a hospital with this service line
MRI imaging
CPT 70553
$507 - $6,565
from 4 insurers · median $3,617
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$640 - $7,445
from 4 insurers · median $6,701
Hospital reports nuclear medicine services to CMS
CT imaging
CPT 71275
$422 - $3,551
from 2 insurers · median $1,986
Typical for a hospital with this service line
Mammography
CPT 77067
$201 - $618
from 4 insurers · median $414
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$52 - $637
from 4 insurers · median $399
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$387 - $5,225
from 4 insurers · median $2,867
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$12,023 - $14,145
from 3 insurers · median $14,145
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$306 - $11,400
from 4 insurers · median $2,758
Typical for a hospital with this service line
MRI imaging
CPT 70551
$316 - $4,665
from 4 insurers · median $2,409
Typical for a hospital with this service line
MRI imaging
CPT 72148
$291 - $4,232
from 4 insurers · median $2,276
Typical for a hospital with this service line
MRI imaging
CPT 74183
$514 - $6,536
from 4 insurers · median $3,517
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$249 - $4,123
from 4 insurers · median $2,437
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$184 - $1,260
from 4 insurers · median $988
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$273 - $2,414
from 4 insurers · median $1,549
Typical for a hospital with this service line
Gynecology
CPT 58661
$1,800 - $8,606
from 3 insurers · median $8,606
Typical for a hospital with this service line
Medicine & Surgery
CPT 64483
$4,926 - $5,795
from 3 insurers · median $5,795
Typical for a hospital with this service line
Ultrasound
CPT 76642
$124 - $872
from 4 insurers · median $534
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 20 | 844% | 18 | 0 |
| Insurer B* | 22 | 668% | 0 | 0 |
| Insurer C* | 23 | 263% | 0 | 0 |
| Insurer D* | 18 | 126% | 10 | 7 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Forks Community Hospital.
530 Bogachiel Way, Forks, WA 98331
(360) 374-6271
The nearest hospitals of similar type and size. Their rates are compared with Forks Community Hospital for the same insurers and services above.
Peacehealth Peace Island Medical Center
â–¼ Rates typically 46% lower than Forks Community Hospital (21 services)
Jefferson General Hospital
â–¼ Rates typically 36% lower than Forks Community Hospital (22 services)
Summit Pacific Medical Center
â–¼ Rates typically 55% lower than Forks Community Hospital (19 services)
Whidbey General Hospital
â–¼ Rates typically 43% lower than Forks Community Hospital (20 services)
Mason General Hospital
â–¼ Rates typically 9% lower than Forks Community Hospital (20 services)
Willapa Harbor Hospital
â–¼ Rates typically 47% lower than Forks Community Hospital (18 services)
Morton General Hospital
Whitman Hospital & Medical Center
Othello Community Hospital
About Forks Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Forks Community Hospital range from $507 to $6,565 across 4 insurers. Cigna's rate is $6,441. The median at nearby comparable hospitals is $449. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Forks Community Hospital range from $483 to $6,081 across 4 insurers. Blue Cross Blue Shield's rate is $483. The median at nearby comparable hospitals is $409. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Forks Community Hospital range from $387 to $5,225 across 4 insurers. Aetna's rate is $5,225. The median at nearby comparable hospitals is $426. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Forks Community Hospital range from $9,937 to $9,937 across 1 insurers. UnitedHealthcare's rate is $9,937. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Forks Community Hospital range from $201 to $618 across 4 insurers. Cigna's rate is $448. The median at nearby comparable hospitals is $167. What a patient pays depends on their plan's deductible, coinsurance and network status.
Forks Community Hospital has 45 beds. Facility type: Critical Access Hospital.
Forks Community Hospital is located at 530 Bogachiel Way, Forks, WA 98331. Its main phone number is (360) 374-6271.
Forks Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 501325.
The National Provider Identifier (NPI) on file for Forks Community Hospital is 1891879680.
Forks Community Hospital lists 25 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
312 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers