Supplies, drugs & other prices at Forks Community Hospital
Forks, WA · every code in this section with a posted price and a Medicare benchmark.
22 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $83.20 | $104 | 1.6× |
| Admin influenza virus vac (G0008) | $78.40 | $98 | 1.5× |
| Admin pneumococcal vaccine (G0009) | $65.60 | $82 | 1.3× |
| Ca screen;pelvic/breast exam (G0101) | $191.20 | $239 | 1.7× |
| Catheterize for urine spec (P9612) | $132.80 | $166 | 14.2× |
| Colon ca scrn not hi rsk ind (G0121) | $4,142.80 | $5,178.50 | 4.0× |
| Colorectal scrn; hi risk ind (G0105) | $3,298.40 | $4,123 | 3.2× |
| Depression screen annual (G0444) | $10.40 | $13 | 0.2× |
| Diab manage trn per indiv (G0108) | $124.80 | $156 | 2.2× |
| Direct refer hospital observ (G0379) | $136.80 | $171 | 0.2× |
| Drug test def 1-7 classes (G0480) | $170.80 | $213.50 | 1.5× |
| Ekg tracing for initial prev (G0404) | $104.80 | $131 | 3.3× |
| Fecal blood scrn immunoassay (G0328) | $98.40 | $123 | 5.5× |
| Fern test (Q0114) | $41.60 | $52 | 4.3× |
| Initial preventive exam (G0402) | $430.40 | $538 | 2.9× |
| Inj for sacroiliac jt anesth (G0260) | $2,268 | $2,835 | 2.9× |
| Obtaining screen pap smear (Q0091) | $172 | $215 | 5.3× |
| Periodic oral evaluation (D0120) | $82.40 | $103 | 0.6× |
| Ppps, initial visit (G0438) | $571.20 | $714 | 3.3× |
| Ppps, subseq visit (G0439) | $571.20 | $714 | 4.2× |
| Psa screening (G0103) | $139.60 | $174.50 | 7.2× |
| Tomosynthesis, mammo (G0279) | $826 | $1,032.50 | 65.1× |