Hospital Wenatchee-East Wenatchee, WA

Confluence Health Hospital

Listed in its price file as “Central Washington Health Services Association”.

Confluence Health Hospital in Wenatchee, WA publishes cash prices for 436 common procedures listed here, from its own machine-readable price file updated Aug 10, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 302 of 430 procedures and above it for 123. By typical cash price it ranks #7 of 60 Washington hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1201 S. Miller St, Wenatchee, WA 98801 Collected Oct 14, 2026 Source price file Check a bill from this hospital (509) 662-1511

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 500016 · CMS hospital register

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/ and W/O Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	32% below	10%
Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam Abdomen 2 Views	$464.40	$516.00	$135.21–$663.36	43% above	10%
Abdominal X-ray, 2 views CPT 74019 HC X-Ray Exam Abdomen 2 Views	$621.90	$691.00	$135.21–$663.36	92% above	10%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-Ray Exam Abdomen 2 Views	$621.90	$691.00	$135.21–$663.36	—	10%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle 3+ Vw----Pbb	$91.80	$102.00	$39.78–$241.18	70% below	10%
Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle 3+ Vw	$383.40	$426.00	$112.55–$408.96	24% above	10%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Xr Ankle 3+ Vw----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC Non-Invas Physiologic Std Extremity Art 1-2 Level--Pbb	$144.90	$161.00	$62.79–$368.73	62% below	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC US Tcom Ltd	$270.00	$300.00	$117.00–$368.73	28% below	10%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC Non-Invas Physiologic Std Extremity Art 1-2 Level--Pbb	$144.90	$161.00	$62.79–$368.73	—	10%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity,W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	26% below	10%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophagus (Barium Swallow)	$619.20	$688.00	$226.85–$660.48	2% above	10%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Bone Complete	$1,854.90	$2,061.00	$517.03–$1,978.56	25% above	10%
Breast ultrasound, complete, one breast CPT 76641 HC US Brst Unilt Inc Comp	$306.00	$340.00	$132.60–$326.40	29% below	10%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited	$435.60	$484.00	$112.55–$464.64	29% above	10%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angiography Abdomen and Pelvis, W/ and W/O Contrast	$2,910.60	$3,234.00	$451.21–$3,234.00	19% below	10%
CT angiography (CTA) of the head CPT 70496 HC CT Angiography Head W/ + W/O Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	33% below	10%
CT angiography (CTA) of the neck CPT 70498 HC CT Angiography Neck W/ + W/O Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	38% below	10%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT Angio, Chest (Non-Coron), Combo, Incl Img Proc	$1,404.90	$1,561.00	$226.85–$1,561.00	41% below	10%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT Angiography Cor Artery W/Calcium Eval	$1,404.90	$1,561.00	$451.21–$1,561.00	20% above	10%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart W/O Contrast	$234.00	$260.00	$101.40–$260.00	76% above	10%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT Heart W/O Contrast	$234.00	$260.00	$101.40–$260.00	76% above	10%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT Heart W/O Contrast	$234.00	$260.00	$101.40–$260.00	—	10%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast	$2,387.70	$2,653.00	$308.59–$2,653.00	5% below	10%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen + Pelvis W/ Contrast	$2,910.60	$3,234.00	$451.21–$3,234.00	6% below	10%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen + Pelvis W/ + W/O Contrast	$2,910.60	$3,234.00	$451.21–$3,234.00	22% below	10%
CT scan of the abdomen with contrast CPT 74160 CT Scan of Abdomen Contrast	$828.90	$921.00	$162.07–$884.16	56% below	10%
CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/ Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	25% below	10%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Scan of Abdomen Contrast	$828.90	$921.00	$162.07–$884.16	—	10%
CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen,W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	27% below	10%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial Area,W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	5% below	10%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head or Brain W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	21% below	10%
CT scan of the head with contrast CPT 70460 HC CT Head Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	4% below	10%
CT scan of the head without and with contrast CPT 70470 HC CT Head or Brain W/ + W/O Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	19% below	10%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine,W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	27% below	10%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine,W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	30% below	10%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	22% below	10%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Duplex Scan Extracranial,Bilat--Pbb	$271.80	$302.00	$117.78–$661.26	—	10%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US Duplex Scan Extracranial,Bilat	$1,194.30	$1,327.00	$308.59–$1,273.92	—	10%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Duplex Scan Extracranial,Bilat--Pbb	$271.80	$302.00	$117.78–$661.26	—	10%
Chest CT scan without and with contrast CPT 71270 HC CT Thorax W/ + W/O Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	32% below	10%
Chest X-ray, 2 views CPT 71046 HC X-Ray Exam Chest 2 Views	$383.40	$426.00	$112.55–$408.96	32% above	10%
Chest X-ray, single view CPT 71045 HC X-Ray Exam Chest 1 View	$383.40	$426.00	$112.55–$408.96	60% above	10%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Xr Clavicle Complete----Pbb	$99.00	$110.00	$42.90–$241.18	64% below	10%
Collarbone (clavicle) X-ray, complete CPT 73000 HC Xr Clavicle; Complete	$383.40	$426.00	$112.55–$408.96	40% above	10%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Xr Clavicle Complete----Pbb	$99.00	$110.00	$42.90–$241.18	—	10%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitoneal Complete	$526.50	$585.00	$135.21–$561.60	15% below	10%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Mm Dexa Axial Bmd	$464.40	$516.00	$135.21–$495.36	11% above	10%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Xr DXA Bone Density/Peripheral	$156.60	$174.00	$67.86–$241.18	10% below	10%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Preg Uter,Fet & Mat,+ Detl Fet Exm	$306.00	$340.00	$132.60–$661.26	57% below	10%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Preg Uter,Fet & Mat,+ Detl Fet Exm----Pbb	$340.20	$378.00	$147.42–$661.26	52% below	10%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US Preg Uter,Fet & Mat,+ Detl Fet Exm----Pbb	$340.20	$378.00	$147.42–$661.26	—	10%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax,W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	29% below	10%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax W/ Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	26% below	10%
Diagnostic mammogram, both breasts both sides CPT 77066 HC Dx Mammo Incl Cad Bi	$397.80	$442.00	$261.14–$424.32	—	10%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Dx Mammo Incl Cad Bi	$397.80	$442.00	$261.14–$424.32	—	10%
Diagnostic mammogram, one breast CPT 77065 HC Diagnostic Mammography Computer-Aided Detcj Uni	$229.50	$255.00	$99.45–$301.31	40% below	10%
Diagnostic mammogram, one breast CPT 77065 HC Diagnostic Mammography Computer-Aided Detcj Uni-Pbb	$325.80	$362.00	$135.28–$347.52	15% below	10%
Diagnostic mammogram, one breast inpatient CPT 77065 HC Diagnostic Mammography Computer-Aided Detcj Uni-Pbb	$325.80	$362.00	$135.28–$347.52	—	10%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Duplex Lo Extrem Art Bilat--Pbb	$271.80	$302.00	$117.78–$661.26	—	10%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC US Duplex Lo Extrem Art Bilat	$1,194.30	$1,327.00	$308.59–$1,273.92	—	10%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Duplex Lo Extrem Art Bilat--Pbb	$271.80	$302.00	$117.78–$661.26	—	10%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC Duplex Scan;Extremity Veins--Pbb	$271.80	$302.00	$117.78–$661.26	75% below	10%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC Duplex Scan;Extremity Veins--Pbb	$271.80	$302.00	$117.78–$661.26	75% below	10%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC US Duplex Scan;Extremity Veins	$1,194.30	$1,327.00	$308.59–$1,273.92	11% above	10%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC Duplex Scan;Extremity Veins--Pbb	$271.80	$302.00	$117.78–$661.26	—	10%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Ec Heart Xthoracic,Complete W Doppler--Pbb	$613.80	$682.00	$265.98–$1,514.34	63% below	10%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Heart Xthoracic,Complete W Doppler	$1,792.80	$1,992.00	$706.69–$1,912.32	7% above	10%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Ec Heart Xthoracic,Complete W Doppler--Pbb	$613.80	$682.00	$265.98–$1,514.34	—	10%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Heart Xthoracic,Complete W Doppler	$1,792.80	$1,992.00	$706.69–$1,912.32	—	10%
Elbow X-ray, 2 views CPT 73070 HC Xr Elbow 2 Views	$383.40	$426.00	$112.55–$408.96	43% above	10%
Elbow X-ray, complete, 3 or more views CPT 73080 HC Xr Elbow 3+ Vw	$383.40	$426.00	$112.55–$408.96	21% above	10%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Scan,Orbit/Sella/Post Fossa/Ear,W/O	$1,052.10	$1,169.00	$135.21–$1,169.00	14% below	10%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC Xr Facial Bones Min 3 View (Complete)	$470.70	$523.00	$135.21–$502.08	27% above	10%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Xr Forearm 2 Vw----Pbb	$91.80	$102.00	$39.78–$241.18	66% below	10%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Xr Forearm 2 Vw	$383.40	$426.00	$112.55–$408.96	40% above	10%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Xr Forearm 2 Vw----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Hepatobiliary System Imaging	$1,854.90	$2,061.00	$517.03–$1,978.56	57% above	10%
Hand X-ray, 2 views CPT 73120 HC Xr Hand 2 Vw----Pbb	$144.90	$161.00	$62.79–$289.74	49% below	10%
Hand X-ray, 2 views CPT 73120 HC Xr Hand 2 Vw	$464.40	$516.00	$135.21–$495.36	63% above	10%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Xr Calcaneus----Pbb	$91.80	$102.00	$39.78–$241.18	65% below	10%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Xr Calcaneus	$383.40	$426.00	$112.55–$408.96	47% above	10%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Xr Calcaneus----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study, Unattended, Simul Record Hr/O2 Sat/Resp Flow/Resp Eff -- Pbb	$201.60	$224.00	$87.36–$598.41	55% below	10%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Study, Unattended, Simul Record Hr/O2 Sat/Resp Flow/Resp Eff -- Pbb	$201.60	$224.00	$87.36–$598.41	—	10%
Knee X-ray, 3 views CPT 73562 HC Xr Knee 3 Views----Pbb	$91.80	$102.00	$39.78–$241.18	70% below	10%
Knee X-ray, 3 views CPT 73562 HC Xr Knee; 3 Views	$383.40	$426.00	$112.55–$408.96	24% above	10%
Knee X-ray, 3 views inpatient CPT 73562 HC Xr Knee 3 Views----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
Knee X-ray, complete, 4 or more views CPT 73564 HC Xr Knee Complete (4 Views)----Pbb	$144.90	$161.00	$62.79–$289.74	66% below	10%
Knee X-ray, complete, 4 or more views CPT 73564 HC Xr Knee Complete (4 Views)	$464.40	$516.00	$135.21–$495.36	11% above	10%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Extremity,W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	22% below	10%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited	$526.50	$585.00	$135.21–$585.00	4% above	10%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US Extremity Non-Vascular, Ltd	$526.50	$585.00	$135.21–$561.60	66% above	10%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC Computed Tomography Thorax Lw Dose Lng Ca Scr C-	$1,052.10	$1,169.00	$135.21–$1,169.00	344% above	10%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Xr Tibia/Fibula Ap & Lateral----Pbb	$91.80	$102.00	$39.78–$241.18	67% below	10%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Xr Tibia/Fibula Ap & Lateral	$383.40	$426.00	$112.55–$408.96	39% above	10%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Xr Tibia/Fibula Ap & Lateral----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRI Angiogram Head W/O Contrast	$2,170.80	$2,412.00	$308.59–$2,412.00	10% above	10%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC mri Breast C-+ W/Cad Bi	$1,902.60	$2,114.00	$370.80–$2,114.00	—	10%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Joint of Lower Extremity W/O Contrast	$2,170.80	$2,412.00	$308.59–$2,412.00	15% above	10%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Joint Lower Extremeity W/ and W/O Contrast	$2,646.00	$2,940.00	$451.21–$2,940.00	10% below	10%
MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast	$2,170.80	$2,412.00	$308.59–$2,412.00	4% above	10%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/ + W/O Contrast	$2,646.00	$2,940.00	$451.21–$2,940.00	15% below	10%
MRI of the brain, no contrast dye CPT 70551 HC MRI Brain, Inc Brain Stem W/O Contrast	$2,170.80	$2,412.00	$308.59–$2,412.00	13% above	10%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain, Inc Brain Stem W/O & W/ Contrast	$2,646.00	$2,940.00	$451.21–$2,940.00	9% below	10%
MRI of the lower back, no contrast dye CPT 72148 HC MRI Spine Lumbar W/O Contrast	$2,170.80	$2,412.00	$308.59–$2,412.00	3% above	10%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Spine Lumbar W/ + W/O Contrast	$2,646.00	$2,940.00	$451.21–$2,940.00	13% below	10%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Spine Thoracic W/O Contrast	$2,170.80	$2,412.00	$308.59–$2,412.00	3% above	10%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Spinal Canal & Contnts W/O Cont	$2,646.00	$2,940.00	$451.21–$2,940.00	10% below	10%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Spine Cervical W/O Contrast	$2,170.80	$2,412.00	$308.59–$2,412.00	8% above	10%
MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/+ W/O Contrast	$2,646.00	$2,940.00	$451.21–$2,940.00	13% below	10%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast	$2,170.80	$2,412.00	$308.59–$2,412.00	13% above	10%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Joint Upper Extrem W/O Contrast	$2,170.80	$2,412.00	$308.59–$2,412.00	14% above	10%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Xr Spine Cervical 4 or 5 Views	$464.40	$516.00	$135.21–$495.36	4% above	10%
Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Tissue Contrast	$1,404.90	$1,561.00	$226.85–$1,561.00	16% below	10%
Neck soft tissue CT scan without contrast CPT 70490 HC CT Soft Tissue Neck W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	21% below	10%
Neck soft tissue X-ray CPT 70360 HC Xr Neck Soft Tissue	$383.40	$426.00	$112.55–$408.96	62% above	10%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Nuc Med Myocardium Spect Multiple--Pbb	$1,157.40	$1,286.00	$501.54–$3,588.00	67% below	10%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC Nuc Med Myocardium Spect Multiple--Pbb	$1,157.40	$1,286.00	$501.54–$3,588.00	67% below	10%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Myocard Perf Spect Multiple	$5,740.20	$6,378.00	$1,674.40–$7,903.68	62% above	10%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Myocard Perf Spect Multiple	$7,409.70	$8,233.00	$1,674.40–$7,903.68	109% above	10%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC Nuc Med Myocardium Spect Multiple--Pbb	$1,157.40	$1,286.00	$501.54–$3,588.00	—	10%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Myocard Perf Spect Multiple	$7,409.70	$8,233.00	$1,674.40–$7,903.68	—	10%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC Computerized Ophthalmic Imaging Retina--Pbb	$66.60	$74.00	$28.86–$163.49	17% below	10%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC Computerized Ophthalmic Imaging Retina--Pbb	$66.60	$74.00	$28.86–$163.49	—	10%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC Pet Imaging CT Attenuation Skull Base Mid-Thigh	$5,778.90	$6,421.00	$1,849.39–$6,164.16	32% above	10%
Pelvic CT scan without contrast CPT 72192 HC CT Pelvis,W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	27% below	10%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvic (Nonobstetric),Real Time,Limited----Pbb	$143.10	$159.00	$62.01–$289.74	69% below	10%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvic (Nonobstetric),Real Time,Limited	$526.50	$585.00	$135.21–$561.60	15% above	10%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvic (Nonobstetric),Real Time,Complete----Pbb	$165.60	$184.00	$71.76–$577.00	72% below	10%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvic (Nonobstetric),Real Time,Complete	$526.50	$585.00	$135.21–$577.00	12% below	10%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvic (Nonobstetric),Real Time,Complete----Pbb	$165.60	$184.00	$71.76–$577.00	—	10%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >/= 14 Wks, Sngl Fetus----Pbb	$119.70	$133.00	$51.87–$289.74	81% below	10%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB >/= 14 Wks, Sngl Fetus	$526.50	$585.00	$135.21–$561.60	19% below	10%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14 Wks, Single Fetus----Pbb	$119.70	$133.00	$51.87–$289.74	76% below	10%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US, Preg Uter,Fetal & Mat,1st Trimest	$392.40	$436.00	$79.96–$418.56	22% below	10%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US OB < 14 Wks, Single Fetus	$526.50	$585.00	$135.21–$561.60	5% above	10%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US, Preg Uter,Fetal & Mat,1st Trimest	$392.40	$436.00	$79.96–$418.56	—	10%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Pregnant Uterus,Limited, 1/> Fetuses----Pbb	$119.70	$133.00	$51.87–$289.74	73% below	10%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US,Pregnant Uterus,Limited, 1/> Fetuses	$270.90	$301.00	$55.45–$288.96	38% below	10%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Pregnant Uterus,Limited, 1/> Fetuses	$526.50	$585.00	$135.21–$561.60	21% above	10%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US,Pregnant Uterus,Limited, 1/> Fetuses	$270.90	$301.00	$55.45–$288.96	—	10%
Rib X-ray, one side, 2 views one side CPT 71100 HC Xr Ribs 2 Vw Unilat	$383.40	$426.00	$112.55–$408.96	30% above	10%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC Xr Ribs, Chest 3+ Vw	$464.40	$516.00	$135.21–$495.36	27% above	10%
Screening mammogram, both breasts both sides CPT 77067 HC Screening Mammography Bi 2-View Breast Inc Cad	$327.60	$364.00	$138.04–$349.44	—	10%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC Xr Shoulder 2+ Vw	$383.40	$426.00	$112.55–$408.96	17% above	10%
Sinus X-ray, complete, 3 or more views CPT 70220 HC Xr Sinuses Paranasal Comp (Min 3 View)	$383.40	$426.00	$112.55–$408.96	18% above	10%
Skull X-ray, fewer than 4 views CPT 70250 HC Xr Skull Less Than 4 Views	$464.40	$516.00	$135.21–$495.36	61% above	10%
Sleep study in a lab (polysomnography) CPT 95810 HC Polysom 6/>Yrs Sleep 4/> Addl Param Attnd - Pbb	$1,201.50	$1,335.00	$520.65–$2,379.92	60% below	10%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Tte Complete--Pbb	$613.80	$682.00	$265.98–$1,514.34	46% below	10%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Tte Complete	$1,722.60	$1,914.00	$706.69–$1,912.32	52% above	10%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC Stress Tte Complete	$1,792.80	$1,992.00	$706.69–$1,912.32	58% above	10%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC Stress Tte Complete	$1,722.60	$1,914.00	$706.69–$1,912.32	—	10%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallowing Funct W/ Video (Video Eso)	$619.20	$688.00	$226.85–$660.48	15% above	10%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Xr Femur 2 Views----Pbb	$91.80	$102.00	$39.78–$241.18	65% below	10%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Xr Femur; 2 Views	$383.40	$426.00	$112.55–$408.96	47% above	10%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Xr Femur 2 Views----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thoracic Spine,W/O Contrast	$1,052.10	$1,169.00	$135.21–$1,169.00	27% below	10%
Toe X-ray, 2 or more views CPT 73660 HC Xr Toe(S)----Pbb	$91.80	$102.00	$39.78–$241.18	63% below	10%
Toe X-ray, 2 or more views CPT 73660 HC Xr Toe(S)	$383.40	$426.00	$112.55–$408.96	56% above	10%
Toe X-ray, 2 or more views inpatient CPT 73660 HC Xr Toe(S)----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal----Pbb	$119.70	$133.00	$51.87–$577.00	76% below	10%
Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal	$526.50	$585.00	$135.21–$577.00	5% above	10%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Pregnant Uterus Transvaginal----Pbb	$119.70	$133.00	$51.87–$289.74	72% below	10%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Pregnant Uterus Transvaginal----Pbb	$119.70	$133.00	$51.87–$289.74	72% below	10%
Transvaginal ultrasound during pregnancy CPT 76817 HC US Pregnant Uterus Transvaginal	$526.50	$585.00	$135.21–$561.60	24% above	10%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US Pregnant Uterus Transvaginal----Pbb	$119.70	$133.00	$51.87–$289.74	—	10%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdom,B-Scan &/or Real Time,Complete----Pbb	$165.60	$184.00	$71.76–$289.74	76% below	10%
Ultrasound of the abdomen, complete CPT 76700 HC US Abdom,B-Scan &/or Real Time,Complete	$526.50	$585.00	$135.21–$561.60	24% below	10%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdom,B-Scan &/or Real Time,Complete----Pbb	$165.60	$184.00	$71.76–$289.74	—	10%
Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum (Contents)	$526.50	$585.00	$135.21–$561.60	9% below	10%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head/Neck Tissues,Real Time----Pbb	$162.00	$180.00	$70.20–$289.74	71% below	10%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head/Neck Tissues,Real Time	$526.50	$585.00	$135.21–$561.60	6% below	10%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Head/Neck Tissues,Real Time----Pbb	$162.00	$180.00	$70.20–$289.74	—	10%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Upper GI (Single Contrast)	$619.20	$688.00	$226.85–$660.48	9% below	10%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Xr Humerus----Pbb	$91.80	$102.00	$39.78–$241.18	67% below	10%
Upper arm X-ray (humerus), 2 views CPT 73060 HC Xr Humerus	$383.40	$426.00	$112.55–$408.96	38% above	10%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC Xr Humerus----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC Duplex Extrem Venous,Uni or Ltd--Pbb	$119.70	$133.00	$51.87–$289.74	82% below	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC US Duplex Extrem Venous,Uni or Ltd	$526.50	$585.00	$135.21–$561.60	22% below	10%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC Duplex Extrem Venous,Uni or Ltd--Pbb	$119.70	$133.00	$51.87–$289.74	—	10%
Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2 Vw----Pbb	$91.80	$102.00	$39.78–$241.18	63% below	10%
Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2 Vw	$383.40	$426.00	$112.55–$408.96	53% above	10%
Wrist X-ray, 2 views inpatient CPT 73100 HC Xr Wrist 2 Vw----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist 3+ Vw----Pbb	$91.80	$102.00	$39.78–$241.18	71% below	10%
Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist 3+ Vw	$383.40	$426.00	$112.55–$408.96	22% above	10%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Xr Wrist 3+ Vw----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip Unilateral With Pelvis 2-3 Views----Pbb	$91.80	$102.00	$39.78–$241.18	72% below	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip Unilateral With Pelvis 2-3 Views	$383.40	$426.00	$112.55–$408.96	18% above	10%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Xr Hip Unilateral With Pelvis 2-3 Views----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
X-ray of the abdomen, 1 view CPT 74018 HC X-Ray Exam Abdomen 1 View	$383.40	$426.00	$112.55–$408.96	48% above	10%
X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 Vw----Pbb	$91.80	$102.00	$39.78–$241.18	64% below	10%
X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 Vw	$383.40	$426.00	$112.55–$408.96	51% above	10%
X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 2 Vw----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger(S) 2 Views----Pbb	$91.80	$102.00	$39.78–$241.18	65% below	10%
X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger(S); 2 Views	$383.40	$426.00	$112.55–$408.96	44% above	10%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Finger(S) 2 Views----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2 Vw----Pbb	$91.80	$102.00	$39.78–$241.18	67% below	10%
X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2 Vw	$383.40	$426.00	$112.55–$408.96	38% above	10%
X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot 2 Vw----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot 3+ Vw----Pbb	$91.80	$102.00	$39.78–$241.18	70% below	10%
X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot 3+ Vw	$383.40	$426.00	$112.55–$408.96	27% above	10%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot 3+ Vw----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand 3+ Vw----Pbb	$91.80	$102.00	$39.78–$241.18	70% below	10%
X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand 3+ Vw	$383.40	$426.00	$112.55–$408.96	24% above	10%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC Xr Hand 3+ Vw----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 1 or 2 Views----Pbb	$91.80	$102.00	$39.78–$241.18	68% below	10%
X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee; 1 or 2 Views	$383.40	$426.00	$112.55–$408.96	34% above	10%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee 1 or 2 Views----Pbb	$91.80	$102.00	$39.78–$241.18	—	10%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Lumbar Spine 2/3 Vw----Pbb	$144.90	$161.00	$62.79–$289.74	61% below	10%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Lumbar Spine 2/3 Vw	$464.40	$516.00	$135.21–$495.36	25% above	10%
X-ray of the lower back, 4 or more views CPT 72110 HC Xr Lumbar Spine 4 Vw	$464.40	$516.00	$135.21–$495.36	3% above	10%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Thoracic Spine 2 Vw----Pbb	$144.90	$161.00	$62.79–$289.74	54% below	10%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Thoracic Spine 2 Vw	$464.40	$516.00	$135.21–$495.36	46% above	10%
X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bones Minimum 3 Views	$383.40	$426.00	$112.55–$408.96	50% above	10%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr Spine Cervical 2 or 3 Views	$383.40	$426.00	$112.55–$408.96	20% above	10%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1 or 2 Views----Pbb	$144.90	$161.00	$62.79–$289.74	49% below	10%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1 or 2 Views	$464.40	$516.00	$135.21–$495.36	62% above	10%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum/Coccyx 2+ Vw	$383.40	$426.00	$112.55–$408.96	35% above	10%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ACTH blood test CPT 82024 HC Assay of Acth	$164.70	$183.00	$40.55–$175.68	25% below	10%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Transferase Alanine Amino (Alt) (Sgpt)	$22.50	$25.00	$5.57–$24.00	52% below	10%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot)	$22.50	$25.00	$5.44–$24.00	47% below	10%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute	$203.40	$226.00	$50.01–$216.96	18% below	10%
Albumin blood test CPT 82040 HC Assay of Serum Albumin	$21.60	$24.00	$5.20–$23.04	39% below	10%
Aldosterone blood test CPT 82088 HC Assay of Aldosterone	$174.60	$194.00	$42.79–$186.24	4% above	10%
Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkaline Phosphatase	$22.50	$25.00	$5.44–$24.00	41% below	10%
Allergy blood test, specific IgE, per allergen CPT 86003 HC Allergen Specific Ige	$19.80	$22.00	$5.48–$21.12	26% below	10%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Allergen Specific Ige	$19.80	$22.00	$5.48–$21.12	—	10%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Serum	$72.00	$80.00	$17.61–$76.80	14% below	10%
Ammonia blood test CPT 82140 HC Assay of Ammonia	$62.10	$69.00	$15.30–$66.24	46% below	10%
Amylase blood test CPT 82150 HC Amylase (Serum or Urine)	$27.90	$31.00	$6.80–$29.76	55% below	10%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Anti C. Citrullinated Peptide 2	$49.50	$55.00	$13.60–$52.80	36% below	10%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Anti C. Citrullinated Peptide 2	$49.50	$55.00	$13.60–$52.80	36% below	10%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Anti C. Citrullinated Peptide 2	$49.50	$55.00	$13.60–$52.80	—	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies (Ana)	$45.90	$51.00	$12.69–$48.96	35% below	10%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC Antinuclear Antibodies (Ana)	$45.90	$51.00	$12.69–$48.96	35% below	10%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC Antinuclear Antibodies (Ana)	$45.90	$51.00	$12.69–$48.96	—	10%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Assay of Natriuretic Peptide	$167.40	$186.00	$41.22–$178.56	13% below	10%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Othr Specimn Aerobic	$35.10	$39.00	$9.05–$37.44	60% below	10%
Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total	$36.00	$40.00	$8.88–$38.40	52% below	10%
Bilirubin blood test, total CPT 82247 HC Bilirubin Total	$21.60	$24.00	$5.27–$23.04	51% below	10%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surgical Path Level IV;Gross,Micros	$146.70	$163.00	$56.78–$156.48	16% below	10%
Blood culture for bacteria CPT 87040 HC Blood Culture for Bacteria	$44.10	$49.00	$10.84–$72.00	70% below	10%
Blood culture for bacteria CPT 87040 HC Blood Culture for Bacteria	$67.50	$75.00	$10.84–$72.00	55% below	10%
Blood culture for bacteria inpatient CPT 87040 HC Blood Culture for Bacteria	$67.50	$75.00	$10.84–$72.00	—	10%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood,Venipuncture----Pbb	$9.90	$11.00	$4.29–$29.85	60% below	10%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection Venous Blood,Venipuncture	$28.80	$32.00	$9.81–$30.72	15% above	10%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection Venous Blood,Venipuncture	$28.80	$32.00	$9.81–$30.72	—	10%
Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose	$17.10	$19.00	$4.13–$18.24	54% below	10%
Blood lead test CPT 83655 HC Assay of Lead	$52.20	$58.00	$12.72–$55.68	18% below	10%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Preg Test, Hcg Qual	$32.40	$36.00	$7.90–$34.56	57% below	10%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing; Abo	$238.50	$265.00	$4.22–$368.73	268% above	10%
Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen, Quan	$18.00	$20.00	$4.15–$19.20	51% below	10%
C-peptide blood test CPT 84681 HC Assay of C-Peptide	$89.10	$99.00	$21.85–$95.04	19% below	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein	$19.80	$22.00	$5.44–$21.12	66% below	10%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein	$19.80	$22.00	$5.44–$21.12	—	10%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe	$159.30	$177.00	$39.13–$169.92	9% below	10%
CA 19-9 blood test (tumor marker) CPT 86301 HC Cancer Antigen 19-9	$79.20	$88.00	$21.85–$84.48	28% below	10%
CA 19-9 blood test (tumor marker) CPT 86301 HC Cancer Antigen 19-9	$79.20	$88.00	$21.85–$84.48	28% below	10%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Cancer Antigen 19-9	$79.20	$88.00	$21.85–$84.48	—	10%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Cancer Antigen 125	$79.20	$88.00	$21.85–$84.48	34% below	10%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC Cancer Antigen 125	$79.20	$88.00	$21.85–$84.48	34% below	10%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Cancer Antigen 125	$79.20	$88.00	$21.85–$84.48	—	10%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Sars-Cov-2 Covid-19 Amp Prb	$219.60	$244.00	$53.88–$234.24	109% above	10%
Calcium blood test, total CPT 82310 HC Assay of Calcium, Total	$22.50	$25.00	$5.42–$24.00	47% below	10%
Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Antigen	$81.00	$90.00	$19.91–$86.40	38% below	10%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster Antibody	$49.50	$55.00	$13.52–$52.80	38% below	10%
Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster Antibody	$49.50	$55.00	$13.52–$52.80	38% below	10%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella-Zoster Antibody	$49.50	$55.00	$13.52–$52.80	—	10%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach Dna Amp Probe	$150.30	$167.00	$36.84–$160.32	12% above	10%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel	$57.60	$64.00	$14.06–$61.44	35% below	10%
Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc W/Auto Diff Wbc	$42.30	$47.00	$8.16–$45.12	37% below	10%
Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc Automated	$42.30	$47.00	$6.79–$45.12	17% below	10%
Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehen Metabolic Panel	$45.00	$50.00	$11.09–$48.00	51% below	10%
Cortisol blood test, total CPT 82533 HC Total Cortisol	$69.30	$77.00	$17.12–$73.92	34% below	10%
Creatine kinase (CK) blood test, total CPT 82550 HC Assay of CK (Cpk)	$27.90	$31.00	$6.84–$29.76	58% below	10%
Creatinine blood test CPT 82565 HC Assay of Creatinine	$21.60	$24.00	$5.38–$23.04	50% below	10%
Cytomegalovirus (CMV) antibody test CPT 86644 HC Cytomegalovirus Ab, Igg	$54.90	$61.00	$15.11–$58.56	28% below	10%
D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradation Quant	$54.90	$61.00	$10.69–$58.56	54% below	10%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone	$95.40	$106.00	$23.34–$154.56	26% below	10%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone	$144.90	$161.00	$23.34–$154.56	13% above	10%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Dehydroepiandrosterone	$144.90	$161.00	$23.34–$154.56	—	10%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test Prsmv Instrmnt Chemistry Analyzers	$265.50	$295.00	$65.25–$283.20	65% above	10%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel	$29.70	$33.00	$7.36–$31.68	46% below	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca	$69.30	$77.00	$19.05–$73.92	27% below	10%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca	$69.30	$77.00	$19.05–$73.92	27% below	10%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Epstein-Barr Capsid Vca	$69.30	$77.00	$19.05–$73.92	—	10%
Estradiol blood test CPT 82670 HC Assay of Estradiol	$119.70	$133.00	$29.34–$127.68	14% below	10%
FSH (follicle-stimulating hormone) test CPT 83001 HC Assay of Gonadotropin (Fsh)	$79.20	$88.00	$19.51–$84.48	16% below	10%
Fecal calprotectin (stool inflammation test) CPT 83993 HC Assay for Calprotectin Fecal	$83.70	$93.00	$20.61–$89.28	58% below	10%
Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin	$58.50	$65.00	$14.31–$62.40	41% below	10%
Fibrinogen blood test CPT 85384 HC Fibrinogen Activity	$52.20	$58.00	$10.21–$55.68	35% below	10%
Folate (folic acid) blood test CPT 82746 HC Assay of Folic Acid Serum	$63.00	$70.00	$15.44–$67.20	40% below	10%
Free T3 thyroid hormone test CPT 84481 HC Free Assay (Ft-3)	$72.00	$80.00	$17.79–$76.80	20% below	10%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine	$38.70	$43.00	$9.47–$41.28	44% below	10%
Free testosterone test CPT 84402 HC Assay of Free Testosterone	$108.90	$121.00	$26.74–$116.16	15% below	10%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt	$30.60	$34.00	$7.56–$32.64	44% below	10%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel	$94.50	$105.00	$40.95–$100.80	59% below	10%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose Post Glucose Dose	$20.70	$23.00	$4.99–$22.08	50% below	10%
Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance,Fast 1hr,2hr	$54.90	$61.00	$13.51–$58.56	25% below	10%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae Dna Amp Prob	$150.30	$167.00	$36.84–$160.32	19% above	10%
H. pylori antibody blood test CPT 86677 HC Helicobacter Pylori Antibody	$64.80	$72.00	$17.69–$69.12	25% below	10%
H. pylori antibody blood test inpatient CPT 86677 HC Helicobacter Pylori Antibody	$64.80	$72.00	$17.69–$69.12	—	10%
H. pylori stool antigen test CPT 87338 HC H Pylori Ag, Stool	$61.20	$68.00	$15.10–$65.28	57% below	10%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv 1 Rna Quantitation	$363.60	$404.00	$89.36–$387.84	6% below	10%
HIV-1 and HIV-2 antibody test CPT 86703 HC Antibody Hiv-1&Hiv-2 Single Result	$52.20	$58.00	$14.40–$55.68	39% below	10%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Antibody Hiv-1&Hiv-2 Single Result	$52.20	$58.00	$14.40–$55.68	—	10%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single	$101.70	$113.00	$25.28–$108.48	4% above	10%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Iadna Human Papillomavirus High-Risk Types	$150.30	$167.00	$36.84–$160.32	6% above	10%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycated	$41.40	$46.00	$10.20–$44.16	41% below	10%
Hemoglobin blood test CPT 85018 HC Hemoglobin	$12.60	$14.00	$2.49–$13.44	57% below	10%
Hepatitis B core antibody test (total) CPT 86704 HC Hepatitis B Core Ab, Total	$45.90	$51.00	$12.65–$48.96	33% below	10%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hepatitis B Core Ab, Total	$45.90	$51.00	$12.65–$48.96	—	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Ab Test	$41.40	$46.00	$11.28–$44.16	44% below	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hep B Surface Antibody	$47.70	$53.00	$11.28–$50.88	36% below	10%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Ab Test	$41.40	$46.00	$11.28–$44.16	—	10%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Hepatitis B Surface Antigen	$44.10	$49.00	$10.85–$47.04	42% below	10%
Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody	$54.90	$61.00	$14.98–$58.56	36% below	10%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody	$54.90	$61.00	$14.98–$58.56	—	10%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC Hepatitis C Rna, Quant	$182.70	$203.00	$44.98–$194.88	46% below	10%
Herpes blood test, HSV-1 antibody CPT 86695 HC Herpes Simplex Antibody Type I	$50.40	$56.00	$13.85–$53.76	27% below	10%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Herpes Simplex Antibody Type I	$50.40	$56.00	$13.85–$53.76	—	10%
Herpes blood test, HSV-2 antibody CPT 86696 HC Herpes Simplex Antibody Type II	$73.80	$82.00	$20.32–$78.72	16% below	10%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Herpes Simplex Antibody Type II	$73.80	$82.00	$20.32–$78.72	—	10%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC Crp, High Sensitivity	$49.50	$55.00	$13.60–$52.80	33% below	10%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC Crp, High Sensitivity	$49.50	$55.00	$13.60–$52.80	—	10%
Homocysteine blood test CPT 83090 HC Assay of Homocystine	$76.50	$85.00	$18.82–$81.60	37% below	10%
Insulin blood test CPT 83525 HC Assay of Insulin	$48.60	$54.00	$12.00–$51.84	41% below	10%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron	$27.90	$31.00	$6.79–$29.76	41% below	10%
Iron blood test (serum iron) CPT 83540 HC Assay of Iron----Pbb	$45.00	$50.00	$6.79–$48.00	4% below	10%
Iron blood test (serum iron) inpatient CPT 83540 HC Assay of Iron----Pbb	$45.00	$50.00	$6.79–$48.00	—	10%
Iron-binding capacity (TIBC) test CPT 83550 Hcon Binding Capacity Total	$35.10	$39.00	$9.18–$37.44	42% below	10%
Kidney function blood test panel CPT 80069 HC Renal Function Panel	$36.90	$41.00	$9.11–$39.36	51% below	10%
LH (luteinizing hormone) test CPT 83002 HC Assay of Gonadotropin (Lh)	$79.20	$88.00	$19.45–$84.48	18% below	10%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid	$49.50	$55.00	$12.15–$80.64	51% below	10%
Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid	$75.60	$84.00	$12.15–$80.64	24% below	10%
Lactate (lactic acid) blood test inpatient CPT 83605 HC Assay of Lactic Acid	$75.60	$84.00	$12.15–$80.64	—	10%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate (Ld) (Ldh) Enzyme	$26.10	$29.00	$6.34–$27.84	40% below	10%
Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase	$29.70	$33.00	$7.23–$31.68	65% below	10%
Liver function blood test panel CPT 80076 HC Hepatic Function Panel	$35.10	$39.00	$8.58–$37.44	46% below	10%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody	$64.80	$72.00	$17.88–$69.12	33% below	10%
Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody	$64.80	$72.00	$17.88–$69.12	33% below	10%
Lyme disease antibody test inpatient CPT 86618 HC Lyme Disease Antibody	$64.80	$72.00	$17.88–$69.12	—	10%
Magnesium blood test CPT 83735 HC Assay of Magnesium	$28.80	$32.00	$7.04–$30.72	47% below	10%
Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody	$49.50	$55.00	$13.52–$52.80	30% below	10%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Mononucleosis Screen	$19.80	$22.00	$5.44–$21.12	65% below	10%
Mono test (heterophile antibody, Monospot) CPT 86308 HC Mononucleosis Screen	$19.80	$22.00	$5.44–$21.12	65% below	10%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Mononucleosis Screen	$19.80	$22.00	$5.44–$21.12	—	10%
Mumps immunity blood test CPT 86735 HC Mumps Antibody	$49.50	$55.00	$13.70–$52.80	31% below	10%
Obstetric blood test panel CPT 80055 HC Obstetric Panel	$321.30	$357.00	$50.20–$342.72	174% above	10%
Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel	$321.30	$357.00	$50.20–$342.72	—	10%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC Psa, Free	$78.30	$87.00	$19.31–$83.52	20% below	10%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Psa Total	$78.30	$87.00	$19.31–$83.52	29% below	10%
Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopat,Cer/Vag,Thin Layer,Man Res,Inter	$36.00	$40.00	$15.60–$89.94	61% below	10%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopath Cerv/Vag Thin Layer----Pbb	$22.50	$25.00	$9.75–$68.48	73% below	10%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopath Cerv/Vag Thin Layer----Pbb	$22.50	$25.00	$9.75–$68.48	73% below	10%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytopath Cerv/Vag Thin Layer----Pbb	$22.50	$25.00	$9.75–$68.48	—	10%
Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone	$176.40	$196.00	$43.34–$188.16	17% below	10%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial	$32.40	$36.00	$6.31–$34.56	21% below	10%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Phosphorus	$20.70	$23.00	$4.98–$32.64	48% below	10%
Phosphorus (phosphate) blood test CPT 84100 HC Assay of Phosphorus	$30.60	$34.00	$4.98–$32.64	24% below	10%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC Assay of Phosphorus	$30.60	$34.00	$4.98–$32.64	—	10%
Potassium blood test CPT 84132 HC Assay of Serum Potassium	$20.70	$23.00	$5.00–$22.08	50% below	10%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Fetal Chromosomal Aneuploidy Genomic Seq Analys	$2,236.50	$2,485.00	$797.00–$2,565.59	192% above	10%
Progesterone blood test CPT 84144 HC Progesterone	$89.10	$99.00	$21.90–$95.04	9% below	10%
Prolactin blood test CPT 84146 HC Assay of Prolactin	$82.80	$92.00	$20.35–$88.32	24% below	10%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time----Pbb	$4.50	$5.00	$1.95–$14.50	89% below	10%
Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time	$23.40	$26.00	$4.50–$24.96	42% below	10%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC Urine Drug Test	$51.30	$57.00	$13.23–$54.72	3% above	10%
Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza	$71.10	$79.00	$17.38–$75.84	5% above	10%
Rapid flu test (influenza antigen) CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza----Pbb	$80.10	$89.00	$17.38–$85.44	18% above	10%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC Detect Agent,Immun,Dir Obs,Influenza----Pbb	$80.10	$89.00	$17.38–$85.44	—	10%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic----Pbb	$18.90	$21.00	$8.19–$55.87	74% below	10%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic	$71.10	$79.00	$17.36–$75.84	1% below	10%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Strep a Assay W/Optic----Pbb	$18.90	$21.00	$8.19–$55.87	—	10%
Renin blood test CPT 84244 HC Assay of Renin	$93.60	$104.00	$23.09–$99.84	29% below	10%
Rh blood typing CPT 86901 HC Blood Typing Serologic Rh (D)	$144.00	$160.00	$4.22–$153.60	201% above	10%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor;Quantitative	$21.60	$24.00	$5.95–$23.04	46% below	10%
Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor;Quantitative	$21.60	$24.00	$5.95–$23.04	46% below	10%
Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor;Quantitative	$21.60	$24.00	$5.95–$23.04	—	10%
Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody	$54.90	$61.00	$15.11–$58.56	20% below	10%
Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Antibody	$54.90	$61.00	$15.11–$58.56	—	10%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sedimentation Rate, Erythrocyte; Automat	$14.40	$16.00	$2.84–$15.36	60% below	10%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC Semen Analysis,Volume, Count, Motility, Diff	$37.80	$42.00	$12.93–$41.61	40% below	10%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC Semen Analysis,Volume, Count, Motility, Diff	$37.80	$42.00	$12.93–$41.61	—	10%
Sodium blood test CPT 84295 HC Assay of Serum Sodium	$20.70	$23.00	$5.05–$22.08	51% below	10%
Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears	$37.80	$42.00	$9.35–$40.32	44% below	10%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood Feces----Pbb	$4.50	$5.00	$1.95–$14.80	85% below	10%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Occult Blood Feces	$18.90	$21.00	$4.60–$20.16	38% below	10%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Bld Occult Fecal Hgb Deter Ia	$68.40	$76.00	$16.72–$72.96	8% below	10%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC Treponemia Pallidium Ab	$50.40	$56.00	$13.90–$53.76	26% below	10%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Treponemia Pallidium Ab	$50.40	$56.00	$13.90–$53.76	—	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl Screen CSF	$16.20	$18.00	$4.48–$17.28	50% below	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Vdrl Screen CSF	$16.20	$18.00	$4.48–$17.28	50% below	10%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Vdrl Screen CSF	$16.20	$18.00	$4.48–$17.28	—	10%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Quantiferon TB Gold	$236.70	$263.00	$65.08–$252.48	14% above	10%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Quantiferon TB Gold	$236.70	$263.00	$65.08–$252.48	—	10%
Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone	$110.70	$123.00	$27.10–$118.08	14% below	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody Each	$55.80	$62.00	$15.28–$59.52	31% below	10%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody Each	$55.80	$62.00	$15.28–$59.52	31% below	10%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Microsomal Antibody Each	$55.80	$62.00	$15.28–$59.52	—	10%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone	$72.00	$80.00	$17.64–$76.80	32% below	10%
Total IgE blood test CPT 82785 HC Assay of Ige	$70.20	$78.00	$17.28–$74.88	27% below	10%
Total cholesterol blood test CPT 82465 HC Assay Bld/Serum Cholesterol	$18.90	$21.00	$4.57–$20.16	48% below	10%
Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine	$29.70	$33.00	$7.21–$31.68	48% below	10%
Total triiodothyronine (T3) blood test CPT 84480 HC Assay Triiodothyronine (T3)	$60.30	$67.00	$14.89–$64.32	34% below	10%
Transferrin blood test CPT 84466 HC Assay of Transferrin	$54.90	$61.00	$13.40–$58.56	38% below	10%
Trichomonas test (NAAT) CPT 87661 HC Iadna Trichomonas Vaginalis Amplified Probe Tech	$150.30	$167.00	$36.84–$160.32	37% above	10%
Triglycerides blood test CPT 84478 HC Assay of Triglycerides	$24.30	$27.00	$6.03–$25.92	45% below	10%
Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant	$53.10	$59.00	$13.09–$86.40	61% below	10%
Troponin test, quantitative CPT 84484 HC Assay of Troponin, Quant	$81.00	$90.00	$13.09–$86.40	41% below	10%
Troponin test, quantitative inpatient CPT 84484 HC Assay of Troponin, Quant	$81.00	$90.00	$13.09–$86.40	—	10%
Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood	$19.80	$22.00	$4.75–$21.12	56% below	10%
Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis Complete	$17.10	$19.00	$3.33–$18.24	57% below	10%
Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis, Nonauto, W/Scope	$17.10	$19.00	$4.22–$18.24	at median	10%
Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis, Nonauto, W/Scope----Pbb	$21.60	$24.00	$4.22–$23.04	26% above	10%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC Urinalysis, Nonauto, W/Scope----Pbb	$21.60	$24.00	$4.22–$23.04	—	10%
Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope	$12.60	$14.00	$2.36–$13.44	56% below	10%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope----Pbb	$3.60	$4.00	$1.56–$11.76	82% below	10%
Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope	$20.70	$23.00	$3.65–$22.08	2% above	10%
Urine culture for bacteria, with colony count CPT 87086 HC Urine Culture, Colony Count	$34.20	$38.00	$8.47–$36.48	59% below	10%
Urine microalbumin (albumin) test CPT 82043 HC Microalbumin Quantitative	$24.30	$27.00	$6.07–$25.92	54% below	10%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test----Pbb	$10.80	$12.00	$4.68–$29.10	78% below	10%
Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test	$46.80	$52.00	$9.04–$49.92	6% below	10%
Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12	$64.80	$72.00	$15.83–$69.12	35% below	10%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Calcifediol (25-Oh Vitamin D-3	$126.90	$141.00	$31.08–$135.36	7% below	10%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1,25 Dihydroxy Vitamin D	$164.70	$183.00	$40.43–$175.68	5% below	10%
Zinc blood test CPT 84630 HC Assay of Zinc	$48.60	$54.00	$11.96–$51.84	36% below	10%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg, Qnt, (Pregnancy	$63.90	$71.00	$15.80–$68.16	41% below	10%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Botox injections for chronic migraine CPT 64615 HC Chemodenerv Musc Migraine--Pbb	$328.50	$365.00	$142.35–$850.69	13% below	10%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC ED Closed Rx Dist Fibula Fx	$753.30	$837.00	$319.02–$803.52	16% above	10%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Rx Dist Fibula Fx	$1,055.70	$1,173.00	$203.77–$1,126.08	62% above	10%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed Rx Dist Fibula Fx	$1,055.70	$1,173.00	$203.77–$1,126.08	62% above	10%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC ED Closed Rx Dist Fibula Fx	$753.30	$837.00	$319.02–$803.52	—	10%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed Rx Dist Fibula Fx	$1,055.70	$1,173.00	$203.77–$1,126.08	—	10%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed Rx Dist Fibula Fx	$1,055.70	$1,173.00	$203.77–$1,126.08	—	10%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Rx Metatarsal Fx	$730.80	$812.00	$145.95–$779.52	27% above	10%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Rx Metatarsal Fx	$730.80	$812.00	$145.95–$779.52	27% above	10%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC ED Closed Rx Metatarsal Fx	$743.40	$826.00	$319.02–$792.96	30% above	10%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Rx Metatarsal Fx	$730.80	$812.00	$145.95–$779.52	—	10%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Rx Metatarsal Fx	$730.80	$812.00	$145.95–$779.52	—	10%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC ED Closed Rx Metatarsal Fx	$743.40	$826.00	$319.02–$792.96	—	10%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Left Heart Cath W Corangio W/WO Lt Vent	$9,018.00	$10,020.00	$3,907.80–$9,619.20	15% below	10%
Cardiac catheterization with coronary angiogram one side CPT 93458 HC Left Heart Cath W Corangio W/WO Lt Vent	$9,018.00	$10,020.00	$3,907.80–$9,619.20	15% below	10%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC Left Heart Cath W Corangio W/WO Lt Vent	$9,018.00	$10,020.00	$3,907.80–$9,619.20	—	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electric Ext--Pbb	$776.70	$863.00	$336.57–$1,831.75	29% below	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Electric Ext	$1,031.40	$1,146.00	$446.94–$1,831.75	6% below	10%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ED Cardioversion Electric Ext	$2,090.70	$2,323.00	$854.82–$2,230.08	91% above	10%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Electric Ext--Pbb	$776.70	$863.00	$336.57–$1,831.75	—	10%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Electric Ext	$1,031.40	$1,146.00	$446.94–$1,831.75	—	10%
Carpal tunnel release, open surgery CPT 64721 HC Carpal Tunnel Surgery -Pbb	$2,408.40	$2,676.00	$1,043.64–$5,411.80	28% below	10%
Carpal tunnel release, open surgery inpatient CPT 64721 HC Carpal Tunnel Surgery -Pbb	$2,408.40	$2,676.00	$1,043.64–$5,411.80	—	10%
Catheter ablation for atrial fibrillation CPT 93656 HC Eval W Ablation of Afib by Pulm Vein	$40,737.60	$45,264.00	$17,652.96–$72,438.73	58% above	10%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC Eval W Ablation of Afib by Pulm Vein	$40,737.60	$45,264.00	$17,652.96–$72,438.73	—	10%
Cervical biopsy CPT 57500 HC Biopsy Cervix, 1 or More, or Excision of Lesion--Pbb	$825.30	$917.00	$357.63–$2,552.61	6% above	10%
Cervical biopsy CPT 57500 HC ED Biopsy/Excis Cervical Lesn	$2,316.60	$2,574.00	$1,003.86–$2,552.61	197% above	10%
Cervical biopsy inpatient CPT 57500 HC Biopsy Cervix, 1 or More, or Excision of Lesion--Pbb	$825.30	$917.00	$357.63–$2,552.61	—	10%
Cervical biopsy inpatient CPT 57500 HC ED Biopsy/Excis Cervical Lesn	$2,316.60	$2,574.00	$1,003.86–$2,552.61	—	10%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC Circumcision,Other,28+ D/O - Pbb	$2,188.80	$2,432.00	$948.48–$5,793.31	35% below	10%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC Circumcision,Clamp,Newborn	$3,789.00	$3,789.00	$1,477.71–$5,793.31	785% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC Circumcision,Clamp,Newborn	$3,789.00	$3,789.00	$1,477.71–$5,793.31	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED Treat Fracture Radius/Ulna W/O Manipulation	$761.40	$846.00	$319.02–$812.16	23% above	10%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Rx Dist Rad/Ulna Fx	$1,107.00	$1,230.00	$234.73–$1,180.80	79% above	10%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Rx Dist Rad/Ulna Fx	$1,107.00	$1,230.00	$234.73–$1,180.80	79% above	10%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED Treat Fracture Radius/Ulna W/O Manipulation	$761.40	$846.00	$319.02–$812.16	—	10%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed Rx Dist Rad/Ulna Fx	$1,107.00	$1,230.00	$234.73–$1,180.80	—	10%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed Rx Dist Rad/Ulna Fx	$1,107.00	$1,230.00	$234.73–$1,180.80	—	10%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC Colposcopy,Cervix W/Adj Vag,W/Loop Bx--Pbb	$3,452.40	$3,836.00	$1,496.04–$8,971.40	4% above	10%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC Colposc,Cervix W/Adj Vag,W/Bx & Curretag--Pbb	$342.00	$380.00	$148.20–$844.53	22% below	10%
Coronary stent placement, one artery CPT 92928 HC Prq Card Stent W/Angio 1 Vsl	$23,012.10	$25,569.00	$9,971.91–$31,993.68	8% above	10%
Coronary stent placement, one artery CPT 92928 HC Prq Card Stent W/Angio 1 Vsl	$23,012.10	$25,569.00	$9,971.91–$31,993.68	8% above	10%
Coronary stent placement, one artery inpatient CPT 92928 HC Prq Card Stent W/Angio 1 Vsl	$23,012.10	$25,569.00	$9,971.91–$31,993.68	—	10%
Cystoscopy with ureteral stent placement CPT 52332 HC Cystoscopy,Insert Ureteral Stent	$3,525.30	$3,917.00	$1,527.63–$9,769.17	32% below	10%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy--Pbb	$747.00	$830.00	$323.70–$1,932.50	19% below	10%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC Cystourethroscopy	$1,194.30	$1,327.00	$517.53–$1,932.50	29% above	10%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC ED Cystourethroscopy	$2,129.40	$2,366.00	$901.83–$2,271.36	130% above	10%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy--Pbb	$747.00	$830.00	$323.70–$1,932.50	—	10%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC Cystourethroscopy	$1,194.30	$1,327.00	$517.53–$1,932.50	—	10%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Dilation/Curettage,Diagnostic--Pbb	$3,430.80	$3,812.00	$1,486.68–$8,971.40	16% above	10%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Dilation/Curettage,Diagnostic	$5,630.40	$6,256.00	$2,439.84–$8,971.40	90% above	10%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC Dilation/Curettage,Diagnostic	$5,630.40	$6,256.00	$2,439.84–$8,971.40	—	10%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruc Premalignant, First Lesion--Pbb	$223.20	$248.00	$96.72–$556.04	20% above	10%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC Destruc Premalignant, First Lesion	$340.20	$378.00	$147.42–$556.04	84% above	10%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC Destruc Premalignant, First Lesion	$340.20	$378.00	$147.42–$556.04	—	10%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC Create Eardrum Opening,Local Anesth--Pbb	$571.50	$635.00	$247.65–$1,494.70	9% above	10%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC ED Removal of Impacted Cerumen	$205.20	$228.00	$76.30–$218.88	84% above	10%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC Removal Impacted Cerumen Irrigation/Lvg Unilat	$66.60	$74.00	$28.86–$163.49	40% below	10%
Earwax removal with instruments, one ear one side CPT 69210 HC Removal Impacted Cerumen Instrumentation Unilat--Pbb	$66.60	$74.00	$28.86–$163.49	61% below	10%
Earwax removal with instruments, one ear one side CPT 69210 HC ED Removal Impacted Cerumen Instrumentation Unilat	$218.70	$243.00	$76.30–$233.28	28% above	10%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC ED Removal Impacted Cerumen Instrumentation Unilat	$218.70	$243.00	$76.30–$233.28	—	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Biopsy of Uterus Lining--Pbb	$224.10	$249.00	$97.11–$560.30	23% below	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC Biopsy of Uterus Lining	$286.20	$318.00	$124.02–$560.30	2% below	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ED Biopsy of Uterus Lining	$572.40	$636.00	$248.04–$610.56	95% above	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC Biopsy of Uterus Lining--Pbb	$224.10	$249.00	$97.11–$560.30	—	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC Biopsy of Uterus Lining	$286.20	$318.00	$124.02–$560.30	—	10%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ED Biopsy of Uterus Lining	$572.40	$636.00	$248.04–$610.56	—	10%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn	$1,518.30	$1,687.00	$657.93–$1,956.29	at median	10%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Inject Intravitreal Pharmcologic--Pbb	$372.60	$414.00	$161.46–$915.41	53% below	10%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC Inject Intravitreal Pharmcologic	$665.10	$739.00	$288.21–$915.41	16% below	10%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC ED Injection Eye Drug	$1,128.60	$1,254.00	$427.19–$1,203.84	42% above	10%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC Inject Intravitreal Pharmcologic--Pbb	$372.60	$414.00	$161.46–$915.41	—	10%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC Inject Intravitreal Pharmcologic	$665.10	$739.00	$288.21–$915.41	—	10%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC ED Injection Eye Drug	$1,128.60	$1,254.00	$427.19–$1,203.84	—	10%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level	$1,097.10	$1,219.00	$475.41–$2,451.24	52% below	10%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level	$2,148.30	$2,387.00	$475.41–$2,451.24	7% below	10%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Inj Dx/Ther Agnt Paravert Facet Joint, Lumbar/Sac, 1st Level	$1,097.10	$1,219.00	$475.41–$2,451.24	—	10%
Hammertoe correction surgery CPT 28285 HC Repair of Hammertoe,One - Pbb	$3,933.90	$4,371.00	$1,704.69–$9,068.05	at median	10%
Hammertoe correction surgery inpatient CPT 28285 HC Repair of Hammertoe,One - Pbb	$3,933.90	$4,371.00	$1,704.69–$9,068.05	—	10%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC Hemorrhoidectomy Internal Rubber Band Ligations--Pbb	$1,008.00	$1,120.00	$436.80–$2,577.29	20% below	10%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Cath/Inject Hysterosalpingogram--Pbb	$249.30	$277.00	$108.03–$265.92	2% below	10%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Xr Cath/Inject Hysterosalpingogram	$565.20	$628.00	$244.92–$602.88	123% above	10%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Catheterization + Intro of Saline/Contrast for Sis/Hsg	$619.20	$688.00	$268.32–$660.48	144% above	10%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC Catheterization + Intro of Saline/Contrast for Sis/Hsg	$619.20	$688.00	$268.32–$660.48	144% above	10%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC Catheterization + Intro of Saline/Contrast for Sis/Hsg	$619.20	$688.00	$268.32–$660.48	—	10%
IUD insertion (the device itself billed separately) CPT 58300 HC Insert Intrauterine Device--Pbb	$99.90	$111.00	$43.29–$106.56	65% below	10%
IUD insertion (the device itself billed separately) CPT 58300 HC Insertion Intrauterine Device Iud	$144.90	$161.00	$62.79–$154.56	49% below	10%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC Insertion Intrauterine Device Iud	$144.90	$161.00	$62.79–$154.56	—	10%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Drain Skin Abscess Simple--Pbb	$223.20	$248.00	$96.72–$556.04	40% below	10%
Incision and drainage of a simple or single skin abscess CPT 10060 HC Drain Skin Abscess Simple	$386.10	$429.00	$167.31–$556.04	3% above	10%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED Drain Skin Abscess Simple	$666.90	$741.00	$259.49–$711.36	78% above	10%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Drain Skin Abscess Simple	$386.10	$429.00	$167.31–$556.04	—	10%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inject Tendon Sheath/Ligament--Pbb	$328.50	$365.00	$142.35–$850.69	9% above	10%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC US Inj Tendon Sheath/Ligament	$476.10	$529.00	$206.31–$850.69	57% above	10%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC Inject Tendon Sheath/Ligament	$682.20	$758.00	$295.62–$850.69	126% above	10%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC US Inj Tendon Sheath/Ligament	$476.10	$529.00	$206.31–$850.69	—	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$328.50	$232.00	$29.88–$222.72	32% below	-42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$328.50	$365.00	$142.35–$850.69	32% below	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC CT Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O	$525.60	$584.00	$227.76–$850.69	8% above	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$721.80	$802.00	$312.78–$850.69	49% above	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$722.70	$803.00	$312.78–$850.69	49% above	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ED Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$972.00	$1,080.00	$396.99–$1,036.80	100% above	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$328.50	$365.00	$142.35–$850.69	—	10%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O US	$721.80	$802.00	$312.78–$850.69	—	10%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Implant Device--Pbb	$144.90	$161.00	$62.79–$368.73	48% below	10%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC Insertion Drug Implant Device	$239.40	$266.00	$103.74–$368.73	13% below	10%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC Insertion Drug Implant Device	$239.40	$266.00	$103.74–$368.73	—	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US--Pbb	$328.50	$365.00	$142.35–$850.69	28% below	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$721.80	$802.00	$312.78–$850.69	58% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$722.70	$803.00	$312.78–$850.69	58% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ED Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$972.00	$1,080.00	$396.99–$1,036.80	112% above	10%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC Arthrocentesis Aspir&/Inj Interm Jt/Burs W/O US	$721.80	$802.00	$312.78–$850.69	—	10%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC Arthrocentesis Aspir&/Inj Small Jt/Bursa W/O US--Pbb	$328.50	$365.00	$142.35–$850.69	13% below	10%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC CT Joint Aspiration/Inject Small	$493.20	$548.00	$213.72–$850.69	30% above	10%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ED Drain/Inj Joint/Bursa W/O US	$986.40	$1,096.00	$396.99–$1,052.16	160% above	10%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC After Cataract Laser Surgery--Pbb	$616.50	$685.00	$267.15–$1,524.27	31% below	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm--Pbb	$449.10	$499.00	$194.61–$1,126.62	32% below	10%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC ED Layr Clos Wnd Trunk,Arm,Leg <2.5 Cm	$1,251.90	$1,391.00	$525.76–$1,335.36	90% above	10%
Left heart catheterization, diagnostic one side CPT 93452 HC Left Heart Cath W/Ventrclgrphy	$5,031.00	$5,590.00	$2,180.10–$8,984.72	38% below	10%
Left heart catheterization, diagnostic one side CPT 93452 HC Left Heart Cath W/Ventrclgrphy	$5,031.00	$5,590.00	$2,180.10–$8,984.72	38% below	10%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Left Heart Cath W/Ventrclgrphy	$5,031.00	$5,590.00	$2,180.10–$8,984.72	—	10%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,348.20	$1,498.00	$584.22–$1,956.29	12% below	10%
Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn - Pbb	$1,666.80	$1,852.00	$722.28–$1,956.29	9% above	10%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn	$1,348.20	$1,498.00	$584.22–$1,956.29	—	10%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Injection of Lumbar or Sacral	$1,353.60	$1,504.00	$586.56–$2,451.24	21% below	10%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level	$1,562.40	$1,736.00	$677.04–$2,451.24	9% below	10%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level	$2,148.30	$2,387.00	$677.04–$2,451.24	25% above	10%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Injection of Lumbar or Sacral	$1,353.60	$1,504.00	$586.56–$2,451.24	—	10%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inject Anes/Steroid Foramen Lumbar/Sacral W Img Guide ,1 Level	$1,562.40	$1,736.00	$677.04–$2,451.24	—	10%
Lumpectomy (partial mastectomy) CPT 19301 HC Partial Mastectomy	$4,077.90	$4,531.00	$1,767.09–$10,851.27	44% below	10%
Miscarriage treatment with D&C, first trimester CPT 59820 HC Care of Miscarriage Pbb	$3,591.00	$3,990.00	$1,556.10–$8,971.40	25% below	10%
Miscarriage treatment with D&C, first trimester CPT 59820 HC Care of Miscarriage	$5,445.90	$6,051.00	$2,359.89–$8,971.40	13% above	10%
Miscarriage treatment with D&C, first trimester CPT 59820 HC ED Tx Missed Abortion First Trimester Surgical	$9,942.30	$11,047.00	$4,186.65–$10,605.12	107% above	10%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC Care of Miscarriage Pbb	$3,591.00	$3,990.00	$1,556.10–$8,971.40	—	10%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC ED Tx Missed Abortion First Trimester Surgical	$9,942.30	$11,047.00	$4,186.65–$10,605.12	—	10%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC 1 Stage, Head/Neck/Hand/Feet/Gential--Pbb	$677.70	$753.00	$293.67–$2,048.27	19% below	10%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC 1 Stage, Head/Neck/Hand/Feet/Gential	$982.80	$1,092.00	$425.88–$2,048.27	18% above	10%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC 1 Stage, Head/Neck/Hand/Feet/Gential--Pbb	$677.70	$753.00	$293.67–$2,048.27	—	10%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC 1 Stage, Head/Neck/Hand/Feet/Gential	$982.80	$1,092.00	$425.88–$2,048.27	—	10%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Exc Skin Benig <5mm Trunk,Arm,Leg--Pbb	$716.40	$796.00	$310.44–$1,962.52	3% below	10%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC Exc Skin Benig <5mm Face,Facial--Pbb	$716.40	$796.00	$310.44–$1,962.52	5% below	10%
Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate--Pbb	$223.20	$248.00	$96.72–$556.04	20% below	10%
Nail removal (partial or complete), one nail CPT 11730 HC Removal of Nail Plate	$390.60	$434.00	$169.26–$556.04	40% above	10%
Nail removal (partial or complete), one nail CPT 11730 HC ED Removal of Nail Plate	$666.90	$741.00	$259.49–$711.36	138% above	10%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC Removal of Nail Plate	$390.60	$434.00	$169.26–$556.04	—	10%
Occipital nerve block (injection for headaches) CPT 64405 HC Inject Nerv Blck,Great Occiptl--Pbb	$328.50	$365.00	$142.35–$850.69	50% below	10%
Occipital nerve block (injection for headaches) CPT 64405 HC Injection Aa&/Strd Greater Occipital Nerve	$578.70	$643.00	$250.77–$850.69	13% below	10%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Injection Aa&/Strd Greater Occipital Nerve	$578.70	$643.00	$250.77–$850.69	—	10%
Pacemaker implant (dual chamber) CPT 33208 HC Insrt Heart Pacemaker Atrial & Vent	$14,931.00	$16,590.00	$6,470.10–$28,966.77	43% above	10%
Pacemaker implant (dual chamber) CPT 33208 HC Insrt Heart Pacemaker Atrial & Vent	$14,931.00	$16,590.00	$6,470.10–$28,966.77	43% above	10%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC Insrt Heart Pacemaker Atrial & Vent	$14,931.00	$16,590.00	$6,470.10–$28,966.77	—	10%
Paracentesis with imaging guidance CPT 49083 HC Abdom Paracentesis Dx/Ther W Imaging Guidance-Pbb	$985.50	$1,095.00	$427.05–$2,513.63	26% below	10%
Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Imaging Guidance	$1,623.60	$1,804.00	$703.56–$2,513.63	22% above	10%
Paracentesis with imaging guidance CPT 49083 HC CT Abdominal Paracentesis W/Imaging Guidance	$1,969.20	$2,188.00	$853.32–$2,513.63	49% above	10%
Paracentesis with imaging guidance CPT 49083 HC US Abdominal Paracentesis W/Imaging Guidance	$1,969.20	$2,188.00	$853.32–$2,513.63	49% above	10%
Paracentesis with imaging guidance CPT 49083 HC US Abdominal Paracentesis W/Imaging Guidance	$1,969.20	$2,188.00	$853.32–$2,513.63	49% above	10%
Paracentesis with imaging guidance CPT 49083 HC ED Abdominal Paracentesis W/Imaging Guidance	$2,943.90	$3,271.00	$1,173.03–$3,140.16	122% above	10%
Paracentesis with imaging guidance CPT 49083 HC Xr Abdominal Paracentesis W/Imaging Guidance	$4,208.40	$4,676.00	$1,173.03–$4,488.96	218% above	10%
Paracentesis with imaging guidance inpatient CPT 49083 HC Abdominal Paracentesis W/Imaging Guidance	$1,623.60	$1,804.00	$703.56–$2,513.63	—	10%
Paracentesis with imaging guidance inpatient CPT 49083 HC CT Abdominal Paracentesis W/Imaging Guidance	$1,969.20	$2,188.00	$853.32–$2,513.63	—	10%
Paracentesis with imaging guidance inpatient CPT 49083 HC US Abdominal Paracentesis W/Imaging Guidance	$1,969.20	$2,188.00	$853.32–$2,513.63	—	10%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Hspc Removal of Nail Bed	$143.62	$159.58	$62.24–$1,126.62	79% below	10%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC Removal of Nail Bed--Pbb	$449.10	$499.00	$194.61–$1,126.62	34% below	10%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC ED Removal of Nail Bed	$1,285.20	$1,428.00	$525.76–$1,370.88	90% above	10%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$3,150.90	$3,501.00	$1,365.39–$5,411.80	at median	10%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$4,758.30	$5,287.00	$1,365.39–$5,411.80	50% above	10%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC Dstr Nrolytc Agnt Parverteb Fct Sngl Lmbr/Sacral	$3,150.90	$3,501.00	$1,365.39–$5,411.80	—	10%
Removal of a breast lump, open surgery CPT 19120 HC Removal of Breast Lesion--Pbb	$4,157.10	$4,619.00	$1,801.41–$10,851.27	15% below	10%
Removal of a breast lump, open surgery inpatient CPT 19120 HC Removal of Breast Lesion--Pbb	$4,157.10	$4,619.00	$1,801.41–$10,851.27	—	10%
Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body Simple--Pbb	$449.10	$499.00	$194.61–$1,126.62	13% below	10%
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body Simple	$489.60	$544.00	$72.22–$522.24	6% below	10%
Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body Simple	$489.60	$544.00	$72.22–$522.24	6% below	10%
Removal of a foreign object under the skin, simple CPT 10120 HC Remove Foreign Body Simple	$720.90	$801.00	$312.39–$1,126.62	39% above	10%
Removal of a foreign object under the skin, simple CPT 10120 HC ED Remove Foreign Body Simple	$1,251.90	$1,391.00	$525.76–$1,335.36	141% above	10%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body Simple	$489.60	$544.00	$72.22–$522.24	—	10%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Foreign Body Simple	$489.60	$544.00	$72.22–$522.24	—	10%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC Remove Foreign Body Simple	$720.90	$801.00	$312.39–$1,126.62	—	10%
Short arm cast (elbow to hand) CPT 29075 HC Application of Forearm Cast--Pbb	$298.80	$332.00	$129.48–$775.14	32% below	10%
Short arm cast (elbow to hand) CPT 29075 HC ED Application Cast Elbow Finger Short Arm	$933.30	$1,037.00	$361.73–$995.52	112% above	10%
Short arm cast (elbow to hand) inpatient CPT 29075 HC ED Application Cast Elbow Finger Short Arm	$933.30	$1,037.00	$361.73–$995.52	—	10%
Short arm splint (forearm and hand) CPT 29125 HC Apply Forearm Splint--Pbb	$144.90	$161.00	$62.79–$368.73	48% below	10%
Short arm splint (forearm and hand) CPT 29125 HC ED Apply Forearm Splint	$445.50	$495.00	$172.07–$475.20	60% above	10%
Short arm splint (forearm and hand) CPT 29125 HC ED Apply Forearm Splint	$445.50	$495.00	$172.07–$475.20	60% above	10%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED Apply Forearm Splint	$445.50	$495.00	$172.07–$475.20	—	10%
Short leg cast (below the knee) CPT 29405 HC Apply Short Leg Cast--Pbb	$298.80	$332.00	$129.48–$775.14	14% below	10%
Short leg splint (calf to foot) CPT 29515 HC Apply Lower Leg Splint--Pbb	$177.30	$197.00	$76.83–$450.36	50% below	10%
Short leg splint (calf to foot) CPT 29515 HC ED Apply Lower Leg Splint	$546.30	$607.00	$210.17–$582.72	54% above	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC Repr Superf Wnd Body <2.5cm--Pbb	$223.20	$248.00	$96.72–$556.04	34% below	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED Repr Superf Wnd Body <2.5cm	$687.60	$764.00	$259.49–$733.44	103% above	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED Repr Superf Wnd Body <2.5cm	$687.60	$764.00	$259.49–$733.44	103% above	10%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED Repr Superf Wnd Body <2.5cm	$687.60	$764.00	$259.49–$733.44	—	10%
Skin biopsy, punch, one lesion CPT 11104 HC Punch Bx Skin Single Lesion --Pbb	$449.10	$499.00	$194.61–$1,126.62	33% above	10%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Exc Skin Malig <5mm Trunk,Arm,Leg--Pbb	$716.40	$796.00	$310.44–$1,962.52	7% above	10%
Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tags, Up to 15--Pbb	$223.20	$248.00	$96.72–$556.04	3% above	10%
Skin tag removal, up to 15 tags CPT 11200 HC Removal of Skin Tags, Up to 15	$693.90	$771.00	$259.49–$740.16	219% above	10%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC Removal of Skin Tags, Up to 15	$693.90	$771.00	$259.49–$740.16	—	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic--Pbb	$758.70	$843.00	$328.77–$1,956.29	24% below	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Xr Spinal Puncture,Lumbar,Diagnostic	$1,038.60	$1,154.00	$450.06–$1,956.29	5% above	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic	$1,094.40	$1,216.00	$474.24–$1,956.29	10% above	10%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED Spinal Puncture,Lumbar,Diagnostic	$2,333.70	$2,593.00	$912.93–$2,489.28	135% above	10%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC Spinal Puncture,Lumbar,Diagnostic	$1,094.40	$1,216.00	$474.24–$1,956.29	—	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC Repr Sup Npterf Wnd Body 2.6-7.5--Pbb	$234.00	$260.00	$101.40–$556.04	43% below	10%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED Repr Sup Npterf Wnd Body 2.6-7.5	$666.90	$741.00	$259.49–$711.36	61% above	10%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC ED Repr Lac Sim 2.5cm	$666.90	$741.00	$259.49–$711.36	65% above	10%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Tangntl Bx Skin Single Les --Pbb	$223.20	$248.00	$96.72–$1,126.62	15% below	10%
Thoracentesis with imaging guidance CPT 32555 HC US Aspirate Pleura W/ Imaging	$1,372.50	$1,525.00	$594.75–$1,738.51	4% above	10%
Thoracentesis with imaging guidance CPT 32555 HC US Aspirate Pleura W/ Imaging	$1,372.50	$1,525.00	$594.75–$1,738.51	4% above	10%
Thoracentesis with imaging guidance CPT 32555 HC CT Aspirate Pleura W/ Imaging	$1,377.90	$1,531.00	$597.09–$1,738.51	4% above	10%
Thoracentesis with imaging guidance CPT 32555 HC ED Thoracentesis W/Imaging Guidance	$2,066.40	$2,296.00	$811.31–$2,204.16	56% above	10%
Thoracentesis with imaging guidance inpatient CPT 32555 HC US Aspirate Pleura W/ Imaging	$1,372.50	$1,525.00	$594.75–$1,738.51	—	10%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ED Thoracentesis W/Imaging Guidance	$2,066.40	$2,296.00	$811.31–$2,204.16	—	10%
Trigger finger release surgery CPT 26055 HC Incise Finger Tendon Sheath--Pbb	$1,782.90	$1,981.00	$772.59–$4,456.40	39% below	10%
Trigger point injections, 1 or 2 muscles CPT 20552 Inject Trigger Point, 1 or 2	$167.40	$186.00	$24.07–$178.56	54% below	10%
Trigger point injections, 1 or 2 muscles CPT 20552 Inject Trigger Point, 1 or 2	$167.40	$186.00	$24.07–$178.56	54% below	10%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point, 1 or 2--Pbb	$328.50	$365.00	$142.35–$850.69	9% below	10%
Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point, 1 or 2	$555.30	$617.00	$240.63–$850.69	54% above	10%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED Inject Trigger Point, 1 or 2	$972.00	$1,080.00	$396.99–$1,036.80	170% above	10%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inject Trigger Point, 1 or 2	$167.40	$186.00	$24.07–$178.56	—	10%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inject Trigger Point, 1 or 2	$167.40	$186.00	$24.07–$178.56	—	10%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC US Brst Bx US W/Loc 1st	$3,561.30	$3,957.00	$1,543.23–$4,577.25	42% above	10%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC Removal of Sperm Duct(S)--Pbb	$2,131.20	$2,368.00	$923.52–$5,793.31	at median	10%
Vein ablation, radiofrequency, first vein CPT 36475 HC IR Perc Endovenous Rf Ablation, Extremity; First Vein	$5,013.00	$5,570.00	$2,172.30–$8,750.67	5% above	10%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC IR Perc Endovenous Rf Ablation, Extremity; First Vein	$5,013.00	$5,570.00	$2,172.30–$8,750.67	—	10%
Wart removal, up to 14 warts CPT 17110 HC Destruction Benign Lesions Up to 14--Pbb	$223.20	$248.00	$96.72–$556.04	6% below	10%
Wart removal, up to 14 warts CPT 17110 HC ED Destruc Flat Warts, Up to 14 Lesions	$675.00	$750.00	$259.49–$720.00	184% above	10%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement, Skin, Sub-Q Tissue, =<20 Sq Cm--Pbb	$449.10	$499.00	$194.61–$1,126.62	30% below	10%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$718.20	$798.00	$311.22–$1,126.62	12% above	10%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC ED Debridement, Skin, Sub-Q Tissue,=<20 Sq Cm	$1,170.00	$1,300.00	$507.00–$1,248.00	82% above	10%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement, Skin, Sub-Q Tissue, =<20 Sq Cm--Pbb	$449.10	$499.00	$194.61–$1,126.62	—	10%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC Blood Administration 1	$786.60	$874.00	$340.86–$1,222.68	20% below	10%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Blood Administration 1	$786.60	$874.00	$340.86–$1,222.68	—	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Pressurized/Nonpressurized Inhalation Treatment----Pbb	$226.80	$252.00	$5.83–$606.88	13% above	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC Rt Pressurized/Nonpressurized Inhalation Treatment	$497.70	$553.00	$5.83–$606.88	148% above	10%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC Rt Pressurized/Nonpressurized Inhalation Treatment	$497.70	$553.00	$5.83–$606.88	—	10%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemotx Adm IV 1st Hr Sing/Iti-Non Chemo Dx	$1,043.10	$1,159.00	$427.19–$1,112.64	33% above	10%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemother, IV Infusion, 1 Hr	$1,132.20	$1,258.00	$427.19–$1,207.68	45% above	10%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemother, IV Infusion, 1 Hr	$1,132.20	$1,258.00	$427.19–$1,207.68	—	10%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC Eye Exam, New Patient,Comprehesv--Pbb	$144.90	$161.00	$62.79–$368.98	14% below	10%
Comprehensive eye exam, returning patient CPT 92014 HC Eye Exam, Est Patient,Comprehesv--Pbb	$171.00	$190.00	$74.10–$368.98	17% above	10%
Comprehensive eye exam, returning patient inpatient CPT 92014 HC Eye Exam, Est Patient,Comprehesv--Pbb	$171.00	$190.00	$74.10–$368.98	—	10%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comprehensive Hearing Test	$175.50	$195.00	$76.05–$356.61	at median	10%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC Comprehensive Hearing Test	$175.50	$195.00	$76.05–$356.61	—	10%
Critical care, first 30 to 74 minutes CPT 99291 HC ED Critical Care 1st Hr	$2,916.00	$3,240.00	$1,068.32–$3,110.40	9% below	10%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg,W/Awake & Drowsy Record--Pbb	$346.50	$385.00	$150.15–$598.41	55% below	10%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Awake and Drowsy	$1,012.50	$1,125.00	$279.26–$1,080.00	31% above	10%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg,W/Awake & Drowsy Record--Pbb	$346.50	$385.00	$150.15–$598.41	—	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing--Pbb	$66.60	$74.00	$28.86–$163.49	64% below	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Electrocardiogram, Tracing	$194.40	$216.00	$76.30–$207.36	4% above	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram, Tracing--Pbb	$66.60	$74.00	$28.86–$163.49	—	10%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Electrocardiogram, Tracing	$194.40	$216.00	$76.30–$207.36	—	10%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Level 1	$305.10	$339.00	$109.06–$325.44	22% above	10%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Level 1	$305.10	$339.00	$109.06–$325.44	22% above	10%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Level 1	$305.10	$339.00	$109.06–$325.44	—	10%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Level 2	$548.10	$609.00	$198.58–$584.64	21% above	10%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Level 2	$548.10	$609.00	$198.58–$584.64	21% above	10%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Level 2	$548.10	$609.00	$198.58–$584.64	—	10%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Level 3	$958.50	$1,065.00	$353.05–$1,022.40	19% above	10%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Level 4	$1,475.10	$1,639.00	$539.66–$1,573.44	9% above	10%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Level 5	$2,123.10	$2,359.00	$770.22–$2,264.64	5% below	10%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing Only--Pbb	$346.50	$385.00	$150.15–$598.41	42% below	10%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst,Tracing Only--Pbb	$346.50	$385.00	$150.15–$598.41	42% below	10%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst, Tracing Only	$558.00	$620.00	$241.80–$1,080.00	6% below	10%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC Cardiac Stress Tst, Tracing Only	$1,012.50	$1,125.00	$241.80–$1,080.00	71% above	10%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Stress Tst,Tracing Only--Pbb	$346.50	$385.00	$150.15–$598.41	—	10%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Cardiac Stress Tst, Tracing Only	$1,012.50	$1,125.00	$241.80–$1,080.00	—	10%
Eye exam, returning patient, intermediate CPT 92012 HC Eye Exam Established Pt--Pbb	$171.00	$190.00	$74.10–$368.98	16% above	10%
Eye exam, returning patient, intermediate inpatient CPT 92012 HC Eye Exam Established Pt--Pbb	$171.00	$190.00	$74.10–$368.98	—	10%
Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W/Patient Present 50 Mins	$180.90	$201.00	$78.39–$192.96	12% below	10%
Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy W/O Patient Present 50 Mins	$180.90	$201.00	$78.39–$192.96	at median	10%
Group psychotherapy session CPT 90853 HC Group Psychotherapy	$112.50	$125.00	$48.75–$120.00	14% below	10%
Group psychotherapy session inpatient CPT 90853 HC Group Psychotherapy	$112.50	$125.00	$48.75–$120.00	—	10%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion, Hydration, 31-60 Min----Pbb	$240.30	$267.00	$104.13–$589.49	29% below	10%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Infusion, Hydration, 31-60 Min	$660.60	$734.00	$275.09–$704.64	95% above	10%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV Infusion, Hydration, 31-60 Min	$726.30	$807.00	$275.09–$774.72	115% above	10%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV Infusion, Hydration, 31-60 Min	$660.60	$734.00	$275.09–$704.64	—	10%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour----Pbb	$235.80	$262.00	$102.18–$589.49	42% below	10%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour	$660.60	$734.00	$275.09–$704.64	63% above	10%
IV infusion of a medicine, first hour CPT 96365 HC ED IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour	$726.30	$807.00	$275.09–$774.72	79% above	10%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion, Therap/Proph/Diagnost,Initial,1st Hour	$660.60	$734.00	$275.09–$704.64	—	10%
IV push of a medicine, first drug CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug--Pbb	$235.80	$262.00	$102.18–$589.49	1% above	10%
IV push of a medicine, first drug CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug--Pbb	$235.80	$262.00	$102.18–$589.49	1% above	10%
IV push of a medicine, first drug CPT 96374 HC IV Push, Injection Initial Substance/Drug	$660.60	$734.00	$275.09–$704.64	182% above	10%
IV push of a medicine, first drug CPT 96374 HC ED Injection,Therap/Proph/Diagnost, IV Push, Initial Drug	$726.30	$807.00	$275.09–$774.72	210% above	10%
IV push of a medicine, first drug inpatient CPT 96374 HC Injection,Therap/Proph/Diagnost, IV Push, Initial Drug--Pbb	$235.80	$262.00	$102.18–$589.49	—	10%
IV push of a medicine, first drug inpatient CPT 96374 HC IV Push, Injection Initial Substance/Drug	$660.60	$734.00	$275.09–$704.64	—	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut----Pbb	$80.10	$89.00	$34.71–$199.54	18% below	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut----Pbb	$80.10	$89.00	$34.71–$199.54	18% below	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut	$213.30	$237.00	$92.43–$227.52	119% above	10%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED Injection,Therap/Proph/Diagnost, Im or Subcut	$246.60	$274.00	$93.12–$263.04	153% above	10%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection,Therap/Proph/Diagnost, Im or Subcut----Pbb	$80.10	$89.00	$34.71–$199.54	—	10%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation--Pbb	$180.90	$201.00	$78.39–$192.96	24% below	10%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb--Pbb	$346.50	$385.00	$150.15–$1,034.17	41% below	10%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Emg Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb	$477.90	$531.00	$207.09–$1,034.17	19% below	10%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb--Pbb	$346.50	$385.00	$150.15–$1,034.17	—	10%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC Emg Motor &/Sens 7-8 Nrv Cndj Preconf Eltrode Limb	$477.90	$531.00	$207.09–$1,034.17	—	10%
Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromuscular Re-ED 15 Min	$178.20	$198.00	$23.33–$190.08	80% above	10%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED 15 Min	$183.60	$204.00	$23.33–$195.84	86% above	10%
Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromuscular Re-ED 15 Min	$183.60	$204.00	$23.33–$195.84	86% above	10%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Ot Neuromuscular Re-ED 15 Min	$183.60	$204.00	$23.33–$195.84	—	10%
New patient office visit, about 30 minutes CPT 99203 Hspc Office/Outpatient New Low Mdm 30 Minutes Met or Exceeded	$68.99	$76.66	$29.90–$161.03	62% below	10%
New patient office visit, about 45 minutes CPT 99204 Hspc Office/Outpatient New Moderate Mdm 45 Minutes Met or Exceeded	$118.01	$131.12	$51.14–$263.88	53% below	10%
New patient office visit, about 60 minutes CPT 99205 Hspc Office/Outpatient New High Mdm 60 Minutes Met or Exceeded	$154.17	$171.30	$66.81–$361.42	53% below	10%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hspc Office/Outpatient New Sf Mdm 15 Minutes Met or Exceeded	$46.09	$51.21	$19.97–$93.02	69% below	10%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Med Nutr Ther, 1st, Indiv, Ea 15 Min--Pbb	$102.60	$114.00	$22.88–$109.44	61% above	10%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Mnt 1st, Indiv, Ea 15 Min	$116.10	$129.00	$22.88–$123.84	82% above	10%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC Mnt 1st, Indiv, Ea 15 Min	$116.10	$129.00	$22.88–$123.84	—	10%
Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation, Low Complex 30 Mins	$461.70	$513.00	$73.34–$492.48	114% above	10%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation, Low Complex 30 Mins	$461.70	$513.00	$73.34–$492.48	—	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC WC Evaluation, High Complexity Units	$398.70	$443.00	$71.33–$425.28	44% above	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation, High Complexity Units	$398.70	$443.00	$71.33–$425.28	44% above	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation, High Complexity Units	$398.70	$443.00	$71.33–$425.28	44% above	10%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Evaluation, High Complexity Units	$398.70	$443.00	$71.33–$425.28	—	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Physical Therapy Evaluation Low Complex 20 Mins	$398.70	$443.00	$71.33–$425.28	80% above	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC WC Evaluation, Low Complexity Units	$398.70	$443.00	$71.33–$425.28	80% above	10%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Physical Therapy Evaluation Low Complex 20 Mins	$398.70	$443.00	$71.33–$425.28	—	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC WC Evaluation, Mod Complexity Units	$398.70	$443.00	$71.33–$425.28	61% above	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation, Mod Complexity Units	$398.70	$443.00	$71.33–$425.28	61% above	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC WC Evaluation, Mod Complexity Units	$398.70	$443.00	$71.33–$425.28	61% above	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation, Mod Complexity Units	$398.70	$443.00	$71.33–$425.28	—	10%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC WC Evaluation, Mod Complexity Units	$398.70	$443.00	$71.33–$425.28	—	10%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therapy 15 Min	$158.40	$176.00	$19.74–$168.96	87% above	10%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Therapy 15 Min	$163.80	$182.00	$19.74–$174.72	94% above	10%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise 15 Min	$171.00	$190.00	$20.86–$182.40	78% above	10%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therepeutic Exercise 15 Min	$176.40	$196.00	$20.86–$188.16	84% above	10%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise 15 Min	$171.00	$190.00	$20.86–$182.40	—	10%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therepeutic Exercise 15 Min	$176.40	$196.00	$20.86–$188.16	—	10%
Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services--Pbb	$180.90	$201.00	$78.39–$192.96	25% below	10%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st - Pbb	$585.00	$650.00	$253.50–$624.00	167% above	10%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC Psycl Tst Eval Phys/Qhp 1st - Pbb	$585.00	$650.00	$253.50–$624.00	—	10%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC Psychotherapy for Crisis Initial 60 Minutes--Pbb	$180.90	$201.00	$78.39–$192.96	32% below	10%
Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy Patient 30 Minutes--Pbb	$180.90	$201.00	$78.39–$192.96	31% above	10%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psychotherapy Patient 30 Minutes--Pbb	$180.90	$201.00	$78.39–$192.96	—	10%
Psychotherapy session, 45 minutes CPT 90834 HC Psychotherapy Patient 45 Minutes--Pbb	$180.90	$201.00	$78.39–$192.96	1% below	10%
Psychotherapy session, 60 minutes CPT 90837 HC Psychotherapy Patient 60 Minutes--Pbb	$180.90	$201.00	$78.39–$192.96	31% below	10%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Tobacco Use Cessation Intermediate 3-10 Minutes--Pbb	$33.30	$37.00	$14.43–$103.84	2% below	10%
Quit-smoking counseling, 3 to 10 minutes one side CPT 99406 HC Rt Smoking Cessation Up to 10 Min--Rt	$54.00	$60.00	$48.00–$103.84	59% above	10%
Quit-smoking counseling, 3 to 10 minutes one side CPT 99406 HC Rt Smoking Cessation Up to 10 Min--Rt	$54.00	$60.00	$48.00–$103.84	59% above	10%
Quit-smoking counseling, 3 to 10 minutes inpatient one side CPT 99406 HC Rt Smoking Cessation Up to 10 Min--Rt	$54.00	$60.00	$48.00–$103.84	—	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Hspc Office/Outpatient Established High Mdm 40 Minutes Met or Exceeded	$101.52	$112.80	$43.99–$284.51	58% below	10%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC L&D Visit Level 5	$472.50	$525.00	$172.19–$504.00	93% above	10%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC L&D Visit Level 5	$472.50	$525.00	$172.19–$504.00	—	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hspc Office/Outpatient Established Low Mdm 20 Minutes Met or Exceeded	$61.24	$68.04	$26.54–$130.23	57% below	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC Office Outpatient Visit 15 Minutes	$198.90	$221.00	$86.19–$212.16	39% above	10%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC L&D Visit Level 3	$204.30	$227.00	$88.53–$217.92	42% above	10%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC Office Outpatient Visit 15 Minutes	$198.90	$221.00	$86.19–$212.16	—	10%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC L&D Visit Level 3	$204.30	$227.00	$88.53–$217.92	—	10%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Hspc Office/Outpatient Established Mod Mdm 30 Minutes Met or Exceeded	$88.48	$98.31	$38.34–$191.36	51% below	10%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC Office Outpatient Visit 25 Minutes	$203.40	$226.00	$88.14–$216.96	13% above	10%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC L&D Visit Level 4	$392.40	$436.00	$136.08–$418.56	118% above	10%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC Office Outpatient Visit 25 Minutes	$203.40	$226.00	$88.14–$216.96	—	10%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC L&D Visit Level 4	$392.40	$436.00	$136.08–$418.56	—	10%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC L&D Visit Level 2	$133.20	$148.00	$49.90–$204.99	28% above	10%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC Office Outpatient Visit 10 Minutes	$175.50	$195.00	$49.90–$204.99	69% above	10%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC L&D Visit Level 2	$133.20	$148.00	$49.90–$204.99	—	10%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC Office Outpatient Visit 10 Minutes	$175.50	$195.00	$49.90–$204.99	—	10%
Speech and language evaluation CPT 92523 HC St Speech Sound Lang Comprehen	$1,017.00	$1,130.00	$162.17–$1,084.80	165% above	10%
Speech and language evaluation CPT 92523 HC St Speech Sound Lang Comprehen	$1,017.00	$1,130.00	$162.17–$1,084.80	165% above	10%
Speech and language evaluation inpatient CPT 92523 HC St Speech Sound Lang Comprehen	$1,017.00	$1,130.00	$162.17–$1,084.80	—	10%
Speech therapy session, individual CPT 92507 HC St Speech/Hearing Therapy	$423.90	$471.00	$54.50–$452.16	95% above	10%
Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test	$175.50	$195.00	$76.05–$598.41	29% below	10%
Spirometry (breathing test) CPT 94010 HC Breathing Capacity Test	$175.50	$195.00	$76.05–$598.41	29% below	10%
Spirometry (breathing test) inpatient CPT 94010 HC Breathing Capacity Test	$175.50	$195.00	$76.05–$598.41	—	10%
Spirometry before and after a bronchodilator CPT 94060 HC Eval of Bronchospasm-Pbb	$346.50	$385.00	$150.15–$1,034.17	18% below	10%
Spirometry before and after a bronchodilator CPT 94060 HC ED Bronchospasm Evaluation	$666.90	$741.00	$288.99–$1,034.17	59% above	10%
Spirometry before and after a bronchodilator one side CPT 94060 HC Rt Bronchospasm Evaluation	$553.50	$615.00	$239.85–$1,034.17	32% above	10%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC ED Bronchospasm Evaluation	$666.90	$741.00	$288.99–$1,034.17	—	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activity 15min	$186.30	$207.00	$25.34–$198.72	78% above	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activ 15 Min	$190.80	$212.00	$25.34–$203.52	82% above	10%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeutic Activ 15 Min	$190.80	$212.00	$25.34–$203.52	82% above	10%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activity 15min	$186.30	$207.00	$25.34–$198.72	—	10%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Ot Therapeutic Activ 15 Min	$190.80	$212.00	$25.34–$203.52	—	10%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy	$231.30	$257.00	$100.23–$368.73	14% above	10%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC ED Phlebotomy	$396.90	$441.00	$171.99–$423.36	96% above	10%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC ED Phlebotomy	$396.90	$441.00	$171.99–$423.36	—	10%
Visual field test, extended CPT 92083 HC Visual Field Exam,Extended--Pbb	$144.90	$161.00	$62.79–$368.73	—	10%
Visual field test, extended inpatient CPT 92083 HC Visual Field Exam,Extended--Pbb	$144.90	$161.00	$62.79–$368.73	—	10%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use	$90.00	$100.00	$30.00–$101.14	9% above	10%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC Iiv Adjuvanted Vaccine for Intramuscular Use	$90.00	$100.00	$30.00–$101.14	—	10%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC Pfizer - Sarscov2 Vac (12+ Yrs) 3mcg Trs-Suc Im	$297.90	$331.00	$99.30–$317.76	86% above	10%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY	$458.59	$509.54	$152.86–$489.16	186% above	10%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC Pfizer - Sarscov2 Vac (12+ Yrs) 3mcg Trs-Suc Im	$297.90	$331.00	$99.30–$317.76	—	10%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 MRNA VAC-TRIS(PFIZER) 30 MCG/0.3ML IM SUSY	$458.59	$509.54	$152.86–$489.16	—	10%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 HC Var Vaccine Live for Subcutaneous Use	$277.20	$308.00	$120.12–$295.68	37% above	10%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$518.71	$576.35	$224.78–$553.30	157% above	10%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$518.71	$576.35	$224.78–$553.30	—	10%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC Dtap Immunization, Im, <7 Yo	$75.60	$84.00	$32.76–$80.64	63% above	10%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$82.85	$92.06	$35.90–$88.38	78% above	10%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC Dtap Immunization, Im, <7 Yo	$75.60	$84.00	$32.76–$80.64	—	10%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$82.85	$92.06	$35.90–$88.38	—	10%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 HC Dtap-Ipv-Hib-Hepb Vaccine Intramuscular	$200.70	$223.00	$86.97–$214.08	21% above	10%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 HC Dtap-Ipv-Hib-Hepb Vaccine Intramuscular	$200.70	$223.00	$86.97–$214.08	—	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$22.50	$25.00	$7.50–$36.57	22% below	10%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC PR Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$22.50	$25.00	$7.50–$36.57	22% below	10%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC PR Iiv3 Vacc Preservative Free 0.5 Ml Dosage Im Use	$22.50	$25.00	$7.50–$36.57	—	10%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$22.50	$25.00	$7.50–$36.57	—	10%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HC 9vhpv Vaccine 3 Dose Schedule for Im Use	$202.50	$225.00	$87.75–$216.00	26% below	10%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$888.54	$987.27	$385.04–$947.78	227% above	10%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP	$888.54	$987.27	$385.04–$947.78	227% above	10%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP	$888.54	$987.27	$385.04–$947.78	—	10%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$888.54	$987.27	$385.04–$947.78	—	10%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC Hepa/Hepb Vaccine Adult Im	$259.20	$288.00	$112.32–$276.48	48% above	10%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$382.31	$424.79	$165.67–$407.80	118% above	10%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC Hepa/Hepb Vaccine Adult Im	$259.20	$288.00	$112.32–$276.48	—	10%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM SUSY	$382.31	$424.79	$165.67–$407.80	—	10%
Hepatitis A vaccine, adult dose CPT 90632 HC Hepa Vaccine Adult Dose for Intramuscular Use	$158.40	$176.00	$68.64–$168.96	106% above	10%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$241.84	$268.71	$104.80–$257.96	214% above	10%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$241.84	$268.71	$104.80–$257.96	—	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HC Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$127.80	$142.00	$55.38–$136.32	310% above	10%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HC Hepa Vaccine 2 Dose Schedule Ped/Adolesc Im Use	$127.80	$142.00	$55.38–$136.32	—	10%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC Hepb Vaccine Adult 3 Dose Schedule for Im Use	$121.50	$135.00	$40.50–$129.60	56% above	10%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$445.76	$495.29	$148.59–$475.48	136% above	10%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$445.76	$495.29	$148.59–$475.48	—	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$21.10	$23.44	$7.03–$22.50	62% below	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP	$21.10	$23.44	$7.03–$22.50	62% below	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$57.60	$64.00	$19.20–$61.44	2% above	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$57.60	$64.00	$19.20–$61.44	2% above	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$72.00	$80.00	$31.20–$76.80	28% above	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$21.10	$23.44	$7.03–$22.50	—	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP	$21.10	$23.44	$7.03–$22.50	—	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$57.60	$64.00	$19.20–$61.44	—	10%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepb Vaccine Ped/Adolesc 3 Dose Schedule Im	$72.00	$80.00	$31.20–$76.80	—	10%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$37.57	$41.74	$16.28–$40.07	19% above	10%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HC Hib Prp-T Vaccine 4 Dose Schedule Im Use	$109.80	$122.00	$47.58–$117.12	249% above	10%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$37.57	$41.74	$16.28–$40.07	—	10%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HC Hib Prp-T Vaccine 4 Dose Schedule Im Use	$109.80	$122.00	$47.58–$117.12	—	10%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Iiv Vaccine Preserv Free Increased Ag Count Im	$90.00	$100.00	$30.00–$98.73	7% above	10%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY	$90.00	$100.00	$30.00–$98.73	7% above	10%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC Iiv Vaccine Preserv Free Increased Ag Count Im	$90.00	$100.00	$30.00–$98.73	7% above	10%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC SPLIT HIGH-DOSE 0.5 ML IM SUSY	$90.00	$100.00	$30.00–$98.73	—	10%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC Iiv Vaccine Preserv Free Increased Ag Count Im	$90.00	$100.00	$30.00–$98.73	—	10%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 HC Japanese Enceph Vacc, Inactivated, Im	$611.10	$679.00	$264.81–$651.84	57% above	10%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 HC Japanese Enceph Vacc, Inactivated, Im	$611.10	$679.00	$264.81–$651.84	—	10%
MMR vaccine (measles, mumps and rubella), live CPT 90707 HC Mmr Virus Immunization, Subcut	$163.80	$182.00	$70.98–$174.72	5% below	10%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$264.57	$293.97	$114.65–$282.21	53% above	10%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$264.57	$293.97	$114.65–$282.21	—	10%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 HC Myv4/Menacwy Conj Vacc Grps Acyw-135 Im Use	$288.00	$320.00	$124.80–$307.20	82% above	10%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN (AGE 10Y-55Y) SINGLE VIAL	$477.12	$530.13	$206.75–$508.92	202% above	10%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN (AGE 10Y-55Y) SINGLE VIAL	$477.12	$530.13	$206.75–$508.92	—	10%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 HC Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$288.00	$320.00	$124.80–$307.20	88% above	10%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN	$478.20	$531.33	$207.22–$510.08	211% above	10%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 HC Menacwy-Tt Conj Vacc Serogroups Acwy for Im Use	$288.00	$320.00	$124.80–$307.20	—	10%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN	$478.20	$531.33	$207.22–$510.08	—	10%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 HC Menb Recombinant Hcot W/Out Membr Vesic Vacc Im	$382.50	$425.00	$165.75–$408.00	10% above	10%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$678.54	$753.93	$294.03–$723.77	96% above	10%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$678.54	$753.93	$294.03–$723.77	—	10%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOX & MONKEYPOX VAC, LIVE 0.5 ML SC SUSP	$50.54	$56.16	$0.01–$53.91	42% below	10%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOX & MONKEYPOX VAC, LIVE 0.5 ML SC SUSP	$50.54	$56.16	$0.01–$53.91	—	10%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HC Laiv3 Vaccine Live for Intranasal Use	$22.50	$25.00	$7.50–$24.00	at median	10%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC Laiv3 Vaccine Live for Intranasal Use	$22.50	$25.00	$7.50–$24.00	—	10%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC Pcv13 Vaccine for Intramuscular Use	$249.30	$277.00	$83.10–$265.92	12% above	10%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$856.33	$951.48	$285.44–$913.42	81% above	10%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$856.33	$951.48	$285.44–$913.42	—	10%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC Ppsv23 Vaccine 2 Yrs or Older for Subq/Im Use	$133.20	$148.00	$44.40–$199.34	7% below	10%
Polio vaccine, inactivated (IPV) CPT 90713 HC Poliomyelitis Immunizatn,Inactv,Sub-Q	$113.40	$126.00	$49.14–$120.96	53% above	10%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$129.10	$143.44	$55.94–$137.70	74% above	10%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 HC Poliomyelitis Immunizatn,Inactv,Sub-Q	$113.40	$126.00	$49.14–$120.96	—	10%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$129.10	$143.44	$55.94–$137.70	—	10%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HC Rsv Vaccine Pref Subunit Bivalent for Im Use	$764.10	$849.00	$331.11–$815.04	60% above	10%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HC Rsv Vaccine Pref Subunit Bivalent for Im Use	$764.10	$849.00	$331.11–$815.04	—	10%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HC Rsv Vacc Pref Recombinant Adjuvanted for Im Use	$674.10	$749.00	$292.11–$719.04	88% above	10%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HC Rsv Vacc Pref Recombinant Adjuvanted for Im Use	$674.10	$749.00	$292.11–$719.04	—	10%
Rabies vaccine, one dose CPT 90675 HC Rabies Vaccine, Im	$571.50	$635.00	$247.65–$1,097.63	8% below	10%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,220.37	$1,355.97	$335.74–$1,301.73	97% above	10%
Rabies vaccine, one dose inpatient CPT 90675 HC Rabies Vaccine, Im	$571.50	$635.00	$247.65–$1,097.63	—	10%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$1,220.37	$1,355.97	$335.74–$1,301.73	—	10%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 HC Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$257.40	$286.00	$111.54–$274.56	243% above	10%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 HC Rv5 Vaccine 3 Dose Schedule Live for Oral Use	$257.40	$286.00	$111.54–$274.56	—	10%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 HC Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$431.10	$479.00	$186.81–$459.84	97% above	10%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSY	$655.21	$728.01	$283.92–$698.89	199% above	10%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 HC Hzv Zoster Vacc Recombinant Adjuvanted Im Njx	$431.10	$479.00	$186.81–$459.84	—	10%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSY	$655.21	$728.01	$283.92–$698.89	—	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC Td Vaccine Greater Than or Equal to 7yo Preservative Free Im	$72.90	$81.00	$31.59–$77.76	29% above	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$123.97	$137.74	$53.72–$132.23	120% above	10%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$123.97	$137.74	$53.72–$132.23	—	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC Tdap Vaccine >7 Yo, Im	$80.10	$89.00	$34.71–$85.44	3% below	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$135.39	$150.43	$58.67–$144.41	64% above	10%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$135.39	$150.43	$58.67–$144.41	—	10%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 HC Typhoid Vaccine, Im	$99.00	$110.00	$42.90–$105.60	6% below	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid --Sl Pbb	$21.09	$23.43	$9.14–$199.54	50% below	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid - Sl Child	$21.09	$23.43	$9.14–$199.54	50% below	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Influenza Virus Vac-G0008	$42.30	$47.00	$18.33–$199.54	1% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Influenza Virus Vac-G0008	$42.30	$47.00	$18.33–$199.54	1% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Admin Pneumococcal Vaccine-G0009	$74.70	$83.00	$32.37–$199.54	78% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid --Pbb	$80.10	$89.00	$34.71–$199.54	90% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid	$127.80	$142.00	$55.38–$199.54	204% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ED Immuniz Admin,1 Single/Comb Vac/Toxoid	$246.60	$274.00	$93.12–$263.04	486% above	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid --Sl Pbb	$21.09	$23.43	$9.14–$199.54	—	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Immuniz Admin,1 Single/Comb Vac/Toxoid - Sl Child	$21.09	$23.43	$9.14–$199.54	—	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Influenza Virus Vac-G0008	$42.30	$47.00	$18.33–$199.54	—	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Admin Pneumococcal Vaccine-G0009	$74.70	$83.00	$32.37–$199.54	—	10%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ED Immuniz Admin,1 Single/Comb Vac/Toxoid	$246.60	$274.00	$93.12–$263.04	—	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz,Admin,Each Addl--Sl Pbb	$21.09	$23.43	$9.14–$22.49	42% below	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz,Admin,Each Addl--Pbb	$22.50	$25.00	$9.75–$24.00	38% below	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immuniz,Admin,Each Addl	$22.50	$25.00	$9.75–$24.00	38% below	10%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ED Immuniz,Admin,Each Addl	$100.80	$112.00	$43.68–$107.52	179% above	10%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immuniz,Admin,Each Addl--Sl Pbb	$21.09	$23.43	$9.14–$22.49	—	10%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Immuniz,Admin,Each Addl--Pbb	$22.50	$25.00	$9.75–$24.00	—	10%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ED Immuniz,Admin,Each Addl	$100.80	$112.00	$43.68–$107.52	—	10%
Yellow fever vaccine, live CPT 90717 HC Yellow Fever Immunizatn,Live,Sub-Q	$151.20	$168.00	$65.52–$161.28	30% above	10%

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

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

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

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

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

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

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

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

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

Source file: https://www.confluencehealth.org/wp-content/uploads/910171250_central-washington-health-services-association_standardcharges.csv