CT imaging
CT head or brain without contrast
CPT 70450
$122 - $977
from 2 insurers · median $550
Aetna$977
Insurer A*$122
Medicare $107Nearby hospitals $48613% above nearby hospitals
Typical for a hospital with this service line
Critical Access HospitalGovernment - Hospital District Or Authority
Summit Pacific Medical Center
Elma, WA
600 East Main Street, Elma, WA 98541(360) 346-2222
24
In-network payers
244
Disclosed rate categories
25
Beds
2
Care quality
About this hospital
Summit Pacific Medical Center is a 25-bed government - hospital district or authority hospital in Elma, WA. Below you'll find publicly disclosed negotiated rates and facility details, including 24 in-network payers and 244 disclosed rate categories.
CCN (Medicare provider number)
501304
NPI
1740211028
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Care Quality
2
Insurance Accepted
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.
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)
Prices for common services
The 24 services Summit Pacific Medical Center 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.
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$5,817
negotiated rate
Aetna$5,817
Medicare $927Nearby hospitals $1,013474% above nearby hospitals
Typical for a hospital with this service line
CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$310 - $465
from 2 insurers · median $388
Aetna$465
Insurer A*$310
Medicare $356Nearby hospitals $1,42873% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$6,783
negotiated rate
Aetna$6,783
Medicare $1,223Nearby hospitals $1,266436% above nearby hospitals
Typical for a hospital with this service line
Mammography
Screening mammography, bilateral
CPT 77067
$88 - $184
from 2 insurers · median $136
Aetna$184
Insurer A*$88
Medicare $92Nearby hospitals $21737% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$2,841
negotiated rate
Aetna$2,841
Medicare $1,223Nearby hospitals $476496% above nearby hospitals
Typical for a hospital with this service line
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$177 - $347
from 2 insurers · median $262
Blue Cross$177
Insurer A*$347
Medicare $558Nearby hospitals $96473% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT angiography of chest blood vessels
CPT 71275
$279 - $365
from 2 insurers · median $322
Aetna$365
Insurer A*$279
Medicare $179Nearby hospitals $1,14072% below nearby hospitals
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of the abdomen
CPT 76705
$82 - $416
from 2 insurers · median $249
Blue Cross$82
Insurer A*$416
Medicare $107Nearby hospitals $29014% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$129 - $270
from 2 insurers · median $200
Aetna$270
Insurer A*$129
Medicare $244Nearby hospitals $96279% below nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Foot X-ray, at least three views
CPT 73630
$36 - $432
from 2 insurers · median $234
Blue Cross$36
Insurer A*$432
Medicare $89Nearby hospitals $18229% above nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI brain before and after contrast
CPT 70553
$375 - $424
from 2 insurers · median $400
Aetna$424
Insurer A*$375
Medicare $356Nearby hospitals $1,26368% below nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Shoulder X-ray, at least two views
CPT 73030
$30 - $432
from 2 insurers · median $231
Blue Cross$30
Insurer A*$432
Medicare $89Nearby hospitals $14757% above nearby hospitals
Typical for a hospital with this service line
Cardiology and vascular testing
Ultrasound of veins in one limb or a limited bilateral study
CPT 93971
$82 - $566
from 2 insurers · median $324
Blue Cross$82
Insurer A*$566
Medicare $107Nearby hospitals $3446% below nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Hand X-ray, at least three views
CPT 73130
$40 - $458
from 2 insurers · median $249
Blue Cross$40
Insurer A*$458
Medicare $89Nearby hospitals $15363% above nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Chest X-ray, two views
CPT 71046
$39 - $47
from 2 insurers · median $43
Blue Cross$39
Insurer A*$47
Medicare $89Nearby hospitals $15172% below nearby hospitals
Typical for a hospital with this service line
Laboratory and pathology
Comprehensive metabolic panel
CPT 80053
$10 - $52
from 2 insurers · median $31
Blue Cross$10
Insurer A*$52
Medicare $11Nearby hospitals $3819% below nearby hospitals
Typical for a hospital with this service line
Ultrasound
Complete abdominal ultrasound
CPT 76700
$108 - $472
from 2 insurers · median $290
Blue Cross$108
Insurer A*$472
Medicare $107Nearby hospitals $33413% below nearby hospitals
Typical for a hospital with this service line
Mammography
Diagnostic mammography, bilateral
CPT 77066
$186 - $196
from 2 insurers · median $191
Aetna$196
Insurer A*$186
Medicare $112Nearby hospitals $38550% below nearby hospitals
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of one breast
CPT 76642
$95 - $121
from 2 insurers · median $108
Blue Cross$95
Insurer A*$121
Medicare $89Nearby hospitals $21951% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Diagnostic colonoscopy
CPT 45378
$249 - $291
from 2 insurers · median $270
Aetna$291
Insurer A*$249
Medicare $950Nearby hospitals $1,42881% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI of the brain, without contrast
CPT 70551
$150 - $229
from 2 insurers · median $190
Aetna$150
Insurer A*$229
Medicare $244Nearby hospitals $85378% below nearby hospitals
Typical for a hospital with this service line
Laboratory and pathology
Complete blood count
CPT 85027
$6 - $72
from 2 insurers · median $39
Blue Cross$6
Insurer A*$72
Medicare $6Nearby hospitals $2652% above nearby hospitals
Typical for a hospital with this service line
Ultrasound
Transvaginal pelvic ultrasound
CPT 76830
$104 - $131
from 2 insurers · median $117
Blue Cross$104
Insurer A*$131
Medicare $107Nearby hospitals $28258% below nearby hospitals
Typical for a hospital with this service line
How the insurers pay at Summit Pacific Medical Center
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* | 24 | 218% | 18 | 5 |
| Insurer B* | 21 | 90% | 0 | 21 |
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 Summit Pacific Medical Center.
Location
600 East Main Street, Elma, WA 98541
(360) 346-2222
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Summit Pacific Medical Center for the same insurers and services above.
Mason General Hospital
Shelton, WA · 20 mi · 68 bedsView rates
â–² Rates typically 12% higher than Summit Pacific Medical Center (22 services)
Willapa Harbor Hospital
South Bend, WA · 31 mi · 26 bedsView rates
â–¼ Rates typically 50% lower than Summit Pacific Medical Center (21 services)
Ocean Beach Hospital
Ilwaco, WA · 57 mi · 25 bedsView rates
â–² Rates typically 207% higher than Summit Pacific Medical Center (22 services)
Columbia Memorial Hospital
Astoria, OR · 60 mi · 49 bedsView rates
â–² Rates typically 371% higher than Summit Pacific Medical Center (24 services)
Morton General Hospital
Morton, WA · 61 mi · 25 bedsView rates
â–² Rates typically 411% higher than Summit Pacific Medical Center (23 services)
St. Elizabeth Hospital
Enumclaw, WA · 68 mi · 38 bedsView rates
â–² Rates typically 156% higher than Summit Pacific Medical Center (24 services)
Odessa Memorial Healthcare Center
Odessa, WAView rates
Jefferson General Hospital
Port Townsend, WAView rates
Newport Community Hospital
Newport, WAView rates
Frequently asked questions
About Summit Pacific Medical Center's rates and hospital price transparency.
How much does an MRI cost at Summit Pacific Medical Center?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Summit Pacific Medical Center range from $375 to $424 across 2 insurers. Aetna's rate is $424. The median at nearby comparable hospitals is $1,263. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Summit Pacific Medical Center?
For CT head or brain without contrast (CPT 70450), published negotiated rates at Summit Pacific Medical Center range from $122 to $977 across 2 insurers. Aetna's rate is $977. The median at nearby comparable hospitals is $486. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Summit Pacific Medical Center?
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Summit Pacific Medical Center range from $6,783 to $6,783 across 1 insurers. Aetna's rate is $6,783. The median at nearby comparable hospitals is $1,266. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Summit Pacific Medical Center?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Summit Pacific Medical Center range from $88 to $184 across 2 insurers. Aetna's rate is $184. The median at nearby comparable hospitals is $217. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Summit Pacific Medical Center have?
Summit Pacific Medical Center has 25 beds. Facility type: Critical Access Hospital.
Where is Summit Pacific Medical Center and what is its phone number?
Summit Pacific Medical Center is located at 600 East Main Street, Elma, WA 98541. Its main phone number is (360) 346-2222.
What is Summit Pacific Medical Center's CCN (Medicare provider number)?
Summit Pacific Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 501304.
What is Summit Pacific Medical Center's NPI number?
The National Provider Identifier (NPI) on file for Summit Pacific Medical Center is 1740211028.
Which insurance plans are in network at Summit Pacific Medical Center?
Summit Pacific Medical Center lists 24 in-network payers, including Aetna, Ameri Health, 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.
What price transparency data is available for Summit Pacific Medical Center?
244 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.
What is a hospital price transparency MRF?
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.
What is a chargemaster review?
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.
For hospital finance and compliance teams
Running price transparency at a hospital like this one?
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"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
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
Get your chargemaster right for billing and payer contracts
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
CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
- Missing, duplicate and outdated charge lines identified
- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers