Hospital Centralia, WA

Providence Centralia Hospital

Listed in its price file as “Providence Health And Services - Washington”.

Providence Centralia Hospital in Centralia, WA publishes cash prices for 350 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Washington median for 190 of 347 procedures and below it for 147. By typical cash price it ranks #36 of 60 Washington hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

914 S Scheuber Rd, Centralia, WA 98531 Collected Sep 23, 2026 Source price file Check a bill from this hospital (360) 330-8530

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 500019 · CMS hospital register NPI 1376624981

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Providence Centralia Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$1,728.48	$3,324.00	—	17% below	48%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$1,728.48	$3,324.00	—	—	48%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$439.40	$845.00	—	35% above	48%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$439.40	$845.00	—	—	48%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$310.44	$597.00	—	at median	48%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$310.44	$597.00	—	—	48%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$397.28	$764.00	—	5% above	48%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$397.28	$764.00	—	—	48%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,623.44	$3,122.00	—	15% above	48%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,623.44	$3,122.00	—	—	48%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS W CONTRAST	$935.48	$1,799.00	—	54% above	48%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS W CONTRAST	$935.48	$1,799.00	—	—	48%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE AND OR JOINT IMAGING WHOLE BODY CDM	$1,101.36	$2,118.00	—	26% below	48%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE AND OR JOINT IMAGING WHOLE BODY CDM	$1,101.36	$2,118.00	—	—	48%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI COMPLETE	$689.52	$1,326.00	—	59% above	48%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI COMPLETE	$689.52	$1,326.00	—	—	48%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US ED BREAST UNI LIMITED CDM	$356.72	$686.00	—	5% above	48%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI LIMITED	$410.28	$789.00	—	21% above	48%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US ED BREAST UNI LIMITED CDM	$356.72	$686.00	—	—	48%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI LIMITED	$410.28	$789.00	—	—	48%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN PELVIS	$2,512.64	$4,832.00	—	30% below	48%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN PELVIS	$2,512.64	$4,832.00	—	—	48%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$1,316.64	$2,532.00	—	38% below	48%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$1,316.64	$2,532.00	—	—	48%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$1,301.56	$2,503.00	—	42% below	48%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$1,301.56	$2,503.00	—	—	48%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST	$1,379.56	$2,653.00	—	43% below	48%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST	$1,379.56	$2,653.00	—	—	48%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$1,116.96	$2,148.00	—	56% below	48%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$1,116.96	$2,148.00	—	—	48%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$1,322.36	$2,543.00	—	57% below	48%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$1,322.36	$2,543.00	—	—	48%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$2,175.68	$4,184.00	—	42% below	48%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$2,175.68	$4,184.00	—	—	48%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$1,698.32	$3,266.00	—	9% below	48%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$1,698.32	$3,266.00	—	—	48%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$1,396.72	$2,686.00	—	3% below	48%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$1,396.72	$2,686.00	—	—	48%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$961.48	$1,849.00	—	13% below	48%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O DYE LIMITED	$1,011.92	$1,946.00	—	8% below	48%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$961.48	$1,849.00	—	—	48%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O DYE LIMITED	$1,011.92	$1,946.00	—	—	48%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$807.04	$1,552.00	—	39% below	48%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$807.04	$1,552.00	—	—	48%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,218.36	$2,343.00	—	16% below	48%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,218.36	$2,343.00	—	—	48%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$1,353.04	$2,602.00	—	22% below	48%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$1,353.04	$2,602.00	—	—	48%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$1,215.76	$2,338.00	—	15% below	48%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$1,215.76	$2,338.00	—	—	48%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT NECK SPINE WO CONTRAST	$1,004.12	$1,931.00	—	33% below	48%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT NECK SPINE WO CONTRAST	$1,004.12	$1,931.00	—	—	48%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$1,698.32	$3,266.00	—	6% below	48%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$1,698.32	$3,266.00	—	—	48%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$326.04	$627.00	—	—	48%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$326.04	$627.00	—	—	48%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W & W/O CONTRAST	$1,836.64	$3,532.00	—	11% below	48%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W & W/O CONTRAST	$1,836.64	$3,532.00	—	—	48%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$236.60	$455.00	—	18% below	48%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$236.60	$455.00	—	—	48%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$236.60	$455.00	—	1% below	48%
Chest X-ray, single view CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$236.60	$455.00	—	1% below	48%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$236.60	$455.00	—	—	48%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$236.60	$455.00	—	—	48%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$310.44	$597.00	—	13% above	48%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$310.44	$597.00	—	—	48%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$543.40	$1,045.00	—	12% below	48%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$543.40	$1,045.00	—	—	48%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$397.28	$764.00	—	5% below	48%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$397.28	$764.00	—	—	48%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY PERIPHERAL SKELETON	$206.96	$398.00	—	20% above	48%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY PERIPHERAL SKELETON	$206.96	$398.00	—	—	48%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB DETAILED SINGLE FETUS CDM	$401.44	$772.00	—	44% below	48%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB DETAILED SINGLE FETUS CDM	$401.44	$772.00	—	—	48%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST	$1,214.72	$2,336.00	—	19% below	48%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W/O DYE F/U LUNG SCREENING	$1,396.72	$2,686.00	—	6% below	48%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST	$1,214.72	$2,336.00	—	—	48%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX W/O DYE F/U LUNG SCREENING	$1,396.72	$2,686.00	—	—	48%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST	$1,698.32	$3,266.00	—	10% below	48%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST	$1,698.32	$3,266.00	—	—	48%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD	$485.16	$933.00	—	7% above	48%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD	$485.16	$933.00	—	—	48%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD	$427.44	$822.00	—	11% above	48%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD	$427.44	$822.00	—	—	48%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$1,120.08	$2,154.00	—	—	48%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$1,120.08	$2,154.00	—	—	48%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$1,120.08	$2,154.00	—	—	48%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$1,120.08	$2,154.00	—	—	48%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$1,495.52	$2,876.00	—	11% below	48%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$1,495.52	$2,876.00	—	—	48%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW LIMITED	$276.64	$532.00	—	3% above	48%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$276.64	$532.00	—	3% above	48%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$276.64	$532.00	—	—	48%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW LIMITED	$276.64	$532.00	—	—	48%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$300.56	$578.00	—	5% below	48%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$300.56	$578.00	—	—	48%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$807.04	$1,552.00	—	34% below	48%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$807.04	$1,552.00	—	—	48%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$397.28	$764.00	—	7% above	48%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$397.28	$764.00	—	—	48%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$206.96	$398.00	—	24% below	48%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 1 VIEW	$206.96	$398.00	—	24% below	48%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$206.96	$398.00	—	—	48%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 1 VIEW	$206.96	$398.00	—	—	48%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM	$1,049.36	$2,018.00	—	11% below	48%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM	$1,049.36	$2,018.00	—	—	48%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$397.28	$764.00	—	40% above	48%
Hand X-ray, 2 views CPT 73120 HC XR HAND 1 VIEW	$397.28	$764.00	—	40% above	48%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 1 VIEW	$397.28	$764.00	—	—	48%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$397.28	$764.00	—	—	48%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR HEEL MIN 2 VIEWS	$310.44	$597.00	—	19% above	48%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR HEEL MIN 2 VIEWS	$310.44	$597.00	—	—	48%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$310.44	$597.00	—	at median	48%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$310.44	$597.00	—	—	48%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4/PLUS VIEWS	$707.47	$1,360.52	—	68% above	48%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4/PLUS VIEWS	$707.47	$1,360.52	—	—	48%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$1,350.96	$2,598.00	—	1% above	48%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$1,350.96	$2,598.00	—	—	48%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ED ABDOMEN LIMITED CDM	$472.68	$909.00	—	7% below	48%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$543.40	$1,045.00	—	7% above	48%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ED ABDOMEN LIMITED CDM	$472.68	$909.00	—	—	48%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$543.40	$1,045.00	—	—	48%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US ED LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$421.72	$811.00	—	33% above	48%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$485.16	$933.00	—	53% above	48%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US ED LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$421.72	$811.00	—	—	48%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$485.16	$933.00	—	—	48%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LW DOSE LNG CA SCR WO CONTRAST CDM	$235.56	$453.00	—	1% below	48%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LW DOSE LNG CA SCR WO CONTRAST CDM	$235.56	$453.00	—	—	48%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG LIMITED	$276.64	$532.00	—	at median	48%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG 2 VIEWS	$276.64	$532.00	—	at median	48%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG LIMITED	$276.64	$532.00	—	—	48%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG 2 VIEWS	$276.64	$532.00	—	—	48%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST	$812.76	$1,563.00	—	59% below	48%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST	$812.76	$1,563.00	—	—	48%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,083.68	$2,084.00	—	43% below	48%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,083.68	$2,084.00	—	—	48%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$3,156.40	$6,070.00	—	8% above	48%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$3,156.40	$6,070.00	—	—	48%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,083.68	$2,084.00	—	48% below	48%
MRI of the abdomen without contrast CPT 74181 HC MRI MRCP ABDOMEN WO CONTRAST	$1,083.68	$2,084.00	—	48% below	48%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,083.68	$2,084.00	—	—	48%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI MRCP ABDOMEN WO CONTRAST	$1,083.68	$2,084.00	—	—	48%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$2,016.56	$3,878.00	—	35% below	48%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$2,016.56	$3,878.00	—	—	48%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE	$812.76	$1,563.00	—	58% below	48%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE	$812.76	$1,563.00	—	—	48%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE	$1,512.16	$2,908.00	—	48% below	48%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE	$1,512.16	$2,908.00	—	—	48%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$1,083.68	$2,084.00	—	48% below	48%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$1,083.68	$2,084.00	—	—	48%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$2,159.04	$4,152.00	—	29% below	48%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$2,159.04	$4,152.00	—	—	48%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,083.68	$2,084.00	—	49% below	48%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,083.68	$2,084.00	—	—	48%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$1,512.16	$2,908.00	—	49% below	48%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$1,512.16	$2,908.00	—	—	48%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$812.76	$1,563.00	—	60% below	48%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$812.76	$1,563.00	—	—	48%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO & W CONTRAST	$2,016.56	$3,878.00	—	34% below	48%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO & W CONTRAST	$2,016.56	$3,878.00	—	—	48%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$1,083.68	$2,084.00	—	44% below	48%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$1,083.68	$2,084.00	—	—	48%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$1,083.68	$2,084.00	—	43% below	48%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$1,083.68	$2,084.00	—	—	48%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$397.28	$764.00	—	11% below	48%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$397.28	$764.00	—	—	48%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,218.36	$2,343.00	—	27% below	48%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,218.36	$2,343.00	—	—	48%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$884.00	$1,700.00	—	34% below	48%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$884.00	$1,700.00	—	—	48%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$204.36	$393.00	—	14% below	48%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$204.36	$393.00	—	—	48%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYCARD PERFUS SPECT MULTIPLE	$3,787.68	$7,284.00	—	7% above	48%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYCARD PERFUS SPECT MULTIPLE	$3,787.68	$7,284.00	—	—	48%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGE W CT SKULL MID THIGH	$4,472.52	$8,601.00	—	2% above	48%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGE W CT SKULL MID THIGH	$4,472.52	$8,601.00	—	—	48%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$1,691.56	$3,253.00	—	17% above	48%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$1,691.56	$3,253.00	—	—	48%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US ED EXAM PELVIC LIMITED CDM	$421.72	$811.00	—	8% below	48%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED	$485.16	$933.00	—	6% above	48%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US ED EXAM PELVIC LIMITED CDM	$421.72	$811.00	—	—	48%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC LIMITED	$485.16	$933.00	—	—	48%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON-OB COMPLETE	$543.40	$1,045.00	—	9% below	48%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON-OB COMPLETE	$543.40	$1,045.00	—	—	48%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$543.40	$1,045.00	—	16% below	48%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$543.40	$1,045.00	—	—	48%
Pregnancy ultrasound before 14 weeks, through the belly, one baby one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$543.40	$1,045.00	—	9% above	48%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$543.40	$1,045.00	—	—	48%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US ED OB LIMITED FETUS(S) CDM	$472.68	$909.00	—	8% above	48%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED FETUS(S) CDM	$543.40	$1,045.00	—	24% above	48%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US ED OB LIMITED FETUS(S) CDM	$472.68	$909.00	—	—	48%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED FETUS(S) CDM	$543.40	$1,045.00	—	—	48%
Rib X-ray, one side, 2 views CPT 71100 HC XR RIBS UNI 2 VIEWS	$206.96	$398.00	—	30% below	48%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIBS UNI 2 VIEWS	$206.96	$398.00	—	—	48%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$397.28	$764.00	—	8% above	48%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$397.28	$764.00	—	—	48%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD	$452.92	$871.00	—	34% above	48%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$452.92	$871.00	—	34% above	48%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD	$452.92	$871.00	—	—	48%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$452.92	$871.00	—	—	48%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$310.44	$597.00	—	5% below	48%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$310.44	$597.00	—	—	48%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$206.96	$398.00	—	36% below	48%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$206.96	$398.00	—	—	48%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1-3 VIEWS	$397.28	$764.00	—	37% above	48%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1-3 VIEWS	$397.28	$764.00	—	—	48%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$392.60	$755.00	—	27% below	48%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$392.60	$755.00	—	—	48%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS	$184.60	$355.00	—	29% below	48%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS	$184.60	$355.00	—	—	48%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT CHEST SPINE WO CONTRAST	$1,215.76	$2,338.00	—	16% below	48%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT CHEST SPINE WO CONTRAST	$1,215.76	$2,338.00	—	—	48%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$206.96	$398.00	—	16% below	48%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$206.96	$398.00	—	—	48%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB	$543.40	$1,045.00	—	9% above	48%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB	$543.40	$1,045.00	—	—	48%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL CDM	$485.16	$933.00	—	14% above	48%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL CDM	$485.16	$933.00	—	—	48%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE	$543.40	$1,045.00	—	22% below	48%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE	$543.40	$1,045.00	—	—	48%
Ultrasound of the scrotum and testicles CPT 76870 HC US EXAM SCROTUM & CONTENTS	$543.40	$1,045.00	—	6% below	48%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US EXAM SCROTUM & CONTENTS	$543.40	$1,045.00	—	—	48%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US ED EXAM OF HEAD AND NECK CDM	$472.68	$909.00	—	16% below	48%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK	$543.40	$1,045.00	—	3% below	48%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US ED EXAM OF HEAD AND NECK CDM	$472.68	$909.00	—	—	48%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF HEAD AND NECK	$543.40	$1,045.00	—	—	48%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$935.48	$1,799.00	—	37% above	48%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$935.48	$1,799.00	—	—	48%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 1 VIEW	$206.96	$398.00	—	25% below	48%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$206.96	$398.00	—	25% below	48%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$206.96	$398.00	—	—	48%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 1 VIEW	$206.96	$398.00	—	—	48%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$543.40	$1,045.00	—	19% below	48%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$543.40	$1,045.00	—	—	48%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$184.60	$355.00	—	26% below	48%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 1 VIEW	$184.60	$355.00	—	26% below	48%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$184.60	$355.00	—	—	48%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 1 VIEW	$184.60	$355.00	—	—	48%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$310.44	$597.00	—	1% below	48%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$310.44	$597.00	—	—	48%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$184.60	$355.00	—	43% below	48%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$184.60	$355.00	—	—	48%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$293.80	$565.00	—	13% above	48%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW	$293.80	$565.00	—	13% above	48%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW	$293.80	$565.00	—	—	48%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$293.80	$565.00	—	—	48%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$206.96	$398.00	—	18% below	48%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$206.96	$398.00	—	—	48%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$206.96	$398.00	—	22% below	48%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$206.96	$398.00	—	—	48%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 1 VIEW	$310.44	$597.00	—	12% above	48%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$310.44	$597.00	—	12% above	48%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 1 VIEW	$310.44	$597.00	—	—	48%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$310.44	$597.00	—	—	48%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS	$310.44	$597.00	—	3% above	48%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS	$310.44	$597.00	—	—	48%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3 VIEWS	$310.44	$597.00	—	at median	48%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3 VIEWS	$310.44	$597.00	—	—	48%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2 VIEWS	$310.44	$597.00	—	8% above	48%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2 VIEWS	$310.44	$597.00	—	—	48%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$397.28	$764.00	—	7% above	48%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$397.28	$764.00	—	—	48%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$450.84	$867.00	—	at median	48%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$450.84	$867.00	—	—	48%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$397.28	$764.00	—	25% above	48%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$397.28	$764.00	—	—	48%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$206.96	$398.00	—	19% below	48%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$206.96	$398.00	—	—	48%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$184.60	$355.00	—	42% below	48%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$184.60	$355.00	—	—	48%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$397.28	$764.00	—	39% above	48%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$397.28	$764.00	—	—	48%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$206.96	$398.00	—	27% below	48%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$206.96	$398.00	—	—	48%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH CDM	$283.92	$546.00	—	29% above	48%
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH CDM	$283.92	$546.00	—	—	48%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT (ALT)	$50.44	$97.00	—	7% above	48%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT (ALT)	$50.44	$97.00	—	—	48%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT (AST)	$32.24	$62.00	—	24% below	48%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT (AST)	$32.24	$62.00	—	—	48%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS ACUTE PANEL	$199.16	$383.00	—	19% below	48%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS ACUTE PANEL	$199.16	$383.00	—	—	48%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN	$59.80	$115.00	—	68% above	48%
Albumin blood test CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB	$59.80	$115.00	—	68% above	48%
Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB	$59.80	$115.00	—	—	48%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN	$59.80	$115.00	—	—	48%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE CDM	$35.36	$68.00	—	79% below	48%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE PLASMA LAB	$258.44	$497.00	—	54% above	48%
Aldosterone blood test CPT 82088 HC ALDOSTERONE BLD	$286.00	$550.00	—	70% above	48%
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE CDM	$35.36	$68.00	—	—	48%
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE PLASMA LAB	$258.44	$497.00	—	—	48%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLD	$286.00	$550.00	—	—	48%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS	$60.84	$117.00	—	60% above	48%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE LAB	$60.84	$117.00	—	60% above	48%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS	$60.84	$117.00	—	—	48%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE LAB	$60.84	$117.00	—	—	48%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE - IGE QUANT	$9.36	$18.00	—	65% below	48%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE	$28.08	$54.00	—	5% above	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE - IGE QUANT	$9.36	$18.00	—	—	48%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE	$28.08	$54.00	—	—	48%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM CDM	$62.92	$121.00	—	25% below	48%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM CDM	$62.92	$121.00	—	—	48%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA LAB	$126.36	$243.00	—	10% above	48%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA LAB	$126.36	$243.00	—	—	48%
Amylase blood test CPT 82150 HC AMYLASE	$104.00	$200.00	—	67% above	48%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE LAB	$104.00	$200.00	—	67% above	48%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$104.00	$200.00	—	—	48%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE LAB	$104.00	$200.00	—	—	48%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY LAB	$109.20	$210.00	—	41% above	48%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY LAB	$109.20	$210.00	—	—	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA	$64.48	$124.00	—	8% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES	$68.12	$131.00	—	3% below	48%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA LAB	$68.12	$131.00	—	3% below	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA	$64.48	$124.00	—	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA LAB	$68.12	$131.00	—	—	48%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES	$68.12	$131.00	—	—	48%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE LAB	$160.68	$309.00	—	17% below	48%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE	$160.68	$309.00	—	17% below	48%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE	$160.68	$309.00	—	—	48%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE LAB	$160.68	$309.00	—	—	48%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIA OTHER	$278.20	$535.00	—	220% above	48%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIA OTHER	$278.20	$535.00	—	—	48%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$71.76	$138.00	—	4% below	48%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$71.76	$138.00	—	—	48%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL LAB	$58.76	$113.00	—	33% above	48%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$58.76	$113.00	—	33% above	48%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL LAB	$58.76	$113.00	—	—	48%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$58.76	$113.00	—	—	48%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM LAB	$94.12	$181.00	—	46% below	48%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM LAB	$94.12	$181.00	—	—	48%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$154.44	$297.00	—	4% above	48%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$154.44	$297.00	—	—	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL DRAW FEE	$14.04	$27.00	—	44% below	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL PROCESSING	$14.04	$27.00	—	44% below	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD CDM	$19.24	$37.00	—	23% below	48%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC BLOOD DRAW VENIPUNCTURE CDM	$19.24	$37.00	—	23% below	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL DRAW FEE	$14.04	$27.00	—	—	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - REFERRAL PROCESSING	$14.04	$27.00	—	—	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD CDM	$19.24	$37.00	—	—	48%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC BLOOD DRAW VENIPUNCTURE CDM	$19.24	$37.00	—	—	48%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$21.84	$42.00	—	42% below	48%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$21.84	$42.00	—	—	48%
Blood lead test CPT 83655 HC HVY MET UR - LEAD	$7.80	$15.00	—	88% below	48%
Blood lead test CPT 83655 HC LEAD BLOOD	$29.64	$57.00	—	53% below	48%
Blood lead test CPT 83655 HC ASSAY OF LEAD LAB	$30.68	$59.00	—	52% below	48%
Blood lead test CPT 83655 HC HVY MET BLD - LEAD	$86.84	$167.00	—	37% above	48%
Blood lead test inpatient CPT 83655 HC HVY MET UR - LEAD	$7.80	$15.00	—	—	48%
Blood lead test inpatient CPT 83655 HC LEAD BLOOD	$29.64	$57.00	—	—	48%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD LAB	$30.68	$59.00	—	—	48%
Blood lead test inpatient CPT 83655 HC HVY MET BLD - LEAD	$86.84	$167.00	—	—	48%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$115.96	$223.00	—	56% above	48%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$115.96	$223.00	—	—	48%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO LAB	$146.64	$282.00	—	126% above	48%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO LAB	$146.64	$282.00	—	—	48%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN	$49.40	$95.00	—	36% above	48%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN	$49.40	$95.00	—	—	48%
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE CDM	$92.04	$177.00	—	17% below	48%
C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE CDM	$92.04	$177.00	—	—	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN LAB	$94.64	$182.00	—	62% above	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$94.64	$182.00	—	62% above	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN LAB	$94.64	$182.00	—	—	48%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$94.64	$182.00	—	—	48%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$95.16	$183.00	—	46% below	48%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$95.16	$183.00	—	—	48%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$165.88	$319.00	—	50% above	48%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$165.88	$319.00	—	—	48%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 CDM	$158.60	$305.00	—	32% above	48%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 CDM	$158.60	$305.00	—	—	48%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB	$72.80	$140.00	—	31% below	48%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB	$72.80	$140.00	—	—	48%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$43.16	$83.00	—	2% above	48%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL LAB	$43.16	$83.00	—	2% above	48%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$43.16	$83.00	—	—	48%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL LAB	$43.16	$83.00	—	—	48%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA CDM	$212.16	$408.00	—	63% above	48%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA CDM	$212.16	$408.00	—	—	48%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG	$95.16	$183.00	—	20% above	48%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER ANTIBODY - IGG	$95.16	$183.00	—	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ LAB	$66.56	$128.00	—	50% below	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$188.24	$362.00	—	40% above	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ LAB	$66.56	$128.00	—	—	48%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$188.24	$362.00	—	—	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$131.56	$253.00	—	48% above	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB	$131.56	$253.00	—	48% above	48%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$146.64	$282.00	—	65% above	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$131.56	$253.00	—	—	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB	$131.56	$253.00	—	—	48%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$146.64	$282.00	—	—	48%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$84.76	$163.00	—	26% above	48%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$84.76	$163.00	—	—	48%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB	$34.32	$66.00	—	33% below	48%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB	$34.32	$66.00	—	—	48%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL	$94.12	$181.00	—	3% above	48%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL	$94.12	$181.00	—	—	48%
Cortisol blood test, total CPT 82533 HC CORTISOL	$75.92	$146.00	—	28% below	48%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL LAB	$124.28	$239.00	—	18% above	48%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$75.92	$146.00	—	—	48%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL LAB	$124.28	$239.00	—	—	48%
Creatine kinase (CK) blood test, total CPT 82550 HC CK TOTAL	$91.00	$175.00	—	37% above	48%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK TOTAL	$91.00	$175.00	—	—	48%
Creatinine blood test CPT 82565 HC ASSAY CREATININE	$39.52	$76.00	—	8% below	48%
Creatinine blood test inpatient CPT 82565 HC ASSAY CREATININE	$39.52	$76.00	—	—	48%
Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV LAB	$120.12	$231.00	—	57% above	48%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC ANTIBODY CYTOMEGALOVIRUS CMV LAB	$120.12	$231.00	—	—	48%
D-dimer blood test (blood clot marker) CPT 85379 HC DDIMER QUANT	$120.64	$232.00	—	1% above	48%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DDIMER QUANT	$120.64	$232.00	—	—	48%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE CDM	$265.72	$511.00	—	106% above	48%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE CDM	$265.72	$511.00	—	—	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$89.44	$172.00	—	44% below	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE LAB	$116.48	$224.00	—	28% below	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR PER DOS	$116.48	$224.00	—	28% below	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE URINE	$149.76	$288.00	—	7% below	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR SALICYLATE PER DOS LAB	$202.80	$390.00	—	26% above	48%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE CDM	$202.80	$390.00	—	26% above	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$89.44	$172.00	—	—	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR PER DOS	$116.48	$224.00	—	—	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE LAB	$116.48	$224.00	—	—	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE URINE	$149.76	$288.00	—	—	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE CDM	$202.80	$390.00	—	—	48%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR SALICYLATE PER DOS LAB	$202.80	$390.00	—	—	48%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA LAB	$76.96	$148.00	—	19% below	48%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR ANTIBODY - VIRAL CAPSID	$242.84	$467.00	—	156% above	48%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA LAB	$76.96	$148.00	—	—	48%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR ANTIBODY - VIRAL CAPSID	$242.84	$467.00	—	—	48%
Estradiol blood test CPT 82670 HC ESTRADIOL	$21.32	$41.00	—	85% below	48%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL LAB	$21.32	$41.00	—	85% below	48%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$21.32	$41.00	—	—	48%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL LAB	$21.32	$41.00	—	—	48%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE LAB	$16.12	$31.00	—	83% below	48%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE CDM	$113.36	$218.00	—	21% above	48%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE LAB	$16.12	$31.00	—	—	48%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE CDM	$113.36	$218.00	—	—	48%
Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY OF CALPROTECTIN FECAL CDM	$356.72	$686.00	—	79% above	48%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY OF CALPROTECTIN FECAL CDM	$356.72	$686.00	—	—	48%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN LAB	$54.60	$105.00	—	45% below	48%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN CDM	$54.60	$105.00	—	45% below	48%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN CDM	$54.60	$105.00	—	—	48%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN LAB	$54.60	$105.00	—	—	48%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$117.52	$226.00	—	46% above	48%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$117.52	$226.00	—	—	48%
Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM CDM	$121.68	$234.00	—	15% above	48%
Folate (folic acid) blood test inpatient CPT 82746 HC ASSAY OF FOLIC ACID SERUM CDM	$121.68	$234.00	—	—	48%
Free T3 thyroid hormone test CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE CDM	$212.16	$408.00	—	137% above	48%
Free T3 thyroid hormone test inpatient CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE CDM	$212.16	$408.00	—	—	48%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE LAB	$41.60	$80.00	—	40% below	48%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$41.60	$80.00	—	40% below	48%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE LAB	$41.60	$80.00	—	—	48%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$41.60	$80.00	—	—	48%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE FREE	$29.12	$56.00	—	77% below	48%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE FREE	$29.12	$56.00	—	—	48%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT TOTAL	$32.76	$63.00	—	40% below	48%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT TOTAL	$32.76	$63.00	—	—	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ CDM	$146.64	$282.00	—	16% above	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$214.76	$413.00	—	70% above	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ CDM	$146.64	$282.00	—	—	48%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$214.76	$413.00	—	—	48%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL CDM	$198.12	$381.00	—	39% above	48%
H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL CDM	$198.12	$381.00	—	—	48%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV ULTRA SENSITIVE PCR	$597.48	$1,149.00	—	55% above	48%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV ULTRA SENSITIVE PCR	$597.48	$1,149.00	—	—	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$192.40	$370.00	—	96% above	48%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$192.40	$370.00	—	—	48%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES LAB	$114.92	$221.00	—	19% below	48%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES LAB	$114.92	$221.00	—	—	48%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$79.56	$153.00	—	13% above	48%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$79.56	$153.00	—	—	48%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$31.72	$61.00	—	8% above	48%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB)	$37.44	$72.00	—	27% above	48%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN LAB	$37.44	$72.00	—	27% above	48%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$31.72	$61.00	—	—	48%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB)	$37.44	$72.00	—	—	48%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN LAB	$37.44	$72.00	—	—	48%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL CDM	$102.96	$198.00	—	50% above	48%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL LAB	$102.96	$198.00	—	50% above	48%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL CDM	$102.96	$198.00	—	—	48%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL LAB	$102.96	$198.00	—	—	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB CDM	$104.00	$200.00	—	40% above	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB LAB	$104.00	$200.00	—	40% above	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB CDM	$104.00	$200.00	—	—	48%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB LAB	$104.00	$200.00	—	—	48%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM	$128.96	$248.00	—	70% above	48%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN LAB	$128.96	$248.00	—	70% above	48%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN LAB	$128.96	$248.00	—	—	48%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM	$128.96	$248.00	—	—	48%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY CDM	$178.36	$343.00	—	107% above	48%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY LAB	$178.36	$343.00	—	107% above	48%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$178.36	$343.00	—	107% above	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY	$178.36	$343.00	—	—	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY LAB	$178.36	$343.00	—	—	48%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY CDM	$178.36	$343.00	—	—	48%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANTIFICATION	$713.44	$1,372.00	—	113% above	48%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION CDM	$759.20	$1,460.00	—	126% above	48%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANTIFICATION	$713.44	$1,372.00	—	—	48%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION CDM	$759.20	$1,460.00	—	—	48%
Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 LAB	$164.84	$317.00	—	138% above	48%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 LAB	$164.84	$317.00	—	—	48%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 ANTIBODY IGG	$6.76	$13.00	—	92% below	48%
Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 LAB	$174.72	$336.00	—	99% above	48%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 ANTIBODY IGG	$6.76	$13.00	—	—	48%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 LAB	$174.72	$336.00	—	—	48%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY CDM	$121.16	$233.00	—	63% above	48%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY CDM	$121.16	$233.00	—	—	48%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTEINE LAB	$165.88	$319.00	—	36% above	48%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTEINE LAB	$165.88	$319.00	—	—	48%
Insulin blood test CPT 83525 HC INSULIN LEVEL ASSAY	$130.00	$250.00	—	57% above	48%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL LAB	$132.60	$255.00	—	61% above	48%
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL ASSAY	$130.00	$250.00	—	—	48%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL LAB	$132.60	$255.00	—	—	48%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON CDM	$6.76	$13.00	—	86% below	48%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON LAB	$32.76	$63.00	—	30% below	48%
Iron blood test (serum iron) CPT 83540 HC IRON	$65.00	$125.00	—	38% above	48%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON CDM	$6.76	$13.00	—	—	48%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON LAB	$32.76	$63.00	—	—	48%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$65.00	$125.00	—	—	48%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY CDM	$6.76	$13.00	—	89% below	48%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY CDM	$6.76	$13.00	—	—	48%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM	$83.20	$160.00	—	9% above	48%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM	$83.20	$160.00	—	—	48%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LAB	$16.12	$31.00	—	83% below	48%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM	$108.16	$208.00	—	12% above	48%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE LAB	$16.12	$31.00	—	—	48%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM	$108.16	$208.00	—	—	48%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE LAB	$168.48	$324.00	—	68% above	48%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE	$176.28	$339.00	—	76% above	48%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE LAB	$168.48	$324.00	—	—	48%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE	$176.28	$339.00	—	—	48%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE LDH CDM	$35.88	$69.00	—	17% below	48%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH BODY FLUID	$71.24	$137.00	—	65% above	48%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH SERUM	$86.84	$167.00	—	101% above	48%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE LDH CDM	$35.88	$69.00	—	—	48%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH BODY FLUID	$71.24	$137.00	—	—	48%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH SERUM	$86.84	$167.00	—	—	48%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE CDM	$115.96	$223.00	—	38% above	48%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE CDM	$115.96	$223.00	—	—	48%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$65.52	$126.00	—	at median	48%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$65.52	$126.00	—	—	48%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM LAB	$45.24	$87.00	—	16% below	48%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM CDM	$55.64	$107.00	—	3% above	48%
Magnesium blood test CPT 83735 HC MAGNESIUM QUANT URINE	$85.80	$165.00	—	59% above	48%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM LAB	$45.24	$87.00	—	—	48%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM CDM	$55.64	$107.00	—	—	48%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM QUANT URINE	$85.80	$165.00	—	—	48%
Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA CDM	$98.28	$189.00	—	39% above	48%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY - IGG	$127.40	$245.00	—	80% above	48%
Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA CDM	$98.28	$189.00	—	—	48%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY - IGG	$127.40	$245.00	—	—	48%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES	$96.20	$185.00	—	68% above	48%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES	$96.20	$185.00	—	—	48%
Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS LAB	$60.84	$117.00	—	15% below	48%
Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS CDM	$99.84	$192.00	—	39% above	48%
Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY MUMPS LAB	$60.84	$117.00	—	—	48%
Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY MUMPS CDM	$99.84	$192.00	—	—	48%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$33.80	$65.00	—	66% below	48%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB	$33.80	$65.00	—	66% below	48%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB	$33.80	$65.00	—	—	48%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$33.80	$65.00	—	—	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB	$110.76	$213.00	—	at median	48%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$115.96	$223.00	—	5% above	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB	$110.76	$213.00	—	—	48%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$115.96	$223.00	—	—	48%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS	$69.16	$133.00	—	24% below	48%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS	$69.16	$133.00	—	—	48%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE)	$247.52	$476.00	—	17% above	48%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE LAB	$247.52	$476.00	—	17% above	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE LAB	$247.52	$476.00	—	—	48%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE)	$247.52	$476.00	—	—	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL	$7.28	$14.00	—	82% below	48%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$7.28	$14.00	—	82% below	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL	$7.28	$14.00	—	—	48%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$7.28	$14.00	—	—	48%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY PHOSPHORUS	$132.08	$254.00	—	230% above	48%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY PHOSPHORUS	$132.08	$254.00	—	—	48%
Potassium blood test CPT 84132 HC POTASSIUM	$57.72	$111.00	—	40% above	48%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$57.72	$111.00	—	—	48%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE CDM	$97.76	$188.00	—	at median	48%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE CDM	$97.76	$188.00	—	—	48%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN CDM	$115.44	$222.00	—	6% above	48%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN CDM	$115.44	$222.00	—	—	48%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB	$50.96	$98.00	—	27% above	48%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$53.56	$103.00	—	34% above	48%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME 85610	$61.88	$119.00	—	55% above	48%
Prothrombin time (PT/INR) clotting test CPT 85610 HC AC PROTIME	$61.88	$119.00	—	55% above	48%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME CDM	$120.64	$232.00	—	202% above	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB	$50.96	$98.00	—	—	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$53.56	$103.00	—	—	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME 85610	$61.88	$119.00	—	—	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC AC PROTIME	$61.88	$119.00	—	—	48%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME CDM	$120.64	$232.00	—	—	48%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A LAB	$93.08	$179.00	—	29% above	48%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A LAB	$93.08	$179.00	—	—	48%
Renin blood test CPT 84244 HC ASSAY OF RENIN CDM	$169.52	$326.00	—	29% above	48%
Renin blood test CPT 84244 HC RENIN	$169.52	$326.00	—	29% above	48%
Renin blood test inpatient CPT 84244 HC RENIN	$169.52	$326.00	—	—	48%
Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN CDM	$169.52	$326.00	—	—	48%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) LAB	$47.84	$92.00	—	at median	48%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) LAB	$47.84	$92.00	—	—	48%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE LAB	$24.96	$48.00	—	38% below	48%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$24.96	$48.00	—	38% below	48%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$24.96	$48.00	—	—	48%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE LAB	$24.96	$48.00	—	—	48%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY	$68.12	$131.00	—	1% below	48%
Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA CDM	$72.28	$139.00	—	5% above	48%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY	$68.12	$131.00	—	—	48%
Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY RUBELLA CDM	$72.28	$139.00	—	—	48%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTOMATED	$120.64	$232.00	—	237% above	48%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE AUTOMATED	$120.64	$232.00	—	—	48%
Sodium blood test CPT 84295 HC SODIUM	$43.16	$83.00	—	2% above	48%
Sodium blood test inpatient CPT 84295 HC SODIUM	$43.16	$83.00	—	—	48%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS	$224.12	$431.00	—	232% above	48%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS	$224.12	$431.00	—	—	48%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES	$34.32	$66.00	—	13% above	48%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES	$34.32	$66.00	—	—	48%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 CDM	$60.84	$117.00	—	18% below	48%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 CDM	$60.84	$117.00	—	—	48%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM - AB	$61.36	$118.00	—	10% below	48%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM LAB	$68.64	$132.00	—	at median	48%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM CDM	$72.80	$140.00	—	7% above	48%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM - AB	$61.36	$118.00	—	—	48%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM LAB	$68.64	$132.00	—	—	48%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM CDM	$72.80	$140.00	—	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB	$24.96	$48.00	—	23% below	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL - CSF	$56.16	$108.00	—	74% above	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$107.12	$206.00	—	232% above	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB	$24.96	$48.00	—	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL - CSF	$56.16	$108.00	—	—	48%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$107.12	$206.00	—	—	48%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON LAB	$110.76	$213.00	—	47% below	48%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON LAB	$110.76	$213.00	—	—	48%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE	$188.24	$362.00	—	47% above	48%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$188.24	$362.00	—	47% above	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE	$188.24	$362.00	—	—	48%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$188.24	$362.00	—	—	48%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH LAB	$102.96	$198.00	—	27% above	48%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH CDM	$244.40	$470.00	—	202% above	48%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH LAB	$102.96	$198.00	—	—	48%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH CDM	$244.40	$470.00	—	—	48%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4	$73.84	$142.00	—	30% below	48%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$177.32	$341.00	—	68% above	48%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$177.32	$341.00	—	68% above	48%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4	$73.84	$142.00	—	—	48%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$177.32	$341.00	—	—	48%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$177.32	$341.00	—	—	48%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE	$144.04	$277.00	—	50% above	48%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE LAB	$144.04	$277.00	—	50% above	48%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE CDM	$174.72	$336.00	—	82% above	48%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE	$144.04	$277.00	—	—	48%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE LAB	$144.04	$277.00	—	—	48%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE CDM	$174.72	$336.00	—	—	48%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$45.76	$88.00	—	26% above	48%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$45.76	$88.00	—	—	48%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4	$71.24	$137.00	—	26% above	48%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF THYROXINE TOTAL LAB	$72.80	$140.00	—	29% above	48%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4	$71.24	$137.00	—	—	48%
Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF THYROXINE TOTAL LAB	$72.80	$140.00	—	—	48%
Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 CDM	$100.88	$194.00	—	11% above	48%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 CDM	$100.88	$194.00	—	—	48%
Transferrin blood test CPT 84466 HC ASSAY OF L7383TRANSFERRIN LAB	$41.08	$79.00	—	54% below	48%
Transferrin blood test CPT 84466 HC ASSAY TRANSFERRIN	$130.00	$250.00	—	47% above	48%
Transferrin blood test inpatient CPT 84466 HC ASSAY OF L7383TRANSFERRIN LAB	$41.08	$79.00	—	—	48%
Transferrin blood test inpatient CPT 84466 HC ASSAY TRANSFERRIN	$130.00	$250.00	—	—	48%
Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH CDM	$146.64	$282.00	—	34% above	48%
Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB	$168.48	$324.00	—	53% above	48%
Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH CDM	$146.64	$282.00	—	—	48%
Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB	$168.48	$324.00	—	—	48%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$36.92	$71.00	—	17% below	48%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES LAB	$37.96	$73.00	—	14% below	48%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$36.92	$71.00	—	—	48%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES LAB	$37.96	$73.00	—	—	48%
Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE	$115.96	$223.00	—	15% below	48%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE	$115.96	$223.00	—	—	48%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$52.00	$100.00	—	16% above	48%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID LAB	$52.00	$100.00	—	16% above	48%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$52.00	$100.00	—	—	48%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID LAB	$52.00	$100.00	—	—	48%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$52.00	$100.00	—	32% above	48%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$52.00	$100.00	—	32% above	48%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$52.00	$100.00	—	—	48%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$52.00	$100.00	—	—	48%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB	$15.60	$30.00	—	46% below	48%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$34.32	$66.00	—	20% above	48%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$34.32	$66.00	—	20% above	48%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB	$15.60	$30.00	—	—	48%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$34.32	$66.00	—	—	48%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$34.32	$66.00	—	—	48%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT	$200.72	$386.00	—	138% above	48%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE/COLONY COUNT	$200.72	$386.00	—	—	48%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE	$98.80	$190.00	—	88% above	48%
Urine microalbumin (albumin) test CPT 82043 HC URINE ALBUMIN QUANTITATIVE LAB	$98.80	$190.00	—	88% above	48%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE	$98.80	$190.00	—	—	48%
Urine microalbumin (albumin) test inpatient CPT 82043 HC URINE ALBUMIN QUANTITATIVE LAB	$98.80	$190.00	—	—	48%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$46.80	$90.00	—	6% below	48%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$46.80	$90.00	—	—	48%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN-B12	$128.96	$248.00	—	30% above	48%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN-B12	$128.96	$248.00	—	—	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$56.68	$109.00	—	58% below	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED LAB	$100.88	$194.00	—	26% below	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$56.68	$109.00	—	—	48%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED LAB	$100.88	$194.00	—	—	48%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$174.20	$335.00	—	at median	48%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$174.20	$335.00	—	—	48%
Zinc blood test CPT 84630 HC ASSAY OF ZINC CDM	$114.40	$220.00	—	51% above	48%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC CDM	$114.40	$220.00	—	—	48%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE LAB	$62.92	$121.00	—	42% below	48%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE LAB	$62.92	$121.00	—	—	48%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC ED SINUS ENDO W/BALLOON DILATION CDM	$3,057.60	$5,880.00	—	36% below	48%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC ED SINUS ENDO W/BALLOON DILATION CDM	$3,057.60	$5,880.00	—	—	48%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$478.40	$920.00	—	27% below	48%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED CLOSED TREATMENT OF ANKLE FRACTURE W/O MANIP CDM	$478.40	$920.00	—	—	48%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ED TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$478.40	$920.00	—	17% below	48%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC ED TREAT METATARSAL FRACTURE W/O MANIPULATION CDM	$478.40	$920.00	—	—	48%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC ED CORRECTION OF BUNION CDM	$6,876.48	$13,224.00	—	12% above	48%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HC ED CORRECTION OF BUNION CDM	$6,876.48	$13,224.00	—	—	48%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$1,567.28	$3,014.00	—	43% above	48%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$1,567.28	$3,014.00	—	—	48%
Carpal tunnel release, open surgery CPT 64721 HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$4,152.20	$7,985.00	—	24% above	48%
Carpal tunnel release, open surgery inpatient CPT 64721 HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$4,152.20	$7,985.00	—	—	48%
Cervical biopsy CPT 57500 HC ED BIOPSY OF CERVIX CDM	$1,625.00	$3,125.00	—	108% above	48%
Cervical biopsy inpatient CPT 57500 HC ED BIOPSY OF CERVIX CDM	$1,625.00	$3,125.00	—	—	48%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED TREAT DISTAL RADIAL FRACTURE RADIUS/ULNA W/O MANIP CDM	$641.16	$1,233.00	—	4% above	48%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED TREAT DISTAL RADIAL FRACTURE RADIUS/ULNA W/O MANIP CDM	$641.16	$1,233.00	—	—	48%
Colonoscopy, diagnostic CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$1,642.16	$3,158.00	—	15% below	48%
Colonoscopy, diagnostic inpatient CPT 45378 HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$1,642.16	$3,158.00	—	—	48%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED CYSTOURETHROSCOPY CDM	$1,160.64	$2,232.00	—	26% above	48%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC ED CYSTOURETHROSCOPY CDM	$1,160.64	$2,232.00	—	—	48%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC ED DILATION AND CURETTAGE CDM	$6,531.72	$12,561.00	—	121% above	48%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC ED DILATION AND CURETTAGE CDM	$6,531.72	$12,561.00	—	—	48%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC ED DESTRUCT PREMALG LESION FIRST LESION CDM	$417.04	$802.00	—	125% above	48%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC ED DESTRUCT PREMALG LESION FIRST LESION CDM	$417.04	$802.00	—	—	48%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$256.88	$494.00	—	131% above	48%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC ED REMOVE IMPACTED EAR WAX UNI CDM	$256.88	$494.00	—	—	48%
Earwax removal with instruments, one ear one side CPT 69210 HC ED REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$171.60	$330.00	—	1% above	48%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC ED REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT CDM	$171.60	$330.00	—	—	48%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ED ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX CDM	$411.84	$792.00	—	41% above	48%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ED ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX CDM	$411.84	$792.00	—	—	48%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC ED INJ INTERLAMINR CRV-THOR W IMG CDM	$1,550.64	$2,982.00	—	2% above	48%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC ED INJ INTERLAMINR CRV-THOR W IMG CDM	$1,550.64	$2,982.00	—	—	48%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX CDM	$795.60	$1,530.00	—	at median	48%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC ED INTRAVITREAL NJX PHARMACOLOGIC AGT SPX CDM	$795.60	$1,530.00	—	—	48%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC ED SIGMOID DX FLX W WO SPEC COLL CDM	$1,642.16	$3,158.00	—	4% above	48%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC ED SIGMOID DX FLX W WO SPEC COLL CDM	$1,642.16	$3,158.00	—	—	48%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC ED LAPARO CHOLECYSTECTOMY/GRAPH CDM	$10,889.84	$20,942.00	—	2% below	48%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC ED LAPARO CHOLECYSTECTOMY/GRAPH CDM	$10,889.84	$20,942.00	—	—	48%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$1,919.84	$3,692.00	—	52% above	48%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC ED HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS CDM	$1,919.84	$3,692.00	—	—	48%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC ED HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP CDM	$5,935.80	$11,415.00	—	48% above	48%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC ED HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP CDM	$5,935.80	$11,415.00	—	—	48%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATHETER FOR HYSTEROGRAPHY	$234.52	$451.00	—	7% below	48%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATHETER FOR HYSTEROGRAPHY	$234.52	$451.00	—	—	48%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$516.36	$993.00	—	38% above	48%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$516.36	$993.00	—	—	48%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$8,182.20	$15,735.00	—	3% above	48%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$8,182.20	$15,735.00	—	—	48%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC ED INJ TENDON SHEATH/LIGAMENT CDM	$628.16	$1,208.00	—	108% above	48%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC ED INJ TENDON SHEATH/LIGAMENT CDM	$628.16	$1,208.00	—	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,121.12	$2,156.00	—	131% above	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$1,121.12	$2,156.00	—	131% above	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,121.12	$2,156.00	—	—	48%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ED ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US CDM	$1,121.12	$2,156.00	—	—	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$747.24	$1,437.00	—	63% above	48%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ED ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US CDM	$747.24	$1,437.00	—	—	48%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM	$379.08	$729.00	—	at median	48%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ED ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US CDM	$379.08	$729.00	—	—	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$950.04	$1,827.00	—	44% above	48%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC ED INTMD WND REPAIR S/TR/EXT UP TO 2.5CM CDM	$950.04	$1,827.00	—	—	48%
Lower-back epidural injection, with imaging guidance CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$1,661.40	$3,195.00	—	8% above	48%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$1,661.40	$3,195.00	—	—	48%
Lower-back epidural injection, without imaging guidance CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM	$1,968.72	$3,786.00	—	72% above	48%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC ED INJ EPI LUMB/SACRAL WO IMAGING CDM	$1,968.72	$3,786.00	—	—	48%
Miscarriage treatment with D&C, first trimester CPT 59820 HC ED SPONTANEOUS ABORTION FAC CDM	$6,531.72	$12,561.00	—	36% above	48%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC ED SPONTANEOUS ABORTION FAC CDM	$6,531.72	$12,561.00	—	—	48%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LESS CDM	$1,499.16	$2,883.00	—	104% above	48%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC ED EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM OR LESS CDM	$1,499.16	$2,883.00	—	—	48%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LESS CDM	$1,499.16	$2,883.00	—	100% above	48%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC ED EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM OR LESS CDM	$1,499.16	$2,883.00	—	—	48%
Nail removal (partial or complete), one nail CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$516.36	$993.00	—	84% above	48%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC ED REMOVAL OF NAIL PLATE CDM	$516.36	$993.00	—	—	48%
Occipital nerve block (injection for headaches) CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM	$747.24	$1,437.00	—	13% above	48%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC ED NERVE BLOCK INJ OCCIPITAL CDM	$747.24	$1,437.00	—	—	48%
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM	$1,761.76	$3,388.00	—	33% above	48%
Paracentesis with imaging guidance CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM	$1,761.76	$3,388.00	—	33% above	48%
Paracentesis with imaging guidance inpatient CPT 49083 HC ED ABD PARACENTESIS W/IMAG GUIDANCE CDM	$1,761.76	$3,388.00	—	—	48%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE CDM	$1,761.76	$3,388.00	—	—	48%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED REMOVAL OF NAIL BED CDM	$950.04	$1,827.00	—	40% above	48%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC ED REMOVAL OF NAIL BED CDM	$950.04	$1,827.00	—	—	48%
Removal of a foreign object under the skin, simple CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$950.04	$1,827.00	—	83% above	48%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC ED REMOVE FOREIGN BODY SIMPLE CDM	$950.04	$1,827.00	—	—	48%
Septoplasty to straighten the nasal septum CPT 30520 HC ED REPAIR OF NASAL SEPTUM CDM	$6,572.28	$12,639.00	—	32% above	48%
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC ED REPAIR OF NASAL SEPTUM CDM	$6,572.28	$12,639.00	—	—	48%
Short arm cast (elbow to hand) CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM	$554.32	$1,066.00	—	26% above	48%
Short arm cast (elbow to hand) inpatient CPT 29075 HC ED SHORT ARM CAST APPLICATION CDM	$554.32	$1,066.00	—	—	48%
Short arm splint (forearm and hand) CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$482.04	$927.00	—	74% above	48%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$482.04	$927.00	—	—	48%
Short leg cast (below the knee) CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM	$554.32	$1,066.00	—	60% above	48%
Short leg cast (below the knee) inpatient CPT 29405 HC ED SHORT LEG CAST APPLICATION CDM	$554.32	$1,066.00	—	—	48%
Short leg splint (calf to foot) CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$414.44	$797.00	—	17% above	48%
Short leg splint (calf to foot) inpatient CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$414.44	$797.00	—	—	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$516.36	$993.00	—	52% above	48%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$516.36	$993.00	—	—	48%
Skin biopsy, punch, one lesion CPT 11104 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM	$605.28	$1,164.00	—	80% above	48%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM	$605.28	$1,164.00	—	—	48%
Skin tag removal, up to 15 tags CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM	$209.56	$403.00	—	4% below	48%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC ED REMOVAL OF SKIN TAGS CDM	$209.56	$403.00	—	—	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$1,661.40	$3,195.00	—	67% above	48%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$1,661.40	$3,195.00	—	67% above	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$1,661.40	$3,195.00	—	—	48%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$1,661.40	$3,195.00	—	—	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$547.04	$1,052.00	—	32% above	48%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$547.04	$1,052.00	—	—	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$516.36	$993.00	—	27% above	48%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$516.36	$993.00	—	—	48%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC ED TANGENTIAL BIOPSY SKIN SINGLE LESION CDM	$539.24	$1,037.00	—	104% above	48%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC ED TANGENTIAL BIOPSY SKIN SINGLE LESION CDM	$539.24	$1,037.00	—	—	48%
Thoracentesis with imaging guidance CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$2,091.96	$4,023.00	—	58% above	48%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$2,091.96	$4,023.00	—	58% above	48%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$2,091.96	$4,023.00	—	—	48%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING CDM	$2,091.96	$4,023.00	—	—	48%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$747.24	$1,437.00	—	107% above	48%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$747.24	$1,437.00	—	—	48%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$4,669.60	$8,980.00	—	86% above	48%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$4,669.60	$8,980.00	—	—	48%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC ED UGI W DILATION ESOPHAGUS BAL CDM	$3,441.36	$6,618.00	—	49% above	48%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC ED UGI W DILATION ESOPHAGUS BAL CDM	$3,441.36	$6,618.00	—	—	48%
Upper endoscopy (EGD) with biopsy CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$1,631.24	$3,137.00	—	16% below	48%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$1,631.24	$3,137.00	—	—	48%
Upper endoscopy (EGD), diagnostic CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$1,631.24	$3,137.00	—	at median	48%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$1,631.24	$3,137.00	—	—	48%
Wart removal, up to 14 warts CPT 17110 HC ED DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$417.04	$802.00	—	75% above	48%
Wart removal, up to 14 warts inpatient CPT 17110 HC ED DESTRUCTION BENIGN LESIONS UP TO 14 CDM	$417.04	$802.00	—	—	48%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM OR LESS - DEBRIDE SKIN CDM	$950.04	$1,827.00	—	48% above	48%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC ED DEB SUBQ TISSUE 20 SQ CM OR LESS - DEBRIDE SKIN CDM	$950.04	$1,827.00	—	—	48%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC ED TREAT FX RAD EXTRA-ARTICUL CDM	$15,280.72	$29,386.00	—	44% above	48%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC ED TREAT FX RAD EXTRA-ARTICUL CDM	$15,280.72	$29,386.00	—	—	48%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$1,083.16	$2,083.00	—	11% above	48%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$1,083.16	$2,083.00	—	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT DAILY	$585.52	$1,126.00	—	192% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ED INHALATION TREATMENT CDM	$585.52	$1,126.00	—	192% above	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ED INHALATION TREATMENT CDM	$585.52	$1,126.00	—	—	48%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT DAILY	$585.52	$1,126.00	—	—	48%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INITIAL HR CDM	$932.88	$1,794.00	—	19% above	48%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INITIAL HR CDM	$932.88	$1,794.00	—	—	48%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$5,980.00	$11,500.00	—	86% above	48%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$5,980.00	$11,500.00	—	—	48%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY	$781.56	$1,503.00	—	1% above	48%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY	$781.56	$1,503.00	—	—	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG 12 LEAD TRACING ONLY SUBSEQUENT	$196.04	$377.00	—	5% above	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG 12 LEAD TRACING ONLY	$196.04	$377.00	—	5% above	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG 12 LEAD TRACING ONLY SUBSEQUENT	$196.04	$377.00	—	—	48%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG 12 LEAD TRACING ONLY	$196.04	$377.00	—	—	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$284.44	$547.00	—	14% above	48%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$284.44	$547.00	—	—	48%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$539.76	$1,038.00	—	19% above	48%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$539.76	$1,038.00	—	—	48%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$826.80	$1,590.00	—	3% above	48%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$826.80	$1,590.00	—	—	48%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$1,394.32	$2,681.38	—	3% above	48%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$1,394.32	$2,681.38	—	—	48%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$2,809.56	$5,403.00	—	26% above	48%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$2,809.56	$5,403.00	—	—	48%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIO STRESS TEST MEDICINE	$866.32	$1,666.00	—	46% above	48%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$866.32	$1,666.00	—	46% above	48%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIO STRESS TEST MEDICINE	$866.32	$1,666.00	—	—	48%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$866.32	$1,666.00	—	—	48%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INITIAL HR CDM	$613.60	$1,180.00	—	82% above	48%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$613.60	$1,180.00	—	82% above	48%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INITIAL HR CDM	$613.60	$1,180.00	—	—	48%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$613.60	$1,180.00	—	—	48%
IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$613.60	$1,180.00	—	52% above	48%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL HR CDM	$613.60	$1,180.00	—	52% above	48%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL HR CDM	$613.60	$1,180.00	—	—	48%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$613.60	$1,180.00	—	—	48%
IV push of a medicine, first drug CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$613.60	$1,180.00	—	162% above	48%
IV push of a medicine, first drug CPT 96374 HC INJ IV PUSH INITIAL DRUG CDM	$613.60	$1,180.00	—	162% above	48%
IV push of a medicine, first drug inpatient CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$613.60	$1,180.00	—	—	48%
IV push of a medicine, first drug inpatient CPT 96374 HC INJ IV PUSH INITIAL DRUG CDM	$613.60	$1,180.00	—	—	48%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ SQ OR IM CDM	$186.68	$359.00	—	91% above	48%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$186.68	$359.00	—	91% above	48%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ SQ OR IM CDM	$186.68	$359.00	—	—	48%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$186.68	$359.00	—	—	48%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSC REEDUCA THER PX 1 OR MORE AREAS EACH 15 MIN	$80.08	$154.00	—	19% below	48%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSC REEDUCA THER PX 1 OR MORE AREAS EACH 15 MIN	$80.08	$154.00	—	—	48%
New patient office visit, about 45 minutes CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4	$326.04	$627.00	—	29% above	48%
New patient office visit, about 45 minutes inpatient CPT 99204 HC PR 99204 NEW PT VISIT - LEVEL 4	$326.04	$627.00	—	—	48%
New patient office visit, about 60 minutes CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5	$342.16	$658.00	—	3% above	48%
New patient office visit, about 60 minutes inpatient CPT 99205 HC PR 99205 NEW PT VISIT - LEVEL 5	$342.16	$658.00	—	—	48%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION LOW COMPLEX	$117.00	$225.00	—	46% below	48%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION LOW COMPLEX	$117.00	$225.00	—	—	48%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION HIGH COMPLEX	$324.48	$624.00	—	17% above	48%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION HIGH COMPLEX	$324.48	$624.00	—	—	48%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$216.32	$416.00	—	2% below	48%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$216.32	$416.00	—	—	48%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$224.64	$432.00	—	9% below	48%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$224.64	$432.00	—	—	48%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$70.20	$135.00	—	17% below	48%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$70.20	$135.00	—	—	48%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$67.08	$129.00	—	30% below	48%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$67.08	$129.00	—	—	48%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC PR 99215 ESTAB PT VISIT - LEVEL 5	$290.68	$559.00	—	19% above	48%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC PR 99215 ESTAB PT VISIT - LEVEL 5	$290.68	$559.00	—	—	48%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC PR 99214 ESTAB PT VISIT - LEVEL 4	$176.28	$339.00	—	2% below	48%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC PR 99214 ESTAB PT VISIT - LEVEL 4	$176.28	$339.00	—	—	48%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC PR 99212 ESTAB PT VISIT - LEVEL 2	$123.24	$237.00	—	18% above	48%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC PR 99212 ESTAB PT VISIT - LEVEL 2	$123.24	$237.00	—	—	48%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM	$131.56	$253.00	—	66% below	48%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION CDM	$131.56	$253.00	—	—	48%
Speech therapy session, individual CPT 92507 HC TX SPEECH/LANG/VOICE COMMJ/AUDITORY PROCESS - INDIVIDUAL	$325.52	$626.00	—	49% above	48%
Speech therapy session, individual inpatient CPT 92507 HC TX SPEECH/LANG/VOICE COMMJ/AUDITORY PROCESS - INDIVIDUAL	$325.52	$626.00	—	—	48%
Spirometry (breathing test) CPT 94010 HC PR 94010 SPIROMETRY	$344.76	$663.00	—	39% above	48%
Spirometry (breathing test) CPT 94010 HC SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ	$521.56	$1,003.00	—	110% above	48%
Spirometry (breathing test) CPT 94010 HC BEDSIDE SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ CDM	$521.56	$1,003.00	—	110% above	48%
Spirometry (breathing test) inpatient CPT 94010 HC PR 94010 SPIROMETRY	$344.76	$663.00	—	—	48%
Spirometry (breathing test) inpatient CPT 94010 HC BEDSIDE SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ CDM	$521.56	$1,003.00	—	—	48%
Spirometry (breathing test) inpatient CPT 94010 HC SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ	$521.56	$1,003.00	—	—	48%
Spirometry before and after a bronchodilator CPT 94060 HC PR 94060 SPIROMETRY PRE POST BRONCHODILATOR	$629.20	$1,210.00	—	50% above	48%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR CDM	$951.60	$1,830.00	—	126% above	48%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PR 94060 SPIROMETRY PRE POST BRONCHODILATOR	$629.20	$1,210.00	—	—	48%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE POST BRONCHODILATOR CDM	$951.60	$1,830.00	—	—	48%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$70.20	$135.00	—	33% below	48%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$70.20	$135.00	—	—	48%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPUTIC PHLEBOTOMY	$198.64	$382.00	—	2% below	48%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM	$198.64	$382.00	—	2% below	48%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC ED PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE CDM	$198.64	$382.00	—	—	48%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPUTIC PHLEBOTOMY	$198.64	$382.00	—	—	48%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH, ACELLULAR PERT & TET TOX INJ 25 LF-58 MCG-10 LF/0.5ML	$145.50	$279.81	—	213% above	48%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH, ACELLULAR PERT & TET TOX INJ 25 LF-58 MCG-10 LF/0.5ML	$145.50	$279.81	—	—	48%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE (RECOMBINANT) SUSP 20 MCG/ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 20 MCG/ML	$213.79	$411.13	—	175% above	48%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE (RECOMBINANT) SUSP 20 MCG/ML,HEPATITIS B VACCINE (RECOMBINANT) SUSP PREF SYR 20 MCG/ML	$213.79	$411.13	—	—	48%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES-MUMPS-RUBELLA VIRUS VACCINES FOR INJ SOLN	$59.58	$114.58	—	65% below	48%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES-MUMPS-RUBELLA VIRUS VACCINES FOR INJ SOLN	$59.58	$114.58	—	—	48%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC FOR INJ	$880.45	$1,693.18	—	42% above	48%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC FOR INJ SUSP	$1,432.20	$2,754.24	—	131% above	48%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC FOR INJ	$880.45	$1,693.18	—	—	48%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC FOR INJ SUSP	$1,432.20	$2,754.24	—	—	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET-DIPH-ACELL PERTUSS AD PREF SYR 5-2.5-18.5 LF-MCG/0.5ML	$188.77	$363.01	—	128% above	48%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TET-DIPH-ACELL PERTUSS AD PREF SYR 5-2.5-18.5 LF-MCG/0.5ML	$188.77	$363.01	—	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$104.00	$200.00	—	147% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$104.00	$200.00	—	147% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$104.00	$200.00	—	147% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN CDM	$104.00	$200.00	—	147% above	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN CDM	$104.00	$200.00	—	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$104.00	$200.00	—	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$104.00	$200.00	—	—	48%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$104.00	$200.00	—	—	48%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EACH ADD CDM	$104.00	$200.00	—	188% above	48%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EACH ADD CDM	$104.00	$200.00	—	—	48%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://pricetransparency.providence.org/wamt/live/910573108_providence-centralia-hospital_standardcharges.json