Patient Price Information List

Disclaimer: Grays Harbor Community Hospital determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.

Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.

LOCAL MARKET HOSPITALS

In order to present a meaningful comparison, Grays Harbor Community Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 9/30/2019. Grays Harbor Community Hospital's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Capital Medical Center

Olympia

WA

Mason General Hospital

Shelton

WA

Multicare Tacoma General Hospital

Tacoma

WA

Providence Centralia Hospital

Centralia

WA

Providence St Peter Hospital

Olympia

WA

Summit Pacific Medical Center

Elma

WA

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Semi-Private Room

$2,085
$3,016

31% lower than market

Intensive Care Unit

$3,753
$5,784

35% lower than market

INPATIENT LABOR AND DELIVERY CHARGES

The following list does not include charges for anesthesia, drugs, or supplies or charges outside the delivery room (i.e., room & board) required for a particular delivery room procedure. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by your physician.

Description

Our Charge
Market Charge

Variance

Normal vaginal delivery without complications

$9,189
$21,080

56% lower than market

Cesarean Section without complications

$13,963
$27,677

50% lower than market

OUTPATIENT EMERGENCY DEPARTMENT CHARGES

Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with Level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

Description

Our Charge
Market Charge

Variance

Emergency Department Visit - Level 1

$252
$402

37% lower than market

Emergency Department Visit - Level 2

$469
$659

29% lower than market

Emergency Department Visit - Level 3

$1,048
$1,085

3% lower than market

Emergency Department Visit - Level 4

$1,918
$1,948

2% lower than market

Emergency Department Visit - Level 5

$2,440
$3,579

32% lower than market

Emergency Critical Care, Each Additional 30 Minutes

$2,850
$3,288

13% lower than market

Emergency Critical Care, First 30 Minutes

$5,222
$7,591

31% lower than market

OUTPATIENT PHYSICAL THERAPY CHARGES

The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Electric Stimulation for Therapy

$77
$106

27% lower than market

Gait Training - 15 Minutes

$101
$107

6% lower than market

PT Evaluation - Moderate Complexity

$270
$373

28% lower than market

PT to Re-Educate Brain to Muscle Function (15 min)

$111
$174

36% lower than market

Physical Therapy 1 or More Regions (15 min)

$133
$151

12% lower than market

Physical Therapy Exercise, 15 Minutes

$110
$136

19% lower than market

Physical Therapy, complex evaluation

$270
$408

34% lower than market

Physical Therapy, standard evaluation - 20 minutes

$270
$340

21% lower than market

OUTPATIENT CLINIC CHARGES

Description

Our Charge
Market Charge

Variance

New patient office or other outpatient visit, typically 45 min

$705
$609

16% higher than market

OUTPATIENT OCCUPATIONAL THERAPY CHARGES

The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Occupational Therapy Evaluation - Moderate Complexity

$270
$413

35% lower than market

Occupational Therapy, complex evaluation

$270
$528

49% lower than market

Occupational Therapy, standard evaluation - 30 minutes

$270
$300

10% lower than market

Self Care - Home Management Training - 15 Minutes

$115
$142

19% lower than market

Therapeutic Activities Involving Functional Activities (15 min)

$122
$151

19% lower than market

OUTPATIENT PULMONARY THERAPY CHARGES

The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

CPAP Initiation & Management

$741
$762

3% lower than market

Spirometry - medicated breathing procedure

$387
$1,186

67% lower than market

Stress Test with EKG tracing

$956
$1,468

35% lower than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Speech Therapy

$202
$411

51% lower than market

Swallow Evaluation

$377
$475

21% lower than market

Swallow Treatment

$215
$408

47% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY CHARGES

The following charges reflect our most common laboratory procedures. For all lab specimens collected via blood draw, the venipuncture will be charged separately.

Description

Our Charge
Market Charge

Variance

Acute hepatitis panel

$263
$316

17% lower than market

Alpha-Fetoprotein (AFP) Level, Serum

$114
$134

15% lower than market

Ammonia level

$110
$222

50% lower than market

Antibody Screen

$309
$538

43% lower than market

Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)

$53
$146

64% lower than market

Bacterial Blood Culture

$196
$321

39% lower than market

Bacterial Culture for Aerobic Isolates

$81
$95

15% lower than market

Bacterial Culture, Any Source Blood

$102
$204

50% lower than market

Bacterial Culture, Any Source Except Urine, Blood, or Stool

$126
$244

48% lower than market

Bacterial culture for anaerobic isolates

$64
$179

64% lower than market

Bacterial urine culture

$71
$83

15% lower than market

Bacterial urine culture; quantitative colony count

$71
$193

63% lower than market

Bilirubin level (Direct)

$94
$85

11% higher than market

Blood Typing, ABO

$124
$150

17% lower than market

Blood Unit Compatibility Test; Immediate Spin Technique

$170
$252

33% lower than market

Blood creatinine level

$73
$67

8% higher than market

Blood gases measurement

$181
$455

60% lower than market

Blood glucose (sugar) level

$78
$78

1% lower than market

Blood potassium level

$101
$92

10% higher than market

Blood test, basic group of blood chemicals

$167
$154

8% higher than market

Blood test, clotting time

$62
$82

24% lower than market

Blood test, comprehensive group of blood chemicals

$166
$200

17% lower than market

Blood test, lipids (cholesterol and triglycerides)

$170
$220

23% lower than market

Blood test, thyroid stimulating hormone (TSH)

$182
$240

24% lower than market

Coagulation Function Measurement; D-dimer; quantitative

$98
$211

54% lower than market

Complete blood cell count - automated differential WBC count

$100
$107

7% lower than market

Complete blood cell count - automated test with out Differential

$81
$80

1% higher than market

Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)

$90
$136

34% lower than market

Creatine kinase Level (cardiac enzyme) - Total

$122
$141

14% lower than market

Creatine kinase level (cardiac enzyme) - Muscle/Brain

$150
$219

31% lower than market

Creatinine level to test for kidney function or muscle injury

$101
$91

11% higher than market

Cyanocobalamin (vitamin B-12) level

$122
$186

34% lower than market

Detection Test for Chlamydia; Amplified Probe Technique

$195
$219

11% lower than market

Detection Test for Hepatitis B

$58
$108

46% lower than market

Detection Test for Hepatitis C Virus; Includes Reverse Transcription

$278
$676

59% lower than market

Detection test for HIV-1 and HIV-2

$116
$237

51% lower than market

Detection test for clostridium difficile

$177
$218

19% lower than market

Detection test for cryptosporidium (parasite); immunoassay technique

$122
$124

2% lower than market

Detection test for identification of organism

$79
$128

38% lower than market

Detection test for multiple types influenza virus

$417
$655

36% lower than market

Detection test for organism; quantification, each organism

$148
$565

74% lower than market

Digoxin level

$133
$150

11% lower than market

Ferritin (blood protein) level

$119
$186

36% lower than market

Folic acid; serum

$116
$173

33% lower than market

Gammaglobulin Measurement

$70
$115

39% lower than market

Glutamyltransferase (liver enzyme) level

$80
$103

23% lower than market

Hemoglobin A1C level

$74
$142

48% lower than market

Hemoglobin Measurement

$47
$58

18% lower than market

Hepatitis B Antibody Measurement

$95
$111

14% lower than market

Hepatitis B surface antibody measurement

$58
$105

45% lower than market

Hepatitis C Antibody Measurement

$139
$167

17% lower than market

Infrared analysis of stone

$84
$197

57% lower than market

Ionized Calcium

$131
$166

21% lower than market

Iron Binding Capacity

$74
$90

17% lower than market

Iron level

$86
$89

3% lower than market

Kidney Function Blood Test Panel

$133
$118

13% higher than market

LDL cholesterol level

$61
$92

33% lower than market

Lactate dehydrogenase (enzyme) level

$94
$119

21% lower than market

Lactic acid level

$94
$244

61% lower than market

Lipase (fat enzyme) level

$84
$194

57% lower than market

Lithium Level

$98
$123

20% lower than market

Liver enzyme (SGPT), level

$101
$103

2% lower than market

Liver function blood test panel

$156
$140

11% higher than market

Magnesium Level

$86
$88

2% lower than market

Measurement C-reactive protein

$74
$127

42% lower than market

Measurement high sensitivity C-reactive protein

$77
$148

48% lower than market

Measurement of antibody (IgE) to allergic substance

$20
$40

50% lower than market

Measurement of antibody for assessment of autoimmune disorder

$106
$101

5% higher than market

Natriuretic peptide (heart and blood vessel protein) level

$195
$349

44% lower than market

Obstetric panel (includes HIV testing)

$208
$187

11% higher than market

PSA (prostate specific antigen) measurement

$124
$202

39% lower than market

PSA Measurement; Free

$179
$150

19% higher than market

Parathormone

$340
$385

12% lower than market

Coagulation assessment blood test

$101
$94

8% higher than market

Pathology examination of tissue using a microscope, intermediate complexity

$131
$325

60% lower than market

Phenytoin level

$84
$216

61% lower than market

Phosphate level

$101
$142

29% lower than market

Platelet count, automated test

$44
$122

64% lower than market

Platelets, pheresis, leukocytes reduced, each unit

$647
$1,225

47% lower than market

Prealbumin (protein) level

$88
$147

40% lower than market

Procalcitonin (hormone) level

$235
$351

33% lower than market

Protein Measurement, Serum

$62
$158

61% lower than market

Red Blood Cell Concentration Measurement

$40
$57

29% lower than market

Red Blood Cells, Leukocytes Reduced, Each Unit

$347
$663

48% lower than market

Red blood cell sedimentation rate, to detect inflammation; non-automated

$65
$98

33% lower than market

Rheumatoid factor analysis

$86
$140

39% lower than market

Screening Test for Autoimmune Disorder

$94
$94

Approximately equal to market

Screening Test for Red Blood Cell Antibodies

$127
$143

11% lower than market

Screening test for Pathogenic Organisms

$143
$172

17% lower than market

Sex hormone binding globulin (protein) level

$72
$118

39% lower than market

Special Stain for Microorganism; Gram or Glemsa Stain

$86
$126

32% lower than market

Special stain for parasites

$56
$108

48% lower than market

Stool culture - salmonella and shigella species

$67
$224

70% lower than market

Stool culture - additional pathogens

$27
$75

64% lower than market

Stool lactoferrin (immune system protein) analysis

$94
$140

33% lower than market

Strep Test

$70
$146

52% lower than market

Syphilis Detection Test

$57
$93

39% lower than market

Tacrolimus Level

$180
$197

9% lower than market

Testosterone (hormone) level

$196
$280

30% lower than market

Thyroxine (thyroid chemical) measurement - Free Thyroxine

$158
$178

11% lower than market

Thyroxine (thyroid chemical) measurement - Total

$86
$89

3% lower than market

Total protein level, blood

$99
$98

1% higher than market

Troponin (protein) analysis

$179
$225

21% lower than market

Urea nitrogen level to assess kidney function

$81
$89

9% lower than market

Uric acid level, blood

$86
$79

9% higher than market

Urinalysis with Examination, using Microscope

$67
$88

24% lower than market

Urinalysis, Automated Test

$44
$54

19% lower than market

Urinalysis, Manual Test

$18
$45

60% lower than market

Urine Pregnancy Test

$61
$91

33% lower than market

Vancomycin (antibiotic) level

$114
$265

57% lower than market

Vitamin D-3 Level

$78
$224

65% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Attempt to Restart Heart and Lungs

$2,333
$2,556

9% lower than market

Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound

$606
$596

2% higher than market

Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound

$355
$416

15% lower than market

Fluoroscopic and video recorded motion evaluation of swallowing function

$415
$596

30% lower than market

Group psychotherapy

$261
$302

14% lower than market

Hydration Infusion into a Vein

$137
$182

25% lower than market

Hydration Infusion into a Vein - 31 Minutes to 1 Hour

$630
$788

20% lower than market

Infusion (Additional) for Therapy, Diagnosis or Prevention

$371
$341

9% higher than market

Infusion into a Vein for Therapy, Diagnosis, or Prevention

$140
$228

38% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$720
$888

19% lower than market

Infusion of chemotherapy into a vein

$165
$275

40% lower than market

Irrigation of implanted venous access drug delivery device

$139
$268

48% lower than market

Insertion of catheter into left heart for diagnosis

$13,024
$11,735

11% higher than market

Moderate sedation services - each additional 15 minutes intraservice time

$182
$183

Approximately equal to market

Negative pressure wound therapy, surface area less than or equal to 50 square centimeters, per sessi

$261
$411

37% lower than market

Physician services for outpatient heart rehabilitation with continuous EKG monitoring per session

$221
$387

43% lower than market

Psychotherapy, 30 minutes with patient

$168
$302

44% lower than market

Pulmonary stress testing, including measurement of heart rate, oximetry and oxygen titration

$492
$751

34% lower than market

Measurement of largest amount of air exhaled from lungs

$265
$546

51% lower than market

Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes

$127
$143

11% lower than market

OUTPATIENT OBSERVATION CHARGES

Description

Our Charge
Market Charge

Variance

Hospital Observation per Hour

$125
$147

15% lower than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Grafix core and grafixpl core, per square centimeter

$1,480
$5,490

73% lower than market

Grafix prime and grafixpl prime, per square centimeter

$922
$2,306

60% lower than market

Injection, pantoprazole sodium, per vial

$55
$76

28% lower than market

Lens, intraocular (new technology)

$408
$1,226

67% lower than market

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained o

$208
$278

25% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

5% dextrose/water (500 ml = 1 unit)

$55
$75

26% lower than market

Chemotherapy Infustion - Up to 1 Hour

$562
$1,185

53% lower than market

Dexamethasone, oral, 0.25 mg

$1
$2

69% lower than market

Infusion, normal saline solution, 250 cc

$28
$56

50% lower than market

Infusion, normal saline solution, sterile (500 ml = 1 unit)

$55
$80

31% lower than market

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$451
$659

32% lower than market

Injection, Adrenalin, Epinephrine, 0.1 mg

$6
$28

77% lower than market

Injection, Dexamethasone Sodium Phosphate, 1 mg

$5
$12

54% lower than market

Injection, Enoxaparin Sodium, 10 mg

$13
$22

39% lower than market

Injection, Furosemide, up to 20 mg

$27
$36

26% lower than market

Injection, Hydralazine hcl, Up to 20 mg

$54
$77

30% lower than market

Injection, Ketorolac Tromethamine, per 15 mg

$27
$48

44% lower than market

Injection, Magnesium Sulfate, per 500 mg

$28
$25

10% higher than market

Injection, Metoclopramide HCL, Up to 10mg

$54
$56

4% lower than market

Injection, Ondansetron Hydrochloride, per 1 mg

$13
$16

16% lower than market

Injection, Piperacillin Sodium/Tazobactam (1.125 grams)

$45
$41

9% higher than market

Injection, Vancomycin HCL, 500 mg

$55
$75

27% lower than market

Injection, acetylcysteine, 100 mg

$14
$25

42% lower than market

Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)

$9
$36

75% lower than market

Injection, alteplase recombinant, 1 mg

$1,399
$3,214

56% lower than market

Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm

$53
$51

5% higher than market

Injection, dopamine hcl, 40 mg

$11
$21

48% lower than market

Injection, gadobutrol, 0.1 ml

$2
$4

48% lower than market

Injection, levetiracetam, 10 mg

$1
$1

17% lower than market

Injection, meropenem, 100 mg

$14
$24

44% lower than market

Injection, mitomycin, 5 mg

$101
$456

78% lower than market

Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg

$8
$22

63% lower than market

Injection, phenylephrine hcl, up to 1 ml

$58
$72

19% lower than market

Injection, phenytoin sodium, per 50 mg

$4
$18

76% lower than market

Injection, phytonadione (vitamin k), per 1 mg

$44
$72

39% lower than market

Injection, potassium chloride, per 2 meq

$6
$14

61% lower than market

Injection, propofol, 10 mg

$3
$14

81% lower than market

Injection, succinylcholine chloride, up to 20 mg

$7
$26

74% lower than market

Injection, thiamine hcl, 100 mg

$55
$75

26% lower than market

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

$27
$25

4% higher than market

Injection, ziprasidone mesylate, 10 mg

$132
$212

37% lower than market

OUTPATIENT RESPIRATORY THERAPY CHARGES

The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

CO Diffusion Capacity

$285
$587

51% lower than market

Thoracic Gas Volume

$610
$854

29% lower than market

OUTPATIENT SUPPLIES CHARGES

Description

Our Charge
Market Charge

Variance

Epifix or epicord, per square centimeter

$1,671
$3,599

54% lower than market

Technetium tc-99m sestamibi, diagnostic, per study dose

$584
$629

7% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Application of chemical agent to excessive wound tissue

$531
$556

4% lower than market

Application of rigid total contact leg cast

$678
$946

28% lower than market

Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq

$3,655
$5,508

34% lower than market

Application of vein wound compression system lower leg below knee including ankle and foot

$396
$527

25% lower than market

Aspiration and/or injection: large joint/bursa

$1,413
$1,625

13% lower than market

Biopsy of Large Bowel, Using an Endoscope

$7,819
$3,443

127% higher than market

Biopsy of breast accessed throught the skin with ultrasound guidance; first lesion

$2,191
$3,716

41% lower than market

Biopsy of the Esophagus, Stomach, Using an Endoscope

$5,745
$3,340

72% higher than market

Collection of blood specimen from a completely implantable venous access device

$363
$373

3% lower than market

Collection of blood specimen from central or peripheral venous catheter

$335
$308

9% higher than market

Colonscopy

$7,819
$3,093

153% higher than market

Colorectal Cancer Screening; Colonoscopy on Non-High Risk Patient

$4,008
$4,055

1% lower than market

Crushing of stone in urinary duct (ureter) with stent using an endoscope

$24,204
$25,260

4% lower than market

Declotting infusion of implanted central venous access device or catheter

$532
$1,756

70% lower than market

Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel with Endoscope

$2,015
$6,183

67% lower than market

Drainage of fluid from abdominal cavity using imaging guidance

$2,758
$2,649

4% higher than market

Epidural Injection Thoracic

$2,298
$2,682

14% lower than market

Removal of cataract with insertion of lens

$3,468
$6,968

50% lower than market

Extracapsular cataract removal with insertion of intraocular lens prosthesis; complex

$4,714
$8,040

41% lower than market

Gallbladder Removal Using an Endoscope

$16,113
$17,537

8% lower than market

Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval

$564
$561

1% higher than market

Introduction of needle or intracatheter, vein

$230
$211

9% higher than market

Injection of anesthetic and/or steroid into lower spine nerve root using imaging

$2,564
$2,721

6% lower than market

Insertion of Needle into Vein to Collect Blood

$31
$52

40% lower than market

Insertion of guide wire with dilation of esophagus using an endoscope

$3,184
$3,167

1% higher than market

Removal of one knee cartilage using an endoscope

$22,128
$7,766

185% higher than market

Release of wrist ligament using an endoscope

$6,367
$9,753

35% lower than market

Removal of 1 or more breast growth, open procedure

$9,276
$10,433

11% lower than market

Removal of Polyps in Large Bowel, Using an Endoscope

$3,910
$2,661

47% higher than market

Removal of fluid from chest cavity with imaging guidance

$1,943
$3,300

41% lower than market

Removal of skin and tissue first 20 sq cm or less

$1,171
$3,259

64% lower than market

Removal of skin and/or muscle

$125
$537

77% lower than market

Removal of skin and/or muscle first 20 sq cm or less

$1,554
$2,685

42% lower than market

Repair of groin hernia patient age 5 years or older

$15,495
$12,111

28% higher than market

Transfusion of Blood or Blood Products

$1,206
$2,114

43% lower than market

Trigger Finger Release

$2,980
$5,976

50% lower than market

OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES

The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.

Description

Our Charge
Market Charge

Variance

Bone Density Scan (DEXA Scan)

$340
$565

40% lower than market

Breast Ultrasound - Limited

$328
$519

37% lower than market

CT Abdomen & Pelvis with Contrast

$6,385
$4,804

33% higher than market

CT Angiogram Abdomen & Pelvis with and without Contrast

$1,871
$5,391

65% lower than market

CT Chest without Contrast

$2,735
$2,522

8% higher than market

CT Head Brain without Contrast

$2,821
$2,103

34% higher than market

CT Neck with Contrast

$3,144
$2,874

9% higher than market

CT Pelvis with Contrast

$4,256
$2,770

54% higher than market

Chest X-Ray; 2 Views

$397
$444

11% lower than market

Chest X-Ray; Single View

$397
$413

4% lower than market

Diagnostic mammography, bilateral

$544
$661

18% lower than market

Diagnostic mammography, unilateral

$337
$550

39% lower than market

Imaging for Evaluation of Swalling Function

$655
$677

3% lower than market

Imaging of Abdomen and Chest

$655
$653

Approximately equal to market

Imaging of Abdomen; 2 Views

$397
$557

29% lower than market

Imaging of Abdomen; Single View

$397
$402

1% lower than market

MRA Head without Contrast

$1,804
$3,568

49% lower than market

MRI Abdomen with and without Contrast

$3,040
$4,612

34% lower than market

MRI Arm Joint without Contrast

$1,804
$2,939

39% lower than market

MRI Brain with and without Conrast

$3,040
$4,335

30% lower than market

MRI Brain without Contrast

$1,804
$2,985

40% lower than market

MRI Leg Joint without Contrast

$1,804
$2,900

38% lower than market

MRI Spine Cervical without Contrast

$1,804
$2,919

38% lower than market

MRI Spine Lumbar without Contrast

$1,804
$3,056

41% lower than market

MRI Spine Thoracic without Contrast

$1,804
$2,989

40% lower than market

Myocardial Perfusion, Tomographic

$5,348
$5,937

10% lower than market

Nuclear Medicine Study of Heart Vessels Using Drugs or Exercise

$3,372
$4,775

29% lower than market

Physical Therapy, ultrasound therapy - 15 minutes

$65
$108

40% lower than market

Screening Mammography, Bilateral, with CAD

$521
$544

4% lower than market

Ultrasound Abdomen - Complete

$1,634
$1,008

62% higher than market

Ultrasound Guidance for Insertion of Needle

$1,096
$2,025

46% lower than market

Ultrasound Heart

$3,648
$4,203

13% lower than market

Ultrasound Pelvis through Vagina

$1,438
$870

65% higher than market

Ultrasound Pregnant Uterus > 14 Weeks Pregnant

$1,634
$837

95% higher than market

Ultrasound Veins of Both Arms or Legs

$1,621
$1,711

5% lower than market

Ultrasound guidance for accessing into blood vessel

$771
$957

19% lower than market

Whole Body Bone Scan

$2,173
$2,372

8% lower than market

X-Ray Ankle, 3 Views

$397
$451

12% lower than market

X-Ray Both Hips and Pelvis, 2 Views

$742
$684

9% higher than market

X-Ray Elbow, 3 Views

$397
$414

4% lower than market

X-Ray Esophagus

$655
$846

23% lower than market

X-Ray Fingers, 2 Views

$397
$378

5% higher than market

X-Ray Foot, 3 Views

$397
$412

4% lower than market

X-Ray Forearm, 2 Views

$397
$403

1% lower than market

X-Ray Hand, 3 Views

$397
$453

12% lower than market

X-Ray Knee, 1-2 Views

$397
$437

9% lower than market

X-Ray Knee, 3 Views

$397
$464

14% lower than market

X-Ray Knee, 4 or More Views

$655
$608

8% higher than market

X-Ray Lower Leg, 2 Views

$397
$431

8% lower than market

X-Ray Lower Sacral Spine, 4 or More Views

$655
$694

6% lower than market

X-Ray Ribs One Side, 2 Views

$397
$428

7% lower than market

X-Ray Shoulder, 2 Views

$397
$454

13% lower than market

X-Ray Upper Arm, 2 Views

$397
$406

2% lower than market

X-Ray Upper Spine, 4-5 Views

$655
$669

2% lower than market

X-Ray Wrist, 3 Views

$397
$476

17% lower than market

X-ray of upper digestive tract, kidneys, urinary ducts (ureters), and bladder with contrast

$635
$895

29% lower than market

INPATIENT CARDIOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Abnormal or Irregular Heartbeat with complications

$19,039
$30,225

37% lower than market

Cardiac arrhythmia & conduction disorders with major complications

$28,534
$35,736

20% lower than market

Heart Failure with complications

$21,655
$29,236

26% lower than market

Heart Failure with major complications

$31,997
$39,657

19% lower than market

INPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Blood Infection with major complications

$41,035
$51,511

20% lower than market

Blood infection without major complications

$28,193
$35,421

20% lower than market

Diabetes with complications

$18,304
$29,805

39% lower than market

Digestive System Bleeding with complications

$31,561
$36,912

14% lower than market

INPATIENT NEUROLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Stroke with complications

$31,634
$33,806

6% lower than market

INPATIENT ORTHOPEDIC SURGERY CHARGES

Description

Our Charge
Market Charge

Variance

Hip & femur procedures except major joint with complications

$65,884
$76,390

14% lower than market

Total Knee or Hip Replacement

$111,866
$78,933

42% higher than market

INPATIENT PULMONOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Chronic Lung Disease with major complications

$28,093
$38,227

27% lower than market

Pneumonia with major complications

$30,326
$46,992

35% lower than market

Respiratory Failure

$31,974
$37,689

15% lower than market

INPATIENT UROLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Kidney & urinary Infection without complications

$26,041
$28,337

8% lower than market

Kidney failure with complications

$23,252
$28,336

18% lower than market

BILLING PROCESS AND INFORMATION

How You Can Help

Thank you for choosing Grays Harbor Community Hospital for your healthcare needs. We want to make understanding and paying your bill as easy as possible. Here are some ways you can help us as we work to make the billing process go smoothly.

• Please give us complete health insurance information.

In addition to your health insurance card, we may ask for a photo ID. If you have been seen at Grays Harbor Community Hospital, let us know if your personal information or insurance information has changed since your last visit.

• Please understand and follow the requirements of your health plan.

Be sure to know your benefits, obtain proper authorization for services and submit referral claim forms if necessary. Many insurance plans require patients to pay a co-payment or deductible amount. You are responsible for paying co-payments required by your insurance provider and Grays Harbor Community Hospital is responsible for collecting co-payments. Please come to your appointment prepared to make your co-payment.

• Please respond promptly to any requests from your insurance provider.

You may receive multiple bills from your hospital visit, including your family doctor, specialists, physicians that read x-rays, providers that give anesthesia, or physicians that interpret blood work. Insurance benefits are the result of your contract with your insurance company. We are a third-party to those benefits and may need your help with your insurance. If your insurance plan does not pay the bill within 90 days after billing, or your claim is denied, you will receive a statement from Grays Harbor Community Hospital indicating the bill is now your responsibility. All bills sent to you are due upon receipt.

Questions about Price and Billing Information

Our goal is for each of our patients and their families to have the best healthcare experience possible. Part of our commitment is to provide you with information that helps you make well informed decisions about your own care.

To ask questions or get more information about a bill for services you've received, please contact our Billing Department at 360-532-8330.

If you need more information about the price of a future service, please contact our Customer Service at 360-532-8330. A physician’s order or CPT code is strongly encouraged when you call to assist us in providing you with the most accurate estimate. You can obtain the CPT code from the ordering physician.