Hospital Othello, WA

Othello Community Hospital

Listed in its price file as “Adams County Public Hospital District 3”.

Othello Community Hospital in Othello, WA publishes cash prices for 218 common procedures listed here, from its own machine-readable price file updated Jul 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Washington median for 156 of 218 procedures and below it for 55. By typical cash price it ranks #35 of 46 Washington hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

315 N 14th Ave Othello WA 99344 Collected Sep 27, 2026 Source price file (509) 488-2636

Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 501318 · CMS hospital register

Scans and imaging

ProcedureCash price List priceInsurers payvs WashingtonOff list
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views $284.25 $379.00 $161.11–$379.00 4% below 25%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus $315.75 $421.00 $178.97–$421.00 46% below 25%
Breast ultrasound, complete, one breast CPT 76641 Complete ultrasound scan of 1 breast $491.44 $655.25 $278.55–$655.25 25% above 25%
Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast $268.88 $358.50 $152.40–$358.50 16% below 25%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast $2,823.00 $3,764.00 $1,600.08–$3,764.00 21% above 25%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast $2,128.88 $2,838.50 $1,206.65–$2,838.50 15% below 25%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast $3,139.88 $4,186.50 $1,779.68–$4,186.50 6% above 25%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast $3,757.13 $5,009.50 $2,129.54–$5,009.50 2% above 25%
CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast $2,016.38 $2,688.50 $1,142.88–$2,688.50 12% above 25%
CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast $1,427.81 $1,903.75 $809.28–$1,903.75 2% above 25%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast $1,397.25 $1,863.00 $791.96–$1,863.00 60% above 25%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast $1,195.50 $1,594.00 $677.61–$1,594.00 at median 25%
CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast $1,804.50 $2,406.00 $1,022.79–$2,406.00 41% above 25%
CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast $1,880.25 $2,507.00 $1,065.73–$2,507.00 28% above 25%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast $1,980.94 $2,641.25 $1,122.80–$2,641.25 56% above 25%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast $1,619.63 $2,159.50 $918.00–$2,159.50 19% above 25%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast $1,899.75 $2,533.00 $1,076.78–$2,533.00 10% above 25%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow $1,003.13 $1,337.50 $568.57–$1,337.50 23% above 25%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views $259.88 $346.50 $147.30–$346.50 2% below 25%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view $229.50 $306.00 $130.08–$306.00 1% below 25%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity $719.25 $959.00 $407.67–$959.00 32% above 25%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound scan of pregnant uterus with detailed fetal anatomic examination, single or first fetus $711.00 $948.00 $402.99–$948.00 3% above 25%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast $1,530.75 $2,041.00 $867.63–$2,041.00 9% above 25%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast $1,859.44 $2,479.25 $1,053.93–$2,479.25 4% above 25%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts $412.31 $549.75 $233.70–$549.75 13% below 25%
Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast $227.44 $303.25 $128.91–$303.25 42% below 25%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers $1,190.81 $1,587.75 $674.95–$1,587.75 15% above 25%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function $1,204.13 $1,605.50 $682.50–$1,605.50 25% below 25%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study including heart rate, breathing, airflow, and effort $552.94 $737.25 $313.41–$737.25 23% above 25%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older) $4,019.25 $5,359.00 $2,278.11–$5,359.00 34% above 25%
Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views $281.81 $375.75 $159.73–$375.75 9% below 25%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen $508.69 $678.25 $288.32–$678.25 8% above 25%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening $1,407.56 $1,876.75 $797.81–$1,876.75 535% above 25%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI scan of both breasts $1,509.56 $2,012.75 $855.62–$2,012.75 19% below 25%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast $2,202.19 $2,936.25 $1,248.20–$2,936.25 29% above 25%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast $3,914.44 $5,219.25 $2,218.70–$5,219.25 32% above 25%
MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast $2,729.25 $3,639.00 $1,546.94–$3,639.00 38% above 25%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast $3,784.88 $5,046.50 $2,145.27–$5,046.50 25% above 25%
MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast $2,230.31 $2,973.75 $1,264.14–$2,973.75 24% above 25%
MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast $3,155.63 $4,207.50 $1,788.61–$4,207.50 19% above 25%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast $2,112.19 $2,816.25 $1,197.19–$2,816.25 1% above 25%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast $3,028.31 $4,037.75 $1,716.45–$4,037.75 at median 25%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast $2,115.19 $2,820.25 $1,198.89–$2,820.25 at median 25%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast $3,693.75 $4,925.00 $2,093.62–$4,925.00 22% above 25%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast $2,113.69 $2,818.25 $1,198.04–$2,818.25 6% above 25%
MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast $3,219.00 $4,292.00 $1,824.53–$4,292.00 2% above 25%
MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast $2,420.25 $3,227.00 $1,371.80–$3,227.00 28% above 25%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast $2,182.13 $2,909.50 $1,236.83–$2,909.50 21% above 25%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis $377.63 $503.50 $214.04–$503.50 2% above 25%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis $626.44 $835.25 $355.06–$835.25 15% above 25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $734.63 $979.50 $416.39–$979.50 36% above 25%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus $670.50 $894.00 $380.04–$894.00 34% above 25%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus $454.13 $605.50 $257.40–$605.50 23% above 25%
Screening mammogram, both breasts CPT 77067 Screening mammography $376.31 $501.75 $213.29–$501.75 16% above 25%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views $270.19 $360.25 $153.14–$360.25 8% below 25%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) $3,818.25 $5,091.00 $2,164.18–$5,091.00 46% above 25%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $662.06 $882.75 $375.26–$882.75 45% above 25%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus $700.88 $934.50 $397.26–$934.50 61% above 25%
Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen $737.63 $983.50 $418.09–$983.50 17% above 25%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum $548.63 $731.50 $310.96–$731.50 15% above 25%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue $561.94 $749.25 $318.51–$749.25 18% above 25%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers $724.50 $966.00 $410.65–$966.00 13% above 25%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views $314.06 $418.75 $178.01–$418.75 1% above 25%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views $342.38 $456.50 $194.06–$456.50 18% above 25%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view $236.63 $315.50 $134.12–$315.50 at median 25%
X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views $223.88 $298.50 $126.89–$298.50 15% below 25%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views $257.81 $343.75 $146.13–$343.75 at median 25%
X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views $247.50 $330.00 $140.28–$330.00 at median 25%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views $273.56 $364.75 $155.06–$364.75 2% above 25%
X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views $282.38 $376.50 $160.05–$376.50 3% above 25%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views $242.44 $323.25 $137.41–$323.25 7% below 25%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views $327.38 $436.50 $185.56–$436.50 7% above 25%
X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views $487.31 $649.75 $276.21–$649.75 11% above 25%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views $300.38 $400.50 $170.25–$400.50 7% above 25%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views $293.25 $391.00 $166.21–$391.00 18% above 25%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views $311.63 $415.50 $176.63–$415.50 at median 25%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views $261.56 $348.75 $148.25–$348.75 5% below 25%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views $265.31 $353.75 $150.38–$353.75 18% above 25%

Lab tests

ProcedureCash price List priceInsurers payvs WashingtonOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level $63.38 $84.50 $35.92–$84.50 65% above 25%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level $60.94 $81.25 $34.54–$81.25 67% above 25%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel $495.19 $660.25 $280.67–$660.25 107% above 25%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each $65.06 $86.75 $36.88–$86.75 143% above 25%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment $148.31 $197.75 $84.06–$197.75 91% above 25%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder $111.38 $148.50 $63.13–$148.50 76% above 25%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level $318.94 $425.25 $180.77–$425.25 72% above 25%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) $111.38 $148.50 $63.13–$148.50 55% above 25%
Blood culture for bacteria CPT 87040 Bacterial blood culture $143.81 $191.75 $81.51–$191.75 13% above 25%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample $44.25 $59.00 $25.08–$59.00 77% above 25%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level $57.94 $77.25 $32.84–$77.25 66% above 25%
Blood lead test CPT 83655 Lead level $172.13 $229.50 $97.56–$229.50 207% above 25%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis $111.00 $148.00 $62.91–$148.00 57% above 25%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) $57.94 $77.25 $32.84–$77.25 10% below 25%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation $80.81 $107.75 $45.80–$107.75 46% above 25%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique $196.88 $262.50 $111.59–$262.50 13% above 25%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 $232.31 $309.75 $131.67–$309.75 111% above 25%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125 $230.81 $307.75 $130.82–$307.75 96% above 25%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen $130.50 $174.00 $73.97–$174.00 52% above 25%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique $221.63 $295.50 $125.62–$295.50 65% above 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) $194.81 $259.75 $110.42–$259.75 122% above 25%
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 $104.06 $138.75 $58.98–$138.75 89% above 25%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test $85.50 $114.00 $48.46–$114.00 91% above 25%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $137.81 $183.75 $78.11–$183.75 65% above 25%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative $144.56 $192.75 $81.94–$192.75 26% above 25%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level $317.44 $423.25 $179.92–$423.25 139% above 25%
Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) $340.69 $454.25 $193.10–$454.25 145% above 25%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level $242.44 $323.25 $137.41–$323.25 153% above 25%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level $208.50 $278.00 $118.18–$278.00 18% above 25%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level $190.69 $254.25 $108.08–$254.25 100% above 25%
Folate (folic acid) blood test CPT 82746 Folic acid level, serum $181.88 $242.50 $103.09–$242.50 71% above 25%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free $242.44 $323.25 $137.41–$323.25 179% above 25%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free $129.94 $173.25 $73.65–$173.25 104% above 25%
Free testosterone test CPT 84402 Testosterone (hormone) level, free $298.88 $398.50 $169.40–$398.50 139% above 25%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose $80.81 $107.75 $45.80–$107.75 126% above 25%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens $150.00 $200.00 $85.02–$200.00 130% above 25%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique $314.63 $419.50 $178.33–$419.50 135% above 25%
H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) $151.31 $201.75 $85.76–$201.75 82% above 25%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool $234.56 $312.75 $132.95–$312.75 68% above 25%
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 $75.38 $100.50 $42.72–$100.50 23% below 25%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level $134.25 $179.00 $76.09–$179.00 92% above 25%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement $148.88 $198.50 $84.38–$198.50 115% above 25%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen $132.19 $176.25 $74.92–$176.25 100% above 25%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement $183.19 $244.25 $103.83–$244.25 120% above 25%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification $491.06 $654.75 $278.33–$654.75 52% above 25%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 $221.25 $295.00 $125.40–$295.00 220% above 25%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 $76.31 $101.75 $43.25–$101.75 12% below 25%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity $130.50 $174.00 $73.97–$174.00 93% above 25%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level $267.38 $356.50 $151.55–$356.50 129% above 25%
Insulin blood test CPT 83525 Insulin measurement, total $164.63 $219.50 $93.31–$219.50 107% above 25%
Iron blood test (serum iron) CPT 83540 Iron level $86.63 $115.50 $49.10–$115.50 84% above 25%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity $120.38 $160.50 $68.23–$160.50 101% above 25%
Kidney function blood test panel CPT 80069 Kidney function blood test panel $118.88 $158.50 $67.38–$158.50 83% above 25%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level $210.38 $280.50 $119.24–$280.50 132% above 25%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level $132.19 $176.25 $74.92–$176.25 87% above 25%
Liver function blood test panel CPT 80076 Liver function blood test panel $111.75 $149.00 $63.34–$149.00 91% above 25%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $210.00 $280.00 $119.03–$280.00 135% above 25%
Magnesium blood test CPT 83735 Magnesium level $77.63 $103.50 $44.00–$103.50 54% above 25%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) $181.13 $241.50 $102.66–$241.50 155% above 25%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) $77.63 $103.50 $44.00–$103.50 73% above 25%
Obstetric blood test panel CPT 80055 Obstetric blood test panel $226.31 $301.75 $128.27–$301.75 82% above 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free $206.81 $275.75 $117.22–$275.75 122% above 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total $179.44 $239.25 $101.71–$239.25 74% above 25%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level $506.06 $674.75 $286.84–$674.75 131% above 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood $92.81 $123.75 $52.61–$123.75 140% above 25%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level $231.19 $308.25 $131.04–$308.25 137% above 25%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level $225.00 $300.00 $127.53–$300.00 124% above 25%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $68.44 $91.25 $38.79–$91.25 71% above 25%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level $100.31 $133.75 $56.86–$133.75 178% above 25%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) $115.88 $154.50 $65.68–$154.50 69% above 25%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated $53.81 $71.75 $30.50–$71.75 94% above 25%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume, sperm count, motility and analysis $205.50 $274.00 $116.48–$274.00 150% above 25%
Stool ova and parasites exam CPT 87177 Smear for parasites $118.50 $158.00 $67.17–$158.00 109% above 25%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors $39.94 $53.25 $22.64–$53.25 47% above 25%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay $162.38 $216.50 $92.03–$216.50 116% above 25%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test $57.94 $77.25 $32.84–$77.25 114% above 25%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon $256.31 $341.75 $145.28–$341.75 25% above 25%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total $300.00 $400.00 $170.04–$400.00 153% above 25%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement $187.88 $250.50 $106.49–$250.50 143% above 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $162.94 $217.25 $92.35–$217.25 55% above 25%
Trichomonas test (NAAT) CPT 87661 Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified probe technique $36.00 $48.00 $20.40–$48.00 67% below 25%
Uric acid blood test CPT 84550 Uric acid level, blood $68.81 $91.75 $39.00–$91.75 89% above 25%
Urinalysis with microscope exam, manual CPT 81000 Manual urinalysis test with examination using microscope, non-automated $56.06 $74.75 $31.78–$74.75 228% above 25%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test $37.31 $49.75 $21.15–$49.75 91% above 25%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine $82.13 $109.50 $46.55–$109.50 9% above 25%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test $87.94 $117.25 $49.84–$117.25 83% above 25%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level $201.38 $268.50 $114.14–$268.50 97% above 25%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level $422.63 $563.50 $239.54–$563.50 208% above 25%
Zinc blood test CPT 84630 Zinc level $194.25 $259.00 $110.10–$259.00 173% above 25%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level $184.13 $245.50 $104.36–$245.50 70% above 25%

Surgery and procedures

ProcedureCash price List priceInsurers payvs WashingtonOff list
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $642.75 $857.00 $364.31–$857.00 36% below 25%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $719.81 $959.75 $407.99–$959.75 28% below 25%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat $642.75 $857.00 $364.31–$857.00 — 25%
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens $4,847.06 $6,462.75 $2,747.32–$6,462.75 at median 25%
Complex cataract surgery with lens implant CPT 66982 Complex removal of cataract with insertion of prosthetic lens $5,116.13 $6,821.50 $2,899.82–$6,821.50 at median 25%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing $57.56 $76.75 $32.63–$76.75 49% below 25%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing $57.56 $76.75 $32.63–$76.75 — 25%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax $189.94 $253.25 $107.66–$253.25 12% above 25%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax $189.94 $253.25 $107.66–$253.25 — 25%
Hysteroscopy with endometrial ablation CPT 58563 Exam of uterus with destruction of lining of uterus using an endoscope $5,319.94 $7,093.25 $3,015.34–$7,093.25 5% above 25%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess $374.81 $499.75 $212.44–$499.75 2% above 25%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess $374.81 $499.75 $212.44–$499.75 — 25%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament $232.13 $309.50 $131.57–$309.50 11% below 25%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection into tendon or ligament $232.13 $309.50 $131.57–$309.50 — 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $246.94 $329.25 $139.96–$329.25 49% below 25%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint $246.94 $329.25 $139.96–$329.25 — 25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint $230.44 $307.25 $130.61–$307.25 50% below 25%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of fluid from medium joint $230.44 $307.25 $130.61–$307.25 — 25%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint $226.69 $302.25 $128.49–$302.25 41% below 25%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or injection of fluid from small joint $226.69 $302.25 $128.49–$302.25 — 25%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal of recurring cataract in lens capsule using a laser $1,175.06 $1,566.75 $666.03–$1,566.75 91% above 25%
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 $485.25 $647.00 $275.04–$647.00 23% below 25%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $485.25 $647.00 $275.04–$647.00 — 25%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal $992.06 $1,322.75 $562.30–$1,322.75 14% below 25%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $230.44 $307.25 $130.61–$307.25 18% below 25%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $230.44 $307.25 $130.61–$307.25 — 25%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $598.88 $798.50 $339.44–$798.50 47% below 25%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $598.88 $798.50 $339.44–$798.50 — 25%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail $650.25 $867.00 $368.56–$867.00 10% below 25%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail $650.25 $867.00 $368.56–$867.00 — 25%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $378.56 $504.75 $214.57–$504.75 31% below 25%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $378.56 $504.75 $214.57–$504.75 — 25%
Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast $258.94 $345.25 $146.77–$345.25 42% below 25%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of elbow to finger cast $258.94 $345.25 $146.77–$345.25 — 25%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint $192.75 $257.00 $109.25–$257.00 18% below 25%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint $192.75 $257.00 $109.25–$257.00 — 25%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot $231.56 $308.75 $131.25–$308.75 34% below 25%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot $231.56 $308.75 $131.25–$308.75 — 25%
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 $272.25 $363.00 $154.31–$363.00 20% below 25%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less $272.25 $363.00 $154.31–$363.00 — 25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $474.75 $633.00 $269.09–$633.00 38% below 25%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $506.25 $675.00 $286.94–$675.00 34% below 25%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $474.75 $633.00 $269.09–$633.00 — 25%
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 $390.56 $520.75 $221.37–$520.75 at median 25%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $390.56 $520.75 $221.37–$520.75 — 25%
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 $293.25 $391.00 $166.21–$391.00 21% below 25%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $293.25 $391.00 $166.21–$391.00 — 25%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $765.38 $1,020.50 $433.81–$1,020.50 44% below 25%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast and placement of locating device using ultrasound, first growth $875.81 $1,167.75 $496.41–$1,167.75 72% below 25%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $349.88 $466.50 $198.31–$466.50 43% below 25%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $349.88 $466.50 $198.31–$466.50 — 25%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs WashingtonOff list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products $609.56 $812.75 $345.50–$812.75 36% below 25%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production $140.63 $187.50 $79.71–$187.50 29% below 25%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $1,190.25 $1,587.00 $674.63–$1,587.00 61% below 25%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes $1,190.25 $1,587.00 $674.63–$1,587.00 — 25%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $141.56 $188.75 $80.24–$188.75 22% below 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional $297.00 $396.00 $168.34–$396.00 31% above 25%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional $297.00 $396.00 $168.34–$396.00 — 25%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $514.69 $686.25 $291.72–$686.25 33% above 25%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making $514.69 $686.25 $291.72–$686.25 — 25%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $623.06 $830.75 $353.15–$830.75 17% below 25%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making $623.06 $830.75 $353.15–$830.75 — 25%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $733.88 $978.50 $415.96–$978.50 40% below 25%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making $733.88 $978.50 $415.96–$978.50 — 25%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $866.06 $1,154.75 $490.88–$1,154.75 57% below 25%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making $866.06 $1,154.75 $490.88–$1,154.75 — 25%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Electrocardiogram (ECG) 2-day continuous with review and report by health care professional $567.94 $757.25 $321.91–$757.25 250% above 25%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $312.38 $416.50 $177.05–$416.50 5% below 25%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $399.94 $533.25 $226.68–$533.25 4% above 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $149.44 $199.25 $84.70–$199.25 47% above 25%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $150.00 $200.00 $85.02–$200.00 47% above 25%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle $150.00 $200.00 $85.02–$200.00 — 25%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes $309.75 $413.00 $175.57–$413.00 12% above 25%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes $229.69 $306.25 $130.19–$306.25 5% above 25%
Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume $308.25 $411.00 $174.72–$411.00 52% above 25%
Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration $460.69 $614.25 $261.12–$614.25 25% above 25%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem $149.44 $199.25 $84.70–$199.25 26% below 25%

Vaccines

ProcedureCash price List priceInsurers payvs WashingtonOff list
Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle $342.38 $456.50 $194.06–$456.50 46% below 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $109.31 $145.75 $61.96–$145.75 131% above 25%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $111.38 $148.50 $63.13–$148.50 135% above 25%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration of vaccine $111.38 $148.50 $63.13–$148.50 — 25%

Dental

ProcedureCash price List priceInsurers payvs WashingtonOff list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 PERIODONTAL SCALING & ROOT $54.56 $72.75 $30.93–$72.75 60% below 25%
Porcelain crown CDT D2740 CROWN PORCELAIN/CERAMIC $54.56 $72.75 $30.93–$72.75 91% below 25%

Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbOthelloCommunity&type=CDMWithoutLabel&fileType=CSV