Willapa Harbor Hospital
Willapa Harbor Hospital in South Bend, WA publishes cash prices for 259 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 154 of 257 procedures and above it for 93. By typical cash price it ranks #21 of 46 Washington hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
800 Alder St,South Bend,WA,98586 Collected Sep 27, 2026 Source price file (360) 875-5526
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 501303 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE | $271.60 | $388.00 | — | 10% below | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS | $430.50 | $615.00 | — | 19% above | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST | $441.70 | $631.00 | — | 24% below | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY | $2,203.60 | $3,148.00 | — | 42% above | 30% |
| Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE | $501.20 | $716.00 | — | 28% above | 30% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED | $204.40 | $292.00 | — | 36% below | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $3,034.50 | $4,335.00 | — | 30% above | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $2,627.10 | $3,753.00 | — | 5% above | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $3,080.00 | $4,400.00 | — | 4% above | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR | $3,364.20 | $4,806.00 | — | 10% below | 30% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST | $1,822.10 | $2,603.00 | — | at median | 30% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $1,478.40 | $2,112.00 | — | 6% above | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $1,395.10 | $1,993.00 | — | 45% above | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,384.60 | $1,978.00 | — | 16% above | 30% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $1,629.60 | $2,328.00 | — | 28% above | 30% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $1,946.70 | $2,781.00 | — | 33% above | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $1,592.50 | $2,275.00 | — | 23% above | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $1,661.80 | $2,374.00 | — | 18% above | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,750.00 | $2,500.00 | — | 1% above | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY | $1,220.80 | $1,744.00 | — | — | 30% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $317.10 | $453.00 | — | 17% above | 30% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $227.50 | $325.00 | — | 3% below | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP | $722.40 | $1,032.00 | — | 32% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C- | $1,393.70 | $1,991.00 | — | 2% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+ | $1,809.50 | $2,585.00 | — | at median | 30% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $316.40 | $452.00 | — | — | 30% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $202.30 | $289.00 | — | 48% below | 30% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY | $673.40 | $962.00 | — | 29% below | 30% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY | $1,450.40 | $2,072.00 | — | 40% above | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE | $1,803.20 | $2,576.00 | — | 13% above | 30% |
| Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3 | $294.70 | $421.00 | — | 5% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $725.90 | $1,037.00 | — | 53% above | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,957.20 | $2,796.00 | — | 9% above | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,754.50 | $3,935.00 | — | 11% below | 30% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $2,054.50 | $2,935.00 | — | at median | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $2,950.50 | $4,215.00 | — | 3% below | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $2,090.90 | $2,987.00 | — | 13% above | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $3,034.50 | $4,335.00 | — | 15% above | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $2,130.80 | $3,044.00 | — | 1% above | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE | $2,904.30 | $4,149.00 | — | 6% below | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE | $2,048.20 | $2,926.00 | — | 3% below | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE | $2,975.00 | $4,250.00 | — | 6% below | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE | $2,134.30 | $3,049.00 | — | 6% above | 30% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $2,919.00 | $4,170.00 | — | 7% below | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $1,950.20 | $2,786.00 | — | at median | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE | $2,075.50 | $2,965.00 | — | 12% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NUCLEAR MEDICINE STUDIES OF HEART MUSCLE AT REST AND WITH STRESS AND SPECT | $3,960.60 | $5,658.00 | — | 28% above | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT | $4,090.10 | $5,843.00 | — | 33% above | 30% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $573.30 | $819.00 | — | 51% above | 30% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $725.90 | $1,037.00 | — | 33% above | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $606.90 | $867.00 | — | 12% above | 30% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $741.30 | $1,059.00 | — | 48% above | 30% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S) | $513.80 | $734.00 | — | 35% above | 30% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $226.10 | $323.00 | — | — | 30% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $213.50 | $305.00 | — | 34% below | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER | $301.00 | $430.00 | — | at median | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+ | $447.30 | $639.00 | — | 17% below | 30% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $714.00 | $1,020.00 | — | 49% above | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $1,019.90 | $1,457.00 | — | 61% above | 30% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $574.00 | $820.00 | — | 17% above | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $657.30 | $939.00 | — | 32% above | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $961.80 | $1,374.00 | — | 50% above | 30% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST | $237.30 | $339.00 | — | 24% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS | $312.20 | $446.00 | — | 7% above | 30% |
| X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW | $228.20 | $326.00 | — | 8% below | 30% |
| X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE | $224.70 | $321.00 | — | 15% below | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S) | $171.50 | $245.00 | — | 33% below | 30% |
| X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT | $219.10 | $313.00 | — | 18% below | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT | $263.20 | $376.00 | — | 7% below | 30% |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND | $259.00 | $370.00 | — | 8% below | 30% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2 | $217.00 | $310.00 | — | 17% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS | $397.60 | $568.00 | — | 24% above | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $470.40 | $672.00 | — | 5% above | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES | $249.20 | $356.00 | — | at median | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW | $317.10 | $453.00 | — | 1% above | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS | $235.20 | $336.00 | — | 14% below | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE | $302.40 | $432.00 | — | 29% above | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $36.40 | $52.00 | — | 5% below | 30% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $37.80 | $54.00 | — | 2% below | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $36.40 | $52.00 | — | at median | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $37.80 | $54.00 | — | 4% above | 30% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $241.50 | $345.00 | — | 1% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $30.10 | $43.00 | — | 13% above | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $32.90 | $47.00 | — | 23% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $80.63 | $115.19 | — | 4% above | 30% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $85.40 | $122.00 | — | 10% above | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $59.17 | $84.53 | — | 7% below | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $59.50 | $85.00 | — | 6% below | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $140.00 | $200.00 | — | 24% below | 30% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $252.70 | $361.00 | — | 252% above | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $20.83 | $29.75 | — | 88% below | 30% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $88.20 | $126.00 | — | 31% below | 30% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $170.80 | $244.00 | — | 34% above | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $21.70 | $31.00 | — | 13% below | 30% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $32.90 | $47.00 | — | 6% below | 30% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $35.00 | $50.00 | — | at median | 30% |
| Blood lead test CPT 83655 LEAD LEVEL | $55.30 | $79.00 | — | 1% below | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $73.50 | $105.00 | — | 4% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $64.83 | $92.61 | — | 1% above | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $123.90 | $177.00 | — | 93% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $58.80 | $84.00 | — | 6% above | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $60.90 | $87.00 | — | 10% above | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $128.92 | $184.17 | — | 26% below | 30% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $133.00 | $190.00 | — | 23% below | 30% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 19-9 | $90.30 | $129.00 | — | 18% below | 30% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $101.50 | $145.00 | — | 14% below | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $37.10 | $53.00 | — | 57% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $83.50 | $119.28 | — | 38% below | 30% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $88.20 | $126.00 | — | 34% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $68.60 | $98.00 | — | 22% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $70.70 | $101.00 | — | 20% below | 30% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $42.00 | $60.00 | — | 24% below | 30% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $43.40 | $62.00 | — | 21% below | 30% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $42.00 | $60.00 | — | 6% below | 30% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $43.40 | $62.00 | — | 3% below | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $41.30 | $59.00 | — | 51% below | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $79.80 | $114.00 | — | 5% below | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $79.80 | $114.00 | — | 31% below | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $82.60 | $118.00 | — | 28% below | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE | $109.20 | $156.00 | — | 18% below | 30% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $109.45 | $156.35 | — | 17% below | 30% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $88.79 | $126.84 | — | 36% below | 30% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $93.80 | $134.00 | — | 33% below | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $67.20 | $96.00 | — | 30% below | 30% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $67.33 | $96.18 | — | 30% below | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $204.51 | $292.16 | — | 16% above | 30% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $211.40 | $302.00 | — | 20% above | 30% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $61.96 | $88.52 | — | 35% below | 30% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $65.80 | $94.00 | — | 31% below | 30% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $24.33 | $34.76 | — | 77% below | 30% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $25.90 | $37.00 | — | 76% below | 30% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $68.06 | $97.23 | — | 22% below | 30% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $72.10 | $103.00 | — | 17% below | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $55.50 | $79.28 | — | 13% below | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $58.80 | $84.00 | — | 8% below | 30% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $61.96 | $88.52 | — | 50% below | 30% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $65.80 | $94.00 | — | 47% below | 30% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $160.30 | $229.00 | — | 28% below | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $34.30 | $49.00 | — | 4% below | 30% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST | $36.40 | $52.00 | — | 2% above | 30% |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $106.40 | $152.00 | — | 63% above | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $111.06 | $158.66 | — | 17% below | 30% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $117.60 | $168.00 | — | 12% below | 30% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $146.71 | $209.58 | — | 5% above | 30% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $147.00 | $210.00 | — | 6% above | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $380.88 | $544.11 | — | at median | 30% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $393.40 | $562.00 | — | 4% above | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $130.20 | $186.00 | — | 34% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $72.10 | $103.00 | — | 3% above | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $74.20 | $106.00 | — | 6% above | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT | $41.38 | $59.12 | — | 40% below | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $44.10 | $63.00 | — | 36% below | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $28.00 | $40.00 | — | 58% below | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $29.40 | $42.00 | — | 56% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $70.93 | $101.33 | — | 15% below | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $74.90 | $107.00 | — | 10% below | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $356.30 | $509.00 | — | 10% above | 30% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $356.55 | $509.36 | — | 10% above | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $36.02 | $51.45 | — | 48% below | 30% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $38.50 | $55.00 | — | 44% below | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $36.90 | $52.71 | — | 57% below | 30% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $39.20 | $56.00 | — | 55% below | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $46.60 | $66.57 | — | 31% below | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $48.30 | $69.00 | — | 29% below | 30% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL | $93.56 | $133.65 | — | 20% below | 30% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $96.60 | $138.00 | — | 17% below | 30% |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $66.44 | $94.92 | — | 16% below | 30% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $66.50 | $95.00 | — | 16% below | 30% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $33.30 | $47.57 | — | 29% below | 30% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $35.00 | $50.00 | — | 26% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $27.30 | $39.00 | — | 54% below | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $28.70 | $41.00 | — | 52% below | 30% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $49.00 | $70.00 | — | 25% below | 30% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $40.50 | $57.86 | — | 55% below | 30% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $42.70 | $61.00 | — | 53% below | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $70.70 | $101.00 | — | at median | 30% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $72.80 | $104.00 | — | 3% above | 30% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $54.60 | $78.00 | — | 7% below | 30% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $56.70 | $81.00 | — | 3% below | 30% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $36.40 | $52.00 | — | 28% below | 30% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $37.80 | $54.00 | — | 25% below | 30% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $72.42 | $103.45 | — | 2% above | 30% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $77.00 | $110.00 | — | 8% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $50.40 | $72.00 | — | 12% above | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $53.20 | $76.00 | — | 18% above | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $96.87 | $138.39 | — | 6% below | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $100.10 | $143.00 | — | 3% below | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $60.79 | $86.84 | — | 72% below | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $63.00 | $90.00 | — | 71% below | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $49.70 | $71.00 | — | 28% above | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $51.10 | $73.00 | — | 32% above | 30% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 TEST FOR DETECTING GENES ASSOCIATED WITH FETAL DISEASE; ANEUPLOIDY GENOMIC SEQUENCE ANALYSIS PANEL | $1,286.41 | $1,837.73 | — | 68% above | 30% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $90.41 | $129.15 | — | 7% below | 30% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $95.90 | $137.00 | — | 2% below | 30% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $64.46 | $92.09 | — | 36% below | 30% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $68.60 | $98.00 | — | 32% below | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $41.30 | $59.00 | — | 3% above | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $42.70 | $61.00 | — | 7% above | 30% |
| Rapid flu test (influenza antigen) CPT 87804 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR INFLUENZA VIRUS | $16.10 | $23.00 | — | 76% below | 30% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $16.80 | $24.00 | — | 75% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) | $33.28 | $47.54 | — | 56% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $34.30 | $49.00 | — | 55% below | 30% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $50.27 | $71.82 | — | 40% above | 30% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $50.40 | $72.00 | — | 40% above | 30% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $53.80 | $76.85 | — | 21% below | 30% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $53.90 | $77.00 | — | 21% below | 30% |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $30.80 | $44.00 | — | 46% below | 30% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $31.50 | $45.00 | — | 44% below | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $27.20 | $38.85 | — | at median | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $28.00 | $40.00 | — | 3% above | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY | $66.44 | $94.92 | — | 12% below | 30% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $68.60 | $98.00 | — | 9% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $21.32 | $30.45 | — | 21% below | 30% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $22.40 | $32.00 | — | 17% below | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $280.00 | $400.00 | — | 36% above | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $61.96 | $88.52 | — | 48% below | 30% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $65.80 | $94.00 | — | 44% below | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $90.30 | $129.00 | — | 17% above | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $119.15 | $170.21 | — | 54% above | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $78.40 | $112.00 | — | 26% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $83.30 | $119.00 | — | 21% below | 30% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $104.30 | $149.00 | — | 4% below | 30% |
| Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE | $107.09 | $152.99 | — | 2% below | 30% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $35.70 | $51.00 | — | 2% below | 30% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $37.10 | $53.00 | — | 2% above | 30% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $35.70 | $51.00 | — | 2% below | 30% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $37.10 | $53.00 | — | 2% above | 30% |
| Urinalysis with microscope exam, manual CPT 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED | $11.90 | $17.00 | — | 30% below | 30% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $34.30 | $49.00 | — | 101% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $30.10 | $43.00 | — | 10% above | 30% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $32.20 | $46.00 | — | 17% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $30.10 | $43.00 | — | 54% above | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $30.43 | $43.47 | — | 56% above | 30% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $40.50 | $57.86 | — | 46% below | 30% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $42.12 | $60.17 | — | 12% below | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $36.90 | $52.71 | — | 64% below | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $37.80 | $54.00 | — | 63% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $77.00 | $110.00 | — | 44% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $162.07 | $231.53 | — | 18% above | 30% |
| Zinc blood test CPT 84630 ZINC LEVEL | $73.99 | $105.70 | — | 4% above | 30% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $74.20 | $106.00 | — | 4% above | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $39.77 | $56.81 | — | 63% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $42.00 | $60.00 | — | 61% below | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $310.10 | $443.00 | — | 26% below | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $740.60 | $1,058.00 | — | 31% below | 30% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK | $4,083.10 | $5,833.00 | — | 716% above | 30% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $1,566.60 | $2,238.00 | — | 3% below | 30% |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $2,219.00 | $3,170.00 | — | 37% above | 30% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,219.00 | $3,170.00 | — | 15% above | 30% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,219.00 | $3,170.00 | — | 35% above | 30% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $2,352.00 | $3,360.00 | — | 43% above | 30% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $194.60 | $278.00 | — | at median | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $118.30 | $169.00 | — | 5% above | 30% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING | $207.90 | $297.00 | — | 85% above | 30% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $161.70 | $231.00 | — | 5% below | 30% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $2,450.00 | $3,500.00 | — | 59% above | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY | $1,757.70 | $2,511.00 | — | 68% above | 30% |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 REMOVAL OF GALLBLADDER WITH X-RAY STUDY OF BILE DUCTS USING AN ENDOSCOPE | $6,188.00 | $8,840.00 | — | 41% below | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 REMOVAL OF EXTERNAL HEMORRHOIDS BY RUBBER BANDING | $1,031.80 | $1,474.00 | — | 16% below | 30% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 REMOVAL OF SINGLE EXTERNAL AND INTERNAL HEMORRHOID GROUP | $2,579.50 | $3,685.00 | — | 31% below | 30% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $355.60 | $508.00 | — | 5% below | 30% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $8,508.50 | $12,155.00 | — | 8% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION INTO TENDON OR LIGAMENT | $213.50 | $305.00 | — | 28% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $277.20 | $396.00 | — | 43% below | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT | $322.70 | $461.00 | — | 33% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT | $239.40 | $342.00 | — | 49% below | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $279.30 | $399.00 | — | 40% below | 30% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $546.00 | $780.00 | — | 39% above | 30% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $6,188.00 | $8,840.00 | — | 20% above | 30% |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 REPAIR OF GROIN HERNIA USING AN ENDOSCOPE | $6,188.00 | $8,840.00 | — | 31% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $602.00 | $860.00 | — | 5% below | 30% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $616.00 | $880.00 | — | 3% below | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,567.30 | $2,239.00 | — | 2% above | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $1,629.60 | $2,328.00 | — | 6% below | 30% |
| Lumpectomy (partial mastectomy) CPT 19301 PARTIAL REMOVAL OF BREAST | $5,414.50 | $7,735.00 | — | at median | 30% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 REMOVAL OF NONCANCER SKIN GROWTH OF BODY; ARMS; OR LEGS; 0.5 CM OR LESS | $238.00 | $340.00 | — | 69% below | 30% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $347.20 | $496.00 | — | 24% above | 30% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $639.10 | $913.00 | — | 2% below | 30% |
| Paracentesis with imaging guidance CPT 49083 DRAINAGE OF FLUID FROM ABDOMINAL CAVITY USING IMAGING GUIDANCE | $592.20 | $846.00 | — | 48% below | 30% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,368.50 | $1,955.00 | — | 19% above | 30% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $357.00 | $510.00 | — | 52% below | 30% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $896.00 | $1,280.00 | — | 64% above | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $2,219.00 | $3,170.00 | — | 48% above | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND | $1,939.00 | $2,770.00 | — | 19% above | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $2,219.00 | $3,170.00 | — | 36% above | 30% |
| Short arm cast (elbow to hand) CPT 29075 APPLICATION OF ELBOW TO FINGER CAST | $581.00 | $830.00 | — | 31% above | 30% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $368.90 | $527.00 | — | 30% above | 30% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $294.70 | $421.00 | — | 17% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $315.00 | $450.00 | — | 7% below | 30% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $707.00 | $1,010.00 | — | 109% above | 30% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION | $229.60 | $328.00 | — | 33% below | 30% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY; FIRST SKIN GROWTH | $389.20 | $556.00 | — | 14% above | 30% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS | $103.60 | $148.00 | — | 51% below | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST | $690.20 | $986.00 | — | 19% 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 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $770.00 | $1,100.00 | — | 94% above | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $352.80 | $504.00 | — | 7% below | 30% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $357.00 | $510.00 | — | 6% below | 30% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $287.00 | $410.00 | — | 6% above | 30% |
| Thoracentesis with imaging guidance CPT 32555 ASPIRATION OF FLUID FROM CHEST CAVITY USING IMAGING GUIDANCE | $1,210.30 | $1,729.00 | — | 11% below | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $360.50 | $515.00 | — | at median | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $2,219.00 | $3,170.00 | — | 12% above | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,547.00 | $2,210.00 | — | 15% below | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 REMOVAL OF POLYPS OR GROWTHS OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $4,438.00 | $6,340.00 | — | 205% above | 30% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS | $233.80 | $334.00 | — | 2% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS | $616.00 | $880.00 | — | 2% below | 30% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $665.00 | $950.00 | — | 6% 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 OF BLOOD OR BLOOD PRODUCTS | $458.50 | $655.00 | — | 52% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $354.20 | $506.00 | — | 79% above | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $354.20 | $506.00 | — | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $366.10 | $523.00 | — | — | 30% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES | $3,108.70 | $4,441.00 | — | at median | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $104.30 | $149.00 | — | 42% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $208.60 | $298.00 | — | 15% above | 30% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $140.70 | $201.00 | — | 40% below | 30% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $270.20 | $386.00 | — | 33% below | 30% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $482.30 | $689.00 | — | 38% below | 30% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $875.00 | $1,250.00 | — | 30% below | 30% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,174.60 | $1,678.00 | — | 43% below | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $319.90 | $457.00 | — | 45% below | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $330.40 | $472.00 | — | 44% below | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $319.20 | $456.00 | — | 3% below | 30% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $473.20 | $676.00 | — | 24% above | 30% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $488.60 | $698.00 | — | 28% above | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $95.90 | $137.00 | — | 6% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION | $77.70 | $111.00 | — | 20% below | 30% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $77.00 | $110.00 | — | 57% below | 30% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $84.70 | $121.00 | — | 66% below | 30% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $233.10 | $333.00 | — | 8% below | 30% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $257.60 | $368.00 | — | 24% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $143.50 | $205.00 | — | 6% below | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $25.20 | $36.00 | — | 60% below | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES | $100.80 | $144.00 | — | 58% above | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $197.40 | $282.00 | — | 9% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $189.00 | $270.00 | — | 32% below | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $189.00 | $270.00 | — | 14% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $212.80 | $304.00 | — | 11% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS | $73.50 | $105.00 | — | 5% above | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $77.70 | $111.00 | — | 17% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $295.40 | $422.00 | — | 22% above | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $91.70 | $131.00 | — | 37% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $191.10 | $273.00 | — | 31% above | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $73.50 | $105.00 | — | 59% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $441.70 | $631.00 | — | 146% above | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $65.10 | $93.00 | — | 41% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $168.70 | $241.00 | — | 53% above | 30% |
| Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN | $343.00 | $490.00 | — | 11% below | 30% |
| Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV | $202.30 | $289.00 | — | 8% below | 30% |
| Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME | $139.30 | $199.00 | — | 31% below | 30% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $147.70 | $211.00 | — | 27% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION | $192.50 | $275.00 | — | 48% below | 30% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $359.10 | $513.00 | — | 3% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $123.90 | $177.00 | — | 39% below | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Fluzone High-Dose 2025-2026 Formula | $232.05 | $331.50 | — | 931% above | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose Quadrivalent 2023-2024 Formula | $54.29 | $77.56 | — | 21% below | 30% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High-Dose 2024-2025 Formula | $226.95 | $324.22 | — | 232% above | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 | $155.72 | $222.45 | — | 1% below | 30% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $247.71 | $353.87 | — | 61% below | 30% |
| Rabies vaccine, one dose CPT 90675 RabAvert | $247.71 | $353.87 | — | 61% below | 30% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE FOR INJECTION INTO MUSCLE | $927.02 | $1,324.32 | — | 46% above | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel | $62.12 | $88.74 | — | 25% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHERIA; TETANUS; AND ACELLULAR PERTUSSIS VACCINE (7 YEARS OR OLDER) | $188.06 | $268.66 | — | 127% above | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $44.10 | $63.00 | — | 7% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $72.80 | $104.00 | — | 54% above | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION OF VACCINE; EACH ADDITIONAL VACCINE | $42.70 | $61.00 | — | 6% above | 30% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/34ac41c1e7d6ab1cdbf6e81b5b7c3142/charges/mrf