Hospital Seattle-Tacoma-Bellevue, WA

Valley Medical Center

Listed in its price file as “Public Hospital District No.1 of King County Washington dba Valley Medical Center”.

Valley Medical Center in Renton, WA publishes cash prices for 411 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 above the Washington median for 230 of 403 procedures and below it for 169. By typical cash price it ranks #33 of 46 Washington hospitals and #14 of 17 hospitals in the Seattle, WA area, cheapest first. Click a procedure to compare it with other hospitals nearby.

400 S. 43rd Street , Renton, WA 98055 Collected Sep 27, 2026 Source price file (425) 228-3450

Acute care hospital Emergency department CMS star rating 2 of 5 CCN 500088 · 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 Radex Ankle Complete Minimum 3 Views	$311.50	$445.00	—	3% above	30%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Radex Ankle Complete Minimum 3 Views	$311.50	$445.00	—	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Non-Invas Physiologic Std Extremity Art 2 Level	$396.20	$566.00	—	10% above	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Non-Invas Physiologic Std Extremity Art 2 Level	$396.20	$566.00	—	—	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Radiologic Exam Esophagus Single Contrast Study	$649.60	$928.00	—	12% above	30%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Radiologic Exam Esophagus Single Contrast Study	$649.60	$928.00	—	—	30%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone &/Joint Imaging Whole Body	$2,760.10	$3,943.00	—	78% above	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone &/Joint Imaging Whole Body	$2,760.10	$3,943.00	—	—	30%
Breast ultrasound, complete, one breast CPT 76641 US Breast Uni Real Time With Image Complete	$558.60	$798.00	—	42% above	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Uni Real Time With Image Complete	$558.60	$798.00	—	—	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 US Breast Uni Real Time With Image Limited	$697.90	$997.00	—	117% above	30%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US Breast Uni Real Time With Image Limited	$697.90	$997.00	—	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography Chest W/Contrast/Noncontrast	$997.50	$1,425.00	—	57% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angiography Chest W/Contrast/Noncontrast	$2,013.90	$2,877.00	—	14% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angiography Chest W/Contrast/Noncontrast	$2,013.90	$2,877.00	—	—	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$835.80	$1,194.00	—	24% below	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post	$835.80	$1,194.00	—	—	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart No Contrast Quant Eval Coronry Calcium	$243.60	$348.00	—	95% above	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Heart No Contrast Quant Eval Coronry Calcium	$251.30	$359.00	—	101% above	30%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Heart No Contrast Quant Eval Coronry Calcium	$243.60	$348.00	—	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen & Pelvis W/O Contrast Material	$1,124.90	$1,607.00	—	55% below	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen & Pelvis W/O Contrast Material	$3,783.42	$5,404.88	—	51% above	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen & Pelvis W/O Contrast Material	$3,783.42	$5,404.88	—	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen & Pelvis W/Contrast Material	$1,605.80	$2,294.00	—	46% below	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen & Pelvis W/Contrast Material	$3,600.10	$5,143.00	—	21% above	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen & Pelvis W/Contrast Material	$3,600.10	$5,143.00	—	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen & Pelvis W/O Contrst 1/> Body Re	$3,137.40	$4,482.00	—	16% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen & Pelvis W/O Contrst 1/> Body Re	$3,167.50	$4,525.00	—	16% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen & Pelvis W/O Contrst 1/> Body Re	$3,167.50	$4,525.00	—	—	30%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Contrast Material	$884.80	$1,264.00	—	51% below	30%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Contrast Material	$891.80	$1,274.00	—	51% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Contrast Material	$884.80	$1,264.00	—	—	30%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast Material	$420.70	$601.00	—	70% below	30%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Contrast Material	$1,995.00	$2,850.00	—	43% above	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Contrast Material	$1,995.00	$2,850.00	—	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Contrast Material	$434.00	$620.00	—	55% below	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Contrast Material	$674.80	$964.00	—	30% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial W/O Contrast Material	$434.00	$620.00	—	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material	$700.70	$1,001.00	—	41% below	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head/Brain W/O Contrast Material	$1,880.20	$2,686.00	—	57% above	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head/Brain W/O Contrast Material	$1,880.20	$2,686.00	—	—	30%
CT scan of the head with contrast CPT 70460 CT Head/Brain W/Contrast Material	$750.40	$1,072.00	—	41% below	30%
CT scan of the head with contrast CPT 70460 CT Head/Brain W/Contrast Material	$756.70	$1,081.00	—	41% below	30%
CT scan of the head with contrast inpatient CPT 70460 CT Head/Brain W/Contrast Material	$756.70	$1,081.00	—	—	30%
CT scan of the head without and with contrast CPT 70470 CT Head/Brain W/O & W/Contrast Material	$900.20	$1,286.00	—	39% below	30%
CT scan of the head without and with contrast CPT 70470 CT Head/Brain W/O & W/Contrast Material	$907.90	$1,297.00	—	38% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head/Brain W/O & W/Contrast Material	$907.90	$1,297.00	—	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine W/O Contrast Material	$521.50	$745.00	—	60% below	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine W/O Contrast Material	$1,638.00	$2,340.00	—	27% above	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine W/O Contrast Material	$1,638.00	$2,340.00	—	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine W/O Contrast Material	$525.00	$750.00	—	63% below	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine W/O Contrast Material	$1,977.50	$2,825.00	—	41% above	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine W/O Contrast Material	$1,977.50	$2,825.00	—	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast Material	$779.80	$1,114.00	—	55% below	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Contrast Material	$1,760.50	$2,515.00	—	2% above	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Contrast Material	$1,760.50	$2,515.00	—	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study	$669.20	$956.00	—	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex Scan Extracranial Art Compl Bi Study	$669.20	$956.00	—	—	30%
Chest X-ray, 2 views CPT 71046 Radiologic Exam Chest 2 Views	$242.20	$346.00	—	11% below	30%
Chest X-ray, 2 views inpatient CPT 71046 Radiologic Exam Chest 2 Views	$242.20	$346.00	—	—	30%
Chest X-ray, single view CPT 71045 Radiologic Exam Chest Single View	$242.20	$346.00	—	3% above	30%
Chest X-ray, single view inpatient CPT 71045 Radiologic Exam Chest Single View	$242.20	$346.00	—	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Real Time W/Image Complete	$847.00	$1,210.00	—	55% above	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Real Time W/Image Complete	$847.00	$1,210.00	—	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA Bone Density Study 1/> Sites Axial Skel	$588.70	$841.00	—	43% above	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA Bone Density Study 1/> Sites Axial Skel	$588.70	$841.00	—	—	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA Bone Density Study 1/>Sites Appendiclr Skel	$161.70	$231.00	—	7% below	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA Bone Density Study 1/>Sites Appendiclr Skel	$161.70	$231.00	—	—	30%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Preg Uterus W/Detail Fetal Anat 1st Gestation	$1,232.00	$1,760.00	—	79% above	30%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Preg Uterus W/Detail Fetal Anat 1st Gestation	$1,232.00	$1,760.00	—	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst	$674.80	$964.00	—	53% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst	$1,117.90	$1,597.00	—	22% below	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Diagnostic Computed Tomography Thorax W/O Cntrst	$1,117.90	$1,597.00	—	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Diagnostic Computed Tomography Thorax W/Contrast	$885.50	$1,265.00	—	51% below	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Diagnostic Computed Tomography Thorax W/Contrast	$1,574.30	$2,249.00	—	13% below	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Diagnostic Computed Tomography Thorax W/Contrast	$1,574.30	$2,249.00	—	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 Diagnostic Mammography Computer-Aided Detcj Bi	$458.50	$655.00	—	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Diagnostic Mammography Computer-Aided Detcj Bi	$458.50	$655.00	—	—	30%
Diagnostic mammogram, one breast CPT 77065 Diagnostic Mammography Computer-Aided Detcj Uni	$457.80	$654.00	—	17% above	30%
Diagnostic mammogram, one breast inpatient CPT 77065 Diagnostic Mammography Computer-Aided Detcj Uni	$457.80	$654.00	—	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$476.00	$680.00	—	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study	$476.00	$680.00	—	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study	$1,340.50	$1,915.00	—	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Dup-Scan Xtr Veins Complete Bilateral Study	$1,340.50	$1,915.00	—	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D	$3,232.60	$4,618.00	—	102% above	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Tthrc R-T 2d W/Wom-Mode Compl Spec&Colr D	$3,232.60	$4,618.00	—	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary Syst Imaging Including Gallbladder	$2,012.50	$2,875.00	—	66% above	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary Syst Imaging Including Gallbladder	$2,012.50	$2,875.00	—	—	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt	$687.40	$982.00	—	52% above	30%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep Std Airflow Hrt Rate&O2 Sat Effort Unatt	$687.40	$982.00	—	—	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd	$1,233.40	$1,762.00	—	59% below	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd	$6,422.50	$9,175.00	—	114% above	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd	$1,233.40	$1,762.00	—	—	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd	$6,422.50	$9,175.00	—	—	30%
Knee X-ray, 3 views CPT 73562 Radiologic Examination Knee 3 Views	$457.10	$653.00	—	47% above	30%
Knee X-ray, 3 views inpatient CPT 73562 Radiologic Examination Knee 3 Views	$457.10	$653.00	—	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdominal Real Time W/Image Limited	$641.90	$917.00	—	35% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdominal Real Time W/Image Limited	$641.90	$917.00	—	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$238.00	$340.00	—	7% above	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$245.70	$351.00	—	11% above	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$238.00	$340.00	—	—	30%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral	$1,805.30	$2,579.00	—	—	30%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast Without&With Contrast W/Cad Bilateral	$1,805.30	$2,579.00	—	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl	$1,013.60	$1,448.00	—	44% below	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl	$1,022.70	$1,461.00	—	43% below	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI Any Jt Lower Extrem W/O Contrast Matrl	$1,022.70	$1,461.00	—	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl	$1,440.60	$2,058.00	—	53% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl	$1,512.70	$2,161.00	—	51% below	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI Any Jt Lower Extrem W/O & W/Contrast Matrl	$1,512.70	$2,161.00	—	—	30%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast Material	$1,044.40	$1,492.00	—	49% below	30%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen W/O Contrast Material	$1,053.50	$1,505.00	—	49% below	30%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen W/O Contrast Material	$1,053.50	$1,505.00	—	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O & W/Contrast Material	$1,725.50	$2,465.00	—	43% below	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen W/O & W/Contrast Material	$1,741.60	$2,488.00	—	43% below	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen W/O & W/Contrast Material	$1,741.60	$2,488.00	—	—	30%
MRI of the brain, no contrast dye CPT 70551 MRI Brain Brain Stem W/O Contrast Material	$1,054.20	$1,506.00	—	43% below	30%
MRI of the brain, no contrast dye CPT 70551 MRI Brain Brain Stem W/O Contrast Material	$1,063.30	$1,519.00	—	42% below	30%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain Brain Stem W/O Contrast Material	$1,063.30	$1,519.00	—	—	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Brain Stem W/O W/Contrast Material	$1,682.10	$2,403.00	—	36% below	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Brain Stem W/O W/Contrast Material	$1,698.20	$2,426.00	—	36% below	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Brain Stem W/O W/Contrast Material	$1,698.20	$2,426.00	—	—	30%
MRI of the lower back, no contrast dye CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material	$1,019.90	$1,457.00	—	52% below	30%
MRI of the lower back, no contrast dye CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material	$1,029.00	$1,470.00	—	51% below	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spinal Canal Lumbar W/O Contrast Material	$1,029.00	$1,470.00	—	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spinal Canal Lumbar W/O & W/Contr Matrl	$1,750.00	$2,500.00	—	44% below	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spinal Canal Lumbar W/O & W/Contr Matrl	$1,766.10	$2,523.00	—	43% below	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spinal Canal Lumbar W/O & W/Contr Matrl	$1,766.10	$2,523.00	—	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spinal Canal Thoracic W/O Contrast Matrl	$1,113.70	$1,591.00	—	47% below	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spinal Canal Thoracic W/O Contrast Matrl	$1,124.20	$1,606.00	—	47% below	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spinal Canal Thoracic W/O Contrast Matrl	$1,124.20	$1,606.00	—	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spinal Canal Cervical W/O & W/Contr Matrl	$1,750.00	$2,500.00	—	44% below	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spinal Canal Cervical W/O & W/Contr Matrl	$1,766.10	$2,523.00	—	44% below	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spinal Canal Cervical W/O & W/Contr Matrl	$1,766.10	$2,523.00	—	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spinal Canal Cervical W/O Contrast Matrl	$1,054.20	$1,506.00	—	48% below	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spinal Canal Cervical W/O Contrast Matrl	$1,063.30	$1,519.00	—	47% below	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spinal Canal Cervical W/O Contrast Matrl	$1,063.30	$1,519.00	—	—	30%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W/Contrast Material	$1,724.80	$2,464.00	—	45% below	30%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis W/O & W/Contrast Material	$1,740.90	$2,487.00	—	45% below	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis W/O & W/Contrast Material	$1,740.90	$2,487.00	—	—	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast Material	$1,054.20	$1,506.00	—	46% below	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis W/O Contrast Material	$1,063.30	$1,519.00	—	45% below	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis W/O Contrast Material	$1,063.30	$1,519.00	—	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Any Jt Upper Extremity W/O Contrast Matrl	$1,500.10	$2,143.00	—	19% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI Any Jt Upper Extremity W/O Contrast Matrl	$1,514.10	$2,163.00	—	18% below	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI Any Jt Upper Extremity W/O Contrast Matrl	$1,514.10	$2,163.00	—	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Myocardial Spect Multiple Studies	$4,801.30	$6,859.00	—	56% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Myocardial Spect Multiple Studies	$4,801.30	$6,859.00	—	—	30%
OCT scan of the retina (optical coherence tomography) CPT 92134 Computerized Ophthalmic Imaging Retina	$48.30	$69.00	—	34% below	30%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Computerized Ophthalmic Imaging Retina	$48.30	$69.00	—	—	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Imaging CT Attenuation Skull Base Mid-Thigh	$4,827.37	$6,896.24	—	22% above	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet Imaging CT Attenuation Skull Base Mid-Thigh	$4,972.80	$7,104.00	—	25% above	30%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet Imaging CT Attenuation Skull Base Mid-Thigh	$4,827.37	$6,896.24	—	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$612.50	$875.00	—	62% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Nonobstetric Image Dcmtn Limited/F/U	$612.50	$875.00	—	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvic Nonobstetric Real-Time Image Complete	$799.40	$1,142.00	—	47% above	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvic Nonobstetric Real-Time Image Complete	$799.40	$1,142.00	—	—	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation	$893.90	$1,277.00	—	65% above	30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation	$893.90	$1,277.00	—	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat	$686.70	$981.00	—	37% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US Pregnant Uterus 14 Wk Transabdl 1/1st Gestat	$686.70	$981.00	—	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US Pregnant Uterus Limited 1/> Fetuses	$557.90	$797.00	—	46% above	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US Pregnant Uterus Limited 1/> Fetuses	$557.90	$797.00	—	—	30%
Screening mammogram, both breasts both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad	$348.60	$498.00	—	—	30%
Screening mammogram, both breasts inpatient both sides CPT 77067 Screening Mammography Bi 2-View Breast Inc Cad	$348.60	$498.00	—	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 Radex Shoulder Complete Minimum 2 Views	$459.20	$656.00	—	53% above	30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Radex Shoulder Complete Minimum 2 Views	$459.20	$656.00	—	—	30%
Sleep study in a lab (polysomnography) CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$5,779.90	$8,257.00	—	120% above	30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$1,176.00	$1,680.00	—	—	30%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$5,779.90	$8,257.00	—	—	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$528.50	$755.00	—	44% below	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$1,717.80	$2,454.00	—	84% above	30%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$528.50	$755.00	—	—	30%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Tthrc R-T 2d W/WO M-Mode Rest&Strs Cont Ecg	$1,717.80	$2,454.00	—	—	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Radiologic Exam Swallow Function Contrast Study	$392.00	$560.00	—	27% below	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Radiologic Exam Swallow Function Contrast Study	$392.00	$560.00	—	—	30%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal	$745.50	$1,065.00	—	56% above	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal	$745.50	$1,065.00	—	—	30%
Transvaginal ultrasound during pregnancy CPT 76817 US Preg Uterus Real Time W/Image Dcmtn Transvag	$631.40	$902.00	—	44% above	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Preg Uterus Real Time W/Image Dcmtn Transvag	$631.40	$902.00	—	—	30%
Ultrasound of the abdomen, complete CPT 76700 US Abdominal Real Time W/Image Documentation	$802.20	$1,146.00	—	26% above	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdominal Real Time W/Image Documentation	$802.20	$1,146.00	—	—	30%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum & Contents	$671.30	$959.00	—	37% above	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum & Contents	$671.30	$959.00	—	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Soft Tissue Head & Neck Real Time Imge Docm	$653.10	$933.00	—	31% above	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Soft Tissue Head & Neck Real Time Imge Docm	$653.10	$933.00	—	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Radiologic Exam Upr GI Trc Single Contrast Study	$649.60	$928.00	—	4% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Radiologic Exam Upr GI Trc Single Contrast Study	$649.60	$928.00	—	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study	$424.20	$606.00	—	34% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Dup-Scan Xtr Veins Unilateral/Limited Study	$424.20	$606.00	—	—	30%
Wrist X-ray, complete, 3 or more views CPT 73110 Radex Wrist Complete Minimum 3 Views	$247.10	$353.00	—	21% below	30%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Radex Wrist Complete Minimum 3 Views	$247.10	$353.00	—	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Radex Hip Unilateral With Pelvis 2-3 Views	$247.10	$353.00	—	15% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Radex Hip Unilateral With Pelvis 2-3 Views	$247.10	$353.00	—	—	30%
X-ray of the abdomen, 1 view CPT 74018 Radiologic Exam Abdomen 1 View	$255.50	$365.00	—	3% above	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 Radiologic Exam Abdomen 1 View	$255.50	$365.00	—	—	30%
X-ray of the ankle, 2 views CPT 73600 Radiologic Examination Ankle 2 Views	$298.90	$427.00	—	14% above	30%
X-ray of the ankle, 2 views inpatient CPT 73600 Radiologic Examination Ankle 2 Views	$298.90	$427.00	—	—	30%
X-ray of the finger(s), 2 or more views CPT 73140 Radex Fingr Minimum 2 Views	$308.00	$440.00	—	19% above	30%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Radex Fingr Minimum 2 Views	$308.00	$440.00	—	—	30%
X-ray of the foot, 2 views CPT 73620 Radiologic Examination Foot 2 Views	$247.10	$353.00	—	7% below	30%
X-ray of the foot, 2 views inpatient CPT 73620 Radiologic Examination Foot 2 Views	$247.10	$353.00	—	—	30%
X-ray of the foot, complete, 3 or more views CPT 73630 Radex Foot Complete Minimum 3 Views	$247.10	$353.00	—	13% below	30%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Radex Foot Complete Minimum 3 Views	$247.10	$353.00	—	—	30%
X-ray of the hand, 3 or more views CPT 73130 Radex Hand Minimum 3 Views	$240.10	$343.00	—	15% below	30%
X-ray of the hand, 3 or more views inpatient CPT 73130 Radex Hand Minimum 3 Views	$240.10	$343.00	—	—	30%
X-ray of the knee, 1 or 2 views CPT 73560 Radiologic Examination Knee 1/2 Views	$286.30	$409.00	—	10% above	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Radiologic Examination Knee 1/2 Views	$286.30	$409.00	—	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Radex Spine Lumbosacral 2/3 Views	$331.80	$474.00	—	3% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Radex Spine Lumbosacral 2/3 Views	$331.80	$474.00	—	—	30%
X-ray of the lower back, 4 or more views CPT 72110 Radex Spine Lumbosacral Minimum 4 Views	$538.30	$769.00	—	20% above	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Radex Spine Lumbosacral Minimum 4 Views	$538.30	$769.00	—	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Radex Spine Thoracic 2 Views	$331.80	$474.00	—	15% above	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Radex Spine Thoracic 2 Views	$331.80	$474.00	—	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 Radex Nasal Bones Complete Minimum 3 Views	$210.00	$300.00	—	16% below	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Radex Nasal Bones Complete Minimum 3 Views	$210.00	$300.00	—	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Radex Spine Cervical 2 or 3 Views	$312.90	$447.00	—	at median	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Radex Spine Cervical 2 or 3 Views	$312.90	$447.00	—	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 Radiologic Examination Pelvis 1/2 Views	$331.80	$474.00	—	21% above	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Radiologic Examination Pelvis 1/2 Views	$331.80	$474.00	—	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Radex Sacrum & Coccyx Minimum 2 Views	$247.10	$353.00	—	6% above	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Radex Sacrum & Coccyx Minimum 2 Views	$247.10	$353.00	—	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase Alanine Amino Alt Sgpt	$28.70	$41.00	—	25% below	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Transferase Alanine Amino Alt Sgpt	$28.70	$41.00	—	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase Aspartate Amino Ast Sgot	$28.70	$41.00	—	21% below	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Transferase Aspartate Amino Ast Sgot	$28.70	$41.00	—	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$179.90	$257.00	—	25% below	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$179.90	$257.00	—	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Spec Ige Crude Allergen Extract Each	$16.80	$24.00	—	37% below	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Spec Ige Crude Allergen Extract Each	$16.80	$24.00	—	—	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Antibody	$67.90	$97.00	—	13% below	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide Antibody	$67.90	$97.00	—	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Ana	$56.00	$80.00	—	12% below	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies Ana	$56.00	$80.00	—	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide	$164.50	$235.00	—	11% below	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide	$164.50	$235.00	—	—	30%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total	$85.40	$122.00	—	19% above	30%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total	$85.40	$122.00	—	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level IV Surg Pathology Gross&Microscopic Exam	$229.60	$328.00	—	29% above	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level IV Surg Pathology Gross&Microscopic Exam	$229.60	$328.00	—	—	30%
Blood culture for bacteria CPT 87040 Culture Bacterial Blood Aerobic W/ID Isolates	$196.70	$281.00	—	54% above	30%
Blood culture for bacteria inpatient CPT 87040 Culture Bacterial Blood Aerobic W/ID Isolates	$196.70	$281.00	—	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Venous Blood Venipuncture	$40.60	$58.00	—	63% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Collection Venous Blood Venipuncture	$452.20	$646.00	—	1712% above	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Collection Venous Blood Venipuncture	$40.60	$58.00	—	—	30%
Blood glucose (sugar) test CPT 82947 Glucose Quantitative Blood Xcpt Reagent Strip	$49.00	$70.00	—	40% above	30%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Quantitative Blood Xcpt Reagent Strip	$49.00	$70.00	—	—	30%
Blood lead test CPT 83655 Assay of Lead	$43.40	$62.00	—	22% below	30%
Blood lead test inpatient CPT 83655 Assay of Lead	$43.40	$62.00	—	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin Chorionic Qualitative	$74.20	$106.00	—	5% above	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin Chorionic Qualitative	$74.20	$106.00	—	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Serologic Abo	$198.10	$283.00	—	208% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Serologic Abo	$198.10	$283.00	—	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$72.10	$103.00	—	30% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$72.10	$103.00	—	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 Inf Agent Det Nucleic Acid Clostridium Amp Probe	$116.20	$166.00	—	33% below	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Inf Agent Det Nucleic Acid Clostridium Amp Probe	$116.20	$166.00	—	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay Tumor Antigen Quantitative Ca 19-9	$84.00	$120.00	—	24% below	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunoassay Tumor Antigen Quantitative Ca 19-9	$84.00	$120.00	—	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay Tumor Antigen Quantitative Ca 125	$127.40	$182.00	—	8% above	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunoassay Tumor Antigen Quantitative Ca 125	$127.40	$182.00	—	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$79.10	$113.00	—	8% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$79.10	$113.00	—	8% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$79.10	$113.00	—	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq	$79.10	$113.00	—	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq	$99.40	$142.00	—	26% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Iadna Chlamydia Trachomatis Amplified Probe Tq	$99.40	$142.00	—	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$67.20	$96.00	—	23% below	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$67.20	$96.00	—	—	30%
Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc	$65.10	$93.00	—	18% above	30%
Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc	$65.10	$93.00	—	—	30%
Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated	$49.70	$71.00	—	11% above	30%
Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated	$49.70	$71.00	—	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$65.80	$94.00	—	21% below	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel	$65.80	$94.00	—	—	30%
D-dimer blood test (blood clot marker) CPT 85379 Fibrin Dgradj Products D-Dimer Quantitative	$138.60	$198.00	—	21% above	30%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Fibrin Dgradj Products D-Dimer Quantitative	$138.60	$198.00	—	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone-Sulfate	$79.80	$114.00	—	40% below	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone-Sulfate	$79.80	$114.00	—	—	30%
Estradiol blood test CPT 82670 Assay of Total Estradiol	$91.70	$131.00	—	34% below	30%
Estradiol blood test inpatient CPT 82670 Assay of Total Estradiol	$91.70	$131.00	—	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin Follicle Stimulating Hormone	$58.80	$84.00	—	39% below	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin Follicle Stimulating Hormone	$58.80	$84.00	—	—	30%
Fecal calprotectin (stool inflammation test) CPT 83993 Assay of Calprotectin Fecal	$26.60	$38.00	—	85% below	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Assay of Calprotectin Fecal	$26.60	$38.00	—	—	30%
Ferritin blood test (iron stores) CPT 82728 Assay of Ferritin	$102.90	$147.00	—	8% above	30%
Ferritin blood test (iron stores) inpatient CPT 82728 Assay of Ferritin	$102.90	$147.00	—	—	30%
Folate (folic acid) blood test CPT 82746 Assay of Folic Acid Serum	$70.00	$100.00	—	34% below	30%
Folate (folic acid) blood test inpatient CPT 82746 Assay of Folic Acid Serum	$70.00	$100.00	—	—	30%
Free T3 thyroid hormone test CPT 84481 Assay of Triiodothyronine T3 Free	$46.20	$66.00	—	47% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 Assay of Triiodothyronine T3 Free	$46.20	$66.00	—	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of Free Thyroxine	$25.20	$36.00	—	61% below	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Assay of Free Thyroxine	$25.20	$36.00	—	—	30%
Free testosterone test CPT 84402 Assay of Testosterone Free	$84.00	$120.00	—	33% below	30%
Free testosterone test inpatient CPT 84402 Assay of Testosterone Free	$84.00	$120.00	—	—	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$229.60	$328.00	—	3% above	30%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel	$229.60	$328.00	—	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post Glucose Dose	$33.60	$48.00	—	6% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Post Glucose Dose	$33.60	$48.00	—	—	30%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test Gtt 3 Specimens	$73.50	$105.00	—	13% above	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance Test Gtt 3 Specimens	$73.50	$105.00	—	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq	$116.20	$166.00	—	13% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Iadna Neisseria Gonorrhoeae Amplified Probe Tq	$116.20	$166.00	—	—	30%
H. pylori antibody blood test CPT 86677 Antibody Helicobacter Pylori	$58.10	$83.00	—	30% below	30%
H. pylori antibody blood test inpatient CPT 86677 Antibody Helicobacter Pylori	$58.10	$83.00	—	—	30%
H. pylori stool antigen test CPT 87338 Iaad Ia Hpylori Stool	$98.00	$140.00	—	30% below	30%
H. pylori stool antigen test inpatient CPT 87338 Iaad Ia Hpylori Stool	$98.00	$140.00	—	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Iadna Hiv-1 Quant & Reverse Transcription	$268.80	$384.00	—	29% below	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Iadna Hiv-1 Quant & Reverse Transcription	$268.80	$384.00	—	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 Antibody Hiv-1&Hiv-2 Single Result	$63.00	$90.00	—	26% below	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Antibody Hiv-1&Hiv-2 Single Result	$63.00	$90.00	—	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$98.00	$140.00	—	1% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$98.00	$140.00	—	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Iadna Human Papillomavirus High-Risk Types	$89.60	$128.00	—	37% below	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Iadna Human Papillomavirus High-Risk Types	$89.60	$128.00	—	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Glycosylated A1c	$76.30	$109.00	—	9% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin Glycosylated A1c	$76.30	$109.00	—	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surf Antibody Hbsab	$32.90	$47.00	—	52% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surf Antibody Hbsab	$32.90	$47.00	—	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Iaad Ia Hepatitis B Surface Antigen	$31.50	$45.00	—	52% below	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Iaad Ia Hepatitis B Surface Antigen	$31.50	$45.00	—	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody	$42.70	$61.00	—	49% below	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody	$42.70	$61.00	—	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Iadna Hepatitis C Quant & Reverse Transcription	$160.30	$229.00	—	50% below	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Iadna Hepatitis C Quant & Reverse Transcription	$160.30	$229.00	—	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 Antibody Herpes Smplx Type 1	$51.80	$74.00	—	25% below	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Antibody Herpes Smplx Type 1	$51.80	$74.00	—	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 Antibody Herpes Smplx Type 2	$56.00	$80.00	—	35% below	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Antibody Herpes Smplx Type 2	$56.00	$80.00	—	—	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity	$19.60	$28.00	—	71% below	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein High Sensitivity	$19.60	$28.00	—	—	30%
Homocysteine blood test CPT 83090 Assay of Homocysteine	$60.20	$86.00	—	49% below	30%
Homocysteine blood test inpatient CPT 83090 Assay of Homocysteine	$60.20	$86.00	—	—	30%
Insulin blood test CPT 83525 Assay of Insulin Total	$39.90	$57.00	—	50% below	30%
Insulin blood test inpatient CPT 83525 Assay of Insulin Total	$39.90	$57.00	—	—	30%
Iron blood test (serum iron) CPT 83540 Assay of Iron	$24.50	$35.00	—	48% below	30%
Iron blood test (serum iron) inpatient CPT 83540 Assay of Iron	$24.50	$35.00	—	—	30%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity	$42.70	$61.00	—	29% below	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity	$42.70	$61.00	—	—	30%
Kidney function blood test panel CPT 80069 Renal Function Panel	$23.10	$33.00	—	64% below	30%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$23.10	$33.00	—	—	30%
LH (luteinizing hormone) test CPT 83002 Gonadotropin Luteinizing Hormone	$56.70	$81.00	—	38% below	30%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin Luteinizing Hormone	$56.70	$81.00	—	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 Assay of Lipase	$72.80	$104.00	—	3% above	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Assay of Lipase	$72.80	$104.00	—	—	30%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$28.70	$41.00	—	51% below	30%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$28.70	$41.00	—	—	30%
Lyme disease antibody test CPT 86618 Antibody Borrelia Burgdorferi Lyme Disease	$63.70	$91.00	—	29% below	30%
Lyme disease antibody test inpatient CPT 86618 Antibody Borrelia Burgdorferi Lyme Disease	$63.70	$91.00	—	—	30%
Magnesium blood test CPT 83735 Assay of Magnesium	$34.30	$49.00	—	32% below	30%
Magnesium blood test inpatient CPT 83735 Assay of Magnesium	$34.30	$49.00	—	—	30%
Measles (rubeola) antibody test CPT 86765 Antibody Rubeola	$85.40	$122.00	—	20% above	30%
Measles (rubeola) antibody test inpatient CPT 86765 Antibody Rubeola	$85.40	$122.00	—	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Antibodies Screen	$80.50	$115.00	—	79% above	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Antibodies Screen	$80.50	$115.00	—	—	30%
Obstetric blood test panel CPT 80055 Obstetric Panel	$110.60	$158.00	—	11% below	30%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel	$110.60	$158.00	—	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free	$58.80	$84.00	—	37% below	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free	$58.80	$84.00	—	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total	$58.80	$84.00	—	43% below	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total	$58.80	$84.00	—	—	30%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys	$84.70	$121.00	—	2% above	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys	$84.70	$121.00	—	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen	$60.90	$87.00	—	15% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cytp Cerv/Vag Auto Thin Layer Prep Mnl Screen	$60.90	$87.00	—	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 Assay of Parathormone	$132.30	$189.00	—	40% below	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Assay of Parathormone	$132.30	$189.00	—	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood	$90.30	$129.00	—	133% above	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood	$90.30	$129.00	—	—	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chromosomal Aneuploidy Genomic Seq Analys	$840.00	$1,200.00	—	10% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Chromosomal Aneuploidy Genomic Seq Analys	$840.00	$1,200.00	—	—	30%
Progesterone blood test CPT 84144 Assay of Progesterone	$70.70	$101.00	—	28% below	30%
Progesterone blood test inpatient CPT 84144 Assay of Progesterone	$70.70	$101.00	—	—	30%
Prolactin blood test CPT 84146 Assay of Prolactin	$63.70	$91.00	—	37% below	30%
Prolactin blood test inpatient CPT 84146 Assay of Prolactin	$63.70	$91.00	—	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$56.00	$80.00	—	40% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$56.00	$80.00	—	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Test Prsmv Read Direct Optical Obs PR Date	$28.70	$41.00	—	62% below	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Prsmv Read Direct Optical Obs PR Date	$28.70	$41.00	—	—	30%
Rapid flu test (influenza antigen) CPT 87804 Iaadiadoo Influenza	$109.20	$156.00	—	64% above	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 Iaadiadoo Influenza	$109.20	$156.00	—	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Iaadiadoo Streptococcus Group A	$45.50	$65.00	—	40% below	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Iaadiadoo Streptococcus Group A	$45.50	$65.00	—	—	30%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Quantitative	$29.40	$42.00	—	18% below	30%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Quantitative	$29.40	$42.00	—	—	30%
Rubella antibody test (immunity check) CPT 86762 Antibody Rubella	$39.20	$56.00	—	43% below	30%
Rubella antibody test (immunity check) inpatient CPT 86762 Antibody Rubella	$39.20	$56.00	—	—	30%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate RBC Automated	$25.20	$36.00	—	9% below	30%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate RBC Automated	$25.20	$36.00	—	—	30%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis Volume Count Motility Different	$63.00	$90.00	—	23% below	30%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis Volume Count Motility Different	$63.00	$90.00	—	—	30%
Stool ova and parasites exam CPT 87177 Ova&Parasites Direct Smears Concentration & ID	$35.00	$50.00	—	38% below	30%
Stool ova and parasites exam inpatient CPT 87177 Ova&Parasites Direct Smears Concentration & ID	$35.00	$50.00	—	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Peroxidase Actv Qual Feces 1 Deter	$11.90	$17.00	—	56% below	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Peroxidase Actv Qual Feces 1 Deter	$11.90	$17.00	—	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3	$51.80	$74.00	—	31% below	30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3	$51.80	$74.00	—	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Test Non-Treponemal Antibody Qual	$25.20	$36.00	—	7% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Test Non-Treponemal Antibody Qual	$25.20	$36.00	—	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Cell Mediated Antign Respnse Gamma Interferon	$242.20	$346.00	—	18% above	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Cell Mediated Antign Respnse Gamma Interferon	$242.20	$346.00	—	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 Assay of Testosterone Total	$96.60	$138.00	—	18% below	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay of Testosterone Total	$96.60	$138.00	—	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal Antibodies Each	$67.20	$96.00	—	13% below	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal Antibodies Each	$67.20	$96.00	—	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh	$74.20	$106.00	—	30% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh	$74.20	$106.00	—	—	30%
Trichomonas test (NAAT) CPT 87661 Iadna Trichomonas Vaginalis Amplified Probe Tech	$86.80	$124.00	—	20% below	30%
Trichomonas test (NAAT) inpatient CPT 87661 Iadna Trichomonas Vaginalis Amplified Probe Tech	$86.80	$124.00	—	—	30%
Uric acid blood test CPT 84550 Assay of Blood/Uric Acid	$34.30	$49.00	—	6% below	30%
Uric acid blood test inpatient CPT 84550 Assay of Blood/Uric Acid	$34.30	$49.00	—	—	30%
Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy	$37.10	$53.00	—	2% above	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy	$37.10	$53.00	—	—	30%
Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy	$9.10	$13.00	—	47% below	30%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy	$9.10	$13.00	—	—	30%
Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy	$47.88	$68.40	—	74% above	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy	$47.88	$68.40	—	—	30%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp	$14.00	$20.00	—	28% below	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp	$14.00	$20.00	—	—	30%
Urine culture for bacteria, with colony count CPT 87086 Culture Bacterial Quanttative Colony Count Urine	$43.40	$62.00	—	42% below	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Bacterial Quanttative Colony Count Urine	$43.40	$62.00	—	—	30%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Visual Color Cmprsn Meths	$25.20	$36.00	—	48% below	30%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test Visual Color Cmprsn Meths	$25.20	$36.00	—	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin Vitamin B-12	$46.90	$67.00	—	54% below	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin Vitamin B-12	$46.90	$67.00	—	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 Hydroxy Includes Fractions if Performed	$95.20	$136.00	—	31% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25 Hydroxy Includes Fractions if Performed	$95.20	$136.00	—	—	30%
Zinc blood test CPT 84630 Assay of Zinc	$36.40	$52.00	—	49% below	30%
Zinc blood test inpatient CPT 84630 Assay of Zinc	$36.40	$52.00	—	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin Chorionic Quantitative	$126.70	$181.00	—	17% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin Chorionic Quantitative	$126.70	$181.00	—	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 Adenoidectomy Primary <Age 12	$10,266.63	$14,666.61	—	88% above	30%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Arthrd Ant Interbody Decompress Cervical Belw C2	$61,306.30	$87,580.43	—	237% above	30%
Appendectomy, open surgery CPT 44950 Appendectomy	$21,163.06	$30,232.95	—	252% above	30%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Arthrs Aided Ant Cruciate Ligm Rpr/Agmntj/Rcnstj	$60,531.60	$86,473.72	—	487% above	30%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Surgical Arthroscopy Shoulder W/Rotator Cuff Rpr	$48,210.45	$68,872.07	—	1850% above	30%
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$464.10	$663.00	—	11% above	30%
Botox injections for chronic migraine CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$3,021.72	$4,316.75	—	623% above	30%
Botox injections for chronic migraine inpatient CPT 64615 Chemodervate Facial/Trigem/Cerv Musc Migraine	$464.10	$663.00	—	—	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast W/Device 1st Lesion Stereotactic Guid	$4,080.44	$5,829.20	—	25% above	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast W/Device 1st Lesion Stereotactic Guid	$5,808.31	$8,297.59	—	78% above	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast W/Device 1st Lesion Stereotactic Guid	$4,080.44	$5,829.20	—	—	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj	$245.00	$350.00	—	64% below	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj	$1,779.96	$2,542.80	—	162% above	30%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Cltx Dstl Fibular Fx Lat Malls W/O Manj	$1,779.96	$2,542.80	—	—	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Tx Metatarsal Fracture W/O Manipulation	$245.00	$350.00	—	57% below	30%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Corrj Hlx Vlgs Bncty Sesmdc Dstl Metar Osteot	$29,959.50	$42,799.29	—	475% above	30%
Bunion correction with removal of part of the big toe joint CPT 28292 Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base	$23,090.24	$32,986.06	—	503% above	30%
Cardiac catheterization with coronary angiogram CPT 93458 Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I	$18,803.40	$26,862.00	—	82% above	30%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 Cath Plmt L Hrt & Arts W/Njx & Angio Img S&I	$18,803.40	$26,862.00	—	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Elective Arrhythmia External	$2,051.70	$2,931.00	—	91% above	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Elective Arrhythmia External	$2,051.70	$2,931.00	—	—	30%
Carpal tunnel release, open surgery CPT 64721 Neuroplasty &/Transpos Median Nrv Carpal Tunne	$9,844.23	$14,063.19	—	237% above	30%
Cataract surgery with lens implant CPT 66984 Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp	$16,790.24	$23,986.06	—	246% above	30%
Catheter ablation for atrial fibrillation CPT 93656 Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	$42,241.50	$60,345.00	—	64% above	30%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation	$42,241.50	$60,345.00	—	—	30%
Cervical biopsy CPT 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx	$528.50	$755.00	—	44% below	30%
Cervical biopsy CPT 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx	$3,049.81	$4,356.87	—	225% above	30%
Cervical biopsy inpatient CPT 57500 Biopsy Cervix Single/Mult/Excision of Lesion Spx	$528.50	$755.00	—	—	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$3,623.20	$5,176.00	—	8% above	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Circumcision Age >28 Days	$14,633.38	$20,904.83	—	335% above	30%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Circumcision Age >28 Days	$3,623.20	$5,176.00	—	—	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$1,684.90	$2,407.00	—	237% above	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$14,849.04	$21,212.91	—	2869% above	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision W/Clamp/Oth Dev W/Block	$1,684.90	$2,407.00	—	—	30%
Circumcision, surgical, older than a newborn CPT 54160 Circumcision Neonate	$1,215.20	$1,736.00	—	192% above	30%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Circumcision Neonate	$1,215.20	$1,736.00	—	—	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Cltx Dstl Radial Fx/Epiphysl Sep W/O Manj	$492.10	$703.00	—	18% below	30%
Colonoscopy with endoscopic ultrasound CPT 45391 Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux	$9,487.46	$13,553.52	—	258% above	30%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$3,004.40	$4,292.00	—	86% above	30%
Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$4,681.25	$6,687.50	—	189% above	30%
Colonoscopy with polyp removal inpatient CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq	$3,004.40	$4,292.00	—	—	30%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$3,004.40	$4,292.00	—	56% above	30%
Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$5,286.89	$7,552.70	—	175% above	30%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy Single/Multiple	$3,004.40	$4,292.00	—	—	30%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$2,646.70	$3,781.00	—	61% above	30%
Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$3,819.90	$5,457.00	—	133% above	30%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd	$2,646.70	$3,781.00	—	—	30%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$5,560.80	$7,944.00	—	68% above	30%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$19,172.20	$27,388.86	—	480% above	30%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Colposcopy Cervix Vag Loop Eltrd Bx Cervix	$5,560.80	$7,944.00	—	—	30%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$191.10	$273.00	—	59% below	30%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$726.60	$1,038.00	—	54% above	30%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Colposcopy Cervix Bx Cervix & Endocrv Curretage	$191.10	$273.00	—	—	30%
Complex cataract surgery with lens implant CPT 66982 Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp	$18,831.97	$26,902.82	—	268% above	30%
Coronary stent placement, one artery CPT 92928 Prq Trluml Coronary Stent W/Angio One Art/Brnch	$11,628.40	$16,612.00	—	45% below	30%
Coronary stent placement, one artery inpatient CPT 92928 Prq Trluml Coronary Stent W/Angio One Art/Brnch	$11,628.40	$16,612.00	—	—	30%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$6,200.60	$8,858.00	—	38% above	30%
Cystoscopy with ureteral stent placement CPT 52332 Cysto W/Insert Ureteral Stent	$14,862.57	$21,232.24	—	230% above	30%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Cysto W/Insert Ureteral Stent	$6,200.60	$8,858.00	—	—	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$1,215.20	$1,736.00	—	29% above	30%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystourethroscopy	$4,627.14	$6,610.20	—	391% above	30%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystourethroscopy	$1,215.20	$1,736.00	—	—	30%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$6,001.10	$8,573.00	—	135% above	30%
D&C (dilation and curettage), not related to pregnancy CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$23,539.38	$33,627.69	—	823% above	30%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 Dilation & Curettage Dx&/Ther Nonobstetric	$6,001.10	$8,573.00	—	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st	$122.50	$175.00	—	37% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Premalignant Lesion 1st	$331.10	$473.00	—	70% above	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Premalignant Lesion 1st	$122.50	$175.00	—	—	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$871.50	$1,245.00	—	55% below	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Tympanostomy General Anesthesia	$5,659.57	$8,085.10	—	190% above	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 Tympanostomy General Anesthesia	$871.50	$1,245.00	—	—	30%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia	$354.20	$506.00	—	38% below	30%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Tympanostomy Local/Topical Anesthesia	$462.70	$661.00	—	19% below	30%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Tympanostomy Local/Topical Anesthesia	$354.20	$506.00	—	—	30%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat	$161.70	$231.00	—	44% above	30%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat	$161.70	$231.00	—	44% above	30%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Removal Impacted Cerumen Irrigation/Lvg Unilat	$161.70	$231.00	—	—	30%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat	$170.80	$244.00	—	at median	30%
Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat	$231.70	$331.00	—	36% above	30%
Earwax removal with instruments, one ear inpatient one side CPT 69210 Removal Impacted Cerumen Instrumentation Unilat	$231.70	$331.00	—	—	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$354.90	$507.00	—	21% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$497.00	$710.00	—	70% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx W/WO Endocervix Bx W/O Dilat Spx	$354.90	$507.00	—	—	30%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Nasal/Sinus Ndsc W/Total Ethoidectomy	$31,515.88	$45,022.68	—	56% above	30%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$3,712.80	$5,304.00	—	28% below	30%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$41,357.42	$59,082.03	—	706% above	30%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus	$3,712.80	$5,304.00	—	—	30%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Nasal/Sinus Endoscopy W/Maxillary Antrostomy	$45,960.11	$65,657.30	—	796% above	30%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Nsl/Sinus Ndsc Max Antrost W/Rmvl Tiss Max Sinus	$38,910.09	$55,585.84	—	300% above	30%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitreal Njx Pharmacologic Agt Spx	$11,645.90	$16,637.00	—	1364% above	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$3,336.20	$4,766.00	—	35% above	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$3,441.06	$4,915.80	—	39% above	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level	$3,336.20	$4,766.00	—	—	30%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 Rpr Aa Hernia 1st 3-10 Cm Reducible	$29,948.46	$42,783.51	—	272% above	30%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 Rpr Aa Hernia 1st > 10 Cm Reducible	$48,007.74	$68,582.48	—	482% above	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 Rpr Aa Hernia 1st < 3 Cm Reducible	$20,024.53	$28,606.47	—	227% above	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$1,626.10	$2,323.00	—	55% above	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$2,420.60	$3,458.00	—	131% above	30%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy Flx Dx W/Collj Spec Br/Wa if Pfrmd	$1,626.10	$2,323.00	—	—	30%
Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy	$22,983.60	$32,833.71	—	111% above	30%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Laps Surg Cholecystectomy W/Cholangiography	$28,843.33	$41,204.76	—	174% above	30%
Gallbladder removal, open surgery through a larger incision CPT 47600 Cholecystectomy	$31,524.47	$45,034.96	—	1027% above	30%
Hammertoe correction surgery CPT 28285 Correction Hammertoe	$19,643.66	$28,062.37	—	706% above	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$3,119.20	$4,456.00	—	16% below	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$6,940.72	$9,915.31	—	87% above	30%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group	$3,119.20	$4,456.00	—	—	30%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Conv Prev Hip Tot Hip Arthrp W/WO Agrft/Algrft	$68,197.61	$97,425.16	—	2064% above	30%
Hysterectomy through an abdominal incision (total) CPT 58150 Total Abdominal Hysterect W/WO Rmvl Tube Ovary	$50,741.79	$72,488.27	—	1180% above	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Cath & Saline/Contrast Sonohyster/Hysterosalpi	$1,351.73	$1,931.05	—	459% above	30%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$8,846.60	$12,638.00	—	75% above	30%
Hysteroscopy with endometrial ablation CPT 58563 Hysteroscopy Endometrial Ablation	$20,020.06	$28,600.09	—	296% above	30%
Hysteroscopy with endometrial ablation inpatient CPT 58563 Hysteroscopy Endometrial Ablation	$8,846.60	$12,638.00	—	—	30%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$5,560.80	$7,944.00	—	61% above	30%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$16,405.56	$23,436.51	—	375% above	30%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy Bx Endometrium&/Polypc W/WO D&C	$5,560.80	$7,944.00	—	—	30%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud	$451.50	$645.00	—	43% above	30%
IUD insertion (the device itself billed separately) CPT 58300 Insertion Intrauterine Device Iud	$19,817.57	$28,310.81	—	6171% above	30%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Insertion Intrauterine Device Iud	$451.50	$645.00	—	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single	$242.90	$347.00	—	35% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Abscess Simple/Single	$680.40	$972.00	—	82% above	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Abscess Simple/Single	$680.40	$972.00	—	—	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$20,258.04	$28,940.06	—	158% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis	$294.98	$421.40	—	at median	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis	$400.40	$572.00	—	36% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection 1 Tendon Sheath/Ligament Aponeurosis	$400.40	$572.00	—	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$1,479.80	$2,114.00	—	205% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$2,085.09	$2,978.70	—	330% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$1,479.80	$2,114.00	—	—	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant	$268.10	$383.00	—	at median	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Drug Delivery Implant	$2,647.33	$3,781.90	—	887% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Drug Delivery Implant	$268.10	$383.00	—	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$280.31	$400.45	—	40% below	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$658.70	$941.00	—	41% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$658.70	$941.00	—	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$287.42	$410.60	—	27% below	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$658.70	$941.00	—	67% above	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US	$658.70	$941.00	—	—	30%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Arthroscopy Kne Surg Meniscus Rpr Medial/Lateral	$39,311.63	$56,159.47	—	888% above	30%
Knee arthroscopy with meniscus trim CPT 29881 Arthrs Knee Surg W/Meniscectomy Med/Lat W/Shvg	$41,261.07	$58,944.38	—	1729% above	30%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Arthrs Knee Surg Meniscectomy Med&Lat W/Shaving	$16,407.05	$23,438.64	—	394% above	30%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Arthrs Knee Surg Debridement/Shvg Artclr Crtlg	$19,615.64	$28,022.34	—	311% above	30%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Laparoscopic Appendectomy	$28,586.44	$40,837.77	—	456% above	30%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Laps Surg Esopg/Gstr Fundoplasty	$63,511.31	$90,730.45	—	60% above	30%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Laparoscopy W Total Hysterectomy Uterus 250 Gm/<	$37,454.74	$53,506.77	—	84% above	30%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary	$42,066.44	$60,094.91	—	128% above	30%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Laparoscopy Surg Rpr Initial Inguinal Hernia	$26,819.44	$38,313.48	—	201% above	30%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Laps Surg Rpr Recurrent Inguinal Hernia	$28,094.77	$40,135.38	—	968% above	30%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Laparoscopy W/Rmvl Adnexal Structures	$21,246.33	$30,351.90	—	112% above	30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Post-Cataract Laser Surgery	$440.30	$629.00	—	29% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate S/a/T/E 2.5 Cm/<	$887.60	$1,268.00	—	40% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Intermediate S/a/T/E 2.5 Cm/<	$8,659.71	$631.00	—	1266% above	-1272%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Intermediate S/a/T/E 2.5 Cm/<	$887.60	$1,268.00	—	—	30%
Left heart catheterization, diagnostic CPT 93452 L Hrt Cath W/Njx L Ventriculography Img S&I	$14,056.00	$20,080.00	—	57% above	30%
Left heart catheterization, diagnostic inpatient CPT 93452 L Hrt Cath W/Njx L Ventriculography Img S&I	$14,056.00	$20,080.00	—	—	30%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$2,303.70	$3,291.00	—	50% above	30%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$2,402.64	$3,432.35	—	56% above	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$2,303.70	$3,291.00	—	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$3,476.20	$4,966.00	—	101% above	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$3,572.87	$5,104.10	—	107% above	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level	$3,476.20	$4,966.00	—	—	30%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Laminotomy Dcmprn Nrv Root 1 Ntrspc Lumbar	$36,736.66	$52,480.95	—	252% above	30%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar	$43,575.50	$62,250.71	—	294% above	30%
Lumbar spinal fusion (posterior), one level CPT 22612 Arthrodesis Posterior/Pstlat Tq 1ntrspc Lumbar	$100,173.40	$143,104.86	—	278% above	30%
Lumpectomy (partial mastectomy) CPT 19301 Mastectomy Partial	$30,523.31	$43,604.73	—	464% above	30%
Mastectomy (total removal of the breast) CPT 19303 Mastectomy Simple Complete	$51,048.37	$72,926.25	—	919% above	30%
Miscarriage treatment with D&C, first trimester CPT 59820 Tx Missed Abortion First Trimester Surgical	$10,933.07	$15,618.67	—	132% above	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Exc B9 Lesion Mrgn Xcp Sk Tg T/a/L 0.5 Cm/<	$472.50	$675.00	—	39% below	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M 0.5cm/<	$526.48	$752.11	—	35% below	30%
Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Partial/Complete Simple 1	$245.00	$350.00	—	12% below	30%
Occipital nerve block (injection for headaches) CPT 64405 Injection Aa&/Strd Greater Occipital Nerve	$416.67	$595.25	—	36% below	30%
Occipital nerve block (injection for headaches) CPT 64405 Injection Aa&/Strd Greater Occipital Nerve	$1,288.00	$1,840.00	—	98% above	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection Aa&/Strd Greater Occipital Nerve	$1,288.00	$1,840.00	—	—	30%
Pacemaker implant (dual chamber) CPT 33208 Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent	$13,071.10	$18,673.00	—	23% above	30%
Pacemaker implant (dual chamber) CPT 33208 Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent	$31,056.23	$44,366.04	—	193% above	30%
Pacemaker implant (dual chamber) inpatient CPT 33208 Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent	$13,071.10	$18,673.00	—	—	30%
Paracentesis with imaging guidance CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance	$1,688.40	$2,412.00	—	47% above	30%
Paracentesis with imaging guidance CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance	$1,833.29	$2,618.98	—	60% above	30%
Paracentesis with imaging guidance inpatient CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance	$560.00	$800.00	—	—	30%
Paracentesis with imaging guidance inpatient CPT 49083 Abdom Paracentesis Dx/Ther W/Imaging Guidance	$1,688.40	$2,412.00	—	—	30%
Partial knee replacement (one compartment) CPT 27446 Arthrp Knee Condyle&Plateau Medial/Lat Cmprt	$53,377.55	$76,253.65	—	1468% above	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail Matrix Permanent Removal	$1,082.20	$1,546.00	—	47% above	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail Matrix Permanent Removal	$11,433.45	$16,333.50	—	1450% above	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail Matrix Permanent Removal	$1,082.20	$1,546.00	—	—	30%
Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach	$1,238.33	$1,769.04	—	32% below	30%
Prostate biopsy CPT 55700 Prostate Needle Biopsy Any Approach	$9,441.87	$13,488.39	—	416% above	30%
Prostate biopsy inpatient CPT 55700 Prostate Needle Biopsy Any Approach	$1,238.33	$1,769.04	—	—	30%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nerve Sparing	$61,057.72	$87,225.31	—	15% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$3,590.30	$5,129.00	—	13% above	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$3,590.30	$5,129.00	—	—	30%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$5,528.60	$7,898.00	—	33% above	30%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$14,195.03	$20,278.61	—	241% above	30%
Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$5,528.60	$7,898.00	—	—	30%
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple	$361.20	$516.00	—	34% below	30%
Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple	$1,034.60	$1,478.00	—	89% above	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple	$1,034.60	$1,478.00	—	—	30%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total Thyroid Lobectomy Uni W/WO Isthmusectomy	$35,907.92	$51,297.03	—	169% above	30%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy With or Without Intervention	$2,501.10	$3,573.00	—	67% above	30%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 Colonoscopy With or Without Intervention	$2,501.10	$3,573.00	—	—	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colonoscopy With or Without Intervention	$2,379.30	$3,399.00	—	46% above	30%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 Colonoscopy With or Without Intervention	$2,379.30	$3,399.00	—	—	30%
Septoplasty to straighten the nasal septum CPT 30520 Septoplasty/Submucous Resecj W/WO Cartilage Grf	$17,752.93	$25,361.33	—	241% above	30%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Xtrcorp Shock Wave	$17,713.44	$25,304.92	—	162% above	30%
Short arm cast (elbow to hand) CPT 29075 Application Cast Elbow Finger Short Arm	$109.20	$156.00	—	75% below	30%
Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint Forearm-Hand Static	$236.60	$338.00	—	17% below	30%
Short arm splint (forearm and hand) CPT 29125 Application Short Arm Splint Forearm-Hand Static	$485.80	$694.00	—	71% above	30%
Short arm splint (forearm and hand) inpatient CPT 29125 Application Short Arm Splint Forearm-Hand Static	$485.80	$694.00	—	—	30%
Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Below Knee-Toe	$245.00	$350.00	—	31% below	30%
Short leg cast (below the knee) CPT 29405 Application Short Leg Cast Below Knee-Toe	$420.00	$600.00	—	19% above	30%
Short leg cast (below the knee) inpatient CPT 29405 Application Short Leg Cast Below Knee-Toe	$420.00	$600.00	—	—	30%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Surgical Arthroscopy Shoulder Dstl Claviculc	$59,545.71	$85,065.30	—	3926% above	30%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls	$46,287.02	$66,124.32	—	2800% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$195.30	$269.00	—	42% below	27%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$680.40	$972.00	—	101% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Scalp/Neck/Ax/Genit/Trunk 2.5cm/<	$680.40	$972.00	—	—	30%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$887.60	$1,268.00	—	160% above	30%
Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion	$1,208.20	$1,726.00	—	255% above	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Skin Single Lesion	$887.60	$1,268.00	—	—	30%
Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15	$238.00	$280.00	—	14% above	15%
Skin tag removal, up to 15 tags CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15	$245.70	$351.00	—	17% above	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 Rmvl Skin Tags Mlt Fibrq Tags Any Up to&Inc 15	$245.70	$351.00	—	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic Lumbar Spinal Puncture	$1,538.60	$2,198.00	—	81% above	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Diagnostic Lumbar Spinal Puncture	$49,419.99	$70,599.98	—	5730% above	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Diagnostic Lumbar Spinal Puncture	$1,538.60	$2,198.00	—	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$218.40	$312.00	—	45% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$857.50	$1,225.00	—	116% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Smpl Repair Scalp/Neck/Ax/Genit/Trunk 2.6-7.5cm	$857.50	$1,225.00	—	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/<	$194.60	$286.00	—	49% below	32%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/<	$680.40	$972.00	—	79% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair F/E/E/N/L/M 2.5cm/<	$680.40	$972.00	—	—	30%
TURP (transurethral resection of the prostate) CPT 52601 Trurl Electrosurg Rescj Prostate Bleed Complete	$25,710.97	$36,729.96	—	380% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion	$356.30	$509.00	—	32% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion	$472.93	$675.62	—	75% above	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential Biopsy Skin Single Lesion	$356.30	$509.00	—	—	30%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging	$2,039.80	$2,914.00	—	49% above	30%
Thoracentesis with imaging guidance CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging	$2,331.02	$3,330.03	—	71% above	30%
Thoracentesis with imaging guidance inpatient CPT 32555 Thoracentesis Needle/Cath Pleura W/Imaging	$2,039.80	$2,914.00	—	—	30%
Tonsil and adenoid removal, age 12 or older CPT 42821 Tonsillectomy & Adenoidectomy Age 12/>	$13,110.42	$18,729.17	—	80% above	30%
Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12	$10,648.17	$15,211.67	—	54% above	30%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Tonsillectomy Primary/Secondary Age 12/>	$11,230.43	$16,043.47	—	135% above	30%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 Tonsillectomy Primary/Secondary <Age 12	$9,852.18	$14,074.55	—	77% above	30%
Total hip replacement CPT 27130 Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$53,041.84	$75,774.06	—	309% above	30%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments	$56,023.35	$80,033.36	—	292% above	30%
Total shoulder replacement CPT 23472 Arthroplasty Glenohumeral Joint Total Shoulder	$60,981.74	$87,116.77	—	282% above	30%
Total thyroid removal (thyroidectomy) CPT 60240 Thyroidectomy Total/Complete	$47,554.87	$67,935.53	—	178% above	30%
Trigger finger release surgery CPT 26055 Tendon Sheath Incision	$10,078.52	$14,397.88	—	276% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles	$658.70	$941.00	—	83% above	30%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles	$6,902.89	$282.00	—	1815% above	-2348%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Single/Mlt Trigger Point 1/2 Muscles	$658.70	$941.00	—	—	30%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Laparoscopy Fulguration Oviducts	$20,797.61	$29,710.87	—	378% above	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast W/Device 1st Lesion Ultrasound Guid	$2,884.00	$4,120.00	—	7% below	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast W/Device 1st Lesion Ultrasound Guid	$5,772.07	$8,245.82	—	86% above	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast W/Device 1st Lesion Ultrasound Guid	$2,884.00	$4,120.00	—	—	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$3,384.50	$4,835.00	—	71% above	30%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$6,803.75	$9,719.64	—	244% above	30%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Egd Balloon Dilation Esophagus <30 Mm Diam	$3,384.50	$4,835.00	—	—	30%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$2,738.40	$3,912.00	—	50% above	30%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple	$6,860.28	$9,800.40	—	275% above	30%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Transoral Biopsy Single/Multiple	$2,738.40	$3,912.00	—	—	30%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Esophagogastroduodenoscopy Submucosal Injection	$6,813.20	$9,733.15	—	326% above	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$3,384.50	$4,835.00	—	132% above	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$7,594.16	$10,848.80	—	421% above	30%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Egd Removal Tumor Polyp/Other Lesion Snare Tech	$3,384.50	$4,835.00	—	—	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$2,473.80	$3,534.00	—	182% above	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$5,455.10	$7,793.00	—	522% above	30%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Egd Insert Guide Wire Dilator Passage Esophagus	$2,473.80	$3,534.00	—	—	30%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$2,797.90	$3,997.00	—	137% above	30%
Upper endoscopy (EGD), diagnostic CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$3,555.30	$5,079.00	—	201% above	30%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Esophagogastroduodenoscopy Transoral Diagnostic	$2,797.90	$3,997.00	—	—	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Egd Transoral Transmural Drainage Pseudocyst	$5,603.50	$8,005.00	—	at median	30%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Egd Transoral Transmural Drainage Pseudocyst	$5,603.50	$8,005.00	—	—	30%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Cysto W/Ureteroscopy W/Lithotripsy	$14,076.73	$20,109.61	—	119% above	30%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$9,202.90	$13,147.00	—	10% above	30%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$20,611.88	$29,445.55	—	146% above	30%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt	$9,202.90	$13,147.00	—	—	30%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,333.50	$1,905.00	—	—	30%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$10,533.98	$15,048.54	—	—	30%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 Vasectomy Uni/Bi Spx W/Postop Semen Exams	$1,333.50	$1,905.00	—	—	30%
Vein ablation, radiofrequency, first vein CPT 36475 Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$6,974.80	$9,964.00	—	47% above	30%
Vein ablation, radiofrequency, first vein CPT 36475 Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$12,898.47	$18,426.38	—	171% above	30%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Endoven Abltj Incmptnt Vein Xtr Rf 1st Vein	$6,974.80	$9,964.00	—	—	30%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14	$165.20	$236.00	—	31% below	30%
Wart removal, up to 14 warts CPT 17110 Destruction Benign Lesions Up to 14	$254.10	$363.00	—	7% above	30%
Wart removal, up to 14 warts inpatient CPT 17110 Destruction Benign Lesions Up to 14	$165.20	$236.00	—	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$1,305.50	$1,865.00	—	108% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$1,626.10	$429.00	—	159% above	-279%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Subcutaneous Tissue 1st 20 Sq Cm/<	$1,305.50	$1,865.00	—	—	30%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Optx Dstl Rdl X-Artic Fx/Epiphysl Separation	$29,219.55	$41,742.21	—	189% above	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood/Blood Components	$2,009.00	$2,870.00	—	111% above	30%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Blood/Blood Components	$6,826.40	$9,752.00	—	618% above	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Blood/Blood Components	$2,009.00	$2,870.00	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Pressurized/Nonpressurized Inhalation Treatment	$474.60	$678.00	—	140% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Pressurized/Nonpressurized Inhalation Treatment	$474.60	$678.00	—	—	30%
Chemotherapy IV infusion, first hour CPT 96413 Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug	$1,141.00	$1,630.00	—	60% above	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotx Admn IV Nfs Tq Up 1 Hr 1/1st Sbst/Drug	$1,141.00	$1,630.00	—	—	30%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst	$169.40	$242.00	—	8% above	30%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Oph Svcs Medical Xm&Eval Compre New Pt 1/> Vst	$169.40	$242.00	—	—	30%
Comprehensive eye exam, returning patient CPT 92014 Oph Svcs Medical Xm&Eval Compre Est Pt 1/>Vst	$86.10	$123.00	—	40% below	30%
Comprehensive eye exam, returning patient inpatient CPT 92014 Oph Svcs Medical Xm&Eval Compre Est Pt 1/>Vst	$86.10	$123.00	—	—	30%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Compre Audiometry Threshold Eval Sp Recognij	$98.70	$141.00	—	44% below	30%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Compre Audiometry Threshold Eval Sp Recognij	$98.70	$141.00	—	—	30%
Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$5,261.20	$7,516.00	—	69% above	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min	$5,261.20	$7,516.00	—	—	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$674.80	$964.00	—	13% below	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$1,271.20	$1,816.00	—	64% above	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$674.80	$964.00	—	—	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Electroencephalogram W/Rec Awake&Drowsy	$1,271.20	$1,816.00	—	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R	$291.20	$416.00	—	61% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R	$291.20	$416.00	—	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Department Visit May Not Req Phys/Qhp	$457.10	$653.00	—	95% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Department Visit May Not Req Phys/Qhp	$457.10	$653.00	—	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Department Visit Straightforward Mdm	$707.70	$1,011.00	—	75% above	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Department Visit Straightforward Mdm	$707.70	$1,011.00	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Department Visit Low Mdm	$1,415.40	$2,022.00	—	82% above	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Department Visit Low Mdm	$1,415.40	$2,022.00	—	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Department Visit Moderate Mdm	$9,176.30	$13,109.00	—	633% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Department Visit Moderate Mdm	$9,176.30	$13,109.00	—	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Department Visit High Mdm	$3,726.10	$5,323.00	—	80% above	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Department Visit High Mdm	$3,726.10	$5,323.00	—	—	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only	$1,022.00	$1,460.00	—	74% above	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cv Strs Tst Xers&/or Rx Cont Ecg Trcg Only	$1,022.00	$1,460.00	—	—	30%
Eye exam, returning patient, intermediate CPT 92012 Oph Svcs Medical Xm&Eval Intermediate Est Pt	$132.30	$189.00	—	7% below	30%
Eye exam, returning patient, intermediate inpatient CPT 92012 Oph Svcs Medical Xm&Eval Intermediate Est Pt	$132.30	$189.00	—	—	30%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins	$102.90	$147.00	—	50% below	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins	$102.90	$147.00	—	—	30%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins	$168.00	$240.00	—	10% below	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins	$168.00	$240.00	—	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Infusion Hydration Initial 31 Min-1 Hour	$604.80	$864.00	—	84% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Infusion Hydration Initial 31 Min-1 Hour	$604.80	$864.00	—	—	30%
IV infusion of a medicine, first hour CPT 96365 IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr	$734.30	$1,049.00	—	92% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion Therapy/Prophylaxis /Dx 1st to 1 Hr	$734.30	$1,049.00	—	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im	$189.00	$270.00	—	86% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapeutic Prophylactic/Dx Injection Subq/Im	$189.00	$270.00	—	—	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation	$404.60	$578.00	—	69% above	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Evaluation	$404.60	$578.00	—	—	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Studies 7-8 Studies	$741.30	$1,059.00	—	25% above	30%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Studies 7-8 Studies	$741.30	$1,059.00	—	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca	$135.80	$194.00	—	39% above	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Ther Px 1/> Areas Each 15 Min Neuromusc Reeduca	$135.80	$194.00	—	—	30%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes	$265.30	$379.00	—	49% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes	$265.30	$379.00	—	—	30%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes	$302.40	$432.00	—	20% above	30%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes	$302.40	$432.00	—	—	30%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes	$340.20	$486.00	—	at median	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes	$340.20	$486.00	—	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes	$232.40	$332.00	—	53% above	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient New Sf Mdm 15 Minutes	$232.40	$332.00	—	—	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$105.00	$150.00	—	65% above	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi	$105.00	$150.00	—	—	30%
Occupational therapy evaluation, low complexity CPT 97165 Occupational Therapy Eval Low Complex 30 Mins	$327.60	$468.00	—	52% above	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Occupational Therapy Eval Low Complex 30 Mins	$327.60	$468.00	—	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical Therapy Evaluation High Complex 45 Mins	$476.70	$681.00	—	72% above	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Physical Therapy Evaluation High Complex 45 Mins	$476.70	$681.00	—	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical Therapy Evaluation Low Complex 20 Mins	$419.30	$599.00	—	91% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Physical Therapy Evaluation Low Complex 20 Mins	$419.30	$599.00	—	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical Therapy Evaluation Mod Complex 30 Mins	$468.30	$669.00	—	95% above	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Physical Therapy Evaluation Mod Complex 30 Mins	$468.30	$669.00	—	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Tqs 1/> Regions Each 15 Minutes	$152.60	$218.00	—	117% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Tqs 1/> Regions Each 15 Minutes	$152.60	$218.00	—	—	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Px 1/> Areas Each 15 Min Exercises	$124.60	$178.00	—	33% above	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Px 1/> Areas Each 15 Min Exercises	$124.60	$178.00	—	—	30%
Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Eval W/Medical Services	$420.78	$601.12	—	53% above	30%
Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric Diagnostic Eval W/Medical Services	$420.78	$601.12	—	—	30%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psychological Tst Eval Svc Phys/Qhp First Hour	$319.90	$457.00	—	46% above	30%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psychological Tst Eval Svc Phys/Qhp First Hour	$319.90	$457.00	—	—	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychotherapy for Crisis Initial 60 Minutes	$133.00	$190.00	—	48% below	30%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychotherapy for Crisis Initial 60 Minutes	$133.00	$190.00	—	—	30%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes	$284.20	$406.00	—	99% above	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes	$284.20	$406.00	—	—	30%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes	$284.20	$406.00	—	34% above	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes	$284.20	$406.00	—	—	30%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes	$284.20	$406.00	—	1% above	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes	$284.20	$406.00	—	—	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes	$175.00	$250.00	—	434% above	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes	$175.00	$250.00	—	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Established High Mdm 40 Min	$391.30	$559.00	—	62% above	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Established High Mdm 40 Min	$391.30	$559.00	—	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Established Low Mdm 20 Min	$242.20	$346.00	—	66% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpatient Established Low Mdm 20 Min	$242.20	$346.00	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Established Mod Mdm 30 Min	$353.50	$505.00	—	97% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Established Mod Mdm 30 Min	$353.50	$505.00	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpatient Established Sf Mdm 10 Min	$226.80	$324.00	—	106% above	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpatient Established Sf Mdm 10 Min	$226.80	$324.00	—	—	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$149.10	$213.00	—	30% below	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes	$149.10	$213.00	—	—	30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$212.80	$304.00	—	26% below	30%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes	$212.80	$304.00	—	—	30%
Speech and language evaluation CPT 92523 Eval Speech Sound Product Language Comprehension	$600.60	$858.00	—	56% above	30%
Speech and language evaluation inpatient CPT 92523 Eval Speech Sound Product Language Comprehension	$600.60	$858.00	—	—	30%
Speech therapy session, individual CPT 92507 Tx Speech Lang Voice Commj &/Auditory Proc Ind	$409.50	$585.00	—	87% above	30%
Speech therapy session, individual inpatient CPT 92507 Tx Speech Lang Voice Commj &/Auditory Proc Ind	$409.50	$585.00	—	—	30%
Spirometry (breathing test) CPT 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj	$333.20	$476.00	—	64% above	30%
Spirometry (breathing test) inpatient CPT 94010 Spmtry W/Vc Expiratory Flo W/WO Mxml Vol Vntj	$333.20	$476.00	—	—	30%
Spirometry before and after a bronchodilator CPT 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn	$937.30	$1,339.00	—	154% above	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 Brncdilat Rspse Spmtry Pre&Post-Brncdilat Admn	$937.30	$1,339.00	—	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeut Actvity Direct Pt Contact Each 15 Min	$146.30	$209.00	—	40% above	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeut Actvity Direct Pt Contact Each 15 Min	$146.30	$209.00	—	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic Separate Procedure	$416.50	$595.00	—	106% above	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic Separate Procedure	$416.50	$595.00	—	—	30%
Visual field test, extended both sides CPT 92083 Extended Visual Field Xm Uni/Bi I&R	$79.80	$114.00	—	—	30%
Visual field test, extended inpatient both sides CPT 92083 Extended Visual Field Xm Uni/Bi I&R	$79.80	$114.00	—	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Iiv Adjuvanted Vaccine for Intramuscular Use	$44.10	$63.00	—	47% below	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Iiv Adjuvanted Vaccine for Intramuscular Use	$44.10	$63.00	—	—	30%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use	$98.70	$141.00	—	30% below	30%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 Sarscov2 Vaccine 50 Mcg/0.5 Ml for Im Use	$98.70	$141.00	—	—	30%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use	$98.70	$141.00	—	43% below	30%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 Sarscov2 Vacc 30mcg/0.3ml Tris-Sucrose Im Use	$98.70	$141.00	—	—	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Var Vaccine Live for Subcutaneous Use	$142.10	$203.00	—	30% below	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$386.85	$552.65	—	91% above	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Var Vaccine Live for Subcutaneous Use	$142.10	$203.00	—	—	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1,350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$386.85	$552.65	—	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$15.40	$22.00	—	32% below	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$41.30	$59.00	—	84% above	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$15.40	$22.00	—	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$41.30	$59.00	—	—	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use	$265.30	$379.00	—	2% below	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION	$446.98	$638.54	—	64% above	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$663.81	$948.30	—	144% above	30%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 9vhpv Vacc 2/3 Dose Sched Im Use	$265.30	$379.00	—	—	30%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT (PF) 0.5 ML IM SUSPENSION	$446.98	$638.54	—	—	30%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HUMAN PAPILLOMAVIRUS VACCINE,9-VALENT(PF) 0.5 ML INTRAMUSCULAR SYRINGE	$663.81	$948.30	—	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$100.10	$143.00	—	22% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$132.27	$188.96	—	61% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$132.30	$189.00	—	61% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepb Vaccine Adult 3 Dose Schedule for Im Use	$100.10	$143.00	—	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$132.27	$188.96	—	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SYRINGE	$132.30	$189.00	—	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im	$35.00	$50.00	—	49% below	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$112.24	$160.35	—	64% above	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Iiv Vaccine Preserv Free Increased Ag Content Im	$35.00	$50.00	—	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACCINE TS2025-26(65YR UP)(PF)180 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$112.24	$160.35	—	—	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use	$125.30	$179.00	—	35% below	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$234.50	$335.00	—	22% above	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$234.53	$335.05	—	22% above	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menacwyd/Menacwy-CRM Conj Vacc Grps Acwy Im Use	$125.30	$179.00	—	—	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$234.50	$335.00	—	—	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$234.53	$335.05	—	—	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Second Opinion	$184.73	$263.90	—	47% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$347.05	$495.79	—	1% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 Second Opinion	$184.73	$263.90	—	—	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE	$347.05	$495.79	—	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pcv20 Vaccine for Intramuscular Use	$501.20	$716.00	—	6% above	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$537.84	$768.35	—	14% above	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Pcv20 Vaccine for Intramuscular Use	$501.20	$716.00	—	—	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$537.84	$768.35	—	—	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$98.00	$140.00	—	38% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$233.66	$333.80	—	48% above	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$98.00	$140.00	—	—	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SYRINGE	$233.66	$333.80	—	—	30%
Rabies vaccine, one dose CPT 90675 Rabies Vaccine Intramuscular	$371.00	$530.00	—	41% below	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$606.20	$866.00	—	4% below	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$637.15	$910.22	—	1% above	30%
Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine Intramuscular	$371.00	$530.00	—	—	30%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$606.20	$866.00	—	—	30%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION	$637.15	$910.22	—	—	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Use	$169.40	$242.00	—	4% below	30%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$396.56	$566.51	—	125% above	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 Hzv Zoster Vacc Recombinant Adjuvanted Im Use	$169.40	$242.00	—	—	30%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT	$396.56	$566.51	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Im Adm Prq ID Subq/Im Njxs 1 Vaccine	$91.00	$130.00	—	92% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Im Adm Prq ID Subq/Im Njxs 1 Vaccine	$91.00	$130.00	—	—	30%

Source file: https://www.valleymed.org/916000986-1649209230_PUBLIC-HOSPITAL-DISTRICT-NO-1-OF-KING-COUNTY-WASHINGTON-dba-VALLEY-MEDICAL-CENTER_standardcharges.csv