Astria Sunnyside Hospital
Astria Sunnyside Hospital in Sunnyside, WA publishes cash prices for 201 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 102 of 200 procedures and above it for 97. By typical cash price it ranks #24 of 58 Washington hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
1016 Tacoma Ave, Sunnyside, WA 98944-2263 Collected Sep 29, 2026 Source price file (509) 837-1500
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 2 of 5 CCN 501330 · CMS hospital register NPI 1225033814
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 2 actions for a hospital named Astria Sunnyside Hospital in Sunnyside, WA:
- Apr 22, 2026 Warning notice
- Jul 27, 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.
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 | $125.40 | $220.00 | $48.55–$220.00 | — | 43% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATTENDED | $452.58 | $794.00 | $111.03–$794.00 | 31% above | 43% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 SLEEP STUDY UNATTENDED | $984.39 | $1,727.00 | $111.03–$1,727.00 | 186% above | 43% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 95806 Sleep study, unattended, simultaneous record | $984.39 | $1,727.00 | $111.03–$1,727.00 | 186% above | 43% |
| Transvaginal ultrasound during pregnancy CPT 76817 Ultrasound, pregnant uterus | $345.99 | $607.00 | $109.37–$607.00 | 18% below | 43% |
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 | $59.28 | $104.00 | $4.77–$104.00 | 37% above | 43% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT OR ALT | $84.93 | $149.00 | $4.77–$149.00 | 97% above | 43% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 FIB-4 w/rflx to Enhanced Liver Fibrosis (ELF) 402175 LC | $78.66 | $138.00 | $4.66–$138.00 | 107% above | 43% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT OR AST | $78.66 | $138.00 | $4.66–$138.00 | 107% above | 43% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 NASH FibroSure LC | $96.90 | $170.00 | $4.66–$170.00 | 156% above | 43% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Viral Hepatitis LC | $99.75 | $175.00 | $42.87–$175.00 | 59% below | 43% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) LC | $446.88 | $784.00 | $42.87–$784.00 | 84% above | 43% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INDIVIDUAL | $20.52 | $36.00 | $4.70–$36.00 | 20% below | 43% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (5) LC 672748 | $23.37 | $41.00 | $4.70–$41.00 | 9% below | 43% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (35) Foods LC | $23.37 | $41.00 | $4.70–$41.00 | 9% below | 43% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (17) LC 605801 | $23.37 | $41.00 | $4.70–$41.00 | 9% below | 43% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (15) Foods LC | $23.37 | $41.00 | $4.70–$41.00 | 9% below | 43% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens (11) Foods LC | $23.37 | $41.00 | $4.70–$41.00 | 9% below | 43% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULL PEPTIDE AB IGG | $201.21 | $353.00 | $11.66–$353.00 | 166% above | 43% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Rheumatoid Arthritis Profile LC | $230.28 | $404.00 | $11.66–$404.00 | 205% above | 43% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA LC | $237.12 | $416.00 | $11.66–$416.00 | 214% above | 43% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA W/Rfx to all if Positive | $95.19 | $167.00 | $10.88–$167.00 | 39% above | 43% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE ANTIBODY | $103.17 | $181.00 | $10.88–$181.00 | 50% above | 43% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, IFA LC | $118.56 | $208.00 | $10.88–$208.00 | 73% above | 43% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex LC | $118.56 | $208.00 | $10.88–$208.00 | 73% above | 43% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Direct LC | $118.56 | $208.00 | $10.88–$208.00 | 73% above | 43% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Uric A+ANA w/Rflx+RA Qn+CRP... LC | $118.56 | $208.00 | $10.88–$208.00 | 73% above | 43% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $270.75 | $475.00 | $35.33–$475.00 | 41% above | 43% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $190.38 | $334.00 | $7.61–$334.00 | 159% above | 43% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bill PATHOLOGY LEVEL IV | $79.23 | $139.00 | $30.68–$139.00 | 55% below | 43% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 Surgical Pathology- 1st Site LC | $216.03 | $379.00 | $56.39–$379.00 | 23% above | 43% |
| Blood culture for bacteria CPT 87040 Blood Culture | $123.12 | $216.00 | $9.29–$216.00 | 14% below | 43% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 DUI Legal Blood Draw | $11.97 | $21.00 | $5.15–$21.00 | 52% below | 43% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Routine | $19.95 | $35.00 | $8.41–$35.00 | 20% below | 43% |
| Blood glucose (sugar) test CPT 82947 Glucose Level 24 hour Urine | $78.66 | $138.00 | $3.54–$138.00 | 113% above | 43% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD | $80.94 | $142.00 | $3.54–$142.00 | 119% above | 43% |
| Blood lead test CPT 83655 LEAD URINE | $133.38 | $234.00 | $10.90–$234.00 | 110% above | 43% |
| Blood lead test CPT 83655 Lead, Blood (Pediatric) LC 717009 | $152.19 | $267.00 | $10.90–$267.00 | 139% above | 43% |
| Blood lead test CPT 83655 Lead, Blood (Adult) LC 007625 | $152.19 | $267.00 | $10.90–$267.00 | 139% above | 43% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Pregnancy Test Qualitative | $148.77 | $261.00 | $6.77–$261.00 | 101% above | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $66.69 | $117.00 | $2.69–$117.00 | 4% above | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABORh | $66.69 | $117.00 | $2.69–$117.00 | 4% above | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Only | $200.64 | $352.00 | $2.69–$352.00 | 212% above | 43% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO LC | $206.91 | $363.00 | $2.69–$363.00 | 222% above | 43% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $95.19 | $167.00 | $4.66–$167.00 | 72% above | 43% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein LC | $117.99 | $207.00 | $4.66–$207.00 | 113% above | 43% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein, Quant LC | $121.41 | $213.00 | $4.66–$213.00 | 120% above | 43% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C-Diff Toxin B PCR (GeneXpert) | $63.27 | $111.00 | $27.22–$111.00 | 63% below | 43% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile Toxin Gene NAA LC | $86.64 | $152.00 | $33.54–$152.00 | 50% below | 43% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 LC | $131.67 | $231.00 | $18.73–$231.00 | 20% above | 43% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 LC | $84.93 | $149.00 | $18.73–$149.00 | 29% below | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert) POCT | $74.67 | $131.00 | $32.13–$131.00 | 33% below | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert) POC | $76.95 | $135.00 | $33.11–$135.00 | 31% below | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus (CoVID19), NAA INC | $108.30 | $190.00 | $46.18–$190.00 | 3% below | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 Novel Coronavirus (CoVID-19), NAA LC | $133.95 | $235.00 | $46.18–$235.00 | 19% above | 43% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 (COVID-19) PCR (GeneXpert) | $139.08 | $244.00 | $46.18–$244.00 | 24% above | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis AVR | $50.73 | $89.00 | $21.83–$89.00 | 60% below | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Leukorrhea Panel AVR | $50.73 | $89.00 | $21.83–$89.00 | 60% below | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Cervicitis/Vaginitis Panel AVR | $50.73 | $89.00 | $21.83–$89.00 | 60% below | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Vaginosis/Vaginitis Extended Panel AVR | $50.73 | $89.00 | $21.83–$89.00 | 60% below | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 PID/Infertility Panel AVR | $50.73 | $89.00 | $21.83–$89.00 | 60% below | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/Gonorrhea Panel AVR | $50.73 | $89.00 | $21.83–$89.00 | 60% below | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 Leukorrhea Panel - Extended AVR | $55.29 | $97.00 | $23.79–$97.00 | 56% below | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia and Gonorrhea (GeneXpert) | $102.03 | $179.00 | $31.58–$179.00 | 20% below | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia, Conjunctiva, NAA LC | $102.03 | $179.00 | $31.58–$179.00 | 20% below | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH AMP PROBE | $134.52 | $236.00 | $31.58–$236.00 | 6% above | 43% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC Amplification LC | $153.33 | $269.00 | $31.58–$269.00 | 21% above | 43% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $148.77 | $261.00 | $12.05–$261.00 | 70% above | 43% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LipoProf+Graph LC | $183.54 | $322.00 | $12.05–$322.00 | 110% above | 43% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipoprotein Phenotyping LC | $183.54 | $322.00 | $12.05–$322.00 | 110% above | 43% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $92.91 | $163.00 | $6.99–$163.00 | 43% above | 43% |
| Complete blood count (CBC) with differential CPT 85025 CBC LC | $118.56 | $208.00 | $6.99–$208.00 | 82% above | 43% |
| Complete blood count (CBC), no differential CPT 85027 Hemogram Automated | $78.66 | $138.00 | $5.82–$138.00 | 58% above | 43% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential | $78.66 | $138.00 | $5.82–$138.00 | 58% above | 43% |
| Complete blood count (CBC), no differential CPT 85027 Blood count; complete (CBC) LC | $108.30 | $190.00 | $5.82–$190.00 | 118% above | 43% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $148.77 | $261.00 | $9.50–$261.00 | 63% above | 43% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $185.25 | $325.00 | $9.16–$325.00 | 61% above | 43% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate LC | $165.30 | $290.00 | $20.01–$290.00 | 29% above | 43% |
| Estradiol blood test CPT 82670 Estradiol Level | $88.35 | $155.00 | $25.15–$155.00 | 35% below | 43% |
| Estradiol blood test CPT 82670 Estradiol LC | $347.13 | $609.00 | $25.15–$609.00 | 157% above | 43% |
| Estradiol blood test CPT 82670 Estradiol, Sensitive LC | $347.13 | $609.00 | $25.15–$609.00 | 157% above | 43% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone Level | $62.70 | $110.00 | $16.72–$110.00 | 34% below | 43% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $148.77 | $261.00 | $16.72–$261.00 | 56% above | 43% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH LC | $183.54 | $322.00 | $16.72–$322.00 | 93% above | 43% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH and LH LC | $183.54 | $322.00 | $16.72–$322.00 | 93% above | 43% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal LC | $662.34 | $1,162.00 | $17.67–$1,162.00 | 244% above | 43% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin LC | $13.11 | $23.00 | $5.64–$23.00 | 86% below | 43% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $148.77 | $261.00 | $12.27–$261.00 | 56% above | 43% |
| Folate (folic acid) blood test CPT 82746 Folate (Folic Acid) LC | $17.10 | $30.00 | $7.36–$30.00 | 83% below | 43% |
| Folate (folic acid) blood test CPT 82746 Folate Serum | $98.61 | $173.00 | $13.23–$173.00 | 1% below | 43% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $148.77 | $261.00 | $15.25–$261.00 | 71% above | 43% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine T3 Free LC | $183.54 | $322.00 | $15.25–$322.00 | 110% above | 43% |
| Free T3 thyroid hormone test CPT 84481 N/A | $369.93 | $649.00 | $15.25–$649.00 | 324% above | 43% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 Thyroxine, free (FT4) LC | $23.37 | $41.00 | $8.12–$41.00 | 64% below | 43% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 | $148.77 | $261.00 | $8.12–$261.00 | 130% above | 43% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free, Direct, S LC | $183.54 | $322.00 | $8.12–$322.00 | 183% above | 43% |
| Free testosterone test CPT 84402 Testosterone, Free+Total, LC/MS LC 070195 | $41.04 | $72.00 | $17.66–$72.00 | 68% below | 43% |
| Free testosterone test CPT 84402 Testosterone,Free and Total LC 140103 | $267.90 | $470.00 | $22.92–$470.00 | 110% above | 43% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $321.48 | $564.00 | $124.47–$564.00 | 40% above | 43% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour Post Prandial OB | $78.66 | $138.00 | $4.28–$138.00 | 110% above | 43% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR PP | $78.66 | $138.00 | $4.28–$138.00 | 110% above | 43% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour Post Prandial | $78.66 | $138.00 | $4.28–$138.00 | 110% above | 43% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour | $153.90 | $270.00 | $4.28–$270.00 | 311% above | 43% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 3 Hours | $137.94 | $242.00 | $11.58–$242.00 | 95% above | 43% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 4 Hours | $137.94 | $242.00 | $11.58–$242.00 | 95% above | 43% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 5 Hours | $137.94 | $242.00 | $11.58–$242.00 | 95% above | 43% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test - 6 Hours | $137.94 | $242.00 | $11.58–$242.00 | 95% above | 43% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 3 Hr OB | $137.94 | $242.00 | $11.58–$242.00 | 95% above | 43% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 30m | $137.94 | $242.00 | $11.58–$242.00 | 95% above | 43% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 2HR | $140.22 | $246.00 | $11.58–$246.00 | 98% above | 43% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test (3 hr OB) | $153.90 | $270.00 | $11.58–$270.00 | 117% above | 43% |
| Glucose tolerance test, 3 samples CPT 82951 Lactose Tolerance Test LC | $190.95 | $335.00 | $11.58–$335.00 | 169% above | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae AVR | $50.73 | $89.00 | $21.83–$89.00 | 60% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 PID/Infertility Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 56% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Chlamydia/Gonorrhea Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 56% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Leukorrhea Panel - Extended AVR | $55.29 | $97.00 | $23.79–$97.00 | 56% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Cervicitis/Vaginitis Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 56% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Vaginosis/Vaginitis Extended Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 56% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 Leukorrhea Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 56% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N.Gonorrhea (GeneXpert) | $70.11 | $123.00 | $30.17–$123.00 | 44% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 CT/NG PCR (GeneXpert) | $102.03 | $179.00 | $31.58–$179.00 | 19% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Cortisol 24 Hour Urine | $123.69 | $217.00 | $31.58–$217.00 | 2% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HBV DNA RealTime Abbott LC | $123.69 | $217.00 | $31.58–$217.00 | 2% below | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORR AMP PROBE | $134.52 | $236.00 | $31.58–$236.00 | 7% above | 43% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, NAA LC | $157.89 | $277.00 | $31.58–$277.00 | 25% above | 43% |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody IgG | $91.20 | $160.00 | $15.17–$160.00 | 10% above | 43% |
| H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgM Ab LC | $112.86 | $198.00 | $15.17–$198.00 | 36% above | 43% |
| H. pylori antibody blood test CPT 86677 H. pylori, IgG Abs LC | $112.86 | $198.00 | $15.17–$198.00 | 36% above | 43% |
| H. pylori antibody blood test CPT 86677 H.pylori IgG/IgA Ab LC | $112.86 | $198.00 | $15.17–$198.00 | 36% above | 43% |
| H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgA LC | $112.86 | $198.00 | $15.17–$198.00 | 36% above | 43% |
| H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA LC | $294.69 | $517.00 | $12.94–$517.00 | 111% above | 43% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR QUANT | $385.32 | $676.00 | $76.59–$676.00 | 1% above | 43% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/2 Ag/Ab | $88.35 | $155.00 | $12.34–$155.00 | 3% above | 43% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV ANTIBODY 1 AND 2 | $88.35 | $155.00 | $12.34–$155.00 | 3% above | 43% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 and HIV-2 AB | $36.48 | $64.00 | $15.70–$64.00 | 63% below | 43% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 and2 LC | $37.62 | $66.00 | $16.19–$66.00 | 62% below | 43% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 High-Risk HPV Panel with Genotyping AVR | $50.73 | $89.00 | $21.83–$89.00 | 64% below | 43% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 HPV Aptima LC | $91.77 | $161.00 | $31.58–$161.00 | 35% below | 43% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV Aptima LC | $100.32 | $176.00 | $31.58–$176.00 | 29% below | 43% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV, cobas high-risk/16/18 LC | $100.32 | $176.00 | $31.58–$176.00 | 29% below | 43% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c | $107.16 | $188.00 | $8.74–$188.00 | 52% above | 43% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c POCT | $117.42 | $206.00 | $8.74–$206.00 | 67% above | 43% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C POCT | $120.84 | $212.00 | $8.74–$212.00 | 72% above | 43% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c LC | $132.81 | $233.00 | $8.74–$233.00 | 89% above | 43% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab, Qual LC | $119.70 | $210.00 | $9.67–$210.00 | 69% above | 43% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen w/ Interp | $86.07 | $151.00 | $9.30–$151.00 | 17% above | 43% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen LC | $107.16 | $188.00 | $9.30–$188.00 | 45% above | 43% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAG Screen LC | $110.58 | $194.00 | $9.30–$194.00 | 50% above | 43% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $86.07 | $151.00 | $12.84–$151.00 | at median | 43% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody w/ Interp | $90.63 | $159.00 | $12.84–$159.00 | 5% above | 43% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody LC | $107.16 | $188.00 | $12.84–$188.00 | 25% above | 43% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hep C Virus AB LC | $110.58 | $194.00 | $12.84–$194.00 | 28% above | 43% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR, Qn Rfx Geno LC | $283.29 | $497.00 | $38.56–$497.00 | 14% below | 43% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) LC | $283.29 | $497.00 | $38.56–$497.00 | 14% below | 43% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE I IGG | $159.03 | $279.00 | $11.87–$279.00 | 130% above | 43% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IgG, Type Spec LC | $187.53 | $329.00 | $11.87–$329.00 | 171% above | 43% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $159.03 | $279.00 | $17.42–$279.00 | 81% above | 43% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 and 2-Spec AB, IgG w/Rflx LC 164922 | $181.83 | $319.00 | $17.42–$319.00 | 106% above | 43% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein High Sensitivity | $116.28 | $204.00 | $11.66–$204.00 | 58% above | 43% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac LC | $143.64 | $252.00 | $11.66–$252.00 | 95% above | 43% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine, Plasma LC | $157.89 | $277.00 | $16.13–$277.00 | 30% above | 43% |
| Insulin blood test CPT 83525 INSULIN | $106.02 | $186.00 | $10.29–$186.00 | 28% above | 43% |
| Insulin blood test CPT 83525 Insulin LC | $131.67 | $231.00 | $10.29–$231.00 | 59% above | 43% |
| Iron blood test (serum iron) CPT 83540 Iron LC | $11.97 | $21.00 | $5.15–$21.00 | 75% below | 43% |
| Iron blood test (serum iron) CPT 83540 Iron Panel | $91.20 | $160.00 | $5.82–$160.00 | 94% above | 43% |
| Iron blood test (serum iron) CPT 83540 Iron | $94.05 | $165.00 | $5.82–$165.00 | 100% above | 43% |
| Iron blood test (serum iron) CPT 83540 Iron and TIBC LC | $196.08 | $344.00 | $5.82–$344.00 | 317% above | 43% |
| Iron-binding capacity (TIBC) test CPT 83550 83550 Iron Binding Capacity LC | $17.67 | $31.00 | $7.60–$31.00 | 71% below | 43% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $104.88 | $184.00 | $7.87–$184.00 | 75% above | 43% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $172.71 | $303.00 | $7.81–$303.00 | 127% above | 43% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (LH) | $148.77 | $261.00 | $16.67–$261.00 | 56% above | 43% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone(LH) LC | $183.54 | $322.00 | $16.67–$322.00 | 93% above | 43% |
| LH (luteinizing hormone) test CPT 83002 LH LC | $189.24 | $332.00 | $16.67–$332.00 | 99% above | 43% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $107.16 | $188.00 | $6.20–$188.00 | 47% above | 43% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $167.58 | $294.00 | $7.35–$294.00 | 156% above | 43% |
| Lyme disease antibody test CPT 86618 Lyme, Total Ab Test/Reflex LC | $132.24 | $232.00 | $15.33–$232.00 | 48% above | 43% |
| Lyme disease antibody test CPT 86618 Lyme Disease Total Antibody w/Reflex to Immunoassay LC | $132.24 | $232.00 | $15.33–$232.00 | 48% above | 43% |
| Magnesium blood test CPT 83735 Magnesium 24 Hour Urine | $92.91 | $163.00 | $6.03–$163.00 | 77% above | 43% |
| Magnesium blood test CPT 83735 Magnesium Urine | $92.91 | $163.00 | $6.03–$163.00 | 77% above | 43% |
| Magnesium blood test CPT 83735 Magnesium | $92.91 | $163.00 | $6.03–$163.00 | 77% above | 43% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA | $103.17 | $181.00 | $11.59–$181.00 | 43% above | 43% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibodies, IgG LC | $127.68 | $224.00 | $11.59–$224.00 | 77% above | 43% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $91.20 | $160.00 | $4.66–$160.00 | 61% above | 43% |
| Obstetric blood test panel CPT 80055 80055 Obstetric panel | $81.51 | $143.00 | $35.07–$143.00 | 31% below | 43% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 .%fPSA Reflex LC | $152.76 | $268.00 | $16.55–$268.00 | 52% above | 43% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA Free LC | $157.32 | $276.00 | $16.55–$276.00 | 56% above | 43% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total | $148.77 | $261.00 | $16.55–$261.00 | 34% above | 43% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free LC | $183.54 | $322.00 | $16.55–$322.00 | 66% above | 43% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) LC | $183.54 | $322.00 | $16.55–$322.00 | 66% above | 43% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate specific antigen (PSA) total; Diagnostic | $278.73 | $489.00 | $16.55–$489.00 | 152% above | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 N/A | $53.58 | $94.00 | $23.05–$94.00 | 39% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 JAK2 V617 Mutation LC | $54.15 | $95.00 | $23.30–$95.00 | 38% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pathology Billing Gyn Cytology without Pathologist Interpretation | $54.15 | $95.00 | $23.30–$95.00 | 38% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pathology Billing Cytopathology NG Thin Prep, with interpretation, except cervical or vaginal | $54.15 | $95.00 | $23.30–$95.00 | 38% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pathology Billing Gyn Cytology Thin Prep | $54.15 | $95.00 | $23.30–$95.00 | 38% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP,rfx Aptima HPV all pth LC | $55.86 | $98.00 | $23.95–$98.00 | 36% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, rfx HPV all pth LC | $55.86 | $98.00 | $23.95–$98.00 | 36% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) LC | $55.86 | $98.00 | $23.95–$98.00 | 36% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 SurePath Pap AVR | $57.57 | $101.00 | $23.95–$101.00 | 34% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 ThinPrep Pap AVR | $57.57 | $101.00 | $23.95–$101.00 | 34% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .IGP,CtNgTv,Apt HPV,rfx16/18,45 LC | $66.69 | $117.00 | $23.95–$117.00 | 24% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IGP Aptima HPV LC | $66.69 | $117.00 | $23.95–$117.00 | 24% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IGP, Aptima HPV, rfx 16/18,45 LC | $66.69 | $117.00 | $23.95–$117.00 | 24% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 199305 PAP IGP, Apt HPV,rfx 16/18,45 LC | $66.69 | $117.00 | $23.95–$117.00 | 24% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pathology Billing Gyn Cyto Image Guided Thin Prep | $68.97 | $121.00 | $23.95–$121.00 | 21% below | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IGP, CtNg, rfx Aptima HPV ASCU LC | $169.86 | $298.00 | $23.95–$298.00 | 94% above | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP, CtNg, rfx Aptima HPV ASCU (Charted) LC | $169.86 | $298.00 | $23.95–$298.00 | 94% above | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, Ct-Ng TV LC | $265.05 | $465.00 | $23.95–$465.00 | 203% above | 43% |
| Pap test (liquid-based, automated screening with review) CPT 88175 .Pap IG, Ct-Ng TV LC | $265.05 | $465.00 | $23.95–$465.00 | 203% above | 43% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GC by Nucleic Acid Amplification | $31.92 | $56.00 | $13.73–$56.00 | 61% below | 43% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep | $39.33 | $69.00 | $16.92–$69.00 | 52% below | 43% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Rapid Plasma Reagin Titer | $79.23 | $139.00 | $18.23–$139.00 | 3% below | 43% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact LC | $137.37 | $241.00 | $37.15–$241.00 | 35% below | 43% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact | $192.66 | $338.00 | $37.15–$338.00 | 8% below | 43% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH Intact LC | $245.67 | $431.00 | $37.15–$431.00 | 17% above | 43% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 .aPTT 1:1 Normal Plasma 117159 LC | $22.80 | $40.00 | $5.41–$40.00 | 45% below | 43% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT (LC #117079 APS) | $23.37 | $41.00 | $5.41–$41.00 | 43% below | 43% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Activated PTT | $78.09 | $137.00 | $5.41–$137.00 | 90% above | 43% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $80.94 | $142.00 | $5.41–$142.00 | 97% above | 43% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 zaPTTMx+dRVVT+Hexago+PT+PT M... LC 236823 | $96.33 | $169.00 | $5.41–$169.00 | 134% above | 43% |
| Progesterone blood test CPT 84144 Progesterone LC | $173.85 | $305.00 | $18.77–$305.00 | 78% above | 43% |
| Prolactin blood test CPT 84146 Prolactin LC | $188.67 | $331.00 | $17.44–$331.00 | 80% above | 43% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POCT iSTAT INR | $6.27 | $11.00 | $2.70–$11.00 | 84% below | 43% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT, Prothrombin Time (LC #117079 APS) | $17.10 | $30.00 | $3.86–$30.00 | 57% below | 43% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $84.36 | $148.00 | $3.86–$148.00 | 111% above | 43% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT LC 241426 | $108.30 | $190.00 | $3.86–$190.00 | 171% above | 43% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR POC Lab | $108.87 | $191.00 | $3.86–$191.00 | 172% above | 43% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR | $110.58 | $194.00 | $3.86–$194.00 | 177% above | 43% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 U Dipstick Cotinine (Nicotine) POCT | $37.62 | $66.00 | $11.34–$66.00 | 27% below | 43% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A/B | $67.83 | $119.00 | $14.90–$119.00 | 1% above | 43% |
| Rapid flu test (influenza antigen) CPT 87804 87804 Sofia Flu A, B | $70.11 | $123.00 | $14.90–$123.00 | 4% above | 43% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep B Rapid | $112.29 | $197.00 | $14.88–$197.00 | 56% above | 43% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A, Rapid | $112.29 | $197.00 | $14.88–$197.00 | 56% above | 43% |
| Rheumatoid factor (RF) test CPT 86431 RA TITER | $119.70 | $210.00 | $5.10–$210.00 | 199% above | 43% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor LC | $136.80 | $240.00 | $5.10–$240.00 | 242% above | 43% |
| Rheumatoid factor (RF) test CPT 86431 RA Latex Turbid, LC | $140.79 | $247.00 | $5.10–$247.00 | 252% above | 43% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor (RA) LC | $140.79 | $247.00 | $5.10–$247.00 | 252% above | 43% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody | $59.85 | $105.00 | $12.95–$105.00 | 13% below | 43% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody w/ Interp | $59.85 | $105.00 | $12.95–$105.00 | 13% below | 43% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS AB IGM EIA | $61.56 | $108.00 | $12.95–$108.00 | 11% below | 43% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG LC | $73.53 | $129.00 | $12.95–$129.00 | 6% above | 43% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Erythrocyte Sedimentation Rate (ESR) | $72.96 | $128.00 | $2.43–$128.00 | 135% above | 43% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES | $102.03 | $179.00 | $8.01–$179.00 | 66% above | 43% |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Exam LC | $125.40 | $220.00 | $8.01–$220.00 | 104% above | 43% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool II | $39.33 | $69.00 | $3.94–$69.00 | 32% above | 43% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool III | $39.33 | $69.00 | $3.94–$69.00 | 32% above | 43% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool I | $39.33 | $69.00 | $3.94–$69.00 | 32% above | 43% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen 1-3 | $116.28 | $204.00 | $3.94–$204.00 | 291% above | 43% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool Screen | $116.28 | $204.00 | $3.94–$204.00 | 291% above | 43% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool for Occult Blood POC | $150.48 | $264.00 | $3.94–$264.00 | 406% above | 43% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Fecal, IA LC | $182.40 | $320.00 | $14.33–$320.00 | 145% above | 43% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Qualitative | $59.85 | $105.00 | $3.84–$105.00 | 101% above | 43% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 144053 Pregnancy, Initial Screen LC | $74.10 | $130.00 | $3.84–$130.00 | 149% above | 43% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 .RPR LC | $74.10 | $130.00 | $3.84–$130.00 | 149% above | 43% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF LC | $74.10 | $130.00 | $3.84–$130.00 | 149% above | 43% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR LC | $74.10 | $130.00 | $3.84–$130.00 | 149% above | 43% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON (Client Incubated) LC 182893 | $222.87 | $391.00 | $55.78–$391.00 | 7% above | 43% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $167.01 | $293.00 | $23.23–$293.00 | 41% above | 43% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone LC | $210.33 | $369.00 | $23.23–$369.00 | 78% above | 43% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Total, LC/MS LC | $210.33 | $369.00 | $23.23–$369.00 | 78% above | 43% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total LC | $216.60 | $380.00 | $23.23–$380.00 | 83% above | 43% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsomal Ab LC | $147.06 | $258.00 | $13.10–$258.00 | 86% above | 43% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies LC | $152.19 | $267.00 | $13.10–$267.00 | 92% above | 43% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab LC | $152.19 | $267.00 | $13.10–$267.00 | 92% above | 43% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH LC | $10.83 | $19.00 | $4.66–$19.00 | 88% below | 43% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH+Free T4 LC | $41.61 | $73.00 | $15.12–$73.00 | 55% below | 43% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $167.01 | $293.00 | $15.12–$293.00 | 82% above | 43% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/ Rflx to FT4 | $167.01 | $293.00 | $15.12–$293.00 | 82% above | 43% |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis AVR | $50.73 | $89.00 | $21.83–$89.00 | 52% below | 43% |
| Trichomonas test (NAAT) CPT 87661 87661 PID/Infertility Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 48% below | 43% |
| Trichomonas test (NAAT) CPT 87661 87661 Vaginosis/Vaginitis Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 48% below | 43% |
| Trichomonas test (NAAT) CPT 87661 87661 Leukorrhea Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 48% below | 43% |
| Trichomonas test (NAAT) CPT 87661 87661 Cervicitis/Vaginitis Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 48% below | 43% |
| Trichomonas test (NAAT) CPT 87661 87661 Vaginosis/Vaginitis Extended Panel AVR | $55.29 | $97.00 | $23.79–$97.00 | 48% below | 43% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGIN DIR PROBE | $113.43 | $199.00 | $31.58–$199.00 | 8% above | 43% |
| Trichomonas test (NAAT) CPT 87661 .Trich vag by NAA LC | $128.82 | $226.00 | $31.58–$226.00 | 22% above | 43% |
| Uric acid blood test CPT 84550 Uric Acid | $78.66 | $138.00 | $4.07–$138.00 | 74% above | 43% |
| Uric acid blood test CPT 84550 Uric Acid A+ANA LC | $99.75 | $175.00 | $4.07–$175.00 | 121% above | 43% |
| Urinalysis with microscope exam, automated CPT 81001 Bill Urinalysis w/Microscopic | $38.19 | $67.00 | $2.85–$67.00 | 2% above | 43% |
| Urinalysis with microscope exam, automated CPT 81001 81001 Urinalysis, Routine RLC | $48.45 | $85.00 | $2.85–$85.00 | 29% above | 43% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICRO | $100.89 | $177.00 | $2.85–$177.00 | 169% above | 43% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick | $7.41 | $13.00 | $2.03–$13.00 | 73% below | 43% |
| Urinalysis without microscope exam, automated CPT 81003 pH Urine | $7.41 | $13.00 | $2.03–$13.00 | 73% below | 43% |
| Urinalysis without microscope exam, automated CPT 81003 UA w/ Microscopic | $7.41 | $13.00 | $2.03–$13.00 | 73% below | 43% |
| Urinalysis without microscope exam, automated CPT 81003 UA w/ Micro if Indicated Culture if Indicated | $43.89 | $77.00 | $2.03–$77.00 | 57% above | 43% |
| Urinalysis without microscope exam, automated CPT 81003 UA Complete w/ Culture if Indicated | $100.89 | $177.00 | $2.03–$177.00 | 261% above | 43% |
| Urinalysis without microscope exam, automated CPT 81003 UA w/ Microscopic if Indicated | $100.89 | $177.00 | $2.03–$177.00 | 261% above | 43% |
| Urine culture for bacteria, with colony count CPT 87086 Culture Urine | $125.40 | $220.00 | $7.26–$220.00 | 54% above | 43% |
| Urine culture for bacteria, with colony count CPT 87086 Urine CUL LC | $160.17 | $281.00 | $7.26–$281.00 | 96% above | 43% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test Qualitative | $141.93 | $249.00 | $7.75–$249.00 | 192% above | 43% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 LC | $10.26 | $18.00 | $4.41–$18.00 | 89% below | 43% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $125.40 | $220.00 | $13.57–$220.00 | 31% above | 43% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy | $122.55 | $215.00 | $26.64–$215.00 | 5% below | 43% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D, 25-Hydroxy LC | $152.19 | $267.00 | $26.64–$267.00 | 18% above | 43% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 LC | $152.19 | $267.00 | $26.64–$267.00 | 18% above | 43% |
| Zinc blood test CPT 84630 Zinc, Plasma or Serum LC | $132.24 | $232.00 | $10.25–$232.00 | 74% above | 43% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta hCG Quantitative | $148.77 | $261.00 | $13.55–$261.00 | 37% above | 43% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT SERUM | $153.33 | $269.00 | $13.55–$269.00 | 41% above | 43% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 iSTAT Total B-hCG Gonadotropin, chorionic (hCG); quantitativ | $248.52 | $436.00 | $13.55–$436.00 | 129% above | 43% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 64615 Chemodenervation of muscle(s); migraine or h | $336.30 | $590.00 | $130.21–$590.00 | 11% below | 43% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX CL FX FIBULA/ANKLE W/O | $678.87 | $1,191.00 | $262.85–$1,191.00 | 3% above | 43% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FX METATARSAL EACH W/O | $678.87 | $1,191.00 | $248.80–$1,191.00 | 18% above | 43% |
| Cardiac catheterization with coronary angiogram CPT 93458 L HRT ARTERY/VENTRICLE ANGIO | $25,495.53 | $44,729.00 | $1,207.37–$44,729.00 | 147% above | 43% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,067.61 | $1,873.00 | $122.71–$1,873.00 | 4% above | 43% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE EXT | $1,284.21 | $2,253.00 | $122.71–$2,253.00 | 26% above | 43% |
| Catheter ablation for atrial fibrillation CPT 93656 TX ATRIAL FIB PULM VEIN ISOL | $33,394.59 | $58,587.00 | $1,045.80–$58,587.00 | 30% above | 43% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TX FX DISTAL RADIAL COLLES W/O | $678.87 | $1,191.00 | $262.85–$1,191.00 | 13% above | 43% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/POLYPECTOMY SURG | $2,242.95 | $3,935.00 | $287.33–$3,935.00 | 43% above | 43% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BX SURG | $2,242.95 | $3,935.00 | $227.19–$3,935.00 | 29% above | 43% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY SURG | $1,715.70 | $3,010.00 | $209.04–$3,010.00 | 5% above | 43% |
| Coronary stent placement, one artery CPT 92928 PERC CARD STENT/ANGIO 1 VSL | $48,574.26 | $85,218.00 | $648.01–$85,218.00 | 128% above | 43% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 Endoscopy-Cystoscopy, urethroscopy, cystoure | $214.89 | $377.00 | $83.20–$377.00 | 76% below | 43% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMPACT CERUMEN REQ IRRIGAT | $42.18 | $74.00 | $16.33–$74.00 | 59% below | 43% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX | $72.39 | $127.00 | $19.01–$127.00 | 30% below | 43% |
| Earwax removal with instruments, one ear CPT 69210 REM IMPACT CERUMEN REQ INSTRU | $106.59 | $187.00 | $37.11–$187.00 | 29% below | 43% |
| Earwax removal with instruments, one ear CPT 69210 69210 CERUMEN REMOVAL CHARGE | $238.26 | $418.00 | $37.11–$418.00 | 59% above | 43% |
| Earwax removal with instruments, one ear CPT 69210 CERUMEN REMOVAL | $335.16 | $588.00 | $37.11–$588.00 | 123% above | 43% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJ L/S SPINE ONE LEVEL | $418.38 | $734.00 | $104.20–$734.00 | 79% below | 43% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 Sigmoidoscopy, flexible | $414.39 | $727.00 | $65.12–$727.00 | 48% below | 43% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG SURG | $1,715.70 | $3,010.00 | $65.12–$3,010.00 | 117% above | 43% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 46221 Excision procedures on the anus | $421.23 | $739.00 | $160.53–$739.00 | 65% below | 43% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ID ABSCESS SINGLE OR SIMPLE | $241.68 | $424.00 | $93.58–$424.00 | 33% below | 43% |
| Incision and drainage of a simple or single skin abscess CPT 10060 10060 Drainage of skin abscess | $241.68 | $424.00 | $93.58–$424.00 | 33% below | 43% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I D SUBCUT ABCESS SIMPLE | $628.14 | $1,102.00 | $125.47–$1,102.00 | 73% above | 43% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 Injection(s); single tendon sheath, or ligam | $164.16 | $288.00 | $44.32–$288.00 | 44% below | 43% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH OR LIGAMENT | $182.40 | $320.00 | $44.32–$320.00 | 38% below | 43% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER PT INJECTION-TENDON | $665.76 | $1,168.00 | $44.32–$1,168.00 | 126% above | 43% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 Arthrocentesis, aspiration and/or injection, | $119.70 | $210.00 | $46.35–$210.00 | 75% below | 43% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHROCENTESIS INJECTION JOINT OR BURSA | $204.06 | $358.00 | $51.96–$358.00 | 58% below | 43% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JT/BURSA | $204.06 | $358.00 | $51.96–$358.00 | 58% below | 43% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS MAJOR JOINT | $665.76 | $1,168.00 | $51.96–$1,168.00 | 36% above | 43% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENT ASP/INJ MED JT | $79.23 | $139.00 | $30.68–$139.00 | 83% below | 43% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 Arthrocentesis, aspiration and/or injection, | $97.47 | $171.00 | $37.74–$171.00 | 79% below | 43% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS INTERMED JT/BUR | $234.27 | $411.00 | $42.11–$411.00 | 49% below | 43% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENT ASP/INJ SM JT TA | $665.76 | $1,168.00 | $40.94–$1,168.00 | 76% above | 43% |
| 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 | $216.03 | $379.00 | $83.65–$379.00 | 63% below | 43% |
| 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 | $765.51 | $1,343.00 | $175.95–$1,343.00 | 32% above | 43% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRICLGRPHY | $25,495.53 | $44,729.00 | $1,041.96–$44,729.00 | 184% above | 43% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $331.17 | $581.00 | $113.93–$581.00 | 76% below | 43% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR Transforaminal Inj L/S Spine 1L | $1,345.77 | $2,361.00 | $128.13–$2,361.00 | 16% below | 43% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TRANSFORAMINAL INJL/S SPINE 1L | $1,570.35 | $2,755.00 | $128.13–$2,755.00 | 2% below | 43% |
| 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 | $261.06 | $458.00 | $99.29–$458.00 | 53% below | 43% |
| 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 | $261.06 | $458.00 | $101.08–$458.00 | 61% below | 43% |
| 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 | $1,248.30 | $2,190.00 | $126.66–$2,190.00 | 85% above | 43% |
| Nail removal (partial or complete), one nail CPT 11730 11730 Avulsion Nail Plate Simple Single | $143.64 | $252.00 | $55.62–$252.00 | 50% below | 43% |
| Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION | $369.93 | $649.00 | $61.55–$649.00 | 30% above | 43% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 Injection greater occipital nerve | $199.50 | $350.00 | $59.71–$350.00 | 68% below | 43% |
| Occipital nerve block (injection for headaches) CPT 64405 64405 Injection anesthetic agent or steroid greater occipita | $380.76 | $668.00 | $59.71–$668.00 | 38% below | 43% |
| Occipital nerve block (injection for headaches) CPT 64405 NERVE BLOCK, GR OCCIPITAL | $506.73 | $889.00 | $59.71–$889.00 | 18% below | 43% |
| Pacemaker implant (dual chamber) CPT 33208 INSERT NEW/REPL PERMAN PACEMAK Dual | $18,019.41 | $31,613.00 | $578.85–$31,613.00 | 72% above | 43% |
| Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis Diagnostic/Therapeutic W/Imaging | $1,749.33 | $3,069.00 | $119.86–$3,069.00 | 43% above | 43% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS: IMAGING GUIDED | $2,897.88 | $5,084.00 | $119.86–$5,084.00 | 136% above | 43% |
| Paracentesis with imaging guidance CPT 49083 Abdominal paracentesis (diagnostic or therapeutic); with ima | $2,897.88 | $5,084.00 | $119.86–$5,084.00 | 136% above | 43% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 11750 Exc Nail Matrix Partial or Complete | $524.97 | $921.00 | $118.65–$921.00 | 17% below | 43% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL PART OR COMP | $556.32 | $976.00 | $118.65–$976.00 | 12% below | 43% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL TA | $1,014.60 | $1,780.00 | $118.65–$1,780.00 | 61% above | 43% |
| Removal of a foreign object under the skin, simple CPT 10120 10120 Incision & Removal Foreign Body Simp FAC | $414.39 | $727.00 | $124.10–$727.00 | 19% below | 43% |
| Removal of a foreign object under the skin, simple CPT 10120 INC REMOVAL FB SUBQ SIMPLE | $628.14 | $1,102.00 | $124.10–$1,102.00 | 22% above | 43% |
| Short arm splint (forearm and hand) CPT 29125 SHORT ARM SPLINT STATIC | $243.96 | $428.00 | $47.12–$428.00 | 1% above | 43% |
| Short leg splint (calf to foot) CPT 29515 SHORT LEG SPLINT | $243.96 | $428.00 | $57.79–$428.00 | 14% below | 43% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 Laceration Repair < 2.5 CM | $216.03 | $379.00 | $50.83–$379.00 | 31% below | 43% |
| 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 | $389.88 | $684.00 | $50.83–$684.00 | 24% above | 43% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC SPL < 2.5CM TR/EX | $765.51 | $1,343.00 | $50.83–$1,343.00 | 143% above | 43% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch Biopsy of skin, single | $304.95 | $535.00 | $53.37–$535.00 | 10% below | 43% |
| Skin biopsy, punch, one lesion CPT 11104 11104 Punch biopsy of skin single lesion | $304.95 | $535.00 | $53.37–$535.00 | 10% below | 43% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 Exc Malignant Lesion < 0.5 CM | $444.03 | $779.00 | $142.45–$779.00 | 27% below | 43% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKINTAGS UP TO 15 | $249.09 | $437.00 | $90.10–$437.00 | 22% above | 43% |
| Skin tag removal, up to 15 tags CPT 11200 11200 Remove Skin Tags Up to 15 Lesions | $265.05 | $465.00 | $90.10–$465.00 | 29% above | 43% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX CHARGE | $641.25 | $1,125.00 | $71.65–$1,125.00 | 27% below | 43% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX | $641.25 | $1,125.00 | $71.65–$1,125.00 | 27% below | 43% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC | $653.22 | $1,146.00 | $71.65–$1,146.00 | 25% below | 43% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE | $962.73 | $1,689.00 | $71.65–$1,689.00 | 10% above | 43% |
| 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 | $765.51 | $1,343.00 | $66.63–$1,343.00 | 96% above | 43% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LACERATION SPL < 2.5CM FACE | $765.51 | $1,343.00 | $62.82–$1,343.00 | 107% above | 43% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 TANGENTIAL BIOPSY SKIN SINGLE LESION | $301.53 | $529.00 | $43.11–$529.00 | 14% above | 43% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS;IMAGING GUIDED | $2,897.88 | $5,084.00 | $122.53–$5,084.00 | 133% above | 43% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGLE/MULTI TRIGGER PTS | $170.43 | $299.00 | $42.23–$299.00 | 46% below | 43% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER PT INJ 1-2 MUSCLE GRP | $604.77 | $1,061.00 | $42.23–$1,061.00 | 90% above | 43% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 Biopsy, breast, w/ localization device; firs | $406.98 | $714.00 | $157.58–$1,596.58 | 84% below | 43% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/DILATION (ANY METHOD) SURG | $3,798.48 | $6,664.00 | $174.28–$6,664.00 | 86% above | 43% |
| Upper endoscopy (EGD) with biopsy CPT 43239 GASTROSCOPY W/BX | $1,892.40 | $3,320.00 | $157.48–$3,320.00 | 3% above | 43% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; W/ DIRECTED | $1,892.40 | $3,320.00 | $157.48–$3,320.00 | 35% above | 43% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Esophagogastroduodenoscopy removal of tumor(s) w/ snare tec | $3,508.92 | $6,156.00 | $221.92–$6,156.00 | 176% above | 43% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSO | $1,892.40 | $3,320.00 | $188.53–$3,320.00 | 133% above | 43% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GASTROSCOPY DIAGNOSTIC W/WO BRUSHING SURG | $1,892.40 | $3,320.00 | $139.51–$3,320.00 | 85% above | 43% |
| Upper endoscopy (EGD), diagnostic CPT 43235 GASTROSCOPY DIAGNOSTIC W/WO BRUSHING SURG SU | $1,892.40 | $3,320.00 | $139.51–$3,320.00 | 85% above | 43% |
| Wart removal, up to 14 warts CPT 17110 17110 Destruct Benign Up tp 14 Lesions | $181.83 | $319.00 | $70.40–$319.00 | 18% below | 43% |
| Wart removal, up to 14 warts CPT 17110 OBLITORATE WART VIA CURRETT | $800.85 | $1,405.00 | $80.89–$1,405.00 | 261% above | 43% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 Debride Skin & Subcutaneous Tissue | $199.50 | $350.00 | $69.60–$350.00 | 67% below | 43% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SUBQ FIRST 20 SQCM OR < | $204.63 | $359.00 | $69.60–$359.00 | 66% below | 43% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKIN SUBQ | $580.26 | $1,018.00 | $69.60–$1,018.00 | 3% below | 43% |
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 | $902.31 | $1,583.00 | $50.28–$1,583.00 | 2% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 N/A | $170.43 | $299.00 | $9.45–$299.00 | 20% below | 43% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INITIAL INHALER (MDI) TX | $170.43 | $299.00 | $9.45–$299.00 | 20% below | 43% |
| Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO ADM IV INF 1HR SGL INIT | $507.87 | $891.00 | $153.48–$891.00 | 29% below | 43% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO ADM IV INF 1HR SGL INIT | $1,255.71 | $2,203.00 | $153.48–$2,203.00 | 75% above | 43% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMP AUDIO EVAL AIR,BONE,SPEEC | $222.87 | $391.00 | $36.48–$391.00 | 27% above | 43% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram | $221.73 | $389.00 | $7.46–$389.00 | 22% above | 43% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $221.73 | $389.00 | $7.46–$389.00 | 22% above | 43% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM | $221.73 | $389.00 | $7.46–$389.00 | 22% above | 43% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-ER | $334.02 | $586.00 | $7.46–$586.00 | 84% above | 43% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER DEPT BASIC VISIT | $295.26 | $518.00 | $12.94–$518.00 | 32% above | 43% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 AST Treadmill Stress Test | $533.52 | $936.00 | $44.80–$936.00 | 9% below | 43% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS | $617.31 | $1,083.00 | $44.80–$1,083.00 | 6% above | 43% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TEST | $623.01 | $1,093.00 | $44.80–$1,093.00 | 7% above | 43% |
| Family therapy with the patient, 50 minutes CPT 90847 90847 Family psychotherapy | $54.15 | $95.00 | $20.97–$160.53 | 75% below | 43% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 Family psychotherapy w/o pt 50 min | $53.01 | $93.00 | $20.53–$160.53 | 72% below | 43% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV infusion, hydration; initial, 31 minutes | $184.11 | $323.00 | $38.31–$323.00 | 45% below | 43% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION 31M-1HR | $237.69 | $417.00 | $38.31–$417.00 | 29% below | 43% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 1ST HOUR | $299.25 | $525.00 | $38.31–$525.00 | 11% below | 43% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION THX/PX/DX FIRST HR | $237.69 | $417.00 | $74.21–$417.00 | 41% below | 43% |
| IV infusion of a medicine, first hour CPT 96365 IV INF THERA INITIAL 1ST HR | $598.50 | $1,050.00 | $74.21–$1,050.00 | 47% above | 43% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUBQ INJECTION | $50.16 | $88.00 | $16.81–$88.00 | 49% below | 43% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/IM WOUND CARE | $50.16 | $88.00 | $16.81–$88.00 | 49% below | 43% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ THER/DX IM/SQ | $108.87 | $191.00 | $16.81–$191.00 | 10% above | 43% |
| New patient office visit, about 30 minutes CPT 99203 99203 New patient visit- level 3 | $69.54 | $122.00 | $26.93–$160.53 | 61% below | 43% |
| New patient office visit, about 30 minutes CPT 99203 OP VISIT LEVEL 3 NEW PT | $214.89 | $377.00 | $83.20–$377.00 | 19% above | 43% |
| New patient office visit, about 30 minutes CPT 99203 OB VISIT LEVEL 3 NEW PT | $543.78 | $954.00 | $93.67–$954.00 | 202% above | 43% |
| New patient office visit, about 45 minutes CPT 99204 99204 New patient visit- level 4 | $108.30 | $190.00 | $41.93–$190.00 | 57% below | 43% |
| New patient office visit, about 45 minutes CPT 99204 OP VISIT LEVEL 4 NEW PT | $330.60 | $580.00 | $128.01–$580.00 | 31% above | 43% |
| New patient office visit, about 45 minutes CPT 99204 OB VISIT LEVEL 3 NEW PT | $1,081.29 | $1,897.00 | $134.83–$1,897.00 | 329% above | 43% |
| New patient office visit, about 60 minutes CPT 99205 99205 New patient visit- level 5 | $136.23 | $239.00 | $52.75–$239.00 | 60% below | 43% |
| New patient office visit, about 60 minutes CPT 99205 OP VISIT LEVEL 5 NEW PT | $412.68 | $724.00 | $134.83–$724.00 | 21% above | 43% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202 New patient visit- level 2 | $49.59 | $87.00 | $19.20–$160.53 | 66% below | 43% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT LEVEL 2 | $148.77 | $261.00 | $54.23–$261.00 | 3% above | 43% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OP VISIT LEVEL 2 NEW PT | $152.19 | $267.00 | $54.23–$267.00 | 6% above | 43% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT LEVEL 1 (NEW PT) | $182.40 | $320.00 | $54.23–$320.00 | 27% above | 43% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OB VISIT LEVEL 2 NEW PT | $288.42 | $506.00 | $54.23–$506.00 | 100% above | 43% |
| Psychotherapy session, 30 minutes CPT 90832 90832 Psych follow up 20-30 minutes | $33.06 | $58.00 | $12.80–$160.53 | 76% below | 43% |
| Psychotherapy session, 45 minutes CPT 90834 90834 Psych follow up 45-50 minutes | $43.89 | $77.00 | $16.99–$160.53 | 76% below | 43% |
| Psychotherapy session, 60 minutes CPT 90837 90837 Psych Follow Up 60 Minutes | $63.84 | $112.00 | $24.72–$160.53 | 76% below | 43% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKE/TOBAC COUNSEL 3-10M | $26.22 | $46.00 | $10.15–$46.00 | 20% below | 43% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215 Established patient visit- level 5 | $95.76 | $168.00 | $37.08–$168.00 | 62% below | 43% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OP VISIT LEVEL 5 EST PT | $291.84 | $512.00 | $113.00–$512.00 | 15% above | 43% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OB VISIT LEVEL 5 (ESTABLISHED PT) | $467.97 | $821.00 | $165.26–$821.00 | 85% above | 43% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 Established patient visit- level 3 | $46.74 | $82.00 | $18.10–$160.53 | 68% below | 43% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OP VISIT LEVEL 3 EST PT | $145.35 | $255.00 | $56.28–$255.00 | at median | 43% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OB VISIT LEVEL 3 (ESTABLISHED PT) | $304.38 | $534.00 | $75.47–$534.00 | 110% above | 43% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213 OP CLINIC LEVEL 3 (2+HR) | $326.61 | $573.00 | $75.47–$573.00 | 126% above | 43% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 Established patient visit- level 4 | $69.54 | $122.00 | $26.93–$160.53 | 62% below | 43% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OP VISIT LEVEL 4 EST PT | $194.94 | $342.00 | $75.48–$342.00 | 6% above | 43% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OB VISIT LEVEL 4 (ESTABLISHED PT) | $373.35 | $655.00 | $111.35–$655.00 | 104% above | 43% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214 OP CLINIC LEVEL 4 (3+ HR) | $409.26 | $718.00 | $111.35–$718.00 | 124% above | 43% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 Established patient visit- level 2 | $29.64 | $52.00 | $11.48–$160.53 | 72% below | 43% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OP VISIT LEVEL 2 EST PT | $90.06 | $158.00 | $34.87–$160.53 | 15% below | 43% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OB VISIT LEVEL 2 (ESTABLISHED PT) | $235.41 | $413.00 | $40.37–$413.00 | 121% above | 43% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212 OP CLINIC LEVEL 2 (1+HR) | $260.49 | $457.00 | $40.37–$457.00 | 145% above | 43% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 Office Consultation, Level 4 | $132.24 | $232.00 | $51.20–$232.00 | 61% below | 43% |
| Spirometry (breathing test) CPT 94010 SPIROM SIMPL INCL FLO | $172.71 | $303.00 | $32.25–$303.00 | 16% below | 43% |
| Spirometry (breathing test) CPT 94010 SIMPLE SPIROMETRY | $172.71 | $303.00 | $32.25–$303.00 | 16% below | 43% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROM PP B-D P/F STUDY | $323.19 | $567.00 | $46.12–$567.00 | 17% below | 43% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $163.02 | $286.00 | $63.12–$286.00 | 19% below | 43% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy ONCOLOGY. | $212.61 | $373.00 | $82.32–$373.00 | 5% above | 43% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY ONC. | $212.61 | $373.00 | $82.32–$373.00 | 5% above | 43% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY - THERAPEUTIC CHARGE | $533.52 | $936.00 | $113.71–$936.00 | 165% above | 43% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 90716 Varicella vaccine | $108.87 | $191.00 | $42.15–$191.00 | 41% below | 43% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 90651 Human Papilloma virus (HPV) vaccine | $234.84 | $412.00 | $90.93–$412.00 | 13% below | 43% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 90636 Hepatitis A&B vaccine | $89.49 | $157.00 | $34.65–$157.00 | 49% below | 43% |
| Hepatitis A vaccine, adult dose CPT 90632 90632 Hepatitis A vaccine, adult | $44.46 | $78.00 | $17.21–$78.00 | 41% below | 43% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 90746 Hepatitis B vaccine | $52.44 | $92.00 | $20.30–$92.00 | 33% below | 43% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 90707 MMR vaccine | $179.55 | $315.00 | $69.52–$315.00 | 4% above | 43% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 90734 Meningococcal conjugate vaccine, serogroups | $84.93 | $149.00 | $32.88–$149.00 | 43% below | 43% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 90677 Pneumococcal conjugate vaccine, 20 valent (P | $484.50 | $850.00 | $187.60–$850.00 | 2% above | 43% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 90732 Pneumococcal vaccine | $125.40 | $220.00 | $48.55–$220.00 | 13% below | 43% |
| Rabies vaccine, one dose CPT 90675 90675 Rabies vaccine | $169.29 | $297.00 | $65.55–$297.00 | 72% below | 43% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 90750 Zoster (Shingrix) vaccine | $181.26 | $318.00 | $70.18–$318.00 | 9% below | 43% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 90714 Td vaccine | $80.37 | $141.00 | $31.12–$141.00 | 46% above | 43% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 90715 Tetanus, diphtheria toxoids and acellular pe | $74.67 | $131.00 | $28.91–$131.00 | 10% below | 43% |
| Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 90691 Typhoid vaccine | $37.62 | $66.00 | $14.57–$66.00 | 66% below | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 OP/Immunization administration; 1 vaccine | $26.79 | $47.00 | $10.37–$47.00 | 40% below | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Administration hepatitis B vaccine | $26.79 | $47.00 | $10.37–$47.00 | 40% below | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Administration pneumococcal vaccine | $26.79 | $47.00 | $10.37–$47.00 | 40% below | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Administration flu vaccine | $26.79 | $47.00 | $10.37–$47.00 | 40% below | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VFC 90471 Immunization Admin Perc/ID/Subq/IM; 1 Va | $108.30 | $190.00 | $24.37–$190.00 | 144% above | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN OF VACCINE | $139.65 | $245.00 | $24.37–$245.00 | 215% above | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471: IM/SUBQ First dose | $190.95 | $335.00 | $24.37–$335.00 | 330% above | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $209.19 | $367.00 | $24.37–$367.00 | 371% above | 43% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 1 VACCINE | $330.60 | $580.00 | $24.37–$580.00 | 645% above | 43% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Additional immunization administration | $16.53 | $29.00 | $6.40–$160.53 | 57% below | 43% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE (ADDITIONAL) | $33.06 | $58.00 | $12.80–$58.00 | 14% below | 43% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADD'L | $52.44 | $92.00 | $17.23–$92.00 | 37% above | 43% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VFC 90472 Immunization Admin Perc/ID/Subq/IM; Each | $93.48 | $164.00 | $17.23–$164.00 | 144% above | 43% |
Source file: https://toppenish.pg.revenuemasters.com/cdm-files/911256274_astria-sunnyside-hospital_standardcharges.csv