Lourdes Health
Lourdes Health in Pasco, WA publishes cash prices for 281 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 199 of 274 procedures and above it for 67. By typical cash price it ranks #3 of 46 Washington hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
520 N 4th Ave Pasco WA 99301 Collected Sep 27, 2026 Source price file (509) 546-2278
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 3 of 5 CCN 501337 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $118.89 | $297.22 | $16.97–$297.22 | 61% below | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $483.43 | $1,208.58 | $238.09–$936.05 | 17% below | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $829.35 | $2,073.38 | $401.52–$992.11 | 47% below | 60% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $229.48 | $573.71 | $162.93–$192.80 | 42% below | 60% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $89.82 | $224.55 | $43.48–$183.68 | 72% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $1,573.19 | $3,932.97 | $361.94–$3,039.12 | 33% below | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $1,630.20 | $4,075.51 | $802.88–$1,918.34 | 35% below | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST | $2,005.34 | $5,013.35 | $394.61–$3,882.84 | 32% below | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1/> REGNS | $1,541.39 | $3,853.48 | $759.14–$2,984.52 | 59% below | 60% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE | $1,157.80 | $2,894.50 | $691.00–$2,236.66 | 36% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE | $959.99 | $2,399.98 | $551.06–$1,858.78 | 31% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $712.61 | $1,781.53 | $328.57–$1,379.79 | 26% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $712.61 | $1,781.53 | $120.38–$1,379.79 | 40% below | 60% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $1,046.82 | $2,617.06 | $1,319.26 | 18% below | 60% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $1,219.25 | $3,048.12 | $361.94–$1,325.93 | 17% below | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $983.48 | $2,458.70 | $149.53–$1,844.03 | 24% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $983.34 | $2,458.34 | $151.15–$1,903.98 | 30% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,103.08 | $2,757.70 | $543.38 | 36% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $625.67 | $1,564.17 | $302.88–$736.25 | — | 60% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $191.80 | $479.50 | $23.09–$479.50 | 29% below | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $174.36 | $435.91 | $353.70 | — | 60% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $147.54 | $368.84 | $71.42–$368.84 | 37% below | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $533.28 | $1,333.20 | $214.51–$1,090.56 | 2% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $340.90 | $852.26 | $167.90–$657.09 | 17% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL | $340.90 | $852.26 | $660.08 | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O DYE | $989.35 | $2,473.37 | $487.25–$2,248.52 | 31% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/DYE | $1,149.63 | $2,874.08 | $203.51–$2,220.88 | 37% below | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $188.21 | $470.53 | $86.77–$427.75 | — | 60% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $147.18 | $367.94 | $72.48–$284.97 | 62% below | 60% |
| Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI | $147.18 | $367.94 | $284.97 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $426.85 | $1,067.13 | $245.02–$787.16 | 55% below | 60% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $733.38 | $1,833.46 | $355.02–$1,420.01 | 29% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $932.62 | $2,331.56 | $13.59–$1,907.22 | 42% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPLETE | $932.62 | $2,331.56 | $1,805.79 | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING | $839.81 | $2,099.53 | $506.18–$988.25 | 31% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $159.56 | $398.90 | $24.62–$562.42 | 65% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT&RESP EFFT | $250.02 | $625.05 | $507.17 | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM | $1,037.64 | $2,594.09 | $68.82–$3,680.52 | 65% below | 60% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $137.79 | $344.48 | $30.57–$315.35 | 56% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $332.60 | $831.50 | $163.81–$680.17 | 30% below | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN | $302.36 | $755.91 | $613.35 | — | 60% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $680.39 | $1,700.97 | $212.95–$1,254.70 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $981.60 | $2,454.00 | $150.18–$1,892.03 | 45% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $1,136.24 | $2,840.60 | $1,431.95 | 63% below | 60% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O DYE | $841.25 | $2,103.12 | $407.24–$917.91 | 59% below | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O & W/DYE | $1,191.50 | $2,978.75 | $586.93–$2,215.10 | 61% below | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $981.60 | $2,454.00 | $468.67–$1,824.88 | 47% below | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $1,296.86 | $3,242.15 | $627.80–$2,652.08 | 51% below | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $1,051.42 | $2,628.56 | $221.33–$2,035.82 | 50% below | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $1,472.33 | $3,680.83 | $725.12–$2,737.20 | 53% below | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $1,156.66 | $2,891.64 | $559.93–$1,361.09 | 45% below | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $1,426.79 | $3,566.99 | $828.50–$1,829.43 | 55% below | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $1,195.22 | $2,988.04 | $456.53–$2,204.09 | 41% below | 60% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $1,191.50 | $2,978.75 | $576.85–$2,215.10 | 62% below | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $841.25 | $2,103.12 | $557.75 | 57% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $981.60 | $2,454.00 | $252.64–$1,155.10 | 47% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $1,980.70 | $4,951.75 | $913.18–$3,713.81 | 36% below | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $127.54 | $318.85 | $0.48–$126.71 | 66% below | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $320.28 | $800.69 | $157.74–$600.52 | 41% below | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $464.81 | $1,162.03 | $208.95–$899.99 | 14% below | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $370.99 | $927.48 | $65.48–$650.05 | 26% below | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $330.03 | $825.07 | $162.57–$388.36 | 14% below | 60% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $158.28 | $395.69 | $61.92–$323.67 | — | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCR MAMMO BI INCL CAD | $158.28 | $395.69 | $306.46 | — | 60% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $130.63 | $326.57 | $15.83–$326.57 | 57% below | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $924.26 | $2,310.64 | $66.21–$3,362.18 | 65% below | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $508.50 | $1,271.25 | $250.44–$1,039.88 | 5% below | 60% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $281.33 | $703.32 | $138.55–$544.72 | 41% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $267.71 | $669.28 | $47.25–$483.28 | 39% below | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $478.14 | $1,195.34 | $208.95–$923.67 | 25% below | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $375.29 | $938.22 | $184.83–$711.34 | 24% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $309.39 | $773.48 | $152.38–$1,192.71 | 38% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $529.94 | $1,324.86 | $208.95–$1,092.19 | 17% below | 60% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $81.94 | $204.84 | $19.77–$267.92 | 74% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $154.13 | $385.32 | $32.93–$286.54 | 47% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $140.12 | $350.29 | $284.22 | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $120.47 | $301.18 | $13.06–$223.97 | 51% below | 60% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $112.44 | $281.11 | $55.38–$132.32 | 57% below | 60% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $62.88 | $157.21 | $19.02–$157.21 | 76% below | 60% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $71.04 | $177.61 | $34.99–$174.37 | 73% below | 60% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $95.69 | $239.22 | $16.01–$207.11 | 66% below | 60% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $79.36 | $198.39 | $17.34–$174.37 | 72% below | 60% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $112.44 | $281.11 | $52.55–$243.38 | 57% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $133.64 | $334.09 | $27.05–$253.30 | 58% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $121.49 | $303.72 | $246.44 | — | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $229.62 | $574.04 | $105.86–$270.20 | 49% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS | $126.62 | $316.55 | $31.88–$208.95 | 56% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $141.38 | $353.44 | $17.90–$43.10 | 43% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $141.09 | $352.72 | $29.19–$320.65 | 55% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $102.27 | $255.68 | $11.75–$255.68 | 63% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $131.78 | $329.45 | $14.55–$169.85 | 44% below | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $32.50 | $81.26 | $9.28–$19.59 | 15% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $32.50 | $81.26 | $9.07–$19.59 | 11% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $110.60 | $276.50 | $30.36–$203.48 | 54% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $24.48 | $61.20 | $4.89–$37.91 | 8% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $54.13 | $135.33 | $14.86–$117.17 | 30% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $58.27 | $145.68 | $15.38–$126.91 | 8% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $74.51 | $186.27 | $20.45–$186.27 | 60% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $59.63 | $149.08 | $12.69–$149.08 | 17% below | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 METABOLIC PANEL TOTAL CA | $54.21 | $135.53 | $115.20 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $442.24 | $1,105.61 | $100.63–$3,015.30 | 148% above | 60% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $155.08 | $387.70 | $18.06–$775.40 | 22% above | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $10.06 | $25.15 | $2.76–$75.45 | 60% below | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $9.14 | $22.86 | $18.55 | — | 60% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $57.72 | $144.29 | $6.88–$144.29 | 65% above | 60% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $39.81 | $99.52 | $10.50–$73.41 | 29% below | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY | $55.66 | $139.15 | $6.69–$75.20 | 21% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $25.06 | $62.66 | $3.81–$233.03 | 61% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING SEROLOGIC ABO | $22.78 | $56.96 | $48.42 | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $42.97 | $107.43 | $9.07–$93.01 | 22% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $116.66 | $291.64 | $30.78–$214.63 | 33% below | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $101.37 | $253.42 | $26.75–$180.85 | 14% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $119.19 | $297.98 | $57.70–$223.49 | 39% above | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE | $126.30 | $315.76 | $33.33–$244.56 | 6% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $91.46 | $228.65 | $20.09–$228.65 | 4% above | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $91.46 | $228.65 | $177.09 | — | 60% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $44.76 | $111.89 | $9.89–$111.89 | 19% below | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $44.76 | $111.89 | $86.66 | — | 60% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $29.88 | $74.71 | $8.20–$74.71 | 33% below | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED | $29.88 | $74.71 | $57.86 | — | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $83.60 | $209.01 | $15.84–$209.01 | at median | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHEN METABOLIC PANEL | $83.60 | $209.01 | $161.88 | — | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $78.10 | $195.24 | $17.82–$51.78 | 32% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $75.13 | $187.83 | $34.99–$38.90 | 43% below | 60% |
| Estradiol blood test CPT 82670 ASSAY OF ESTRADIOL | $104.26 | $260.65 | $27.51–$201.87 | 25% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $76.03 | $190.07 | $20.06–$147.21 | 21% below | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $110.42 | $276.05 | $34.35–$207.04 | 38% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $58.12 | $145.31 | $15.96–$145.31 | 39% below | 60% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $75.48 | $188.69 | $19.92–$146.14 | 29% below | 60% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $188.01 | $470.02 | $29.65–$335.42 | 116% above | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $76.99 | $192.48 | $13.53–$157.45 | 21% above | 60% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $136.49 | $341.23 | $36.02–$279.13 | 9% above | 60% |
| Free testosterone test inpatient CPT 84402 ASSAY OF FREE TESTOSTERONE | $118.18 | $295.44 | $251.12 | — | 60% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $69.69 | $174.22 | $22.52–$34.67 | 7% above | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $126.30 | $315.76 | $33.33–$244.56 | 6% below | 60% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA | $63.30 | $158.24 | $16.70–$122.56 | 55% below | 60% |
| H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL IA | $57.54 | $143.85 | $116.72 | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $177.66 | $444.15 | $94.60 | 53% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB | $60.18 | $150.46 | $16.52–$116.53 | 38% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $76.30 | $190.75 | $14.57–$165.15 | 9% above | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST | $69.36 | $173.41 | $140.70 | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $69.14 | $172.85 | $18.24–$133.87 | at median | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $83.19 | $207.97 | $18.08–$180.06 | 26% above | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $147.37 | $368.43 | $24.97–$318.99 | 77% above | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST | $127.60 | $318.99 | $271.14 | — | 60% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $308.38 | $770.95 | $74.97–$568.68 | 4% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $59.36 | $148.40 | $14.52–$109.47 | 14% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $228.90 | $572.25 | $33.86–$422.11 | 165% above | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $59.35 | $148.38 | $37.79–$116.48 | 12% below | 60% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE | $147.23 | $368.08 | $31.36–$250.97 | 26% above | 60% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $85.94 | $214.86 | $20.00–$146.50 | 8% above | 60% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $72.31 | $180.77 | $11.32–$164.34 | 54% above | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $72.31 | $180.77 | $15.30–$164.34 | 21% above | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $112.53 | $281.33 | $15.19–$217.89 | 73% above | 60% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $73.96 | $184.89 | $20.30–$143.20 | 19% below | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $46.56 | $116.39 | $12.06–$105.81 | 34% below | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $98.89 | $247.23 | $14.30–$185.42 | 69% above | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $46.95 | $117.38 | $30.52 | 47% below | 60% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $129.46 | $323.66 | $11.73–$249.54 | 157% above | 60% |
| Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM | $112.09 | $280.23 | $238.20 | — | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $76.03 | $190.07 | $36.81–$37.44 | 7% above | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $44.76 | $111.89 | $9.07–$86.66 | at median | 60% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODY SCREEN | $40.69 | $101.72 | $82.53 | — | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $63.39 | $158.47 | $16.73–$129.63 | 32% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $90.90 | $227.25 | $23.99–$185.89 | 12% below | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL | $78.70 | $196.75 | $167.24 | — | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $234.97 | $587.42 | $62.00–$454.96 | 7% above | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $56.74 | $141.86 | $7.65–$109.87 | 46% above | 60% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $76.30 | $190.75 | $20.13–$147.74 | 22% below | 60% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $92.97 | $232.42 | $24.53–$174.32 | 7% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $56.74 | $141.86 | $5.46–$122.82 | 42% above | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $105.90 | $264.74 | $18.35–$54.68 | 40% above | 60% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $21.32 | $53.31 | $5.78–$60.93 | 41% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $70.10 | $175.26 | $18.50–$135.74 | 2% above | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $27.00 | $67.49 | $4.73–$67.49 | 3% below | 60% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $51.65 | $129.12 | $13.63–$99.55 | 9% below | 60% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $26.39 | $65.98 | $7.59–$30.37 | 65% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $49.03 | $122.57 | $7.47–$94.93 | 81% above | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $114.18 | $285.45 | $31.34–$220.58 | 44% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $23.41 | $58.53 | $6.18–$47.88 | 80% below | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $20.27 | $50.68 | $43.08 | — | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $61.59 | $153.97 | $6.35–$288.85 | 20% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $76.99 | $192.48 | $21.13–$392.87 | 27% below | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE | $76.99 | $192.48 | $149.07 | — | 60% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $67.42 | $168.55 | $35.90 | 38% below | 60% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $32.50 | $81.26 | $2.54–$62.79 | 11% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $50.82 | $127.06 | $5.55–$127.06 | 40% above | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE | $44.00 | $110.01 | $93.51 | — | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $40.36 | $100.89 | $3.94–$100.89 | 47% above | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O SCOPE | $40.36 | $100.89 | $78.14 | — | 60% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $89.80 | $224.51 | $14.12–$224.51 | 19% above | 60% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT | $77.75 | $194.38 | $165.22 | — | 60% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $38.84 | $97.09 | $15.07–$97.09 | 19% below | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $35.30 | $88.26 | $71.61 | — | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $75.61 | $189.02 | $19.95–$189.02 | 26% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $111.42 | $278.55 | $29.40–$241.17 | 19% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $101.29 | $253.23 | $205.47 | — | 60% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $55.76 | $139.41 | $16.97–$118.61 | 22% below | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $102.34 | $255.85 | $26.34–$191.89 | 6% below | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 NECK SPINE FUSE&REMOV BEL C2 | $5,035.77 | $12,589.42 | $4,331.47–$25,509.00 | 72% below | 60% |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 ARTHROSCOP ROTATOR CUFF REPR | $1,074.00 | $2,684.99 | $19.41–$2,580.14 | 57% below | 60% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC | $2,176.40 | $5,440.99 | $829.63–$2,931.62 | 33% below | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $709.18 | $1,772.95 | $419.06–$834.53 | 34% below | 60% |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $1,282.59 | $3,206.47 | $1,963.84–$3,514.15 | 56% below | 60% |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $1,234.69 | $3,086.73 | $21.28–$3,994.74 | 75% below | 60% |
| Cervical biopsy CPT 57500 BIOPSY OF CERVIX | $1,245.34 | $3,113.36 | $825.66 | 33% above | 60% |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER | $1,359.22 | $3,398.04 | $491.10–$3,027.24 | 60% below | 60% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,370.74 | $5,926.85 | $1,219.23–$5,838.79 | 46% above | 60% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $1,924.69 | $4,811.73 | $763.78–$7,976.26 | at median | 60% |
| Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY | $2,250.54 | $5,626.34 | $4,565.22 | — | 60% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,754.10 | $4,385.24 | $779.87–$3,641.67 | 7% above | 60% |
| Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,594.63 | $3,986.58 | $3,234.71 | — | 60% |
| Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT | $1,093.65 | $2,734.12 | $1,258.52 | 76% below | 60% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY | $923.82 | $2,309.55 | $496.90–$1,119.41 | 2% below | 60% |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND CURETTAGE | $896.20 | $2,240.50 | $825.66–$2,764.50 | 65% below | 60% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $761.46 | $1,903.66 | $375.10 | 27% below | 60% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $2,533.75 | $6,334.38 | $59.20–$8,902.16 | 77% below | 60% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 LAPARO CHOLECYSTECTOMY/GRAPH | $2,441.50 | $6,103.75 | $19.50–$10,460.79 | 77% below | 60% |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $1,197.00 | $2,992.49 | $1,821.58–$1,851.41 | 51% below | 60% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVE INT/EXT HEM 1 GROUP | $1,857.72 | $4,644.30 | $463.21–$6,438.44 | 50% below | 60% |
| Hysterectomy through an abdominal incision (total) CPT 58150 TOTAL HYSTERECTOMY | $4,379.04 | $10,947.60 | $4,312.12 | 10% above | 60% |
| Hysteroscopy with endometrial ablation CPT 58563 HYSTEROSCOPY ABLATION | $972.60 | $2,431.50 | $422.85–$2,451.00 | 81% below | 60% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY | $1,612.50 | $4,031.24 | $247.82–$4,928.44 | 53% below | 60% |
| Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BIOPSY | $2,315.71 | $5,789.27 | $4,920.88 | — | 60% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE | $1,258.98 | $3,147.45 | $1,481.50 | 298% above | 60% |
| Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS | $177.49 | $443.72 | $443.72 | 53% below | 60% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $1,547.89 | $3,869.71 | $684.96–$4,928.83 | 80% below | 60% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $2,076.09 | $5,190.22 | $929.38–$3,033.25 | 8% below | 60% |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 LAP GASTRIC BYPASS/ROUX-EN-Y | $10,208.97 | $25,522.42 | $12,725.88 | — | 60% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 LAPAROSCOPY APPENDECTOMY | $962.54 | $2,406.34 | $428.63–$3,668.46 | 81% below | 60% |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS | $3,185.76 | $7,964.41 | $18.83–$15,342.82 | 83% below | 60% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 LAP ING HERNIA REPAIR INIT | $2,782.05 | $6,955.14 | $64.95–$27,543.83 | 69% below | 60% |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 LAP ING HERNIA REPAIR RECUR | $1,586.82 | $3,967.06 | $725.05–$5,764.86 | 40% below | 60% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA | $2,055.24 | $5,138.10 | $77.97–$4,866.30 | 80% below | 60% |
| Laparoscopic sleeve gastrectomy for weight loss CPT 43775 LAP SLEEVE GASTRECTOMY | $2,632.25 | $6,580.62 | $4,352.12–$6,562.93 | — | 60% |
| Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 LOW BACK DISK SURGERY | $7,016.65 | $17,541.63 | $13,585.99 | 33% below | 60% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 REMOVE SPINE LAMINA 1 LMBR | $4,446.74 | $11,116.85 | $2,076.75–$33,124.94 | 60% below | 60% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY | $1,514.27 | $3,785.67 | $21.91–$13,957.86 | 72% below | 60% |
| Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE | $5,010.38 | $12,525.95 | $3,196.41–$5,839.58 | at median | 60% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $1,087.41 | $2,718.52 | $67.52–$1,887.53 | 77% below | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $1,750.90 | $4,377.25 | $932.35 | 126% above | 60% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $1,124.22 | $2,810.56 | $604.69 | 52% above | 60% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $1,173.06 | $2,932.66 | $597.94–$1,084.22 | 36% below | 60% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $1,505.07 | $3,762.67 | $185.64–$6,899.66 | 64% below | 60% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY | $895.30 | $2,238.25 | $355.25 | 64% above | 60% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colon ca scrn not hi rsk ind | $1,583.50 | $3,958.75 | $908.97–$2,825.11 | 6% above | 60% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal scrn; hi risk ind | $1,583.50 | $3,958.75 | $808.78–$1,722.05 | 3% below | 60% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $108.43 | $271.08 | $65.36–$71.89 | 62% below | 60% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $84.12 | $210.30 | $210.30 | 76% below | 60% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHOULDER ARTHROSCOPY/SURGERY | $1,596.35 | $3,990.87 | $2,381.74–$2,580.11 | at median | 60% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $192.07 | $480.18 | $127.34 | 52% below | 60% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $211.28 | $528.20 | $134.82–$528.20 | 44% below | 60% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING | $456.13 | $1,140.33 | $242.91 | 67% below | 60% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $4,338.08 | $10,845.21 | $2,720.15–$25,509.00 | 67% below | 60% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $4,531.91 | $11,329.76 | $2,014.79–$68,882.83 | 68% below | 60% |
| Total shoulder replacement CPT 23472 RECONSTRUCT SHOULDER JOINT | $3,324.24 | $8,310.59 | $766.43–$53,558.50 | 79% below | 60% |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $1,313.38 | $3,283.45 | $1,066.30–$1,198.47 | 51% below | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $651.89 | $1,629.72 | $531.54 | 81% above | 60% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG | $1,799.30 | $4,498.26 | $886.34–$3,373.70 | 42% below | 60% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $2,933.67 | $7,334.17 | $1,314.25–$4,062.38 | 48% above | 60% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $2,013.53 | $5,033.83 | $290.33–$4,583.42 | 10% above | 60% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,594.63 | $3,986.58 | $3,234.71 | — | 60% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE | $2,660.82 | $6,652.05 | $1,065.17–$4,185.94 | 83% above | 60% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION | $2,668.54 | $6,671.34 | $48.17–$3,140.20 | 204% above | 60% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,797.44 | $4,493.61 | $779.87–$3,835.63 | 52% above | 60% |
| Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY | $1,957.36 | $4,893.41 | $21.36–$9,192.76 | 77% below | 60% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/< | $1,281.85 | $3,204.63 | $10,705.36 | 104% above | 60% |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 TREAT FX RAD EXTRA-ARTICUL | $3,606.81 | $9,017.04 | $821.92–$3,942.19 | 64% below | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE | $859.07 | $2,147.68 | $305.47–$1,024.36 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $89.95 | $224.88 | $44.75–$374.38 | 54% below | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR | $5,581.14 | $13,952.86 | $1,381.74–$4,738.44 | 80% above | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE FIRST HOUR | $5,581.14 | $13,952.86 | $1,381.74–$4,738.44 | — | 60% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM COMPLETE | $11.72 | $29.31 | $16.18 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $154.26 | $385.64 | $29.65–$4,939.70 | 15% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPT VISIT | $83.08 | $207.69 | $40.22–$375.16 | 65% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENCY DEPT VISIT | $83.08 | $207.69 | $40.22–$375.16 | — | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT | $339.68 | $849.20 | $126.98–$1,167.63 | 16% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENCY DEPT VISIT | $339.68 | $849.20 | $126.98–$1,167.63 | — | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT | $546.48 | $1,366.20 | $185.61–$11,073.76 | 30% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENCY DEPT VISIT | $546.48 | $1,366.20 | $185.61–$11,073.76 | — | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT | $1,529.74 | $3,824.36 | $88.88–$5,988.63 | 22% above | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENCY DEPT VISIT | $1,529.74 | $3,824.36 | $88.88–$5,988.63 | — | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT | $3,297.55 | $8,243.87 | $963.33–$28,314.65 | 59% above | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENCY DEPT VISIT | $3,297.55 | $8,243.87 | $963.33–$28,314.65 | — | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $433.87 | $1,084.68 | $210.94–$1,680.17 | 26% below | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $175.29 | $438.23 | $115.74 | 15% below | 60% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $192.82 | $482.05 | $111.39–$210.00 | 3% above | 60% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $454.62 | $1,136.55 | $15.28–$972.44 | 246% above | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $113.26 | $283.14 | $49.94–$211.29 | 66% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $118.03 | $295.08 | $57.14–$416.84 | 69% below | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $104.28 | $260.70 | $8.39–$2,000.00 | 2% above | 60% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION | $631.07 | $1,577.68 | $75.00–$748.02 | 164% above | 60% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES | $251.53 | $628.82 | $115.96–$547.52 | 58% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $97.55 | $243.87 | $30.57–$325.58 | at median | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR REEDUCATION | $97.55 | $243.87 | $19.58–$211.14 | — | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPATIENT VISIT NEW | $80.00 | $200.00 | $103.68 | 55% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPATIENT VISIT NEW | $473.29 | $1,183.23 | $116.65–$561.00 | 88% above | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPATIENT VISIT NEW | $222.79 | $556.98 | $89.33–$224.42 | — | 60% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPATIENT VISIT NEW | $573.70 | $1,434.25 | $63.65–$748.02 | 69% above | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $41.02 | $102.55 | $21.85–$57.56 | 36% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $226.43 | $566.08 | $109.61–$438.43 | 5% above | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $226.43 | $566.08 | $104.39–$438.43 | 18% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $205.85 | $514.62 | $105.13 | — | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $226.43 | $566.08 | $58.37–$514.62 | 3% above | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $226.43 | $566.08 | $58.37–$129.97 | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $226.43 | $566.08 | $84.60–$438.43 | 6% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $226.43 | $566.08 | $58.37–$105.13 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $120.18 | $300.45 | $24.76–$260.13 | 71% above | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 1/> REGIONS | $120.18 | $300.45 | $20.97–$260.13 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $109.47 | $273.68 | $27.25–$482.03 | 17% above | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES | $83.36 | $208.40 | $18.02–$180.43 | — | 60% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $407.68 | $1,019.19 | $75.00–$748.02 | 48% above | 60% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS | $407.68 | $1,019.19 | $164.55–$281.51 | — | 60% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $137.73 | $344.33 | $35.00–$278.05 | 4% below | 60% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $351.87 | $879.68 | $60.00–$417.08 | 66% above | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX W PT 45 MINUTES | $351.87 | $879.68 | $71.00 | — | 60% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $469.15 | $1,172.88 | $75.00–$564.16 | 67% above | 60% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX W PT 60 MINUTES | $469.15 | $1,172.88 | $75.00–$99.00 | — | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPATIENT VISIT EST | $564.58 | $1,411.44 | $74.80–$669.21 | 134% above | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPATIENT VISIT EST | $110.19 | $275.47 | $38.36–$251.01 | 25% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPATIENT VISIT EST | $110.19 | $275.47 | $76.00–$247.92 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPATIENT VISIT EST | $352.89 | $882.22 | $43.85–$611.06 | 96% above | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPATIENT VISIT EST | $352.89 | $882.22 | $90.25–$171.75 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPATIENT VISIT EST | $110.19 | $275.47 | $35.11–$167.31 | at median | 60% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $253.54 | $633.84 | $136.37–$482.93 | 34% below | 60% |
| Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY | $234.79 | $586.98 | $80.49–$288.67 | 7% above | 60% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $135.33 | $338.33 | $10.07–$562.08 | 63% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES | $120.66 | $301.65 | $35.48–$608.26 | 15% above | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES | $147.54 | $368.84 | $21.45–$46.08 | — | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $912.64 | $2,281.60 | $1,073.95 | 44% above | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $48.92 | $122.31 | $30.47–$32.44 | 41% below | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $20.72 | $51.79 | $13.73 | 56% below | 60% |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Porcelain crown CDT D2740 Crown porcelain/ceramic subs | $582.90 | $1,457.26 | $233.11–$341.93 | at median | 60% |
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 Extraction erupted tooth/exr | $774.19 | $1,935.47 | $233.11–$287.35 | at median | 60% |
Source file: https://www.yourlourdes.com/docs/ahlourdeshealthlibraries/hcl/mrf3q263/364850536_lourdes-health_standardcharges.csv