Hospital Yakima, WA

Astria Toppenish Hospital

Astria Toppenish Hospital in Toppenish, WA publishes cash prices for 306 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 229 of 305 procedures and above it for 69. By typical cash price it ranks #3 of 58 Washington hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

502 W 4th AVE Toppenish WA 98948-1616 Collected Sep 29, 2026 Source price file (509) 865-1520

Acute care hospital Emergency department CCN 500037 · CMS hospital register NPI 1851817308

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named Astria Toppenish Hospital in Toppenish, WA:

Oct 31, 2024 Warning notice
Dec 30, 2024 Case closed
Feb 4, 2026 Warning notice
May 7, 2026 Corrective action plan requested
Jun 18, 2026 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 TCPO/ABI BILAT 1-2 OR UNILAT>3	$462.15	$711.00	$73.81–$711.00	—	35%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 Non-invasive upper/lower ext arteri	$200.85	$309.00	$47.28–$454.80	35% below	35%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 93880 Duplex scan of extracranial arteries; comple	$349.05	$537.00	$82.16–$934.90	60% below	35%
Duplex ultrasound of the leg arteries, both legs CPT 93925 93925 Duplex scan of lower extremity arteries or a	$346.45	$533.00	$81.55–$934.90	63% below	35%
Duplex ultrasound of the leg veins, both legs CPT 93970 93970 Duplex scan of extremity veins; complete bil	$356.85	$549.00	$84.00–$934.90	66% below	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306 Echo, transthoracic, w/ image, includes M-mo	$440.05	$677.00	$103.58–$1,961.75	71% below	35%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 Sleep study, unattended, simultaneous record	$75.40	$116.00	$17.75–$566.91	78% below	35%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED	$455.65	$701.00	$94.32–$701.00	32% above	35%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 SLEEP STUDY UNATTENDED	$615.55	$947.00	$94.32–$947.00	79% above	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 76815 OB US LIMITED FETUS(S)	$205.40	$316.00	$48.35–$442.69	48% below	35%
Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus	$376.35	$579.00	$67.85–$579.00	11% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 93971 Duplex scan of extremity veins; unilateral o	$226.85	$349.00	$53.40–$442.69	65% below	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Transferase; alanine amino (ALT) (SGPT) LC	$66.95	$103.00	$3.25–$103.00	55% above	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT OR ALT	$76.05	$117.00	$3.25–$117.00	76% above	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIB-4 w/rflx to Enhanced Liver Fibrosis (ELF) 402175 LC	$77.35	$119.00	$3.25–$119.00	104% above	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT OR AST	$77.35	$119.00	$3.25–$119.00	104% above	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 NASH FibroSure LC	$87.10	$134.00	$3.25–$134.00	130% above	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis LC	$115.05	$177.00	$5.52–$182.18	53% below	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) LC	$768.95	$1,183.00	$5.52–$1,183.00	216% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INDIVIDUAL	$7.80	$12.00	$1.84–$19.96	70% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (17) LC 605801	$9.10	$14.00	$2.14–$19.96	65% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (5) LC 672748	$9.10	$14.00	$2.14–$19.96	65% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (35) Foods LC	$9.10	$14.00	$2.14–$19.96	65% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (15) Foods LC	$9.10	$14.00	$2.14–$19.96	65% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (11) Foods LC	$9.10	$14.00	$2.14–$19.96	65% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (3) LC 605853	$54.60	$84.00	$5.22–$84.00	113% above	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULL PEPTIDE AB IGG	$56.55	$87.00	$6.96–$87.00	25% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA LC	$66.95	$103.00	$6.96–$103.00	11% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Rheumatoid Arthritis Profile LC	$66.95	$103.00	$6.96–$103.00	11% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE ANTIBODY	$37.70	$58.00	$6.96–$58.00	45% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/Rfx to all if Positive	$39.00	$60.00	$6.96–$60.00	43% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Uric A+ANA w/Rflx+RA Qn+CRP... LC	$45.50	$70.00	$6.96–$70.00	34% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, IFA LC	$45.50	$70.00	$6.96–$70.00	34% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Direct LC	$45.50	$70.00	$6.96–$70.00	34% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex LC	$45.50	$70.00	$6.96–$70.00	34% below	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide	$110.50	$170.00	$21.33–$170.00	42% below	35%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$141.70	$218.00	$5.52–$218.00	93% above	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill PATHOLOGY LEVEL IV	$92.95	$143.00	$14.76–$202.15	47% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Surgical Pathology- 1st Site LC	$241.80	$372.00	$14.76–$372.00	38% above	35%
Blood culture for bacteria CPT 87040 Blood Culture	$170.95	$263.00	$4.81–$263.00	19% above	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 Collection of venous blood by venipuncture	$7.15	$11.00	$1.55–$15.45	71% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 DUI Legal Blood Draw	$62.40	$96.00	$1.55–$96.00	150% above	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Routine	$66.30	$102.00	$1.55–$102.00	166% above	35%
Blood glucose (sugar) test CPT 82947 Glucose Level 24 hour Urine	$8.45	$13.00	$1.99–$15.03	77% below	35%
Blood glucose (sugar) test CPT 82947 N/A	$30.55	$47.00	$3.25–$47.00	17% below	35%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$32.50	$50.00	$3.25–$50.00	12% below	35%
Blood lead test CPT 83655 N/A	$77.35	$119.00	$7.32–$119.00	22% above	35%
Blood lead test CPT 83655 Lead Stan Profile LC 038170	$95.55	$147.00	$7.32–$147.00	50% above	35%
Blood lead test CPT 83655 Lead, Blood (Pediatric) LC 717009	$95.55	$147.00	$7.32–$147.00	50% above	35%
Blood lead test CPT 83655 zLead Standard Profile, Blood LC 038158	$95.55	$147.00	$7.32–$147.00	50% above	35%
Blood lead test CPT 83655 Lead, Blood (Adult) LC 007625	$95.55	$147.00	$7.32–$147.00	50% above	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Pregnancy Test Qualitative	$89.05	$137.00	$3.25–$137.00	21% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABORh	$212.55	$327.00	$2.86–$454.80	231% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh	$212.55	$327.00	$2.86–$454.80	231% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO LC	$212.55	$327.00	$2.86–$454.80	231% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABORh.	$212.55	$327.00	$2.86–$454.80	231% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Neonatal ABORh	$212.55	$327.00	$2.86–$454.80	231% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO	$212.55	$327.00	$2.86–$454.80	231% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Only	$212.55	$327.00	$2.86–$454.80	231% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh.	$212.55	$327.00	$2.86–$454.80	231% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill ABO	$212.55	$327.00	$2.86–$454.80	231% above	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$22.10	$34.00	$5.18–$34.00	60% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein, Quant LC	$24.70	$38.00	$5.18–$38.00	55% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein LC	$26.00	$40.00	$5.18–$40.00	53% below	35%
C. difficile toxin gene test (stool PCR) CPT 87493 C-Diff Toxin B PCR (GeneXpert)	$65.65	$101.00	$15.45–$142.55	62% below	35%
C. difficile toxin gene test (stool PCR) CPT 87493 C difficile Toxin Gene NAA LC	$97.50	$150.00	$18.33–$150.00	43% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC	$276.90	$426.00	$6.96–$426.00	152% above	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC	$403.00	$620.00	$6.96–$620.00	238% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert) POCT	$90.35	$139.00	$18.33–$139.00	19% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert) POC	$90.35	$139.00	$18.33–$139.00	19% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus (CoVID19), NAA INC	$157.30	$242.00	$18.33–$242.00	40% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert)	$168.35	$259.00	$18.33–$259.00	50% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus (CoVID-19), NAA LC	$184.60	$284.00	$18.33–$284.00	65% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Vaginosis/Vaginitis Extended Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Leukorrhea Panel - Extended AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Gonorrhea Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Cervicitis/Vaginitis Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Leukorrhea Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 PID/Infertility Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia, Conjunctiva, NAA LC	$111.80	$172.00	$18.33–$172.00	12% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia and Gonorrhea (GeneXpert)	$123.50	$190.00	$18.33–$190.00	3% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC Amplification LC	$133.90	$206.00	$18.33–$206.00	5% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PROBE	$146.90	$226.00	$18.33–$226.00	16% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$199.55	$307.00	$5.52–$307.00	128% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LipoProf+Graph LC	$222.95	$343.00	$5.52–$343.00	155% above	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipoprotein Phenotyping LC	$222.95	$343.00	$5.52–$343.00	155% above	35%
Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential	$109.20	$168.00	$3.76–$168.00	68% above	35%
Complete blood count (CBC) with differential CPT 85025 CBC LC	$128.70	$198.00	$3.76–$198.00	98% above	35%
Complete blood count (CBC), no differential CPT 85027 Hemogram Automated	$100.75	$155.00	$3.76–$155.00	103% above	35%
Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential	$100.75	$155.00	$3.76–$155.00	103% above	35%
Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC) LC	$118.30	$182.00	$3.76–$182.00	138% above	35%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel	$234.65	$361.00	$5.52–$361.00	158% above	35%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer	$99.45	$153.00	$2.48–$153.00	13% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate LC	$295.75	$455.00	$8.39–$455.00	131% above	35%
Estradiol blood test CPT 82670 Estradiol Level	$96.20	$148.00	$8.39–$148.00	29% below	35%
Estradiol blood test CPT 82670 Estradiol LC	$391.30	$602.00	$8.39–$602.00	190% above	35%
Estradiol blood test CPT 82670 Estradiol, Sensitive LC	$391.30	$602.00	$8.39–$602.00	190% above	35%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level	$68.90	$106.00	$8.39–$106.00	28% below	35%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$221.00	$340.00	$8.39–$340.00	132% above	35%
FSH (follicle-stimulating hormone) test CPT 83001 FSH LC	$247.65	$381.00	$8.39–$381.00	160% above	35%
FSH (follicle-stimulating hormone) test CPT 83001 FSH and LH LC	$247.65	$381.00	$8.39–$381.00	160% above	35%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC	$666.90	$1,026.00	$8.11–$1,026.00	246% above	35%
Ferritin blood test (iron stores) CPT 82728 Ferritin LC	$14.95	$23.00	$3.52–$52.13	84% below	35%
Ferritin blood test (iron stores) CPT 82728 Follicle Stimulating Hormone Level	$14.95	$23.00	$3.52–$52.13	84% below	35%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$198.90	$306.00	$8.11–$306.00	108% above	35%
Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) LC	$18.85	$29.00	$4.44–$56.22	81% below	35%
Folate (folic acid) blood test CPT 82746 Folate Serum	$174.85	$269.00	$8.11–$269.00	76% above	35%
Free T3 thyroid hormone test CPT 84481 T3 Free	$252.20	$388.00	$8.39–$388.00	189% above	35%
Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3 Free LC	$297.05	$457.00	$8.39–$457.00	241% above	35%
Free T3 thyroid hormone test CPT 84481 N/A	$440.05	$677.00	$8.39–$677.00	405% above	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 Thyroxine, free (FT4) LC	$25.35	$39.00	$5.97–$39.00	61% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4	$88.40	$136.00	$8.39–$136.00	36% above	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S LC	$98.80	$152.00	$8.39–$152.00	52% above	35%
Free testosterone test CPT 84402 Testosterone, Free+Total, LC/MS LC 070195	$312.65	$481.00	$8.39–$481.00	145% above	35%
Free testosterone test CPT 84402 Testosterone,Free and Total LC 140103	$356.85	$549.00	$8.39–$549.00	180% above	35%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$425.75	$655.00	$5.52–$655.00	85% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GC by Nucleic Acid Amplification	$64.35	$99.00	$3.25–$99.00	72% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour	$64.35	$99.00	$3.25–$99.00	72% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour Post Prandial OB	$154.70	$238.00	$3.25–$238.00	313% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour Post Prandial	$154.70	$238.00	$3.25–$238.00	313% above	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP	$154.70	$238.00	$3.25–$238.00	313% above	35%
Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance Test LC	$47.45	$73.00	$8.11–$73.00	33% below	35%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test (3 hr OB)	$64.35	$99.00	$8.11–$99.00	9% below	35%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 5 Hours	$164.45	$253.00	$8.11–$253.00	132% above	35%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 6 Hours	$164.45	$253.00	$8.11–$253.00	132% above	35%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 3 Hours	$164.45	$253.00	$8.11–$253.00	132% above	35%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 3 Hr OB	$164.45	$253.00	$8.11–$253.00	132% above	35%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 2HR	$164.45	$253.00	$8.11–$253.00	132% above	35%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 30m	$164.45	$253.00	$8.11–$253.00	132% above	35%
Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 4 Hours	$164.45	$253.00	$8.11–$253.00	132% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Chlamydia/Gonorrhea Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Cervicitis/Vaginitis Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 PID/Infertility Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Leukorrhea Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Vaginosis/Vaginitis Extended Panel AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Leukorrhea Panel - Extended AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae AVR	$61.75	$95.00	$14.54–$134.21	51% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.Gonorrhea (GeneXpert)	$83.20	$128.00	$18.33–$134.21	34% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORR AMP PROBE	$146.90	$226.00	$18.33–$226.00	16% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Pathology Billing Non-Gyn Cytology	$146.90	$226.00	$18.33–$226.00	16% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC by Nucleic Acid Amplification	$146.90	$226.00	$18.33–$226.00	16% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, NAA LC	$173.55	$267.00	$18.33–$267.00	37% above	35%
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody IgG	$29.25	$45.00	$6.89–$64.45	65% below	35%
H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgM Ab LC	$61.10	$94.00	$6.96–$94.00	27% below	35%
H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgA LC	$61.10	$94.00	$6.96–$94.00	27% below	35%
H. pylori antibody blood test CPT 86677 H. pylori, IgG Abs LC	$61.10	$94.00	$6.96–$94.00	27% below	35%
H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA LC	$342.55	$527.00	$4.81–$527.00	145% above	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR QUANT	$282.75	$435.00	$18.33–$435.00	26% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2 Ag/Ab	$104.00	$160.00	$6.96–$160.00	21% above	35%
HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY 1 AND 2	$104.00	$160.00	$6.96–$160.00	21% above	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 and2 LC	$39.65	$61.00	$4.81–$92.10	60% below	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 and HIV-2 AB	$39.65	$61.00	$4.81–$92.10	60% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 High-Risk HPV Panel with Genotyping AVR	$61.75	$95.00	$14.54–$134.21	57% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 HPV Aptima LC	$99.45	$153.00	$18.33–$153.00	30% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV, cobas high-risk/16/18 LC	$113.75	$175.00	$18.33–$175.00	20% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Aptima LC	$113.75	$175.00	$18.33–$175.00	20% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c POC	$41.60	$64.00	$3.25–$64.00	41% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C POCT	$141.70	$218.00	$3.25–$218.00	101% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c POCT	$141.70	$218.00	$3.25–$218.00	101% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$141.70	$218.00	$3.25–$218.00	101% above	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c LC	$166.40	$256.00	$3.25–$256.00	136% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab, Qual LC	$107.25	$165.00	$6.96–$165.00	51% above	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen w/ Interp	$102.70	$158.00	$4.81–$158.00	39% above	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAG Screen LC	$109.85	$169.00	$4.81–$169.00	49% above	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen LC	$115.05	$177.00	$4.81–$177.00	56% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody w/ Interp	$107.90	$166.00	$6.96–$166.00	25% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody	$107.90	$166.00	$6.96–$166.00	25% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Virus AB LC	$119.60	$184.00	$6.96–$184.00	39% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody LC	$126.10	$194.00	$6.96–$194.00	47% above	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR, Qn Rfx Geno LC	$365.95	$563.00	$18.33–$563.00	11% above	35%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC	$599.95	$923.00	$18.33–$923.00	82% above	35%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I IGG	$42.25	$65.00	$6.96–$65.00	39% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Type Spec LC	$47.45	$73.00	$6.96–$73.00	31% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG	$63.05	$97.00	$6.96–$97.00	28% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 and 2-Spec AB, IgG w/Rflx LC 164922	$70.20	$108.00	$6.96–$108.00	20% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 Type Spec Ab, IgG w/Rflx LC 163033	$70.20	$108.00	$6.96–$108.00	20% below	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity	$152.10	$234.00	$6.96–$234.00	106% above	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac LC	$170.30	$262.00	$6.96–$262.00	131% above	35%
Homocysteine blood test CPT 83090 Homocyst(e)ine, Plasma LC	$225.55	$347.00	$8.39–$347.00	85% above	35%
Insulin blood test CPT 83525 INSULIN	$91.65	$141.00	$8.39–$141.00	11% above	35%
Insulin blood test CPT 83525 Insulin LC	$107.90	$166.00	$8.39–$166.00	31% above	35%
Iron blood test (serum iron) CPT 83540 Iron LC	$14.30	$22.00	$3.25–$24.74	70% below	35%
Iron blood test (serum iron) CPT 83540 Iron Panel	$88.40	$136.00	$3.25–$136.00	88% above	35%
Iron blood test (serum iron) CPT 83540 Iron	$88.40	$136.00	$3.25–$136.00	88% above	35%
Iron blood test (serum iron) CPT 83540 Iron and TIBC LC	$223.60	$344.00	$3.25–$344.00	375% above	35%
Iron-binding capacity (TIBC) test CPT 83550 Pathology Billing Gyn Cyto Image Guided Thin Prep	$18.85	$29.00	$3.25–$33.43	69% below	35%
Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity	$118.30	$182.00	$3.25–$182.00	97% above	35%
Kidney function blood test panel CPT 80069 Renal Function Panel	$99.45	$153.00	$5.52–$153.00	31% above	35%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (LH)	$220.35	$339.00	$8.39–$339.00	131% above	35%
LH (luteinizing hormone) test CPT 83002 N/A	$247.00	$380.00	$8.39–$380.00	159% above	35%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone(LH) LC	$247.00	$380.00	$8.39–$380.00	159% above	35%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$92.30	$142.00	$3.25–$142.00	27% above	35%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$77.35	$119.00	$5.52–$119.00	18% above	35%
Lyme disease antibody test CPT 86618 Lyme Disease Total Antibody w/Reflex to Immunoassay LC	$252.20	$388.00	$6.96–$388.00	182% above	35%
Lyme disease antibody test CPT 86618 Lyme, Total Ab Test/Reflex LC	$252.20	$388.00	$6.96–$388.00	182% above	35%
Magnesium blood test CPT 83735 Magnesium Urine	$32.50	$50.00	$3.25–$50.00	38% below	35%
Magnesium blood test CPT 83735 Magnesium 24 Hour Urine	$32.50	$50.00	$3.25–$50.00	38% below	35%
Magnesium blood test CPT 83735 Magnesium	$97.50	$150.00	$3.25–$150.00	86% above	35%
Measles (rubeola) antibody test CPT 86765 RUBEOLA	$41.60	$64.00	$6.96–$64.00	42% below	35%
Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, IgG LC	$104.00	$160.00	$6.96–$160.00	44% above	35%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$62.40	$96.00	$5.18–$96.00	10% above	35%
Obstetric blood test panel CPT 80055 80055 Obstetric panel	$98.15	$151.00	$5.52–$182.87	16% below	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 Pathology Billing Gyn Cytology without Pathologist Interpretation	$100.75	$155.00	$8.11–$155.00	at median	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 .%fPSA Reflex LC	$100.75	$155.00	$8.11–$155.00	at median	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total	$275.60	$424.00	$8.11–$424.00	149% above	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) LC	$308.75	$475.00	$8.11–$475.00	179% above	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free LC	$308.75	$475.00	$8.11–$475.00	179% above	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA) total; Diagnostic	$330.85	$509.00	$8.11–$509.00	199% above	35%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, rfx HPV all pth LC	$63.05	$97.00	$11.53–$101.78	28% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) LC	$63.05	$97.00	$11.53–$101.78	28% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 SurePath Pap AVR	$69.55	$107.00	$11.53–$107.00	20% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 ThinPrep Pap AVR	$69.55	$107.00	$11.53–$107.00	20% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP IGP Aptima HPV LC	$75.40	$116.00	$11.53–$116.00	14% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP IGP, Aptima HPV, rfx 16/18,45 LC	$75.40	$116.00	$11.53–$116.00	14% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 199305 PAP IGP, Apt HPV,rfx 16/18,45 LC	$75.40	$116.00	$11.53–$116.00	14% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 .IGP,CtNgTv,Apt HPV,rfx16/18,45 LC	$75.40	$116.00	$11.53–$116.00	14% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 Pathology Billing Gyn Cyto Image Guided Thin Prep	$75.40	$116.00	$11.53–$116.00	14% below	35%
Pap test (liquid-based, automated screening with review) CPT 88175 PAP IGP, CtNg, rfx Aptima HPV ASCU LC	$191.10	$294.00	$11.53–$294.00	119% above	35%
Pap test (liquid-based, automated screening with review) CPT 88175 IGP, CtNg, rfx Aptima HPV ASCU (Charted) LC	$191.10	$294.00	$11.53–$294.00	119% above	35%
Pap test (liquid-based, automated screening with review) CPT 88175 .Pap IG, Ct-Ng TV LC	$298.35	$459.00	$11.53–$459.00	241% above	35%
Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, Ct-Ng TV LC	$299.00	$460.00	$11.53–$460.00	242% above	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 N/A	$38.35	$59.00	$11.53–$77.49	53% below	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep	$45.50	$70.00	$11.53–$77.49	44% below	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pathology Billing Gyn Cytology Thin Prep	$93.60	$144.00	$11.53–$144.00	15% above	35%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact	$133.25	$205.00	$21.60–$205.00	37% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact LC	$156.65	$241.00	$21.60–$241.00	25% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 Pathology Billing Gyn Cyto Image Guided Thin Prep	$156.65	$241.00	$21.60–$241.00	25% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (LC #117079 APS)	$26.65	$41.00	$2.48–$41.00	35% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 .aPTT 1:1 Normal Plasma 117159 LC	$26.65	$41.00	$2.48–$41.00	35% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 zaPTTMx+dRVVT+Hexago+PT+PT M... LC 236823	$68.90	$106.00	$2.48–$106.00	67% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$76.05	$117.00	$2.48–$117.00	85% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 Activated PTT	$76.05	$117.00	$2.48–$117.00	85% above	35%
Progesterone blood test CPT 84144 Progesterone LC	$364.65	$561.00	$8.39–$561.00	274% above	35%
Prolactin blood test CPT 84146 Prolactin LC	$261.30	$402.00	$8.39–$402.00	149% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 POCT iSTAT INR	$7.80	$12.00	$1.84–$16.40	80% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 POCT INR - TOP Coagucheck	$7.80	$12.00	$1.84–$16.40	80% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PT/INR POC.	$15.60	$24.00	$2.48–$24.00	61% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PT, Prothrombin Time (LC #117079 APS)	$19.50	$30.00	$2.48–$30.00	51% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 INR	$47.45	$73.00	$2.48–$73.00	19% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 INR POC Lab	$47.45	$73.00	$2.48–$73.00	19% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR	$47.45	$73.00	$2.48–$73.00	19% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 PT LC 241426	$69.55	$107.00	$2.48–$107.00	74% above	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 U Dipstick Cotinine (Nicotine) POCT	$45.50	$70.00	$10.71–$70.00	11% below	35%
Rapid flu test (influenza antigen) CPT 87804 Influenza A/B	$68.90	$106.00	$4.81–$106.00	3% above	35%
Rapid flu test (influenza antigen) CPT 87804 87804 Sofia Flu A, B	$68.90	$106.00	$4.81–$106.00	3% above	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep B Rapid	$39.00	$60.00	$4.81–$63.22	46% below	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A, Rapid	$39.00	$60.00	$4.81–$63.22	46% below	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 87880 Rapid Strep POC	$41.60	$64.00	$4.81–$64.00	42% below	35%
Rheumatoid factor (RF) test CPT 86431 RA TITER	$21.45	$33.00	$5.05–$33.00	46% below	35%
Rheumatoid factor (RF) test CPT 86431 RA Latex Turbid, LC	$24.70	$38.00	$5.67–$38.00	38% below	35%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (RA) LC	$24.70	$38.00	$5.67–$38.00	38% below	35%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor LC	$24.70	$38.00	$5.67–$38.00	38% below	35%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody w/ Interp	$70.85	$109.00	$6.96–$109.00	3% above	35%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS AB IGM EIA	$170.30	$262.00	$6.96–$262.00	146% above	35%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody	$178.10	$274.00	$6.96–$274.00	158% above	35%
Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG LC	$209.30	$322.00	$6.96–$322.00	203% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate (ESR)	$58.50	$90.00	$2.70–$90.00	89% above	35%
Stool ova and parasites exam CPT 87177 Ova + Parasite Exam LC	$141.70	$218.00	$4.81–$218.00	131% above	35%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$153.40	$236.00	$4.81–$236.00	150% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Hemoccult POC	$17.55	$27.00	$3.25–$27.00	41% below	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool II	$33.80	$52.00	$3.25–$52.00	14% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen 1-3	$33.80	$52.00	$3.25–$52.00	14% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool III	$33.80	$52.00	$3.25–$52.00	14% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool I	$33.80	$52.00	$3.25–$52.00	14% above	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Screen	$43.55	$67.00	$3.25–$67.00	46% above	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Fecal, IA LC	$69.55	$107.00	$8.11–$107.00	7% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR LC	$71.50	$110.00	$4.26–$110.00	140% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR LC	$71.50	$110.00	$4.26–$110.00	140% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 144053 Pregnancy, Initial Screen LC	$71.50	$110.00	$4.26–$110.00	140% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qualitative	$219.70	$338.00	$4.26–$338.00	638% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF LC	$245.70	$378.00	$4.26–$378.00	726% above	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON (Client Incubated) LC 182893	$235.95	$363.00	$20.21–$363.00	14% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$278.20	$428.00	$8.39–$428.00	135% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, LC/MS LC	$312.65	$481.00	$8.39–$481.00	164% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone LC	$312.65	$481.00	$8.39–$481.00	164% above	35%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total LC	$327.60	$504.00	$8.39–$504.00	177% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Ab LC	$165.10	$254.00	$6.96–$254.00	108% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies LC	$205.40	$316.00	$6.96–$316.00	159% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab LC	$246.35	$379.00	$6.96–$379.00	211% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC	$13.00	$20.00	$3.06–$64.26	86% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH+Free T4 LC	$47.45	$73.00	$8.39–$73.00	48% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/ Rflx to FT4	$109.85	$169.00	$8.39–$169.00	19% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$109.85	$169.00	$8.39–$169.00	19% above	35%
Trichomonas test (NAAT) CPT 87661 87661 Vaginosis/Vaginitis Extended Panel AVR	$61.75	$95.00	$14.54–$134.21	41% below	35%
Trichomonas test (NAAT) CPT 87661 87661 Cervicitis/Vaginitis Panel AVR	$61.75	$95.00	$14.54–$134.21	41% below	35%
Trichomonas test (NAAT) CPT 87661 87661 PID/Infertility Panel AVR	$61.75	$95.00	$14.54–$134.21	41% below	35%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis AVR	$61.75	$95.00	$14.54–$134.21	41% below	35%
Trichomonas test (NAAT) CPT 87661 87661 Vaginosis/Vaginitis Panel AVR	$61.75	$95.00	$14.54–$134.21	41% below	35%
Trichomonas test (NAAT) CPT 87661 87661 Leukorrhea Panel AVR	$61.75	$95.00	$14.54–$134.21	41% below	35%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGIN DIR PROBE	$123.50	$190.00	$18.33–$190.00	17% above	35%
Trichomonas test (NAAT) CPT 87661 .Trich vag by NAA LC	$130.00	$200.00	$18.33–$200.00	23% above	35%
Uric acid blood test CPT 84550 Uric Acid	$53.95	$83.00	$3.25–$83.00	20% above	35%
Uric acid blood test CPT 84550 Uric Acid A+ANA LC	$61.75	$95.00	$3.25–$95.00	37% above	35%
Urinalysis with microscope exam, automated CPT 81001 Urine Microscopy POC	$21.45	$33.00	$1.83–$33.00	43% below	35%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICRO	$38.35	$59.00	$1.83–$59.00	2% above	35%
Urinalysis with microscope exam, automated CPT 81001 Bill Urinalysis w/Microscopic	$38.35	$59.00	$1.83–$59.00	2% above	35%
Urinalysis with microscope exam, automated CPT 81001 81001 Urinalysis, Routine RLC	$44.85	$69.00	$1.83–$69.00	19% above	35%
Urinalysis without microscope exam, automated CPT 81003 81003 Urine Dipstick POC	$5.85	$9.00	$1.38–$9.00	79% below	35%
Urinalysis without microscope exam, automated CPT 81003 pH Urine	$22.10	$34.00	$1.83–$34.00	21% below	35%
Urinalysis without microscope exam, automated CPT 81003 UA w/ Microscopic	$27.30	$42.00	$1.83–$42.00	2% below	35%
Urinalysis without microscope exam, automated CPT 81003 UA w/ Microscopic if Indicated	$27.30	$42.00	$1.83–$42.00	2% below	35%
Urinalysis without microscope exam, automated CPT 81003 Bill Only UA Micro Not Ind	$27.30	$42.00	$1.83–$42.00	2% below	35%
Urinalysis without microscope exam, automated CPT 81003 UA w/ Micro if Indicated Culture if Indicated	$27.30	$42.00	$1.83–$42.00	2% below	35%
Urinalysis without microscope exam, automated CPT 81003 UA Complete w/ Culture if Indicated	$27.30	$42.00	$1.83–$42.00	2% below	35%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick	$27.30	$42.00	$1.83–$42.00	2% below	35%
Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine	$92.95	$143.00	$1.83–$143.00	356% above	35%
Urine culture for bacteria, with colony count CPT 87086 Urine CUL LC	$114.40	$176.00	$4.81–$176.00	40% above	35%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine	$114.40	$176.00	$4.81–$176.00	40% above	35%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test POC	$22.75	$35.00	$1.83–$35.00	53% below	35%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Qualitative	$85.80	$132.00	$1.83–$132.00	77% above	35%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 LC	$12.35	$19.00	$2.91–$57.68	87% below	35%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12	$187.85	$289.00	$8.39–$289.00	96% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$129.35	$199.00	$21.33–$199.00	at median	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 LC	$152.10	$234.00	$21.33–$234.00	18% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy LC	$522.60	$804.00	$21.33–$804.00	304% above	35%
Zinc blood test CPT 84630 Zinc, Plasma or Serum LC	$193.70	$298.00	$7.32–$298.00	155% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT SERUM	$280.15	$431.00	$8.39–$431.00	158% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 iSTAT Total B-hCG Gonadotropin, chorionic (hCG); quantitativ	$295.10	$454.00	$8.39–$454.00	172% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quantitative	$295.10	$454.00	$8.39–$454.00	172% above	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 42830 Adenoidectomy, primary; younger than age 12	$301.60	$464.00	$70.99–$11,116.67	94% below	35%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 44960 Appendectomy; for ruptured appendix with abs	$1,691.30	$2,602.00	$398.11–$5,910.49	16% below	35%
Appendectomy, open surgery CPT 44950 44950 Appendectomy	$1,407.25	$2,165.00	$331.25–$13,504.04	41% below	35%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 29888 Arthroscopically aided anterior cruciate lig	$3,104.40	$4,776.00	$730.73–$25,451.55	25% below	35%
Botox injections for chronic migraine CPT 64615 64615 Chemodenervation of muscle(s); migraine or h	$270.40	$416.00	$63.65–$1,061.00	29% below	35%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 Biopsy, breast, w/ localization device; firs	$340.60	$524.00	$80.17–$5,715.97	85% below	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX CL FX FIBULA/ANKLE W/O	$513.50	$790.00	$120.87–$837.64	22% below	35%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 27786 Closed treatment of distal fibular fracture	$545.35	$839.00	$128.37–$839.00	17% below	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 28470 Closed treatment of metatarsal fracture; wit	$388.05	$597.00	$91.34–$837.64	32% below	35%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX METATARSAL EACH W/O	$513.50	$790.00	$120.87–$837.64	11% below	35%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 28296 Correction, hallux valgus (bunion), with or	$1,951.30	$3,002.00	$459.31–$11,498.59	53% below	35%
Bunion correction with removal of part of the big toe joint CPT 28292 28290 Correction, hallux valgus (bunion), with or	$1,212.25	$1,865.00	$285.35–$11,498.59	22% below	35%
Bunion correction with removal of part of the big toe joint CPT 28292 28292 Correction, hallux valgus (bunion), w/ or w/	$1,471.60	$2,264.00	$346.39–$11,498.59	5% below	35%
Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO	$25,669.15	$39,491.00	$1,571.08–$39,491.00	149% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 92960 Cardioversion, elective, electrical conversi	$417.30	$642.00	$98.23–$2,282.77	59% below	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION	$1,510.60	$2,324.00	$355.57–$2,324.00	48% above	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT	$1,706.25	$2,625.00	$401.63–$2,625.00	67% above	35%
Carpal tunnel release, open surgery CPT 64721 64721 Neuroplasty and/or transposition; median ner	$969.80	$1,492.00	$228.28–$7,127.26	66% below	35%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL	$33,623.85	$51,729.00	$4,695.00–$87,199.85	31% above	35%
Cervical biopsy CPT 57500 57500 Excision procedures on the cervix uteri	$188.50	$290.00	$44.37–$2,573.24	73% below	35%
Cervical biopsy CPT 57500 excision procedures on the cervix uter	$1,562.60	$2,404.00	$305.48–$2,573.24	127% above	35%
Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 Routine obstetric care including antepartum	$3,008.20	$4,628.00	$708.08–$4,628.00	44% below	35%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 54161 Circumcision >28 days of age	$740.35	$1,139.00	$174.27–$7,284.07	64% below	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 54150 Excision procedures on the penis	$222.30	$342.00	$52.33–$7,284.07	33% below	35%
Circumcision, surgical, older than a newborn CPT 54160 54160 Circumcision, surgical excision other than c	$278.20	$428.00	$65.48–$2,335.01	33% below	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 25600 Closed treatment of distal radial fracture;	$505.05	$777.00	$118.88–$837.64	16% below	35%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX DISTAL RADIAL COLLES W/O	$513.50	$790.00	$120.87–$837.64	14% below	35%
Colonoscopy with polyp removal CPT 45385 45385 Colonoscopy, flexible; with removal of tumor	$571.35	$879.00	$134.49–$4,212.68	64% below	35%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/POLYPECTOMY SURG	$2,557.75	$3,935.00	$647.91–$4,212.68	63% above	35%
Colonoscopy with tissue sample CPT 45380 45380 Colonoscopy, flexible with biopsy, single o	$790.40	$1,216.00	$186.05–$4,212.68	54% below	35%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX SURG	$2,557.75	$3,935.00	$647.91–$4,212.68	47% above	35%
Colonoscopy, diagnostic CPT 45378 45378 Colonoscopy, flexible diagnostic, including	$714.35	$1,099.00	$168.15–$3,224.22	56% below	35%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY SURG	$1,956.50	$3,010.00	$647.91–$3,367.00	20% above	35%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 Colposcopy of the cervix incl. upper vagina;	$817.05	$1,257.00	$192.32–$10,656.86	75% below	35%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 Colposcopy of the cervix w/biopsy and ECC	$345.15	$531.00	$81.24–$1,143.51	14% below	35%
Coronary stent placement, one artery CPT 92928 PERC CARD STENT/ANGIO 1 VSL	$48,907.95	$75,243.00	$4,695.00–$75,243.00	130% above	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Endoscopy-Cystoscopy, urethroscopy, cystoure	$343.85	$529.00	$80.94–$2,335.01	62% below	35%
D&C (dilation and curettage), not related to pregnancy CPT 58120 58120 Dilation and curettage, diagnostic and/or th	$809.90	$1,246.00	$190.64–$10,656.86	67% below	35%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 Destruction, premalignant, first lesion; any	$124.80	$192.00	$29.38–$729.42	31% below	35%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 69436 Tympanostomy (requiring insertion of ventila	$234.65	$361.00	$55.23–$5,495.75	77% below	35%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 69433 Create eardrum	$278.20	$428.00	$65.48–$1,837.71	44% below	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 69209 Removal impacted cerumen using irrigation/la	$23.40	$36.00	$5.51–$226.12	77% below	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACT CERUMEN REQ IRRIGAT	$42.25	$65.00	$9.95–$226.12	59% below	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX	$53.95	$83.00	$12.70–$226.12	48% below	35%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 69209 Unilateral earwash	$23.40	$36.00	$5.51–$226.12	77% below	35%
Earwax removal with instruments, one ear CPT 69210 69210 Removal impacted cerumen requiring instrumen	$97.50	$150.00	$22.95–$226.12	35% below	35%
Earwax removal with instruments, one ear CPT 69210 69210 Removal of ear wax instrumentation	$97.50	$150.00	$22.95–$226.12	35% below	35%
Earwax removal with instruments, one ear CPT 69210 REM IMPACT CERUMEN REQ INSTRU	$107.90	$166.00	$25.40–$226.12	28% below	35%
Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL	$192.40	$296.00	$45.29–$296.00	28% above	35%
Earwax removal with instruments, one ear CPT 69210 69210 CERUMEN REMOVAL CHARGE	$255.45	$393.00	$59.11–$393.00	70% above	35%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 Endometrial sampling (biopsy) with or withou	$211.25	$325.00	$49.73–$691.92	26% below	35%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 31255 Nasal/sinus endoscopy, surgical; with ethmoi	$600.60	$924.00	$141.37–$23,655.14	93% below	35%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 31276 Nasal/sinus endoscopy, surgical with frontal	$1,135.55	$1,747.00	$267.29–$23,655.14	69% below	35%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 31256 Nasal/sinus endoscopy, surgical, with maxill	$295.10	$454.00	$69.46–$12,585.79	92% below	35%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 31267 Nasal/sinus endoscopy, surgical, w/ maxillar	$475.80	$732.00	$112.00–$23,655.14	93% below	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493 Injection Paravertebral Facet Joint - lumbar	$316.55	$487.00	$74.51–$3,341.26	84% below	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJ L/S SPINE ONE LEVEL	$420.55	$647.00	$98.99–$3,341.26	79% below	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 Sigmoidoscopy, flexible	$211.25	$325.00	$49.73–$3,224.22	73% below	35%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG SURG	$1,956.50	$3,010.00	$647.91–$3,367.00	148% above	35%
Gallbladder removal, laparoscopic CPT 47562 47562 Laparoscopy, surgical; cholecystectomy	$2,345.20	$3,608.00	$552.02–$20,558.19	76% below	35%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 47563 Lap, cholecystectomy w/ cholangiography	$2,464.80	$3,792.00	$580.18–$20,558.19	75% below	35%
Gallbladder removal, open surgery through a larger incision CPT 47600 47600 Cholecystectomy;	$2,055.95	$3,163.00	$483.94–$7,474.55	14% below	35%
Hammertoe correction surgery CPT 28285 28285 Correction, hammertoe (eg, interphalangeal f	$949.65	$1,461.00	$223.53–$11,498.59	33% below	35%
Hemorrhoid banding (rubber band ligation) CPT 46221 46221 Excision procedures on the anus	$232.05	$357.00	$54.62–$3,224.22	81% below	35%
Hemorrhoidectomy (internal and external), one area CPT 46255 46255 Hemorrhoidectomy, internal and external, sin	$752.70	$1,158.00	$177.17–$9,926.34	77% below	35%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 27132 Conversion of previous hip surgery to total	$3,656.25	$5,625.00	$860.63–$50,029.10	at median	35%
Hysterectomy through an abdominal incision (total) CPT 58150 58150 Total abdominal hysterectomy, with or w/o re	$3,216.85	$4,949.00	$757.20–$6,995.11	11% above	35%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 58340 Catheterization and introduction of saline o	$270.40	$416.00	$63.65–$433.40	7% above	35%
Hysteroscopy with endometrial ablation CPT 58563 58563 Hysteroscopy, surgical; with endometrial abl	$659.10	$1,014.00	$155.14–$17,913.89	84% below	35%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 58558 Hysteroscopy, surgical; w/ biopsy of endomet	$512.20	$788.00	$120.56–$10,656.86	74% below	35%
IUD insertion (the device itself billed separately) CPT 58300 58300 Introduction procedures on the corpus uteri	$204.75	$315.00	$48.20–$338.26	25% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I & D Abcess Simple/Single Fac	$227.50	$350.00	$53.55–$729.41	37% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 Drainage of skin abscess	$243.75	$375.00	$57.38–$729.41	33% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 ID ABSCESS SINGLE OR SIMPLE	$243.75	$375.00	$57.38–$729.41	33% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 I D SUBCUT ABCESS SIMPLE	$475.15	$731.00	$109.13–$731.00	31% above	35%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 Repair initial inguinal hernia, age 5 years	$1,152.45	$1,773.00	$271.27–$12,932.70	84% below	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection(s); single tendon sheath, or ligam	$113.10	$174.00	$26.62–$1,061.00	62% below	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH OR LIGAMENT	$182.65	$281.00	$95.26–$3,367.00	38% below	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER PT INJECTION-TENDON	$503.75	$775.00	$118.58–$1,061.00	71% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, aspiration and/or injection,	$68.90	$106.00	$16.22–$1,061.00	86% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JT/BURSA	$204.75	$315.00	$48.20–$1,061.00	58% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS INJECTION JOINT OR BURSA	$456.95	$703.00	$107.56–$1,061.00	6% below	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT	$503.75	$775.00	$118.58–$1,061.00	3% above	35%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981 Insert Drug Implant Device	$291.20	$448.00	$68.54–$454.80	5% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, aspiration and/or injection,	$57.85	$89.00	$13.62–$1,061.00	87% below	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMED JT/BUR	$681.20	$1,048.00	$160.34–$1,061.00	49% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP/INJ MED JT	$768.30	$1,182.00	$160.53–$1,182.00	68% above	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 Arthrocentesis, aspiration and/or injection,	$55.25	$85.00	$13.01–$1,061.00	85% below	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP/INJ SM JT TA	$768.30	$1,182.00	$160.53–$1,182.00	103% above	35%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 29882 Arthroscopy, knee, surgical; with meniscus r	$1,740.70	$2,678.00	$409.73–$11,498.59	31% below	35%
Knee arthroscopy with meniscus trim CPT 29881 29881 Arthroscopy, knee, surgical; with meniscecto	$1,695.20	$2,608.00	$399.02–$11,498.59	16% below	35%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 29880 Arthroscopy, knee, surgical; with meniscecto	$1,628.90	$2,506.00	$383.42–$11,498.59	31% below	35%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 29877 Arthroscopy, knee, surgical; debridement/sha	$1,618.50	$2,490.00	$380.97–$11,498.59	30% below	35%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 44970 Laparoscopy, surgical, appendectomy	$1,199.25	$1,845.00	$282.29–$20,558.19	59% below	35%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 43280 Laparoscopy, surgical, esophagogastric fundo	$2,867.15	$4,411.00	$674.88–$36,187.64	28% below	35%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 58570 Laparoscopy, surgical, with total hysterecto	$1,786.85	$2,749.00	$420.60–$36,187.64	88% below	35%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 58571 Laparoscopy, surgical, w/ total hysterectomy	$2,000.70	$3,078.00	$470.93–$36,187.64	28% below	35%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 49650 Laparoscopy, surgical repair initial inguin	$815.75	$1,255.00	$192.02–$20,558.19	73% below	35%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 49651 Laparoscopy, surgical; repair recurrent ingu	$1,044.55	$1,607.00	$245.87–$20,558.19	49% below	35%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 58661 Laparoscopy, surgical; with removal of adnex	$1,234.35	$1,899.00	$290.55–$20,558.19	74% below	35%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 43775 Laparoscopy, gastric restrictive procedure;	$2,144.35	$3,299.00	$504.75–$3,766.37	11% below	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 Layered Wound Repair < 2.5 CM	$446.55	$687.00	$105.11–$1,404.97	23% below	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LACERATION INT < 2.5CM TR/SCA	$579.15	$891.00	$136.32–$1,404.97	at median	35%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRICLGRPHY	$25,669.15	$39,491.00	$1,571.08–$39,491.00	186% above	35%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$332.15	$511.00	$78.18–$2,578.03	76% below	35%
Lower-back epidural injection, without imaging guidance CPT 62322 62311 Injection single lumbar or sacral	$519.35	$799.00	$122.25–$2,578.03	54% below	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 Injection Transforaminal Epidural - single l	$191.75	$295.00	$45.14–$3,341.26	88% below	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR Transforaminal Inj L/S Spine 1L	$898.95	$1,383.00	$468.84–$3,367.00	44% below	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL INJL/S SPINE 1L	$1,580.80	$2,432.00	$372.10–$3,341.26	1% below	35%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 63030 Laminotomy,w/decomp of nerve root/s; 1 inter	$4,009.85	$6,169.00	$943.86–$25,451.55	58% below	35%
Lumbar laminectomy (spinal decompression), one level CPT 63047 63047 Laminectomy, w/decompression spinal cord,ner	$4,553.25	$7,005.00	$1,071.77–$25,451.55	46% below	35%
Lumbar spinal fusion (posterior), one level CPT 22612 22612 Arthrodesis, posterior or posterolateral tec	$4,245.80	$6,532.00	$999.40–$50,029.10	77% below	35%
Lumpectomy (partial mastectomy) CPT 19301 19301 Mastectomy, partial	$920.40	$1,416.00	$216.65–$12,828.41	77% below	35%
Mastectomy (total removal of the breast) CPT 19303 19303 Mastectomy, simple, complete	$2,041.00	$3,140.00	$480.42–$22,481.81	28% below	35%
Miscarriage treatment with D&C, first trimester CPT 59820 59820 Treatment of missed abortion, completed surg	$887.25	$1,365.00	$208.85–$10,656.86	80% below	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 11400 Exc Benign Lesion < 0.5 CM	$176.15	$271.00	$41.46–$2,526.76	68% below	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 11440 Exc Benign Lesion Face Under 0.5 CM	$222.95	$343.00	$52.48–$2,526.76	67% below	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EX BENIGN LESION <0.5 ON FACE	$945.10	$1,454.00	$222.46–$2,526.76	40% above	35%
Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Plate Simple Single	$115.05	$177.00	$27.08–$729.42	60% below	35%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION	$460.85	$709.00	$43.77–$729.42	61% above	35%
Occipital nerve block (injection for headaches) CPT 64405 64405 Injection greater occipital nerve	$116.35	$179.00	$27.39–$1,061.00	81% below	35%
Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK, GR OCCIPITAL	$384.15	$591.00	$90.42–$1,061.00	38% below	35%
Occipital nerve block (injection for headaches) CPT 64405 64405 Injection anesthetic agent or steroid greater occipita	$384.15	$591.00	$90.42–$1,061.00	38% below	35%
Pacemaker implant (dual chamber) CPT 33208 33208 Insert permanent pacemaker w/ transvenous el	$1,485.90	$2,286.00	$349.76–$42,250.94	86% below	35%
Pacemaker implant (dual chamber) CPT 33208 INSERT NEW/REPL PERMAN PACEMAK Dual	$1,899.30	$2,922.00	$447.07–$42,250.94	82% below	35%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS: IMAGING GUIDED	$1,364.35	$2,099.00	$493.23–$3,367.00	11% above	35%
Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis (diagnostic or therapeutic); with ima	$1,364.35	$2,099.00	$321.15–$3,289.02	11% above	35%
Paracentesis with imaging guidance CPT 49083 49083-Abdominal Paracentesis w/ Imaging Guide	$1,405.30	$2,162.00	$330.79–$3,289.02	15% above	35%
Paracentesis with imaging guidance CPT 49083 49083 PARACENTESIS ABDOMINAL W/ IMAGING Tech Fee	$1,587.95	$2,443.00	$373.78–$3,289.02	29% above	35%
Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis Diagnostic/Therapeutic W/Imaging	$1,994.85	$3,069.00	$493.23–$3,367.00	63% above	35%
Partial knee replacement (one compartment) CPT 27446 27446 Arthroplasty, knee, condyle and plateau; med	$2,509.00	$3,860.00	$590.58–$50,029.10	40% below	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Exc Nail Matrix Partial or Complete	$347.75	$535.00	$81.86–$1,404.97	45% below	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL PART OR COMP	$1,153.10	$1,774.00	$271.42–$1,774.00	82% above	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL TA	$1,302.60	$2,004.00	$297.37–$2,004.00	106% above	35%
Prostate removal (prostatectomy), laparoscopic CPT 55866 55866 Laparaoscopy, surgical prostatectomy, retro	$812.50	$1,250.00	$191.25–$36,187.64	97% below	35%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 Destruction,neurolytic,paravertebral facet j	$744.90	$1,146.00	$175.34–$7,127.26	73% below	35%
Removal of a breast lump, open surgery CPT 19120 19120 Excision of cyst, fibroadenoma, or other ben	$1,006.85	$1,549.00	$237.00–$12,828.41	71% below	35%
Removal of a foreign object under the skin, simple CPT 10120 10120 Incision & Removal Foreign Body Simp FAC	$182.65	$281.00	$42.99–$1,404.97	64% below	35%
Removal of a foreign object under the skin, simple CPT 10120 INC REMOVAL FB SUBQ SIMPLE	$475.15	$731.00	$109.13–$1,404.97	7% below	35%
Removal of one lobe of the thyroid (lobectomy) one side CPT 60220 60220 Total thyroid lobectomy, unilateral; with or	$1,717.30	$2,642.00	$404.23–$20,558.19	84% below	35%
Septoplasty to straighten the nasal septum CPT 30520 30520 Septoplasty or submucous resection, w/ or w/	$868.40	$1,336.00	$204.41–$11,116.67	82% below	35%
Short arm cast (elbow to hand) CPT 29075 29075 Application, cast; elbow to finger (short ar	$137.15	$211.00	$32.28–$979.75	63% below	35%
Short arm cast (elbow to hand) CPT 29075 APPLICATION CAST ELBOW FINGER SHORT ARM	$671.45	$1,033.00	$125.68–$1,033.00	81% above	35%
Short arm splint (forearm and hand) CPT 29125 29125 Application of short arm splint (forearm to	$77.35	$119.00	$18.21–$454.80	68% below	35%
Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT STATIC	$185.25	$285.00	$29.01–$454.80	23% below	35%
Short leg cast (below the knee) CPT 29405 29405 Application of short leg cast (below knee to	$153.40	$236.00	$36.11–$979.75	56% below	35%
Short leg splint (calf to foot) CPT 29515 29515 Application of short leg splint (calf to foo	$86.45	$133.00	$20.35–$573.54	69% below	35%
Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT	$620.10	$954.00	$29.01–$954.00	120% above	35%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 29824 Arthroscopy, shoulder, surgical; distal clav	$1,030.90	$1,586.00	$242.66–$11,498.59	55% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Laceration Repair < 2.5 CM	$106.60	$164.00	$25.09–$729.42	66% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of superficial wounds of scalp, neck, axillae	$436.15	$671.00	$102.66–$729.42	38% above	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SPL < 2.5CM TR/EX	$579.15	$891.00	$124.74–$891.00	84% above	35%
Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy of skin, single	$340.60	$524.00	$80.17–$1,404.97	1% above	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Exc Malignant Lesion < 0.5 CM	$220.35	$339.00	$51.87–$2,526.76	64% below	35%
Skin tag removal, up to 15 tags CPT 11200 11200 Remove Skin Tags Up to 15 Lesions	$112.45	$173.00	$26.47–$729.42	45% below	35%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKINTAGS UP TO 15	$187.85	$289.00	$44.22–$729.42	8% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 Spinal puncture, lumbar, diagnostic	$337.35	$519.00	$79.41–$2,578.03	62% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX	$1,040.00	$1,600.00	$244.80–$2,578.03	19% above	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX CHARGE	$1,040.00	$1,600.00	$244.80–$2,578.03	19% above	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$1,040.00	$1,600.00	$244.80–$2,578.03	19% above	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$1,175.20	$1,808.00	$276.62–$2,578.03	34% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 Laceration Repair 2.6 to 7.5 CM	$129.35	$199.00	$30.45–$729.42	67% below	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LACERATION SPL 7.5CM TR/EX	$579.15	$891.00	$124.74–$891.00	48% above	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 Laceration Repair Face < 2.5 CM	$126.75	$195.00	$29.84–$729.42	66% below	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LACERATION SPL < 2.5CM FACE	$579.15	$891.00	$124.74–$891.00	57% above	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION	$253.50	$390.00	$59.67–$729.41	4% below	35%
Thoracentesis with imaging guidance CPT 32555 32555 Thoracentesis, needle or catheter, aspiratio	$212.55	$327.00	$50.03–$2,200.34	83% below	35%
Thoracentesis with imaging guidance CPT 32555 32555 ASPIRATE PLEURA W/ IMAGING Tech Fee	$1,294.15	$1,991.00	$304.62–$2,200.34	4% above	35%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS;IMAGING GUIDED	$2,917.20	$4,488.00	$575.25–$4,488.00	134% above	35%
Tonsil and adenoid removal, age 12 or older CPT 42821 42821 Tonsillectomy and adenoidectomy; age 12 or o	$443.95	$683.00	$104.50–$11,116.67	87% below	35%
Tonsil and adenoid removal, child under 12 CPT 42820 42820 Tonsillectomy and adenoidectomy; younger tha	$427.05	$657.00	$100.52–$20,662.24	92% below	35%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 42826 Tonsillectomy, primary or secondary; age 12	$368.55	$567.00	$86.75–$11,116.67	91% below	35%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 42825 Tonsillectomy, primary or secondary; younger	$382.20	$588.00	$89.96–$20,662.24	90% below	35%
Total hip replacement CPT 27130 27130 Arthroplasty, acetabular and proximal femora	$4,544.15	$6,991.00	$160.53–$50,029.10	7% below	35%
Total knee replacement CPT 27447 27447 Arthroplasty, knee, condyle and plateau; med	$3,290.30	$5,062.00	$774.49–$50,029.10	33% below	35%
Total shoulder replacement CPT 23472 23472 Arthroplasty, glenohumeral joint; total shou	$3,763.50	$5,790.00	$885.87–$50,029.10	21% below	35%
Total thyroid removal (thyroidectomy) CPT 60240 60240 Thyroidectomy, total or complete	$1,706.25	$2,625.00	$401.63–$20,558.19	76% below	35%
Trigger finger release surgery CPT 26055 26055 Tendon sheath incision (eg, for trigger fing	$1,065.35	$1,639.00	$250.77–$5,656.45	48% below	35%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 Injection(s); single or multiple trigger poi	$64.35	$99.00	$15.15–$1,061.00	80% below	35%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGLE/MULTI TRIGGER PTS	$170.95	$263.00	$89.16–$3,367.00	46% below	35%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1-2 MUSCLE GRP	$456.95	$703.00	$107.56–$1,061.00	43% above	35%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 58670 Laparoscopy, surgical; with fulguration of o	$1,222.65	$1,881.00	$287.79–$20,558.19	14% below	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 Biopsy, breast, w/ localization device; firs	$319.80	$492.00	$75.28–$5,715.97	87% below	35%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 43249 Esophagogastroduodenoscop <30 mm diameter, b	$2,045.55	$3,147.00	$481.49–$6,601.69	at median	35%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/DILATION (ANY METHOD) SURG	$4,003.35	$6,159.00	$638.37–$6,601.69	96% above	35%
Upper endoscopy (EGD) with biopsy CPT 43239 43239 Esophagogastroduodenoscopy, flexible, transo	$776.10	$1,194.00	$182.68–$3,289.02	58% below	35%
Upper endoscopy (EGD) with biopsy CPT 43239 GASTROSCOPY W/BX	$1,994.20	$3,068.00	$638.37–$3,367.00	9% above	35%
Upper endoscopy (EGD) with injection into the lining CPT 43236 43236 Esophagogastroduodenoscopy, flexible,transor	$285.35	$439.00	$67.17–$3,289.02	80% below	35%
Upper endoscopy (EGD) with injection into the lining CPT 43236 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; W/ DIRECTED	$1,994.20	$3,068.00	$638.37–$3,367.00	43% above	35%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 43251 Esophagogastroduodenoscopy removal of tumor(	$392.60	$604.00	$92.41–$6,601.69	69% below	35%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Esophagogastroduodenoscopy removal of tumor(s) w/ snare tec	$4,001.40	$6,156.00	$638.37–$6,601.69	215% above	35%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 43248 Esophagogastroduodenoscopy, flexible, transo	$796.90	$1,226.00	$187.58–$3,289.02	2% below	35%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSO	$1,994.20	$3,068.00	$638.37–$3,367.00	145% above	35%
Upper endoscopy (EGD), diagnostic CPT 43235 43235 Esophagogastroduodenoscopy, flexible, transo	$253.50	$390.00	$59.67–$3,289.02	75% below	35%
Upper endoscopy (EGD), diagnostic CPT 43235 GASTROSCOPY DIAGNOSTIC W/WO BRUSHING SURG SU	$1,994.20	$3,068.00	$638.37–$3,367.00	95% above	35%
Upper endoscopy (EGD), diagnostic CPT 43235 GASTROSCOPY DIAGNOSTIC W/WO BRUSHING SURG	$1,994.20	$3,068.00	$638.37–$3,367.00	95% above	35%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 43240 Esophagogastroduodenoscopy, flexible, transo	$794.30	$1,222.00	$186.97–$12,515.80	85% below	35%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 52356 Lithotripsy w/insert stent	$1,727.05	$2,657.00	$406.52–$17,931.60	12% below	35%
Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 Routine obstetric care including antepartum	$2,873.00	$4,420.00	$676.26–$4,420.00	41% below	35%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 Vasectomy	$587.60	$904.00	$138.31–$7,284.07	53% below	35%
Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Up tp 14 Lesions	$310.70	$478.00	$73.13–$729.42	40% above	35%
Wart removal, up to 14 warts CPT 17110 OBLITORATE WART VIA CURRETT	$605.80	$932.00	$109.13–$932.00	173% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin & Subcutaneous Tissue	$204.75	$315.00	$48.20–$1,404.97	66% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SUBQ FIRST 20 SQCM OR <	$205.40	$316.00	$48.35–$1,404.97	66% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN SUBQ	$438.75	$675.00	$103.28–$1,404.97	27% below	35%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 25607 Open tx distal radial extra-articular fx or	$1,346.15	$2,071.00	$316.86–$25,451.55	86% below	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN	$1,188.20	$1,828.00	$279.68–$1,828.00	28% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 Aerosol treatment	$33.80	$52.00	$5.50–$763.26	84% below	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INITIAL INHALER (MDI) TX	$436.80	$672.00	$5.50–$763.26	106% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 N/A	$459.55	$707.00	$5.50–$763.26	117% above	35%
Chemotherapy IV infusion, first hour CPT 96413 96413 Chemo Adm IV inf 1 hr SGL Init	$424.45	$653.00	$99.91–$1,262.42	41% below	35%
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO ADM IV INF 1HR SGL INIT	$795.60	$1,224.00	$187.27–$1,262.42	11% above	35%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADM IV INF 1HR SGL INIT	$1,002.30	$1,542.00	$202.21–$1,542.00	40% above	35%
Comprehensive eye exam, returning patient CPT 92014 92014 Eye exam comprehensive established patient	$120.25	$185.00	$28.31–$482.38	at median	35%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 92557 Comprehensive audiometry threshold evaluatio	$63.70	$98.00	$14.99–$566.92	64% below	35%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMP AUDIO EVAL AIR,BONE,SPEEC	$178.10	$274.00	$41.92–$566.92	1% above	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 95816 Electroencephalogram (EEG); including record	$646.75	$995.00	$152.24–$1,074.33	12% below	35%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 electrocardiogram w/ 12+ leads; Tracing/Interp/Rep	$30.55	$47.00	$7.19–$47.00	68% below	35%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG w/ 12Plus leads,Tracing/Interp/Report	$30.55	$47.00	$7.19–$47.00	68% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG w/ 12 plus leads Tracing Only	$20.80	$32.00	$4.90–$226.12	89% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$238.55	$367.00	$17.60–$367.00	32% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM	$330.85	$509.00	$17.60–$509.00	83% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram	$330.85	$509.00	$17.60–$509.00	83% above	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-ER	$373.75	$575.00	$17.60–$575.00	106% above	35%
Electroconvulsive therapy (ECT), one session CPT 90870 90870 Electroconvulsive therapy (includes necessar	$248.30	$382.00	$58.45–$1,981.61	70% below	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER DEPT BASIC VISIT	$184.60	$284.00	$47.71–$565.00	18% below	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 93017 Cardiovascular stress test; tracing only, wi	$98.80	$152.00	$23.26–$1,074.33	83% below	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 AST Treadmill Stress Test	$663.65	$1,021.00	$111.84–$1,074.33	14% above	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS	$664.30	$1,022.00	$111.84–$1,074.33	14% above	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST	$664.30	$1,022.00	$111.84–$1,074.33	14% above	35%
Family therapy with the patient, 50 minutes CPT 90847 90847 Family psychotherapy	$148.20	$228.00	$34.88–$542.87	32% below	35%
Family therapy without the patient, 50 minutes CPT 90846 90846 Family psychotherapy w/o pt 50 min	$144.30	$222.00	$33.97–$542.87	24% below	35%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 93224 Holter ECG Monitor, up to 48 hr, w/ scan, in	$190.45	$293.00	$44.83–$293.00	11% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV infusion, hydration; initial, 31 minutes	$110.50	$170.00	$26.01–$826.71	67% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 31M-1HR	$364.00	$560.00	$85.68–$826.71	9% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 1ST HOUR	$458.90	$706.00	$108.02–$826.71	37% above	35%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THX/PX/DX FIRST HR	$484.25	$745.00	$113.99–$826.71	19% above	35%
IV infusion of a medicine, first hour CPT 96365 IV INF THERA INITIAL 1ST HR	$610.35	$939.00	$143.67–$939.00	50% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 Therapeutic; prophylactic, or diagnostic inj	$30.55	$47.00	$7.19–$251.75	69% below	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/IM WOUND CARE	$208.00	$320.00	$29.48–$320.00	110% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUBQ INJECTION	$208.00	$320.00	$29.48–$320.00	110% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/DX IM/SQ	$208.00	$320.00	$29.48–$320.00	110% above	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 90791 Psychiatric diagnostic evaluation	$182.65	$281.00	$42.99–$542.87	24% below	35%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910 Nerve conduction 7-8 studies	$351.65	$541.00	$82.77–$1,074.33	27% below	35%
New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW PT	$113.75	$175.00	$26.78–$175.00	37% below	35%
New patient office visit, about 30 minutes CPT 99203 99203 New patient visit- level 3	$200.85	$309.00	$47.28–$309.00	11% above	35%
New patient office visit, about 30 minutes CPT 99203 OB VISIT LEVEL 3 NEW PT	$578.50	$890.00	$136.17–$890.00	221% above	35%
New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW PT	$176.80	$272.00	$41.62–$272.00	30% below	35%
New patient office visit, about 45 minutes CPT 99204 99204 New patient visit- level 4	$197.60	$304.00	$46.51–$304.00	22% below	35%
New patient office visit, about 45 minutes CPT 99204 OB VISIT LEVEL 3 NEW PT	$1,153.75	$1,775.00	$271.58–$1,775.00	357% above	35%
New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW PT	$221.65	$341.00	$52.17–$341.00	35% below	35%
New patient office visit, about 60 minutes CPT 99205 99205 New patient visit- level 5	$247.00	$380.00	$58.14–$380.00	28% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NEW PT	$81.25	$125.00	$19.13–$125.00	44% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 New patient visit- level 2	$137.80	$212.00	$32.44–$212.00	4% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2	$141.05	$217.00	$33.20–$217.00	2% below	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT LEVEL 1 (NEW PT)	$195.00	$300.00	$45.90–$300.00	35% above	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT LEVEL 2 NEW PT	$308.10	$474.00	$72.52–$474.00	114% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802 Medical nutrition therapy initial assessmen	$65.00	$100.00	$15.30–$160.53	2% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION ANALYSIS INIT EA 15M	$96.20	$148.00	$21.64–$148.00	51% above	35%
Preventive checkup, new patient aged 18–39 CPT 99385 99385 Initial Comp Preventive Med 18 to 39 years N	$166.40	$256.00	$39.17–$256.00	1% below	35%
Preventive checkup, new patient aged 40–64 CPT 99386 99386 Initial Comp Preventive Med 40 to 64 years N	$213.20	$328.00	$50.18–$328.00	4% below	35%
Preventive checkup, returning patient aged 18–39 CPT 99395 99395 Periodic Comp Preventive Med 18 to 39 years	$159.90	$246.00	$37.64–$246.00	at median	35%
Preventive checkup, returning patient aged 40–64 CPT 99396 99396 Periodic Comp Preventive Med 40 to 64 years	$175.50	$270.00	$41.31–$270.00	4% below	35%
Preventive checkup, returning patient aged 65 or older CPT 99397 99397 Periodic Comp Preventive Med 65+ years Est	$186.55	$287.00	$43.91–$287.00	6% below	35%
Psychotherapy for crisis, first 60 minutes CPT 90839 90839 Psytx crisis initial 60 minutes	$185.90	$286.00	$43.76–$542.87	30% below	35%
Psychotherapy session, 30 minutes CPT 90832 90832 Psych follow up 20-30 minutes	$89.70	$138.00	$21.11–$542.87	35% below	35%
Psychotherapy session, 45 minutes CPT 90834 90834 Psych follow up 45-50 minutes	$120.25	$185.00	$28.31–$542.87	34% below	35%
Psychotherapy session, 60 minutes CPT 90837 90837 Psych Follow Up 60 Minutes	$176.15	$271.00	$41.46–$542.87	33% below	35%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBAC COUNSEL 3-10M	$68.90	$106.00	$16.22–$106.54	110% above	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Established patient visit- level 5	$174.20	$268.00	$41.00–$268.00	31% below	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST PT	$430.30	$662.00	$101.29–$662.00	70% above	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB VISIT LEVEL 5 (ESTABLISHED PT)	$498.55	$767.00	$117.35–$767.00	97% above	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Established patient visit- level 3	$134.55	$207.00	$31.67–$207.00	7% below	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OP CLINIC LEVEL 3 (2+HR)	$233.35	$359.00	$54.93–$359.00	61% above	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB VISIT LEVEL 3 (ESTABLISHED PT)	$233.35	$359.00	$54.93–$359.00	61% above	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST PT	$294.45	$453.00	$69.31–$453.00	103% above	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Established patient visit- level 4	$130.00	$200.00	$30.60–$200.00	29% below	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OP CLINIC LEVEL 4 (3+ HR)	$245.05	$377.00	$57.68–$377.00	34% above	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB VISIT LEVEL 4 (ESTABLISHED PT)	$245.05	$377.00	$57.68–$377.00	34% above	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST PT	$308.10	$474.00	$72.52–$474.00	68% above	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Established patient visit- level 2	$81.90	$126.00	$19.28–$160.53	23% below	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB VISIT LEVEL 2 (ESTABLISHED PT)	$261.95	$403.00	$61.66–$403.00	146% above	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OP CLINIC LEVEL 2 (1+HR)	$261.95	$403.00	$61.66–$403.00	146% above	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST PT	$330.20	$508.00	$77.72–$508.00	210% above	35%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 Office Consultation, Level 4	$144.30	$222.00	$33.97–$222.00	57% below	35%
Speech and language evaluation CPT 92523 EVAL SOUND PROD W/ LANG COMP	$590.85	$909.00	$133.62–$909.00	54% above	35%
Speech therapy session, individual CPT 92507 SPEECH/LANG THERAPY/-GN	$305.50	$470.00	$44.79–$470.00	44% above	35%
Spirometry (breathing test) CPT 94010 94010 Spirometry tech	$43.55	$67.00	$10.25–$566.92	79% below	35%
Spirometry (breathing test) CPT 94010 SIMPLE SPIROMETRY	$428.35	$659.00	$34.73–$659.00	109% above	35%
Spirometry (breathing test) CPT 94010 SPIROM SIMPL INCL FLO	$546.00	$840.00	$34.73–$840.00	167% above	35%
Spirometry before and after a bronchodilator CPT 94060 94060 Spirometry with bronchodilator tech	$117.00	$180.00	$27.54–$1,074.33	70% below	35%
Spirometry before and after a bronchodilator CPT 94060 SPIROM PP B-D P/F STUDY	$796.90	$1,226.00	$68.29–$1,226.00	104% above	35%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 90867 tcranial magn stim tx plan	$172.90	$266.00	$40.70–$1,074.33	—	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy	$193.70	$298.00	$39.15–$454.80	4% below	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY ONC.	$228.15	$351.00	$39.15–$454.80	13% above	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy ONCOLOGY.	$228.15	$351.00	$39.15–$454.80	13% above	35%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 93015 Cardiovascular stress test, complete; with s	$172.90	$266.00	$40.70–$266.00	22% below	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 Varicella vaccine	$124.15	$191.00	$29.22–$191.00	33% below	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 Human Papilloma virus (HPV) vaccine	$257.40	$396.00	$60.59–$396.00	4% below	35%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 90636 Hepatitis A&B vaccine	$97.50	$150.00	$22.95–$150.00	44% below	35%
Hepatitis A vaccine, adult dose CPT 90632 90632 Hepatitis A vaccine, adult	$46.15	$71.00	$10.86–$71.00	39% below	35%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 Hepatitis B vaccine	$57.20	$88.00	$13.46–$88.00	26% below	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 MMR vaccine	$68.90	$106.00	$16.22–$106.00	60% below	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 Meningococcal conjugate vaccine, serogroups	$93.60	$144.00	$22.03–$144.00	37% below	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 Pneumococcal conjugate vaccine, 20 valent (P	$531.05	$817.00	$73.23–$817.00	12% above	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 Pneumococcal vaccine	$137.80	$212.00	$18.06–$212.00	4% below	35%
Rabies vaccine, one dose CPT 90675 90675 Rabies vaccine	$185.25	$285.00	$43.61–$1,249.28	70% below	35%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 90750 Zoster (Shingrix) vaccine	$198.90	$306.00	$46.82–$306.00	at median	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 Td vaccine	$91.65	$141.00	$18.06–$141.00	67% above	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 Tetanus, diphtheria toxoids and acellular pe	$85.15	$131.00	$18.06–$131.00	3% above	35%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 90691 Typhoid vaccine	$41.60	$64.00	$9.79–$64.00	63% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 OP/Immunization administration; 1 vaccine	$29.25	$45.00	$6.89–$251.75	34% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC 90471 Immunization Admin Perc/ID/Subq/IM; 1 Va	$29.25	$45.00	$6.89–$251.75	34% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Administration hepatitis B vaccine	$29.25	$45.00	$6.89–$251.75	34% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Administration pneumococcal vaccine	$30.55	$47.00	$7.19–$251.75	31% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Administration flu vaccine	$30.55	$47.00	$7.19–$251.75	31% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF VACCINE	$213.85	$329.00	$34.64–$329.00	382% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471: IM/SUBQ First dose	$213.85	$329.00	$25.65–$329.00	382% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION	$241.80	$372.00	$25.65–$372.00	445% above	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE	$269.75	$415.00	$34.64–$415.00	508% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Additional immunization administration	$14.95	$23.00	$3.52–$195.17	61% below	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VFC 90472 Immunization Admin Perc/ID/Subq/IM; Each	$14.95	$23.00	$3.52–$195.17	61% below	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE (ADDITIONAL)	$288.60	$444.00	$25.65–$444.00	654% above	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADD'L	$321.10	$494.00	$34.64–$494.00	738% above	35%

Source file: https://toppenish.pg.revenuemasters.com/cdm-files/814670687_astria-toppenish-hospital_standardcharges.csv