Hospital Port Angeles, WA

Olympic Medical Center

Listed in its price file as “Clallam County Public Hospital District 2 DBA Olympic Medical Center”.

Olympic Medical Center in Port Angeles, WA publishes cash prices for 274 common procedures listed here, from its own machine-readable price file updated Jun 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 175 of 274 procedures and above it for 92. By typical cash price it ranks #23 of 58 Washington hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

939 Caroline St, Port Angeles, WA 98362 Collected Sep 29, 2026 Source price file (360) 417-7000

Acute care hospital Emergency department CMS star rating 3 of 5 CCN 500072 · CMS hospital register NPI 1306845557

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views	$252.00	$315.00	$50.00–$315.00	14% below	20%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-ray of ankle, minimum of 3 views	$252.00	$315.00	$50.00–$315.00	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries	$264.00	$330.00	$96.59–$330.00	14% below	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Ultrasound study of arm and leg arteries	$264.00	$330.00	$96.59–$330.00	—	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus	$508.00	$635.00	$50.00–$635.00	12% below	20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Single contrast X-ray of esophagus	$508.00	$635.00	$50.00–$635.00	—	20%
Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body	$1,424.00	$1,780.00	$335.12–$1,780.00	4% below	20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nuclear medicine study of bone and/or joint whole body	$1,424.00	$1,780.00	$335.12–$1,780.00	—	20%
Breast ultrasound, complete, one breast CPT 76641 HC US Breast Uni Complete	$428.80	$536.00	$96.59–$536.00	at median	20%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US Breast Uni Complete	$428.80	$536.00	$96.59–$536.00	—	20%
Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast	$340.00	$425.00	$96.59–$425.00	4% above	20%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Limited ultrasound scan of 1 breast	$340.00	$425.00	$96.59–$425.00	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT blood vessels chest with contrast	$1,583.20	$1,979.00	$219.80–$1,979.00	30% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT blood vessels chest with contrast	$1,583.20	$1,979.00	$219.80–$1,979.00	—	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast	$1,655.20	$2,069.00	$275.98–$2,069.00	22% below	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT scan of abdomen and pelvis without contrast	$1,655.20	$2,069.00	$275.98–$2,069.00	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast	$2,360.00	$2,950.00	$275.98–$2,950.00	4% below	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT scan of abdomen and pelvis with contrast	$2,360.00	$2,950.00	$275.98–$2,950.00	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast	$2,848.00	$3,560.00	$275.98–$3,560.00	18% below	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT scan of abdomen and pelvis before and after contrast	$2,848.00	$3,560.00	$275.98–$3,560.00	—	20%
CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast	$1,916.00	$2,395.00	$219.80–$2,395.00	10% above	20%
CT scan of the abdomen with contrast inpatient CPT 74160 CT scan of abdomen with contrast	$1,916.00	$2,395.00	$219.80–$2,395.00	—	20%
CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast	$1,365.60	$1,707.00	$101.86–$1,707.00	1% below	20%
CT scan of the abdomen without contrast inpatient CPT 74150 CT scan of abdomen without contrast	$1,365.60	$1,707.00	$101.86–$1,707.00	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast	$674.40	$843.00	$101.86–$843.00	30% below	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT scan of face without contrast	$674.40	$843.00	$101.86–$843.00	—	20%
CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast	$1,139.20	$1,424.00	$131.01–$1,424.00	4% below	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT scan head or brain without contrast	$1,139.20	$1,424.00	$131.01–$1,424.00	—	20%
CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast	$1,640.00	$2,050.00	$219.80–$2,050.00	29% above	20%
CT scan of the head with contrast inpatient CPT 70460 CT scan head or brain with contrast	$1,640.00	$2,050.00	$219.80–$2,050.00	—	20%
CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast	$1,912.00	$2,390.00	$219.80–$2,390.00	30% above	20%
CT scan of the head without and with contrast inpatient CPT 70470 CT scan of head or brain before and after contrast	$1,912.00	$2,390.00	$219.80–$2,390.00	—	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast	$1,207.20	$1,509.00	$101.86–$1,509.00	5% below	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT scan of lower spine without contrast	$1,207.20	$1,509.00	$101.86–$1,509.00	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast	$1,207.20	$1,509.00	$101.86–$1,509.00	9% below	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT scan of upper spine without contrast	$1,207.20	$1,509.00	$101.86–$1,509.00	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast	$1,860.00	$2,325.00	$219.80–$2,325.00	7% above	20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT scan of pelvis with contrast	$1,860.00	$2,325.00	$219.80–$2,325.00	—	20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow	$472.80	$591.00	$146.64–$591.00	46% below	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound of both sides of head and neck blood flow	$472.80	$591.00	$146.64–$591.00	—	20%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views	$227.20	$284.00	$50.00–$284.00	15% below	20%
Chest X-ray, 2 views inpatient CPT 71046 X-ray of chest, 2 views	$227.20	$284.00	$50.00–$284.00	—	20%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view	$177.60	$222.00	$50.00–$222.00	22% below	20%
Chest X-ray, single view inpatient CPT 71045 X-ray of chest, 1 view	$177.60	$222.00	$50.00–$222.00	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity	$921.60	$1,152.00	$131.01–$1,152.00	68% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Complete ultrasound scan behind abdominal cavity	$921.60	$1,152.00	$131.01–$1,152.00	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Xr DXA Bone Density Study Axial	$420.00	$525.00	$69.31–$525.00	5% above	20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Xr DXA Bone Density Study Axial	$420.00	$525.00	$69.31–$525.00	—	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm, finger, hand, foot	$217.60	$272.00	$69.31–$272.00	25% above	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DXA bone density measurement of forearm, finger, hand, foot	$217.60	$272.00	$69.31–$272.00	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast	$1,320.00	$1,650.00	$101.86–$1,650.00	5% below	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT scan of chest without contrast	$1,320.00	$1,650.00	$101.86–$1,650.00	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast	$1,864.00	$2,330.00	$219.80–$2,330.00	3% above	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT scan of chest with contrast	$1,864.00	$2,330.00	$219.80–$2,330.00	—	20%
Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts	$340.00	$425.00	$44.23–$425.00	21% below	20%
Diagnostic mammogram, both breasts inpatient CPT 77066 Diagnostic mammography of both breasts	$340.00	$425.00	$44.23–$425.00	—	20%
Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast	$332.00	$415.00	$44.23–$415.00	11% below	20%
Diagnostic mammogram, one breast inpatient CPT 77065 Diagnostic mammography of 1 breast	$332.00	$415.00	$44.23–$415.00	—	20%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts	$1,300.80	$1,626.00	$146.64–$1,626.00	37% above	20%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Ultrasound of leg arteries or artery grafts	$1,300.80	$1,626.00	$146.64–$1,626.00	—	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound arm or leg veins with compression and maneuvers	$1,239.20	$1,549.00	$146.64–$1,549.00	18% above	20%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound arm or leg veins with compression and maneuvers	$1,239.20	$1,549.00	$146.64–$1,549.00	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound heart w/color blood flow, rate, direction	$1,580.80	$1,976.00	$405.26–$1,976.00	6% above	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound heart w/color blood flow, rate, direction	$1,580.80	$1,976.00	$405.26–$1,976.00	—	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear medicine study of liver and bile duct system	$1,000.00	$1,250.00	$335.12–$1,250.00	15% below	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nuclear medicine study of liver and bile duct system	$1,000.00	$1,250.00	$335.12–$1,250.00	—	20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study w/heart rate, breathing, airflow, and effort	$291.20	$364.00	$123.43–$364.00	15% below	20%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Sleep study w/heart rate, breathing, airflow, and effort	$291.20	$364.00	$123.43–$364.00	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in lab w/ continuous airway pressure >6yrs	$3,344.80	$4,181.00	$665.44–$4,181.00	at median	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep study in lab w/ continuous airway pressure >6yrs	$3,344.80	$4,181.00	$665.44–$4,181.00	—	20%
Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views	$268.80	$336.00	$50.00–$336.00	9% below	20%
Knee X-ray, 3 views inpatient CPT 73562 X-ray of knee, 3 views	$268.80	$336.00	$50.00–$336.00	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen	$628.00	$785.00	$96.59–$785.00	31% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Limited ultrasound scan of abdomen	$628.00	$785.00	$96.59–$785.00	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening	$315.20	$394.00	$101.86–$394.00	40% above	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low dose CT scan of chest for lung cancer screening	$315.20	$394.00	$101.86–$394.00	—	20%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI scan of both breast with CAD	$2,400.00	$3,000.00	$389.67–$3,000.00	16% above	20%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI scan of both breast with CAD	$2,400.00	$3,000.00	$389.67–$3,000.00	—	20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast	$1,676.00	$2,095.00	$222.38–$2,095.00	1% above	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI scan of leg joint without contrast	$1,676.00	$2,095.00	$222.38–$2,095.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast	$2,548.00	$3,185.00	$389.67–$3,185.00	9% below	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI scan of leg joint before and after contrast	$2,548.00	$3,185.00	$389.67–$3,185.00	—	20%
MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast	$1,676.00	$2,095.00	$222.38–$2,095.00	2% below	20%
MRI of the abdomen without contrast inpatient CPT 74181 MRI scan of abdomen without contrast	$1,676.00	$2,095.00	$222.38–$2,095.00	—	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast	$2,680.00	$3,350.00	$389.67–$3,350.00	9% below	20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI scan of abdomen before and after contrast	$2,680.00	$3,350.00	$389.67–$3,350.00	—	20%
MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast	$1,762.40	$2,203.00	$222.38–$2,203.00	2% below	20%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI scan of brain without contrast	$1,762.40	$2,203.00	$222.38–$2,203.00	—	20%
MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast	$3,152.00	$3,940.00	$437.19–$3,940.00	19% above	20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI scan of brain before and after contrast	$3,152.00	$3,940.00	$437.19–$3,940.00	—	20%
MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast	$2,012.80	$2,516.00	$222.38–$2,516.00	3% below	20%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI scan of lower spinal canal without contrast	$2,012.80	$2,516.00	$222.38–$2,516.00	—	20%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast	$2,752.00	$3,440.00	$389.67–$3,440.00	9% below	20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI scan of lower spinal canal before and after contrast	$2,752.00	$3,440.00	$389.67–$3,440.00	—	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast	$2,012.80	$2,516.00	$222.38–$2,516.00	4% below	20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI scan of middle spinal canal without contrast	$2,012.80	$2,516.00	$222.38–$2,516.00	—	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast	$2,752.00	$3,440.00	$389.67–$3,440.00	at median	20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI scan of upper spinal canal before and after contrast	$2,752.00	$3,440.00	$389.67–$3,440.00	—	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast	$2,012.80	$2,516.00	$222.38–$2,516.00	1% above	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI scan of upper spinal canal without contrast	$2,012.80	$2,516.00	$222.38–$2,516.00	—	20%
MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast	$2,548.00	$3,185.00	$389.67–$3,185.00	16% below	20%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI scan of pelvis before and after contrast	$2,548.00	$3,185.00	$389.67–$3,185.00	—	20%
MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast	$1,676.00	$2,095.00	$222.38–$2,095.00	7% below	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI scan of pelvis without contrast	$1,676.00	$2,095.00	$222.38–$2,095.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast	$1,676.00	$2,095.00	$222.38–$2,095.00	7% below	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI scan of arm joint without contrast	$1,676.00	$2,095.00	$222.38–$2,095.00	—	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine myocardial perfuse SPECT	$3,440.00	$4,300.00	$842.08–$4,300.00	5% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nuclear medicine myocardial perfuse SPECT	$3,440.00	$4,300.00	$842.08–$4,300.00	—	20%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Nuclear medicine study from skull base to mid-thigh w/CT	$5,172.80	$6,466.00	$1,143.40–$6,466.00	23% above	20%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Nuclear medicine study from skull base to mid-thigh w/CT	$5,172.80	$6,466.00	$1,143.40–$6,466.00	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis	$460.80	$576.00	$96.59–$576.00	22% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Limited ultrasound scan of pelvis	$460.80	$576.00	$96.59–$576.00	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis	$432.00	$540.00	$131.01–$540.00	21% below	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Complete ultrasound scan of pelvis	$432.00	$540.00	$131.01–$540.00	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound OB after 14 wks single fetus	$708.00	$885.00	$88.79–$885.00	30% above	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound OB after 14 wks single fetus	$708.00	$885.00	$88.79–$885.00	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound OB < 14 wks single fetus	$436.00	$545.00	$88.79–$545.00	9% below	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ultrasound OB < 14 wks single fetus	$436.00	$545.00	$88.79–$545.00	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound OB limited 1 or more fetuses	$561.60	$702.00	$88.79–$702.00	41% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound OB limited 1 or more fetuses	$561.60	$702.00	$88.79–$702.00	—	20%
Screening mammogram, both breasts CPT 77067 Screening mammography	$276.00	$345.00	$44.23–$345.00	18% below	20%
Screening mammogram, both breasts inpatient CPT 77067 Screening mammography	$276.00	$345.00	$44.23–$345.00	—	20%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views	$268.80	$336.00	$50.00–$336.00	4% below	20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-ray of shoulder, minimum of 2 views	$268.80	$336.00	$50.00–$336.00	—	20%
Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older)	$2,952.00	$3,690.00	$665.44–$3,690.00	4% above	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep study in sleep lab (6 years or older)	$2,952.00	$3,690.00	$665.44–$3,690.00	—	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function	$168.00	$210.00	$105.42–$282.60	68% below	20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for evaluation of swallowing function	$168.00	$210.00	$105.42–$282.60	—	20%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound uterus, ovaries, tubes, cervix and pelvic area	$432.00	$540.00	$96.59–$540.00	10% below	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound uterus, ovaries, tubes, cervix and pelvic area	$432.00	$540.00	$96.59–$540.00	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound of pregnant uterus	$417.60	$522.00	$88.79–$522.00	1% below	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ultrasound of pregnant uterus	$417.60	$522.00	$88.79–$522.00	—	20%
Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen	$820.00	$1,025.00	$131.01–$1,025.00	27% above	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 Complete ultrasound scan of abdomen	$820.00	$1,025.00	$131.01–$1,025.00	—	20%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum	$666.40	$833.00	$96.59–$833.00	23% above	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound scan of scrotum	$666.40	$833.00	$96.59–$833.00	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue	$589.60	$737.00	$96.59–$737.00	12% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound scan of head and neck soft tissue	$589.60	$737.00	$96.59–$737.00	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract	$687.20	$859.00	$105.42–$859.00	2% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Single contrast X-ray of upper digestive tract	$687.20	$859.00	$105.42–$859.00	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound one limb veins w/compression and maneuvers	$709.60	$887.00	$96.59–$887.00	11% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound one limb veins w/compression and maneuvers	$709.60	$887.00	$96.59–$887.00	—	20%
Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views	$252.00	$315.00	$50.00–$315.00	19% below	20%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-ray of wrist, minimum of 3 views	$252.00	$315.00	$50.00–$315.00	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views	$342.40	$428.00	$50.00–$428.00	33% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray of hip, 2-3 views	$342.40	$428.00	$50.00–$428.00	—	20%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view	$236.80	$296.00	$50.00–$296.00	at median	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray of abdomen, 1 view	$236.80	$296.00	$50.00–$296.00	—	20%
X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views	$233.60	$292.00	$50.00–$292.00	2% above	20%
X-ray of the ankle, 2 views inpatient CPT 73600 X-ray of ankle, 2 views	$233.60	$292.00	$50.00–$292.00	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views	$199.20	$249.00	$50.00–$249.00	10% below	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-ray of finger, minimum of 2 views	$199.20	$249.00	$50.00–$249.00	—	20%
X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views	$233.60	$292.00	$50.00–$292.00	5% below	20%
X-ray of the foot, 2 views CPT 73620 X-ray foot, 2 views	$233.60	$292.00	$50.00–$292.00	5% below	20%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray of foot, 2 views	$233.60	$292.00	$50.00–$292.00	—	20%
X-ray of the foot, 2 views inpatient CPT 73620 X-ray foot, 2 views	$233.60	$292.00	$50.00–$292.00	—	20%
X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views	$252.00	$315.00	$50.00–$315.00	8% below	20%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-ray of foot, minimum of 3 views	$252.00	$315.00	$50.00–$315.00	—	20%
X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views	$252.00	$315.00	$50.00–$315.00	9% below	20%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-ray of hand, minimum of 3 views	$252.00	$315.00	$50.00–$315.00	—	20%
X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views	$248.00	$310.00	$50.00–$310.00	at median	20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-ray of knee, 1-2 views	$248.00	$310.00	$50.00–$310.00	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views	$316.80	$396.00	$50.00–$396.00	3% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-ray of lower and sacral spine, 2-3 views	$316.80	$396.00	$50.00–$396.00	—	20%
X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views	$430.40	$538.00	$50.00–$538.00	2% below	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-ray of lower and sacral spine, minimum of 4 views	$430.40	$538.00	$50.00–$538.00	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views	$308.00	$385.00	$50.00–$385.00	7% above	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-ray of middle spine, 2 views	$308.00	$385.00	$50.00–$385.00	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views	$248.00	$310.00	$50.00–$310.00	1% below	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-ray of nose bones, minimum of 3 views	$248.00	$310.00	$50.00–$310.00	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views	$283.20	$354.00	$50.00–$354.00	9% below	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-ray of upper spine, 2-3 views	$283.20	$354.00	$50.00–$354.00	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views	$248.00	$310.00	$50.00–$310.00	5% below	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-ray of pelvis, 1-2 views	$248.00	$310.00	$50.00–$310.00	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views	$268.80	$336.00	$50.00–$336.00	10% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views	$268.80	$336.00	$50.00–$336.00	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level	$29.60	$37.00	$4.26–$37.00	31% below	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver enzyme (SGPT), level	$48.00	$60.00	$4.26–$60.00	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level	$31.20	$39.00	$4.26–$39.00	18% below	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver enzyme (SGOT), level	$52.00	$65.00	$4.26–$65.00	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute hepatitis panel	$316.80	$396.00	$7.23–$396.00	30% above	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute hepatitis panel	$380.00	$475.00	$7.23–$475.00	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Measure antibody to allergic crude allergen extract each	$20.00	$25.00	$5.87–$25.00	22% below	20%
Allergy blood test, specific IgE, per allergen CPT 86003 Measure antibody to allergic, crude allergen extract, each	$20.00	$25.00	$5.87–$25.00	22% below	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measure antibody to allergic crude allergen extract each	$20.00	$25.00	$5.87–$25.00	—	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measure antibody to allergic, crude allergen extract, each	$20.00	$25.00	$5.87–$25.00	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$66.40	$83.00	$9.11–$83.00	12% below	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Measurement of antibody for rheumatoid arthritis assessment	$66.40	$83.00	$9.11–$83.00	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder	$44.80	$56.00	$9.11–$56.00	35% below	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening test for autoimmune disorder	$54.40	$68.00	$9.11–$68.00	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$127.20	$159.00	$27.92–$159.00	34% below	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic peptide (heart and blood vessel protein) level	$153.60	$192.00	$27.92–$192.00	—	20%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals	$41.60	$52.00	$7.23–$52.00	43% below	20%
Basic metabolic panel (blood test) inpatient CPT 80048 Blood test, basic group of blood chemicals	$66.40	$83.00	$7.23–$83.00	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope	$169.60	$212.00	$35.29–$212.00	3% below	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology exam tissue w/microscope intermediate complexity	$169.60	$212.00	$35.29–$212.00	3% below	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology examination of tissue using a microscope	$169.60	$212.00	$35.29–$212.00	—	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology exam tissue w/microscope intermediate complexity	$204.00	$255.00	$35.29–$255.00	—	20%
Blood culture for bacteria CPT 87040 Bacterial blood culture	$73.60	$92.00	$6.29–$92.00	49% below	20%
Blood culture for bacteria inpatient CPT 87040 Bacterial blood culture	$124.80	$156.00	$6.29–$156.00	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insert needle into vein for collection of blood sample	$15.20	$19.00	$2.04–$19.00	39% below	20%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level	$26.40	$33.00	$4.26–$33.00	29% below	20%
Blood glucose (sugar) test inpatient CPT 82947 Blood glucose (sugar) level	$44.80	$56.00	$4.26–$56.00	—	20%
Blood lead test CPT 83655 Lead level	$43.20	$54.00	$9.58–$54.00	32% below	20%
Blood lead test inpatient CPT 83655 Lead level	$52.00	$65.00	$9.58–$65.00	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis	$44.80	$56.00	$4.26–$56.00	39% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin (reproductive hormone) analysis	$76.00	$95.00	$4.26–$95.00	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO)	$136.80	$171.00	$3.75–$214.37	113% above	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood group typing (ABO)	$164.80	$206.00	$3.75–$214.37	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measure C-reactive protein to detect infection/inflammation	$46.40	$58.00	$5.83–$58.00	16% below	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measure C-reactive protein to detect infection/inflammation	$46.40	$58.00	$5.83–$58.00	—	20%
C. difficile toxin gene test (stool PCR) CPT 87493 Test by nucleic acid for clostridium difficile, amplified	$152.80	$191.00	$24.00–$191.00	11% below	20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Test by nucleic acid for clostridium difficile, amplified	$183.20	$229.00	$24.00–$229.00	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis tumor antigen, quantitative; CA 19-9	$42.40	$53.00	$9.11–$53.00	61% below	20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunologic analysis tumor antigen, quantitative; CA 19-9	$51.20	$64.00	$9.11–$64.00	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis of tumor antigen, quantitative; CA 125	$124.80	$156.00	$9.11–$156.00	5% above	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis of tumor antigen quantitative- CA 125	$124.80	$156.00	$9.11–$156.00	5% above	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunologic analysis of tumor antigen quantitative- CA 125	$124.80	$156.00	$9.11–$156.00	—	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunologic analysis of tumor antigen, quantitative; CA 125	$150.40	$188.00	$9.11–$188.00	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe of (Covid-19) antigen	$197.60	$247.00	$57.70–$247.00	76% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Amplifed DNA or RNA probe of (Covid-19) antigen	$197.60	$247.00	$57.70–$247.00	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Test by nucleic acid for chlamydia trachomatis amplified	$90.40	$113.00	$24.00–$113.00	29% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Test by nucleic acid for chlamydia trachomatis, amplified	$90.40	$113.00	$24.00–$113.00	29% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Test bynucleic acid for chlamydia trachomatis, amplified	$90.40	$113.00	$24.00–$113.00	29% below	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Test by nucleic acid for chlamydia trachomatis amplified	$90.40	$113.00	$24.00–$113.00	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Test by nucleic acid for chlamydia trachomatis, amplified	$90.40	$113.00	$24.00–$113.00	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Test bynucleic acid for chlamydia trachomatis, amplified	$108.80	$136.00	$24.00–$136.00	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$60.80	$76.00	$7.23–$76.00	31% below	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test, lipids (cholesterol and triglycerides)	$60.80	$76.00	$7.23–$76.00	—	20%
Complete blood count (CBC) with differential CPT 85025 CBC, automated test and differential WBC count	$37.60	$47.00	$4.93–$47.00	42% below	20%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC, automated test and differential WBC count	$37.60	$47.00	$4.93–$47.00	—	20%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count, automated test	$30.40	$38.00	$4.93–$38.00	39% below	20%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete blood cell count, automated test	$30.40	$38.00	$4.93–$38.00	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals	$54.40	$68.00	$7.23–$68.00	40% below	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood test, comprehensive group of blood chemicals	$92.00	$115.00	$7.23–$115.00	—	20%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative	$76.00	$95.00	$3.25–$95.00	34% below	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation function measurement, D-dimer; quantitative	$109.60	$137.00	$3.25–$137.00	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$44.00	$55.00	$10.99–$55.00	66% below	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level	$44.00	$55.00	$10.99–$55.00	—	20%
Estradiol blood test CPT 82670 Measurement of total estradiol (hormone)	$73.60	$92.00	$10.99–$92.00	45% below	20%
Estradiol blood test inpatient CPT 82670 Measurement of total estradiol (hormone)	$73.60	$92.00	$10.99–$92.00	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating level	$84.80	$106.00	$10.99–$106.00	11% below	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin, follicle stimulating level	$146.40	$183.00	$10.99–$183.00	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level	$64.80	$81.00	$10.61–$81.00	66% below	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Stool calprotectin (protein) level	$77.60	$97.00	$10.61–$97.00	—	20%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level	$80.80	$101.00	$10.61–$101.00	15% below	20%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (blood protein) level	$137.60	$172.00	$10.61–$172.00	—	20%
Folate (folic acid) blood test CPT 82746 Folic acid level, serum	$75.20	$94.00	$10.61–$94.00	24% below	20%
Folate (folic acid) blood test inpatient CPT 82746 Folic acid level, serum	$128.00	$160.00	$10.61–$160.00	—	20%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free	$75.20	$94.00	$10.99–$94.00	14% below	20%
Free T3 thyroid hormone test inpatient CPT 84481 Thyroid hormone, T3 measurement, free	$90.40	$113.00	$10.99–$113.00	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free	$52.00	$65.00	$10.14–$65.00	20% below	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (thyroid chemical), free	$90.40	$113.00	$10.14–$113.00	—	20%
Free testosterone test CPT 84402 Testosterone (hormone) level, free	$73.60	$92.00	$10.99–$92.00	42% below	20%
Free testosterone test inpatient CPT 84402 Testosterone (hormone) level, free	$73.60	$92.00	$10.99–$92.00	—	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 Obstetric blood test panel	$401.60	$502.00	$7.23–$502.00	75% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose level after receiving glucose	$29.60	$37.00	$4.26–$37.00	21% below	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Blood glucose level after receiving glucose	$29.60	$37.00	$4.26–$37.00	—	20%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens	$67.20	$84.00	$10.61–$84.00	5% below	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens	$67.20	$84.00	$10.61–$84.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae amplified	$90.40	$113.00	$24.00–$113.00	28% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae , amplified	$90.40	$113.00	$24.00–$113.00	28% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae	$90.40	$113.00	$24.00–$113.00	28% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae , amplified	$90.40	$113.00	$24.00–$113.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae	$90.40	$113.00	$24.00–$113.00	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Test by nucleic acid for Neisseria gonorrhoeae amplified	$108.80	$136.00	$24.00–$136.00	—	20%
H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori	$60.00	$75.00	$9.11–$75.00	28% below	20%
H. pylori antibody blood test inpatient CPT 86677 Analysis for antibody to Helicobacter pylori	$60.00	$75.00	$9.11–$75.00	—	20%
H. pylori stool antigen test CPT 87338 Test by immunoassay for Helicobacter pylori in stool	$71.20	$89.00	$6.29–$89.00	49% below	20%
H. pylori stool antigen test inpatient CPT 87338 Test by immunoassay for Helicobacter pylori in stool	$85.60	$107.00	$6.29–$107.00	—	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Test by nucleic acid for HIV-1 virus, quantification	$263.20	$329.00	$94.61–$329.00	31% below	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Test by nucleic acid for HIV-1 virus, quantification	$316.00	$395.00	$94.61–$395.00	—	20%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus	$65.60	$82.00	$9.11–$82.00	24% below	20%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus	$79.20	$99.00	$9.11–$99.00	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Test by immunoassay HIV-1 antigen HIV-1/HIV-2 antibodies	$96.80	$121.00	$6.29–$121.00	1% below	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Test by immunoassay HIV-1 antigen HIV-1/HIV-2 antibodies	$117.60	$147.00	$6.29–$147.00	—	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Test by nucleic acid for HPV, high-risk types	$90.40	$113.00	$24.00–$113.00	36% below	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test by nucleic acid for HPV, high-risk types	$90.40	$113.00	$24.00–$113.00	36% below	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection test by nucleic acid for HPV high-risk types	$90.40	$113.00	$24.00–$113.00	36% below	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection test by nucleic acid for HPV high-risk types	$90.40	$113.00	$24.00–$113.00	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection test by nucleic acid for HPV, high-risk types	$90.40	$113.00	$24.00–$113.00	—	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Test by nucleic acid for HPV, high-risk types	$90.40	$113.00	$24.00–$113.00	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level	$61.60	$77.00	$4.26–$77.00	12% below	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C level	$73.60	$92.00	$4.26–$92.00	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement	$49.60	$62.00	$9.11–$62.00	30% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B surface antibody measurement	$59.20	$74.00	$9.11–$74.00	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Test by immunoassay for hepatitis B surface antigen	$51.20	$64.00	$6.29–$64.00	31% below	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Test byimmunoassay for hepatitis B surface antigen	$51.20	$64.00	$6.29–$64.00	31% below	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Test by immunoassay for hepatitis B surface antigen	$51.20	$64.00	$6.29–$64.00	—	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Test byimmunoassay for hepatitis B surface antigen	$87.20	$109.00	$6.29–$109.00	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement	$31.20	$39.00	$9.11–$39.00	64% below	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement	$31.20	$39.00	$9.11–$39.00	—	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 Test by nucleic acid for Hepatitis C virus, quantification	$131.20	$164.00	$24.00–$164.00	60% below	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Test by nucleic acid for Hepatitis C virus, quantification	$131.20	$164.00	$24.00–$164.00	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1	$32.80	$41.00	$9.11–$41.00	53% below	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Analysis for antibody to Herpes simplex virus, type 1	$32.80	$41.00	$9.11–$41.00	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2	$51.20	$64.00	$9.11–$64.00	42% below	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Analysis for antibody to Herpes simplex virus, type 2	$51.20	$64.00	$9.11–$64.00	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measure C-reactive protein for detection of infection	$60.80	$76.00	$9.11–$76.00	18% below	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Measure C-reactive protein for detection of infection	$115.20	$144.00	$9.11–$144.00	—	20%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level	$99.20	$124.00	$10.99–$124.00	18% below	20%
Homocysteine blood test inpatient CPT 83090 Homocysteine (amino acid) level	$99.20	$124.00	$10.99–$124.00	—	20%
Insulin blood test CPT 83525 Insulin measurement, total	$30.40	$38.00	$10.99–$38.00	63% below	20%
Insulin blood test inpatient CPT 83525 Insulin measurement, total	$36.00	$45.00	$10.99–$45.00	—	20%
Iron blood test (serum iron) CPT 83540 Iron level	$19.20	$24.00	$4.26–$24.00	59% below	20%
Iron blood test (serum iron) inpatient CPT 83540 Iron level	$32.00	$40.00	$4.26–$40.00	—	20%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity	$25.60	$32.00	$9.83–$32.00	57% below	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron binding capacity	$42.40	$53.00	$9.83–$53.00	—	20%
Kidney function blood test panel CPT 80069 Kidney function blood test panel	$48.00	$60.00	$7.23–$60.00	37% below	20%
Kidney function blood test panel inpatient CPT 80069 Kidney function blood test panel	$78.40	$98.00	$7.23–$98.00	—	20%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level	$95.20	$119.00	$10.99–$119.00	at median	20%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level	$162.40	$203.00	$10.99–$203.00	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level	$33.60	$42.00	$4.26–$42.00	54% below	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (fat enzyme) level	$55.20	$69.00	$4.26–$69.00	—	20%
Liver function blood test panel CPT 80076 Liver function blood test panel	$39.20	$49.00	$7.23–$49.00	40% below	20%
Liver function blood test panel inpatient CPT 80076 Liver function blood test panel	$39.20	$49.00	$7.23–$49.00	—	20%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi	$70.40	$88.00	$9.11–$88.00	21% below	20%
Lyme disease antibody test inpatient CPT 86618 Analysis for antibody Borrelia burgdorferi	$70.40	$88.00	$9.11–$88.00	—	20%
Magnesium blood test CPT 83735 Magnesium level	$33.60	$42.00	$4.26–$42.00	36% below	20%
Magnesium blood test inpatient CPT 83735 Magnesium level	$55.20	$69.00	$4.26–$69.00	—	20%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus)	$26.40	$33.00	$9.11–$33.00	63% below	20%
Measles (rubeola) antibody test inpatient CPT 86765 Analysis for antibody to Rubeola (measles virus)	$26.40	$33.00	$9.11–$33.00	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono)	$72.80	$91.00	$5.83–$91.00	28% above	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening test for mononucleosis (mono)	$88.00	$110.00	$5.83–$110.00	—	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free	$116.00	$145.00	$10.61–$145.00	15% above	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA (prostate specific antigen) measurement, free	$116.00	$145.00	$10.61–$145.00	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total	$90.40	$113.00	$10.61–$113.00	18% below	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement total	$90.40	$113.00	$10.61–$113.00	18% below	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement, total	$90.40	$113.00	$10.61–$113.00	—	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (prostate specific antigen) measurement total	$156.00	$195.00	$10.61–$195.00	—	20%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap test automated thin layer preparation	$80.80	$101.00	$15.09–$101.00	8% below	20%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap test, automated thin layer preparation	$80.80	$101.00	$15.09–$101.00	8% below	20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap test, automated thin layer preparation	$80.80	$101.00	$15.09–$101.00	—	20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap test automated thin layer preparation	$80.80	$101.00	$15.09–$101.00	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap test, manual screening	$83.20	$104.00	$15.09–$104.00	2% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap test manual screening	$90.40	$113.00	$15.09–$113.00	11% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap test, manual screening	$83.20	$104.00	$15.09–$104.00	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap test manual screening	$90.40	$113.00	$15.09–$113.00	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level	$103.20	$129.00	$28.27–$129.00	51% below	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (parathyroid hormone) level	$124.80	$156.00	$28.27–$156.00	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood	$23.20	$29.00	$3.25–$29.00	44% below	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test plasma or whole blood	$23.20	$29.00	$3.25–$29.00	44% below	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test plasma or whole blood	$23.20	$29.00	$3.25–$29.00	—	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation assessment blood test, plasma or whole blood	$23.20	$29.00	$3.25–$29.00	—	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Test for detecting genes associated w/ fetal disease	$882.40	$1,103.00	$352.83–$1,103.00	15% above	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Test for detecting genes associated w/ fetal disease	$882.40	$1,103.00	$352.83–$1,103.00	—	20%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level	$40.80	$51.00	$10.99–$51.00	58% below	20%
Progesterone blood test inpatient CPT 84144 Progesterone (reproductive hormone) level	$40.80	$51.00	$10.99–$51.00	—	20%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level	$49.60	$62.00	$10.99–$62.00	53% below	20%
Prolactin blood test inpatient CPT 84146 Prolactin (milk producing hormone) level	$59.20	$74.00	$10.99–$74.00	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time	$30.40	$38.00	$3.25–$38.00	24% below	20%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test clotting time	$30.40	$38.00	$3.25–$38.00	24% below	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test, clotting time	$30.40	$38.00	$3.25–$38.00	—	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood test clotting time	$36.00	$45.00	$3.25–$45.00	—	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Test by immunoassay w/ direct visual observation for Strep	$56.00	$70.00	$6.29–$70.00	22% below	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Test by immunoassay w/ direct visual observation for Strep	$67.20	$84.00	$6.29–$84.00	—	20%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level	$39.20	$49.00	$6.37–$49.00	2% below	20%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor level	$39.20	$49.00	$6.37–$49.00	—	20%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus)	$47.20	$59.00	$9.11–$59.00	32% below	20%
Rubella antibody test (immunity check) inpatient CPT 86762 Analysis for antibody to Rubella (German measles virus)	$47.20	$59.00	$9.11–$59.00	—	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC sedimentation rate, to detect inflammation, automated	$29.60	$37.00	$3.03–$37.00	5% below	20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC sedimentation rate, to detect inflammation, automated	$35.20	$44.00	$3.03–$44.00	—	20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume, sperm count, motility and analysis	$30.40	$38.00	$8.39–$38.00	58% below	20%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen evaluation volume, sperm count, motility and analysis	$30.40	$38.00	$8.39–$38.00	—	20%
Stool ova and parasites exam CPT 87177 Smear for parasites	$30.40	$38.00	$6.29–$38.00	50% below	20%
Stool ova and parasites exam inpatient CPT 87177 Smear for parasites	$36.00	$45.00	$6.29–$45.00	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors	$25.60	$32.00	$4.26–$32.00	14% below	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool analysis for blood to screen for colon tumors	$41.60	$52.00	$4.26–$52.00	—	20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood stool analysis, by fecal hemoglobin determination	$53.60	$67.00	$10.61–$67.00	28% below	20%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Blood stool analysis, by fecal hemoglobin determination	$65.60	$82.00	$10.61–$82.00	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test	$25.60	$32.00	$4.80–$32.00	14% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis detection test	$30.40	$38.00	$4.80–$38.00	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon	$183.20	$229.00	$26.45–$229.00	12% below	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis test, gamma interferon	$183.20	$229.00	$26.45–$229.00	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total	$64.80	$81.00	$10.99–$81.00	45% below	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (hormone) level, total	$64.80	$81.00	$10.99–$81.00	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement	$30.40	$38.00	$9.11–$38.00	62% below	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies (autoantibody) measurement	$30.40	$38.00	$9.11–$38.00	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$50.40	$63.00	$10.99–$63.00	45% below	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test, thyroid stimulating hormone (TSH)	$50.40	$63.00	$10.99–$63.00	—	20%
Trichomonas test (NAAT) CPT 87661 Test by nucleic acid for Trichomonas vaginalis amplified	$97.60	$122.00	$24.00–$122.00	7% below	20%
Trichomonas test (NAAT) CPT 87661 Test by nucleic acid for Trichomonas vaginalis , amplified	$97.60	$122.00	$24.00–$122.00	7% below	20%
Trichomonas test (NAAT) inpatient CPT 87661 Test by nucleic acid for Trichomonas vaginalis , amplified	$97.60	$122.00	$24.00–$122.00	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 Test by nucleic acid for Trichomonas vaginalis amplified	$97.60	$122.00	$24.00–$122.00	—	20%
Uric acid blood test CPT 84550 Uric acid level, blood	$31.20	$39.00	$4.26–$39.00	31% below	20%
Uric acid blood test inpatient CPT 84550 Uric acid level, blood	$31.20	$39.00	$4.26–$39.00	—	20%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test w/exam using microscope, automated	$25.60	$32.00	$2.40–$32.00	32% below	20%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test w/exam using microscope automated	$25.60	$32.00	$2.40–$32.00	32% below	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 Manual urinalysis test w/exam using microscope, automated	$38.40	$48.00	$2.40–$48.00	—	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 Manual urinalysis test w/exam using microscope automated	$38.40	$48.00	$2.40–$48.00	—	20%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test	$15.20	$19.00	$2.40–$19.00	46% below	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 Automated urinalysis test	$15.20	$19.00	$2.40–$19.00	—	20%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test	$14.40	$18.00	$2.40–$18.00	29% below	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis, manual test	$14.40	$18.00	$2.40–$18.00	—	20%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine	$56.00	$70.00	$6.29–$70.00	31% below	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial colony count, urine	$56.00	$70.00	$6.29–$70.00	—	20%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test	$24.80	$31.00	$2.40–$31.00	49% below	20%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine pregnancy test	$64.00	$80.00	$2.40–$80.00	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level	$75.20	$94.00	$10.99–$94.00	22% below	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin (vitamin B-12) level	$128.00	$160.00	$10.99–$160.00	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level	$136.00	$170.00	$10.61–$170.00	5% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-3 level	$164.00	$205.00	$10.61–$205.00	—	20%
Zinc blood test CPT 84630 Zinc level	$51.20	$64.00	$9.58–$64.00	32% below	20%
Zinc blood test inpatient CPT 84630 Zinc level	$60.80	$76.00	$9.58–$76.00	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level	$49.60	$62.00	$10.99–$62.00	54% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, chorionic (reproductive hormone) level	$49.60	$62.00	$10.99–$62.00	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy breast using X-ray with needle first growth	$2,144.80	$2,681.00	$1,221.87–$2,681.00	3% below	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Biopsy breast using X-ray with needle first growth	$2,144.80	$2,681.00	$1,221.87–$2,681.00	—	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken outside lower leg bone at ankle	$387.20	$484.00	$270.55–$484.00	41% below	20%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed treatment of broken outside lower leg bone at ankle	$387.20	$484.00	$270.55–$484.00	—	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Arrhythmia External	$1,039.20	$1,299.00	$564.20–$1,299.00	2% above	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Elective Arrhythmia External	$1,039.20	$1,299.00	$564.20–$1,299.00	—	20%
Cesarean delivery, including prenatal and postpartum care CPT 59510 Routine obstetric care for cesarean delivery, including pre-and-post-delivery care	$5,376.80	$6,721.00	$2,276.93–$6,721.00	at median	20%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 Routine obstetric care for cesarean delivery, including pre-and-post-delivery care	$19,200.00	$24,000.00	$2,276.93–$24,000.00	—	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin using clamp or device	$279.20	$349.00	$195.09–$3,367.98	16% below	20%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Removal of foreskin using clamp or device	$279.20	$349.00	$195.09–$3,367.98	—	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC ED Treat Distal Radial Fracture Radius/Ulna W/O Manip Cdm	$387.20	$484.00	$270.55–$484.00	35% below	20%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC ED Treat Distal Radial Fracture Radius/Ulna W/O Manip Cdm	$387.20	$484.00	$270.55–$484.00	—	20%
Colonoscopy with polyp removal CPT 45385 Colonoscopy with Polyp Removal - Removal of polyps or growths of large bowel using an endoscope	$4,240.00	$5,300.00	$847.81–$5,300.00	171% above	20%
Colonoscopy with tissue sample CPT 45380 Colonoscopy with Biopsy - Biopsy of large bowel using an endoscope	$4,240.00	$5,300.00	$847.81–$5,300.00	144% above	20%
Colonoscopy, diagnostic CPT 45378 Colonoscopy - Diagnostic examination of large bowel using an endoscope	$2,880.00	$3,600.00	$847.81–$3,600.00	76% above	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth, 1 growth	$321.60	$402.00	$142.80–$402.00	77% above	20%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction of precancer skin growth, 1 growth	$321.60	$402.00	$142.80–$402.00	—	20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injectsubstance into middle or upper spine canal	$1,124.80	$1,406.00	$747.00–$1,406.00	12% below	20%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injectsubstance into middle or upper spine canal	$1,124.80	$1,406.00	$747.00–$1,406.00	—	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Upper or middle spine facet joint injection lev 1	$1,684.00	$2,105.00	$747.00–$2,105.00	16% below	20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Upper or middle spine facet joint injection lev 1	$1,684.00	$2,105.00	$747.00–$2,105.00	—	20%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbaldder using an endoscope - Laparoscopic Cholecystectomy	$16,880.00	$21,100.00	$3,012.00–$21,100.00	71% above	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Introduce contrast for X-ray uterus and fallopian tubes	$199.20	$249.00	$139.19–$289.68	21% below	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Introduce contrast for X-ray uterus and fallopian tubes	$199.20	$249.00	$139.19–$289.68	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess	$387.20	$484.00	$142.80–$484.00	7% above	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess	$387.20	$484.00	$142.80–$484.00	—	20%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older	$11,600.00	$14,500.00	$3,058.81–$14,500.00	65% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament	$484.00	$605.00	$210.06–$605.00	64% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection into tendon or ligament	$484.00	$605.00	$210.06–$605.00	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint	$479.20	$599.00	$210.06–$599.00	2% below	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint	$479.20	$599.00	$210.06–$599.00	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint	$360.00	$450.00	$210.06–$494.56	21% below	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration and/or injection of fluid from medium joint	$360.00	$450.00	$210.06–$494.56	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint	$329.60	$412.00	$210.06–$494.56	13% below	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or injection of fluid from small joint	$329.60	$412.00	$210.06–$494.56	—	20%
Knee arthroscopy with meniscus trim CPT 29881 Arthroscopy of knee w/meniscectomy medial OR lateral w/shaving	$8,400.00	$10,500.00	$1,952.25–$10,500.00	316% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair wound of scalp, underarms, trunk, limbs, <2.5cm	$652.00	$815.00	$328.32–$815.00	12% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair wound of scalp, underarms, trunk, limbs, <2.5cm	$652.00	$815.00	$328.32–$815.00	—	20%
Lower-back epidural injection, with imaging guidance CPT 62323 Inject substance into lower spine canal	$1,124.80	$1,406.00	$747.00–$1,406.00	18% below	20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inject substance into lower spine canal	$1,124.80	$1,406.00	$747.00–$1,406.00	—	20%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal	$1,124.80	$1,406.00	$747.00–$1,425.05	1% below	20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection of substance into lower spine canal	$1,124.80	$1,406.00	$747.00–$1,425.05	—	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Inject anesthetic/steroid drug into sacral spine	$1,403.20	$1,754.00	$747.00–$1,754.00	12% below	20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Inject anesthetic/steroid drug into sacral spine	$1,403.20	$1,754.00	$747.00–$1,754.00	—	20%
Nail removal (partial or complete), one nail CPT 11730 Simple separation fingernail or toenail, 1st nail	$336.00	$420.00	$57.28–$420.00	18% above	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation fingernail or toenail, 1st nail	$336.00	$420.00	$57.28–$420.00	—	20%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity	$1,480.00	$1,850.00	$645.41–$1,850.00	21% above	20%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity w/ imaging guidance	$1,480.00	$1,850.00	$645.41–$1,850.00	21% above	20%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity w/ imaging guidance	$1,480.00	$1,850.00	$645.41–$1,850.00	—	20%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity	$1,480.00	$1,850.00	$645.41–$1,850.00	—	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail	$632.00	$790.00	$389.12–$790.00	at median	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail	$632.00	$790.00	$389.12–$790.00	—	20%
Removal of a breast lump, open surgery CPT 19120 Removal of 1 or more breast growth, open procedure	$8,400.00	$10,500.00	$1,221.87–$10,500.00	141% above	20%
Removal of a foreign object under the skin, simple CPT 10120 Remove foreign body from tissue under skin, simple	$592.80	$741.00	$142.80–$741.00	15% above	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove foreign body from tissue under skin, simple	$592.80	$741.00	$142.80–$741.00	—	20%
Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast	$483.20	$604.00	$164.46–$604.00	30% above	20%
Short arm cast (elbow to hand) inpatient CPT 29075 Application of elbow to finger cast	$483.20	$604.00	$164.46–$604.00	—	20%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint	$271.20	$339.00	$37.96–$339.00	12% above	20%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint	$271.20	$339.00	$37.96–$339.00	—	20%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot	$265.60	$332.00	$37.96–$332.00	6% below	20%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot	$265.60	$332.00	$37.96–$332.00	—	20%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using an endoscope	$17,520.00	$21,900.00	$1,952.25–$21,900.00	1071% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of body, 2.5 cm or less	$301.60	$377.00	$163.24–$377.00	4% below	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of body, 2.5 cm or less	$301.60	$377.00	$163.24–$377.00	—	20%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth	$663.20	$829.00	$389.12–$829.00	96% above	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy, first skin growth	$663.20	$829.00	$389.12–$829.00	—	20%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags	$304.00	$380.00	$142.80–$380.00	48% above	20%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tag, 1-15 skin tags	$304.00	$380.00	$142.80–$380.00	—	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Remove cerebrospinal fluid with lower back spinal tap	$1,492.00	$1,865.00	$747.00–$1,865.00	70% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Remove cerebrospinal fluid w/ lower back spinal tap	$1,492.00	$1,865.00	$747.00–$1,865.00	70% above	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Remove cerebrospinal fluid with lower back spinal tap	$1,492.00	$1,865.00	$747.00–$1,865.00	—	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Remove cerebrospinal fluid w/ lower back spinal tap	$1,492.00	$1,865.00	$747.00–$1,865.00	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of body, 2.6-7.5 cm	$301.60	$377.00	$163.24–$377.00	23% below	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of body, 2.6-7.5 cm	$301.60	$377.00	$163.24–$377.00	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of head, 2.5 cm or less	$301.60	$377.00	$163.24–$377.00	18% below	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of head, 2.5 cm or less	$301.60	$377.00	$163.24–$377.00	—	20%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity	$1,277.60	$1,597.00	$786.09–$1,597.00	3% above	20%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspiration of fluid from chest cavity	$1,277.60	$1,597.00	$786.09–$1,597.00	—	20%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles	$496.80	$621.00	$210.06–$621.00	56% above	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection of trigger points, 1-2 muscles	$496.80	$621.00	$210.06–$621.00	—	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy breast using ultrasound, first growth	$2,000.00	$2,500.00	$1,221.87–$2,661.01	19% below	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy breast using ultrasound, first growth	$2,000.00	$2,500.00	$1,221.87–$2,661.01	—	20%
Upper endoscopy (EGD) with biopsy CPT 43239 Endoscopy - Biopsy of the esophagus, stomach and/or upper small bowel using an endoscope	$3,200.00	$4,000.00	$835.33–$4,000.00	75% above	20%
Upper endoscopy (EGD), diagnostic CPT 43235 Endoscopy - Diagnostic examination of esohpagus, stomach and/or upper small bowel using an endoscope (EGD)	$2,840.00	$3,550.00	$835.33–$3,550.00	178% above	20%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routine obstetric care for vaginal delivery after prev cesarean , including pre-and-post-delivery care	$5,069.60	$6,337.00	$1,895.75–$6,337.00	at median	20%
Vaginal delivery, including prenatal and postpartum care CPT 59400 Routine obstetric care for vaginal delivery, including pre-and-post-delivery care	$4,835.20	$6,044.00	$1,895.75–$6,044.00	at median	20%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 Routine obstetric care for vaginal delivery, including pre-and-post-delivery care	$14,800.00	$18,500.00	$1,895.75–$18,500.00	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less	$664.00	$830.00	$328.32–$830.00	11% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue, 20.0 sq cm or less	$664.00	$830.00	$328.32–$830.00	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products	$800.80	$1,001.00	$402.00–$1,001.00	13% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction	$220.80	$276.00	$5.10–$352.81	4% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation for airway obstruction or sputum production	$400.00	$500.00	$5.10–$500.00	89% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Inhalation treatment for airway obstruction	$220.80	$276.00	$5.10–$352.81	—	20%
Chemotherapy IV infusion, first hour CPT 96413 HC Chemo IV Infusion Initial Hr Cdm	$780.00	$975.00	$264.60–$975.00	9% above	20%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Chemo IV Infusion Initial Hr Cdm	$780.00	$975.00	$264.60–$975.00	—	20%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes	$1,728.00	$2,160.00	$1,035.12–$2,160.00	31% below	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes	$1,728.00	$2,160.00	$1,035.12–$2,160.00	—	20%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measure brain wave activity (EEG), awake and drowsy	$539.20	$674.00	$270.59–$674.00	27% below	20%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Measure brain wave activity (EEG), awake and drowsy	$539.20	$674.00	$270.59–$674.00	—	20%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report	$115.20	$144.00	$23.03–$144.00	20% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram using at least 12 leads w/tracing	$121.60	$152.00	$23.03–$152.00	33% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine electrocardiogram using at least 12 leads w/tracing	$121.60	$152.00	$23.03–$152.00	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit Level 1	$312.80	$391.00	$105.67–$391.00	40% above	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit Level 1	$312.80	$391.00	$105.67–$391.00	—	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit level 2	$417.60	$522.00	$192.41–$522.00	7% above	20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit level 2	$417.60	$522.00	$192.41–$522.00	—	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit level 3	$730.40	$913.00	$342.08–$913.00	at median	20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit level 3	$730.40	$913.00	$342.08–$913.00	—	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit level 4	$1,032.80	$1,291.00	$522.89–$1,291.00	12% below	20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit level 4	$1,032.80	$1,291.00	$522.89–$1,291.00	—	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit level 5	$1,330.40	$1,663.00	$746.28–$1,663.00	33% below	20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit level 5	$1,330.40	$1,663.00	$746.28–$1,663.00	—	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with ECG	$623.20	$779.00	$146.36–$779.00	7% above	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise or drug-induced heart stress test with ECG	$623.20	$779.00	$146.36–$779.00	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV Hydration Initial Hr Cdm	$445.60	$557.00	$264.60–$557.00	33% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration, initial hr	$445.60	$557.00	$264.60–$557.00	33% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration, initial hr	$445.60	$557.00	$264.60–$557.00	—	20%
IV infusion of a medicine, first hour CPT 96365 IV IV initial hr	$504.00	$630.00	$264.60–$630.00	24% above	20%
IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Initial Hr Cdm	$504.00	$630.00	$264.60–$630.00	24% above	20%
IV infusion of a medicine, first hour inpatient CPT 96365 IV IV initial hr	$504.00	$630.00	$264.60–$630.00	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle	$120.00	$150.00	$38.58–$150.00	21% above	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle	$120.00	$150.00	$38.58–$150.00	—	20%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric diagnostic evaluation	$164.00	$205.00	$114.59–$285.97	32% below	20%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric diagnostic evaluation	$164.00	$205.00	$114.59–$285.97	—	20%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction - 7-8 studies	$588.00	$735.00	$119.13–$735.00	23% above	20%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve conduction - 7-8 studies	$588.00	$735.00	$119.13–$735.00	—	20%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation of movement	$92.00	$115.00	$20.41–$115.00	6% below	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular reeducation of movement	$92.00	$115.00	$20.41–$115.00	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure nutrition management - each 15m	$60.00	$75.00	$20.02–$75.00	6% below	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Therapy procedure nutrition management - each 15m	$60.00	$75.00	$20.02–$75.00	—	20%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy - low complexity	$253.60	$317.00	$64.18–$317.00	22% above	20%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation for occupational therapy - low complexity	$253.60	$317.00	$64.18–$317.00	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy - high complexity	$320.80	$401.00	$62.41–$401.00	18% above	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation for physical therapy - high complexity	$320.80	$401.00	$62.41–$401.00	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy - low complexity	$235.20	$294.00	$62.41–$294.00	9% above	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation for physical therapy - low complexity	$235.20	$294.00	$62.41–$294.00	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy - mod complexity	$268.00	$335.00	$62.41–$335.00	16% above	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Evaluation for physical therapy - mod complexity	$268.00	$335.00	$62.41–$335.00	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy techniques	$84.00	$105.00	$17.27–$105.00	3% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual therapy techniques	$84.00	$105.00	$17.27–$105.00	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises	$92.00	$115.00	$18.25–$115.00	2% below	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic exercises	$92.00	$115.00	$18.25–$115.00	—	20%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years)	$335.20	$419.00	$234.22–$419.00	99% above	20%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years)	$363.20	$454.00	$253.78–$454.00	63% above	20%
Psychiatric evaluation with medical services CPT 90792 Psychiatric diagnostic evaluation with medical services	$164.00	$205.00	$114.59–$285.97	40% below	20%
Psychiatric evaluation with medical services inpatient CPT 90792 Psychiatric diagnostic evaluation with medical services	$164.00	$205.00	$114.59–$285.97	—	20%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 minutes	$108.00	$135.00	$75.46–$285.97	22% below	20%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy, 30 minutes	$108.00	$135.00	$75.46–$285.97	—	20%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 minutes	$108.00	$135.00	$75.46–$285.97	41% below	20%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy, 45 minutes	$108.00	$135.00	$75.46–$285.97	—	20%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 1 hour	$108.00	$135.00	$75.46–$285.97	59% below	20%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy, 1 hour	$108.00	$135.00	$75.46–$285.97	—	20%
Speech and language evaluation CPT 92523 Evaluate sound production w/comprehension/expression	$373.60	$467.00	$141.90–$467.00	3% below	20%
Speech and language evaluation inpatient CPT 92523 Evaluate sound production w/comprehension/expression	$373.60	$467.00	$141.90–$467.00	—	20%
Speech therapy session, individual CPT 92507 Treat speech/language/voice/communication/hearing - individual	$126.40	$158.00	$47.69–$158.00	40% below	20%
Speech therapy session, individual inpatient CPT 92507 Treat speech/language/voice/communication/hearing - individual	$126.40	$158.00	$47.69–$158.00	—	20%
Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume	$1,160.00	$1,450.00	$45.45–$1,450.00	467% above	20%
Spirometry (breathing test) inpatient CPT 94010 Test to measure expiratory airflow and volume	$1,160.00	$1,450.00	$45.45–$1,450.00	—	20%
Spirometry before and after a bronchodilator CPT 94060 Measure total volume of air exhaled after inhaling	$1,160.00	$1,450.00	$89.36–$1,450.00	197% above	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 Measure total volume of air exhaled after inhaling	$1,160.00	$1,450.00	$89.36–$1,450.00	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities	$92.00	$115.00	$22.18–$115.00	12% below	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities -ea 15mins	$92.00	$115.00	$22.18–$115.00	12% below	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapy procedure using functional activities	$92.00	$115.00	$22.18–$115.00	—	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic activities -ea 15mins	$92.00	$115.00	$22.18–$115.00	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem	$200.00	$250.00	$51.24–$250.00	1% below	20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Drawing of blood for a medical problem	$200.00	$250.00	$51.24–$250.00	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine	$63.20	$79.00	$33.58–$116.01	42% above	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine	$63.20	$79.00	$33.58–$79.00	65% above	20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of vaccine, each additional vaccine	$63.20	$79.00	$33.58–$79.00	—	20%

Source file: https://mrfs.hyvehealthcare.com/ClallamCounty/916001709_clallam-county-public-hospital-district-2-dba-olympic-medical-center_standardcharges.json