Hospital Price Engine

Summit Pacific Medical Center

Elma, Washington · Critical Access · Government - Hospital District or Authority · CCN 501304

819%
median commercial rate vs. Medicare here
20th
highest of 74 Washington hospitals, by median rate vs. Medicare
56
procedures with published commercial rates
ProcedureCommercial medianMedicare% of MedicareEst. cost*Plan rates
Basic metabolic panelCPT 80048$61$8718%—8
CT abdomen and pelvis with contrastCPT 74177$4,948$3561388%—8
CT head without contrastCPT 70450$1,851$1071733%—8
CT pelvis with contrastCPT 72193$3,598$1792008%—8
Cardiac stress testCPT 93017$440$221200%—8
Colonoscopy with biopsyCPT 45380$126$1,22310%—5
Colonoscopy with polyp removalCPT 45385$158$1,22313%—5
Colonoscopy, diagnosticCPT 45378$220$95023%—5
Complete blood count with differentialCPT 85025$66$8854%—8
Complete blood count, automatedCPT 85027$62$6962%—8
Comprehensive metabolic panelCPT 80053$85$11803%—8
Diagnostic mammography, both breastsCPT 77066$424———8
Diagnostic mammography, one breastCPT 77065$330———8
ED visit, level 3CPT 99283$491$279176%—8
ED visit, level 4CPT 99284$922$426216%—8
ED visit, level 5CPT 99285$2,511$608413%—8
Echocardiogram, completeCPT 93306$1,311$558235%—8
Electrocardiogram with interpretationCPT 93000$50———7
Family psychotherapy, with patientCPT 90847$264$181146%—8
Kidney function panelCPT 80069$61$9700%—8
Lipid panelCPT 80061$128$13958%—8
Liver function panelCPT 80076$61$8744%—8
Lumbar epidural steroid injectionCPT 62323$1,300$721180%—8
MRI brain with and without contrastCPT 70553$4,198$3561178%—8
MRI lower extremity joint (knee)CPT 73721$2,632$2441080%—8
MRI lumbar spine without contrastCPT 72148$2,480$2441017%—8
OB global care, VBAC deliveryCPT 59610$2,513———5
OB global care, cesarean deliveryCPT 59510$2,406———5
OB global care, vaginal deliveryCPT 59400$2,406———5
OB ultrasound, 14+ weeksCPT 76805$1,039$107973%—8
Office visit, established patient, level 3CPT 99213$87———8
Office visit, established patient, level 4CPT 99214$137———8
Office visit, new patient, level 3CPT 99203$116———8
Office visit, new patient, level 4CPT 99204$195———8
Office visit, new patient, level 5CPT 99205$254———8
PSA (prostate specific antigen), totalCPT 84153$178$18967%—8
Partial thromboplastin timeCPT 85730$52$6861%—8
Physical therapy, therapeutic exerciseCPT 97110$86———8
Preventive visit, new patient, 18-39CPT 99385$248———7
Preventive visit, new patient, 40-64CPT 99386$300———7
Prothrombin timeCPT 85610$40$4927%—8
Psychotherapy, 30 minutesCPT 90832$137$18176%—8
Psychotherapy, 45 minutesCPT 90834$172$18195%—8
Psychotherapy, 60 minutesCPT 90837$218$181120%—8
Screening mammography, bilateralCPT 77067$396———8
Sleep study (polysomnography)CPT 95810$1,484$877169%—8
Thyroid stimulating hormone (TSH)CPT 84443$164$17978%—8
Transforaminal epidural, lumbar/sacralCPT 64483$1,398$904155%—8
Ultrasound, abdomen, completeCPT 76700$895$107838%—8
Ultrasound, transvaginalCPT 76830$892$107835%—8
Upper GI endoscopy with biopsyCPT 43239$220$92724%—5
Upper GI endoscopy, diagnosticCPT 43235$77$9278%—5
Urinalysis, automated, with microscopyCPT 81001$32$31017%—8
Urinalysis, automated, without microscopyCPT 81003$31$21367%—8
Urinalysis, manual, without microscopyCPT 81002$28$3797%—8
X-ray, lower back, 4+ viewsCPT 72110$692$107647%—8

Click any column to sort. *Estimated from this hospital’s federal cost-report cost-to-charge ratio; approximate, least precise for imaging and labs (~). Sources and method on the methodology page. To put this hospital beside others, open it in the explorer.

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Rexroad Analytics · Data: hospital machine-readable files (45 CFR 180, schema v3.0) retrieved September 16, 2026; Medicare benchmarks from CMS claims data and fee schedules; cost estimates from FY2026 CMS cost-report ratios, labeled as estimates. Not medical, legal, or benefits advice. Full methodology → · The American Healthcare Conundrum →