Ferry County Memorial Hospital
Listed in its price file as “Ferry County Public Hospital District No 1”.
Ferry County Memorial Hospital in Republic, WA publishes cash prices for 369 common procedures listed here, from its own machine-readable price file updated Sep 14, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Washington median for 289 of 367 procedures and below it for 75. By typical cash price it ranks #56 of 60 Washington hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
36 N Klondike Rd, Republic, WA 99166 Collected Oct 24, 2026 Source price file Check a bill from this hospital (509) 775-3333
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 501322 · CMS hospital register NPI 1508899816
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
Ferry County Memorial Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
State law
This state limits hospital bills for lower-income patients
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABD W/WO CONTRAST | $2,512.46 | $2,955.84 | $1,365.59–$2,896.72 | 21% above | 15% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS | $421.37 | $495.73 | $229.02–$485.81 | 30% above | 15% |
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE 3 VIEW | $414.09 | $487.17 | $225.07–$477.42 | 33% above | 15% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE BRACIAL INDEX | $580.62 | $683.08 | $315.58–$669.41 | 54% above | 15% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O | $1,623.93 | $1,910.50 | $882.65–$1,872.29 | 15% above | 15% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PEL W&W/O CONTRAST | $4,097.65 | $4,820.77 | $2,227.19–$4,724.35 | 14% above | 15% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD (COW) | $2,939.92 | $3,458.73 | $1,597.93–$3,389.55 | 39% above | 15% |
| CT angiography (CTA) of the neck CPT 70498 CTA CARTOID | $2,879.34 | $3,387.46 | $1,565.00–$3,319.71 | 28% above | 15% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $2,939.91 | $3,458.72 | $1,597.92–$3,389.54 | 22% above | 15% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 DA CT CALCIUM SCORING TEST | $85.00 | $100.00 | $46.20–$98.00 | 36% below | 15% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS WO CONTRAST | $3,271.74 | $3,849.10 | $1,778.28–$3,772.11 | 30% above | 15% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS WITH CONTRAST | $4,115.40 | $4,841.65 | $2,236.84–$4,744.81 | 33% above | 15% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PELVIS W/WO CONTRAST | $4,281.36 | $5,036.89 | $2,327.04–$4,936.15 | 15% above | 15% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD WITH CONTRAST | $2,180.22 | $2,564.97 | $1,185.01–$2,513.67 | 16% above | 15% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD WITHOUT CONTRAST | $1,737.46 | $2,044.07 | $944.36–$2,003.18 | 21% above | 15% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST | $1,724.30 | $2,028.59 | $937.20–$1,988.01 | 56% above | 15% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WITHOUT CONTRAST | $1,848.75 | $2,175.00 | $1,004.85–$2,131.50 | 39% above | 15% |
| CT scan of the head with contrast CPT 70460 CT HEAD WITH CONTRAST | $1,886.91 | $2,219.89 | $1,025.58–$2,175.49 | 29% above | 15% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST | $2,319.77 | $2,729.14 | $1,260.86–$2,674.55 | 34% above | 15% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR WITHOUT CONTRAST | $1,917.89 | $2,256.34 | $1,042.42–$2,211.21 | 34% above | 15% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL WITHOUT CONTRAST | $2,022.07 | $2,378.91 | $1,099.05–$2,331.33 | 35% above | 15% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $2,378.18 | $2,797.86 | $1,292.61–$2,741.90 | 32% above | 15% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLEX | $114.36 | $134.54 | $62.15–$131.84 | 87% below | 15% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W/WO CONTRAST DIAG | $2,898.57 | $3,410.08 | $1,575.45–$3,341.87 | 40% above | 15% |
| Chest X-ray, 2 views CPT 71046 CHEST 2 VIEWS | $399.76 | $470.30 | $217.27–$460.89 | 38% above | 15% |
| Chest X-ray, single view CPT 71045 CHEST 1 VIEW | $359.64 | $423.11 | $195.47–$414.64 | 50% above | 15% |
| Chest X-ray, single view CPT 71045 CHEST PORTABLE | $359.64 | $423.11 | $195.47–$414.64 | 50% above | 15% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE 2 VIEWS | $338.27 | $397.97 | $183.86–$390.01 | 23% above | 15% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPER/AORTA/ RENAL | $835.58 | $983.04 | $454.16–$963.37 | 35% above | 15% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY | $507.88 | $597.51 | $276.04–$585.55 | 21% above | 15% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY FOREARM | $173.17 | $203.73 | $94.12–$199.65 | at median | 15% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST DIAG | $1,732.56 | $2,038.30 | $941.69–$1,997.53 | 16% above | 15% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST DIAG | $2,257.78 | $2,656.21 | $1,227.16–$2,603.08 | 19% above | 15% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUPLEX LOWER EXT ART COMPLETE | $1,161.92 | $1,366.97 | $631.54–$1,339.63 | 17% above | 15% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX EXTREMITY VEIN COMPLETE | $1,458.77 | $1,716.20 | $792.88–$1,681.87 | 36% above | 15% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO HEART COMPLETE | $1,975.86 | $2,324.54 | $1,073.93–$2,278.04 | 18% above | 15% |
| Elbow X-ray, 2 views CPT 73070 ELBOW 2 VIEWS | $410.93 | $483.45 | $223.35–$473.78 | 53% above | 15% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW MIN 3 VIEWS | $391.54 | $460.64 | $212.81–$451.42 | 24% above | 15% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT EAR WITHOUT CONTRAST | $1,699.30 | $1,999.18 | $923.62–$1,959.19 | 39% above | 15% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONTRAST | $1,699.30 | $1,999.18 | $923.62–$1,959.19 | 39% above | 15% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES COMPLETE | $469.83 | $552.74 | $255.36–$541.68 | 27% above | 15% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 2 VIEW | $403.10 | $474.23 | $219.09–$464.74 | 47% above | 15% |
| Hand X-ray, 2 views CPT 73120 HAND 2 VIEW | $402.51 | $473.54 | $218.77–$464.06 | 41% above | 15% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEUS/COMP 2 VIEW | $287.50 | $338.23 | $156.26–$331.46 | 10% above | 15% |
| Knee X-ray, 3 views CPT 73562 KNEE 3V | $408.26 | $480.31 | $221.90–$470.70 | 32% above | 15% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE 4 VIEW WT BEAR | $446.83 | $525.68 | $242.86–$515.16 | 6% above | 15% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY WITHOU | $1,646.48 | $1,937.03 | $894.90–$1,898.28 | 23% above | 15% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US LIMITED ABDOMINAL | $692.94 | $815.22 | $376.63–$798.91 | 37% above | 15% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR NON-VASC LMTD | $317.90 | $374.00 | $172.78–$366.52 | at median | 15% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LDCT LUNG CANCER SCREEN | $548.58 | $645.39 | $298.17–$632.48 | 132% above | 15% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA AND FIBULA 2 VIEW | $400.25 | $470.88 | $217.54–$461.46 | 45% above | 15% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST | $3,119.50 | $3,670.00 | $1,695.54–$3,596.60 | 57% above | 15% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LO EXT W/JNT W/O | $2,862.80 | $3,368.00 | $1,556.01–$3,300.64 | 51% above | 15% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LO EXT W/JNT W/WO | $3,773.55 | $4,439.47 | $2,051.03–$4,350.68 | 29% above | 15% |
| MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONTRAST | $2,644.31 | $3,110.95 | $1,437.25–$3,048.73 | 26% above | 15% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/WO CONTRAST | $3,900.74 | $4,589.11 | $2,120.16–$4,497.32 | 25% above | 15% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $2,400.40 | $2,824.00 | $1,304.68–$2,767.52 | 24% above | 15% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONTRAST | $2,719.15 | $3,199.00 | $1,477.93–$3,135.02 | 7% below | 15% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONTRAST | $2,626.56 | $3,090.07 | $1,427.61–$3,028.26 | 25% above | 15% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W/WO CONTRAST | $3,994.92 | $4,699.91 | $2,171.35–$4,605.91 | 32% above | 15% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONTRAST | $2,632.52 | $3,097.08 | $1,430.85–$3,035.13 | 24% above | 15% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W/WO CONTRAST | $3,768.13 | $4,433.09 | $2,048.08–$4,344.42 | 28% above | 15% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONTRAST | $2,601.73 | $3,060.86 | $1,414.11–$2,999.64 | 29% above | 15% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST | $3,544.89 | $4,170.46 | $1,926.75–$4,087.05 | 17% above | 15% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST | $2,561.13 | $3,013.09 | $1,392.04–$2,952.82 | 33% above | 15% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXT W/JNT W/O CONT | $2,434.19 | $2,863.75 | $1,323.05–$2,806.47 | 28% above | 15% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL SPINE COMPLETE | $558.33 | $656.86 | $303.46–$643.72 | 25% above | 15% |
| Neck soft tissue CT scan with contrast CPT 70491 CT ST NECK WITH CONTRAST | $2,084.10 | $2,451.88 | $1,132.76–$2,402.84 | 24% above | 15% |
| Neck soft tissue CT scan without contrast CPT 70490 CT ST NECK WITHOUT CONTRAST | $1,680.17 | $1,976.67 | $913.22–$1,937.13 | 26% above | 15% |
| Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE | $362.74 | $426.75 | $197.15–$418.21 | 53% above | 15% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WITHOUT CONTRAST | $1,841.54 | $2,166.52 | $1,000.93–$2,123.18 | 28% above | 15% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US ECHO PELVIS | $902.70 | $1,062.00 | $490.64–$1,040.76 | 51% above | 15% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT > 14 WEEKS | $882.37 | $1,038.08 | $479.59–$1,017.31 | 37% above | 15% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 WEEKS | $726.85 | $855.12 | $395.06–$838.01 | 45% above | 15% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT LMTD | $607.77 | $715.02 | $330.33–$700.71 | 39% above | 15% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL 2 VIEW | $513.35 | $603.94 | $279.02–$591.86 | 75% above | 15% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 RIBS UNI W/PA CHEST | $501.45 | $589.94 | $272.55–$578.14 | 37% above | 15% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2+ VIEW | $417.79 | $491.52 | $227.08–$481.68 | 28% above | 15% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES COMPLETE | $461.69 | $543.17 | $250.94–$532.30 | 43% above | 15% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL LESS THAN 4 VIEWS | $402.83 | $473.92 | $218.95–$464.44 | 39% above | 15% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2V | $376.21 | $442.60 | $204.48–$433.74 | 44% above | 15% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC W/O CONTRAST | $1,878.22 | $2,209.67 | $1,020.86–$2,165.47 | 30% above | 15% |
| Toe X-ray, 2 or more views CPT 73660 TOES MIN 2 VIEWS | $313.74 | $369.10 | $170.52–$361.71 | 28% above | 15% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL, NON-OB | $659.60 | $776.00 | $358.51–$760.48 | 32% above | 15% |
| Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB | $640.90 | $754.00 | $348.34–$738.92 | 51% above | 15% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMINAL COMPLETE | $898.96 | $1,057.60 | $488.61–$1,036.44 | 29% above | 15% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICULAR | $792.20 | $932.00 | $430.58–$913.36 | 38% above | 15% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK NON-VASCULAR | $681.01 | $801.19 | $370.14–$785.16 | 22% above | 15% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS 2 VIEWS | $394.74 | $464.40 | $214.55–$455.11 | 42% above | 15% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX EXTREMITY VEIN LIMITED | $941.44 | $1,107.58 | $511.70–$1,085.42 | 40% above | 15% |
| Wrist X-ray, 2 views CPT 73100 WRIST 2 VIEW | $365.99 | $430.58 | $198.92–$421.96 | 46% above | 15% |
| Wrist X-ray, complete, 3 or more views CPT 73110 WRIST 3 VIEWS | $402.93 | $474.04 | $219.00–$464.55 | 28% above | 15% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP 2V W/AP PELVIS | $387.57 | $455.96 | $210.65–$446.84 | 20% above | 15% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW | $357.49 | $420.58 | $194.30–$412.16 | 38% above | 15% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEW | $350.23 | $412.03 | $190.35–$403.78 | 38% above | 15% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGERS 2+ VIEWS | $311.13 | $366.03 | $169.10–$358.70 | 17% above | 15% |
| X-ray of the foot, 2 views CPT 73620 FOOT 2 VIEWS | $355.04 | $417.69 | $192.97–$409.33 | 28% above | 15% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE 3 VIEW | $382.57 | $450.08 | $207.93–$441.07 | 27% above | 15% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS | $431.47 | $507.61 | $234.51–$497.45 | 40% above | 15% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE 2 VIEW | $373.87 | $439.85 | $203.21–$431.05 | 31% above | 15% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2 VIEW | $490.62 | $577.20 | $266.66–$565.65 | 32% above | 15% |
| X-ray of the lower back, 4 or more views CPT 72110 L-SPINE COMP, 4-5 VIEWS | $606.07 | $713.02 | $329.41–$698.75 | 34% above | 15% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T SPINE 2V | $457.22 | $537.91 | $248.51–$527.15 | 44% above | 15% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3+ VIEW | $351.89 | $413.99 | $191.26–$405.71 | 37% above | 15% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE 2 VIEW | $415.21 | $488.48 | $225.67–$478.71 | 30% above | 15% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1 VIEW | $446.62 | $525.44 | $242.75–$514.93 | 56% above | 15% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX 2 OR MORE VIEWS | $380.24 | $447.34 | $206.67–$438.39 | 34% above | 15% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $559.30 | $658.00 | $303.99–$644.84 | 153% above | 15% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFE ALANINE AMINO ALT SGPT | $57.80 | $68.00 | $31.41–$66.64 | 22% above | 15% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFE ASPART AMINO AST SGOT | $54.40 | $64.00 | $29.56–$62.72 | 28% above | 15% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $374.00 | $440.00 | $203.28–$431.20 | 51% above | 15% |
| Albumin blood test CPT 82040 ALBUMIN SERUM/PLASMA/WH BLOOD | $45.90 | $54.00 | $24.94–$52.92 | 29% above | 15% |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $362.95 | $427.00 | $197.27–$418.46 | 116% above | 15% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY OF PHOSPHATASE ALKALINE | $85.00 | $100.00 | $46.20–$98.00 | 124% above | 15% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE ALLG EX | $41.76 | $49.13 | $22.69–$48.14 | 56% above | 15% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $192.10 | $226.00 | $104.41–$221.48 | 130% above | 15% |
| Ammonia blood test CPT 82140 Ammonium Urine | $65.45 | $77.00 | $35.57–$75.46 | 43% below | 15% |
| Ammonia blood test CPT 82140 ASSAY OF AMMONIA | $197.20 | $232.00 | $107.18–$227.36 | 72% above | 15% |
| Amylase blood test CPT 82150 ASSAY OF AMYLASE | $76.50 | $90.00 | $41.58–$88.20 | 23% above | 15% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP Ab, IgG/IgA | $5.10 | $6.00 | $2.77–$5.88 | 93% below | 15% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP IgG & IgA | $119.25 | $140.29 | $64.81–$137.48 | 54% above | 15% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP AB | $129.20 | $152.00 | $70.22–$148.96 | 66% above | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES ANA | $73.10 | $86.00 | $39.73–$84.28 | 4% above | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Connect Tissue Disease Cascade | $119.00 | $140.00 | $64.68–$137.20 | 70% above | 15% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Charge Only ANA12 Plus | $129.20 | $152.00 | $70.22–$148.96 | 84% above | 15% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $265.81 | $312.72 | $144.47–$306.46 | 38% above | 15% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE AEROBIC ISOL | $125.80 | $148.00 | $68.37–$145.04 | 45% above | 15% |
| Basic metabolic panel (blood test) CPT 80048 DAT BMP | $80.75 | $95.00 | $43.89–$93.10 | 8% above | 15% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL CA TOTAL | $95.20 | $112.00 | $51.74–$109.76 | 27% above | 15% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL | $65.45 | $77.00 | $35.57–$75.46 | 48% above | 15% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LVL IV SURG PATH GROSS MCRO EX | $340.00 | $400.00 | $184.80–$392.00 | 94% above | 15% |
| Blood culture for bacteria CPT 87040 BLD CULT AEROBIC W/ID ISOLATES | $150.45 | $177.00 | $81.77–$173.46 | 1% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT BLOOD VENIPUNCTURE | $33.59 | $39.52 | — | 35% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECT VENOUS BLD VENIPUNCT | $51.85 | $61.00 | $28.18–$59.78 | 108% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL DRAW | $64.60 | $76.00 | $35.11–$74.48 | 159% above | 15% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL DRAW, AFTER HOURS | $105.40 | $124.00 | $57.28–$121.52 | 322% above | 15% |
| Blood glucose (sugar) test CPT 82947 DAT GLUCOSE | $37.40 | $44.00 | $20.32–$43.12 | at median | 15% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $44.20 | $52.00 | $24.02–$50.96 | 18% above | 15% |
| Blood lead test CPT 83655 Lead Urine | $5.10 | $6.00 | $2.77–$5.88 | 92% below | 15% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $113.05 | $133.00 | $61.44–$130.34 | 78% above | 15% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN CHORIONIC QUAL | $142.80 | $168.00 | $77.61–$164.64 | 92% above | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 DAT ABO TYPE | $40.80 | $48.00 | $22.17–$47.04 | 37% below | 15% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $91.49 | $107.64 | $49.72–$105.48 | 41% above | 15% |
| Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN QUANT | $39.10 | $46.00 | $21.25–$45.08 | 7% above | 15% |
| C-peptide blood test CPT 84681 C-PEPTIDE, ULTRASENSITIVE | $128.52 | $151.20 | $69.85–$148.17 | 16% above | 15% |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $196.35 | $231.00 | $106.72–$226.38 | 78% above | 15% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $102.00 | $120.00 | $55.44–$117.60 | 74% above | 15% |
| C. difficile toxin gene test (stool PCR) CPT 87493 INF AGENT NUC ACID CLOS AMP PR | $150.94 | $177.58 | $82.04–$174.02 | 14% below | 15% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASY TMR AG QNT CA 19-9 | $209.10 | $246.00 | $113.65–$241.08 | 89% above | 15% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TMR AG QUNT CA 125 | $223.55 | $263.00 | $121.50–$257.74 | 86% above | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 DAT COVID-19 NAA | $39.95 | $47.00 | $21.71–$46.06 | 62% below | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 RAPID COVID-19 BY NAAT | $46.75 | $55.00 | $25.41–$53.90 | 56% below | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 DAT COVID by PCR | $146.20 | $172.00 | $79.46–$168.56 | 39% above | 15% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB TQ | $172.55 | $203.00 | $93.78–$198.94 | 64% above | 15% |
| Calcium blood test, total CPT 82310 CALCIUM TOTAL | $62.90 | $74.00 | $34.18–$72.52 | 48% above | 15% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN CEA | $175.95 | $207.00 | $95.63–$202.86 | 35% above | 15% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB | $126.65 | $149.00 | $68.83–$146.02 | 60% above | 15% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IADNA CHLMYD TRACH DNA AMP PRB | $164.10 | $193.06 | $89.19–$189.19 | 22% above | 15% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 DAT LIPID PANEL | $110.50 | $130.00 | $60.06–$127.40 | 24% above | 15% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $130.05 | $153.00 | $70.68–$149.94 | 46% above | 15% |
| Complete blood count (CBC) with differential CPT 85025 DAT CBC W/AUTO | $73.95 | $87.00 | $40.19–$85.26 | 10% above | 15% |
| Complete blood count (CBC) with differential CPT 85025 BLOOD COUNT COMPLETE AUTO DIFF | $87.55 | $103.00 | $47.58–$100.94 | 30% above | 15% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE AUTOMATED | $88.40 | $104.00 | $48.04–$101.92 | 73% above | 15% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $119.00 | $140.00 | $64.68–$137.20 | 30% above | 15% |
| Cortisol blood test, total CPT 82533 Salivary Cortisol #3 | $100.30 | $118.00 | $54.51–$115.64 | 5% below | 15% |
| Cortisol blood test, total CPT 82533 Salivary Cortisol #5 | $100.30 | $118.00 | $54.51–$115.64 | 5% below | 15% |
| Cortisol blood test, total CPT 82533 Salivary Cortisol #4 | $100.30 | $118.00 | $54.51–$115.64 | 5% below | 15% |
| Cortisol blood test, total CPT 82533 Salivary Cortisol #2 | $100.30 | $118.00 | $54.51–$115.64 | 5% below | 15% |
| Cortisol blood test, total CPT 82533 Salivary Cortisol #1 | $100.30 | $118.00 | $54.51–$115.64 | 5% below | 15% |
| Cortisol blood test, total CPT 82533 CORTISOL TOTAL | $152.15 | $179.00 | $82.69–$175.42 | 44% above | 15% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL | $74.80 | $88.00 | $40.65–$86.24 | 12% above | 15% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $48.45 | $57.00 | $26.33–$55.86 | 12% above | 15% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB TESTING/UNIT | $52.70 | $62.00 | $28.64–$60.76 | 31% below | 15% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS AB CMV | $131.75 | $155.00 | $71.61–$151.90 | 73% above | 15% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DGRADJ PROD D-DIMER QUA | $231.20 | $272.00 | $125.66–$266.56 | 94% above | 15% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $236.30 | $278.00 | $128.43–$272.44 | 84% above | 15% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DAT DRUG SCREEN | $126.65 | $149.00 | $68.83–$146.02 | 21% below | 15% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRG TST PRSMV CHM ANLYZ | $158.46 | $186.42 | $86.12–$182.69 | 2% below | 15% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL | $95.20 | $112.00 | $51.74–$109.76 | 74% above | 15% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTENBARR VRS EB VRS CAPSD AB | $205.70 | $242.00 | $111.80–$237.16 | 116% above | 15% |
| Estradiol blood test CPT 82670 ASSAY OF ESTRADIOL | $246.50 | $290.00 | $133.98–$284.20 | 77% above | 15% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN FOLLICLE STIM HOR | $139.40 | $164.00 | $75.76–$160.72 | 48% above | 15% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY OF CALPROTECTIN FECAL | $327.25 | $385.00 | $177.87–$377.30 | 64% above | 15% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $128.35 | $151.00 | $69.76–$147.98 | 30% above | 15% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $151.30 | $178.00 | $82.23–$174.44 | 88% above | 15% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $159.80 | $188.00 | $86.85–$184.24 | 52% above | 15% |
| Free T3 thyroid hormone test CPT 84481 TRILODOTHYRON, FREE, LC/MS-MS | $88.40 | $104.00 | $48.04–$101.92 | 1% below | 15% |
| Free T3 thyroid hormone test CPT 84481 ASY TRIIODOTHYRONINE T3 FREE | $263.50 | $310.00 | $143.22–$303.80 | 194% above | 15% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $106.90 | $125.77 | $58.10–$123.25 | 55% above | 15% |
| Free testosterone test CPT 84402 ASSAY OF TESTOSTERONE FREE | $263.50 | $310.00 | $143.22–$303.80 | 107% above | 15% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GLUTAMYLTRASE GAMMA | $56.10 | $66.00 | $30.49–$64.68 | 3% above | 15% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $394.40 | $464.00 | $214.36–$454.72 | 70% above | 15% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE POST GLUCOSE DOSE | $78.20 | $92.00 | $42.50–$90.16 | 90% above | 15% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST 3 SPEC | $200.60 | $236.00 | $109.03–$231.28 | 176% above | 15% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IADNA N GONOR AMP PRB TQ | $158.01 | $185.89 | $85.88–$182.17 | 25% above | 15% |
| H. pylori antibody blood test CPT 86677 H. PYLORI AB | $170.00 | $200.00 | $92.40–$196.00 | 97% above | 15% |
| H. pylori stool antigen test CPT 87338 IAAD IA H.PYLORI STOOL | $252.45 | $297.00 | $137.21–$291.06 | 77% above | 15% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 IADNA HIV I QNT REV TR | $480.25 | $565.00 | $261.03–$553.70 | 24% above | 15% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 IA HIV-1AG W/HIV-1&2 AB | $124.07 | $145.97 | $67.43–$143.05 | 27% above | 15% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI RISK TYP POOLED RSLT | $138.05 | $162.41 | $75.03–$159.16 | 3% below | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 DAT A1C | $65.45 | $77.00 | $35.57–$75.46 | 7% below | 15% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB GLYCOSYLATED A1C | $77.35 | $91.00 | $42.04–$89.18 | 10% above | 15% |
| Hemoglobin blood test CPT 85018 BLOOD COUNT HEMOGLOBIN | $28.90 | $34.00 | $15.70–$33.32 | 2% below | 15% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN COLORIMETRIC | $44.64 | $52.52 | — | 52% above | 15% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB, TOT | $134.30 | $158.00 | $72.99–$154.84 | 96% above | 15% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $131.75 | $155.00 | $71.61–$151.90 | 78% above | 15% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 IAAD IA HEPATITIS B SURF AG | $78.88 | $92.80 | $42.87–$90.94 | 4% above | 15% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $121.60 | $143.06 | $66.09–$140.19 | 41% above | 15% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 CHG ONLY HCV RTPCR QUANT | $368.05 | $433.00 | $200.04–$424.34 | 10% above | 15% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 IADNA HCV QNT REV TR | $601.80 | $708.00 | $327.09–$693.84 | 79% above | 15% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX VIRUS I AB | $77.35 | $91.00 | $42.04–$89.18 | 12% above | 15% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX VIRUS II A | $105.40 | $124.00 | $57.28–$121.52 | 20% above | 15% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PRT HIGH SENSITIVE | $110.50 | $130.00 | $60.06–$127.40 | 49% above | 15% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $319.60 | $376.00 | $173.71–$368.48 | 162% above | 15% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL | $147.05 | $173.00 | $79.92–$169.54 | 78% above | 15% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $72.25 | $85.00 | $39.27–$83.30 | 54% above | 15% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $105.40 | $124.00 | $57.28–$121.52 | 76% above | 15% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $124.10 | $146.00 | $67.45–$143.08 | 63% above | 15% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN LUTEINIZ HORM | $177.65 | $209.00 | $96.55–$204.82 | 85% above | 15% |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTATE | $187.00 | $220.00 | $101.64–$215.60 | 87% above | 15% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE LDH | $56.10 | $66.00 | $30.49–$64.68 | 30% above | 15% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $150.45 | $177.00 | $81.77–$173.46 | 79% above | 15% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $139.40 | $164.00 | $75.76–$160.72 | 112% above | 15% |
| Lyme disease antibody test CPT 86618 B.BURGDORFERI AB LYME DISEASE | $163.20 | $192.00 | $88.70–$188.16 | 70% above | 15% |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $84.02 | $98.85 | $45.66–$96.87 | 56% above | 15% |
| Measles (rubeola) antibody test CPT 86765 MEASLES ANTIBODIES, IgG | $6.80 | $8.00 | $3.69–$7.84 | 90% below | 15% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA AB | $150.45 | $177.00 | $81.77–$173.46 | 112% above | 15% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES SCREEN | $119.00 | $140.00 | $64.68–$137.20 | 108% above | 15% |
| Mumps immunity blood test CPT 86735 MUMPS AB | $149.60 | $176.00 | $81.31–$172.48 | 108% above | 15% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $150.45 | $177.00 | $81.77–$173.46 | 53% above | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 DAT PSA | $120.70 | $142.00 | $65.60–$139.16 | 9% above | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL DIAG | $141.95 | $167.00 | $77.15–$163.66 | 28% above | 15% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL SCREEN | $141.95 | $167.00 | $77.15–$163.66 | 28% above | 15% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTP C/V AUTO THIN LYR PRP SCR | $109.79 | $129.17 | $59.67–$126.58 | 20% above | 15% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $238.85 | $281.00 | $129.82–$275.38 | 13% above | 15% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLAS TM PRT PLSMA/WH BL | $121.55 | $143.00 | $66.06–$140.14 | 195% above | 15% |
| Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS INORGANIC | $54.40 | $64.00 | $29.56–$62.72 | 36% above | 15% |
| Potassium blood test CPT 84132 POTASSIUM, SERUM | $50.83 | $59.80 | — | 23% above | 15% |
| Potassium blood test CPT 84132 POTASSIUM SERUM/PLASMA/WH BLD | $51.85 | $61.00 | $28.18–$59.78 | 26% above | 15% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CROM ANE GEN SEQ ANLYS | $1,016.59 | $1,195.99 | $552.54–$1,172.07 | 33% above | 15% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $174.25 | $205.00 | $94.71–$200.90 | 78% above | 15% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $154.70 | $182.00 | $84.08–$178.36 | 43% above | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 DAT INR | $47.60 | $56.00 | $25.87–$54.88 | 19% above | 15% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $55.25 | $65.00 | $30.03–$63.70 | 38% above | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DAT 13 PANEL DRUG SCREEN | $56.95 | $67.00 | $30.95–$65.66 | 15% above | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV RD DIR OPT OBS | $61.20 | $72.00 | $33.26–$70.56 | 23% above | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 KINROSS DRG/ALC EAOR 6+OFFSITE | $67.15 | $79.00 | $36.49–$77.42 | 35% above | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 KINROSS DRG/ALC (3-5 OFFSITE) | $81.60 | $96.00 | $44.35–$94.08 | 64% above | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 EMPLOYEE HEALTH DRUG SCRE | $84.15 | $99.00 | $45.73–$97.02 | 69% above | 15% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 KINROSS DRG/ALC (OFFSITE 2) | $89.25 | $105.00 | $48.51–$102.90 | 80% above | 15% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IAADIADOO | $76.50 | $90.00 | $41.58–$88.20 | 13% above | 15% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 IAADIADOO STREP GRP A | $96.05 | $113.00 | $52.20–$110.74 | 33% above | 15% |
| Renin blood test CPT 84244 ASSAY OF RENIN | $182.75 | $215.00 | $99.33–$210.70 | 39% above | 15% |
| Rh blood typing CPT 86901 DAT RH | $39.10 | $46.00 | $21.25–$45.08 | 18% below | 15% |
| Rh blood typing CPT 86901 BLOOD TYPING SEROLOG RH (D) | $71.94 | $84.64 | $39.10–$82.94 | 50% above | 15% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR | $5.10 | $6.00 | $2.77–$5.88 | 87% below | 15% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $103.70 | $122.00 | $56.36–$119.56 | 159% above | 15% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $68.75 | $80.88 | $37.36–$79.26 | at median | 15% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE RBC AUTOMATED | $52.70 | $62.00 | $28.64–$60.76 | 47% above | 15% |
| Sodium blood test CPT 84295 SODIUM SERUM/PLASMA/WH BLOOD | $88.40 | $104.00 | $48.04–$101.92 | 110% above | 15% |
| Stool ova and parasites exam CPT 87177 O & P DIRECT SMEARS CONCEN ID | $113.90 | $134.00 | $61.90–$131.32 | 69% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 DAT FECAL OCCULT BLD - 3 SPEC | $33.15 | $39.00 | $18.01–$38.22 | 9% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 COLORECTAL CANCER SCREEN | $38.90 | $45.76 | — | 28% above | 15% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 BLOOD OCCULT PEROXIDASE QUAL | $51.85 | $61.00 | $28.18–$59.78 | 71% above | 15% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BCCHP FIT TEST SO | $29.31 | $34.48 | — | 61% below | 15% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLD OCC FEC HBG DETER IA QUAL | $99.45 | $117.00 | $54.05–$114.66 | 34% above | 15% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB | $96.05 | $113.00 | $52.20–$110.74 | 41% above | 15% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP AB QUAL | $61.70 | $72.59 | $33.53–$71.13 | 91% above | 15% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB CELL MED AG RESP GAMMA IFN | $260.10 | $306.00 | $141.37–$299.88 | 25% above | 15% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TESTOSTERONE TOTAL | $226.95 | $267.00 | $123.35–$261.66 | 77% above | 15% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ABS EACH | $219.30 | $258.00 | $119.19–$252.84 | 171% above | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 DAT TSH | $129.20 | $152.00 | $70.22–$148.96 | 23% above | 15% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASY THYROID STIMULATE HORM TSH | $152.15 | $179.00 | $82.69–$175.42 | 44% above | 15% |
| Total IgE blood test CPT 82785 ASSAY OF GAMMAGLOBULIN IGE | $123.88 | $145.74 | $67.33–$142.82 | 29% above | 15% |
| Total cholesterol blood test CPT 82465 DAT CHOLESTEROL | $38.25 | $45.00 | $20.79–$44.10 | 5% above | 15% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL SERUM/WH BLD TOT | $45.05 | $53.00 | $24.48–$51.94 | 24% above | 15% |
| Total thyroxine (T4) blood test CPT 84436 ASSAY OF THYROXINE TOTAL | $95.20 | $112.00 | $51.74–$109.76 | 68% above | 15% |
| Total triiodothyronine (T3) blood test CPT 84480 ASY TRIIODOTHYRONINE T3 TOT | $107.10 | $126.00 | $58.21–$123.48 | 18% above | 15% |
| Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN | $153.85 | $181.00 | $83.62–$177.38 | 73% above | 15% |
| Trichomonas test (NAAT) CPT 87661 IADNA TRI VAG AMP PRB TQ | $116.51 | $137.07 | $63.32–$134.32 | 6% above | 15% |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $54.40 | $64.00 | $29.56–$62.72 | 23% above | 15% |
| Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT | $174.42 | $205.20 | $94.80–$201.09 | 28% above | 15% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $54.40 | $64.00 | $29.56–$62.72 | 21% above | 15% |
| Urinalysis with microscope exam, automated CPT 81001 URNLS DIP STK TAB REAG AUTO MC | $56.86 | $66.89 | $30.90–$65.55 | 44% above | 15% |
| Urinalysis without microscope exam, automated CPT 81003 DAT URINALYSIS | $70.55 | $83.00 | $38.34–$81.34 | 146% above | 15% |
| Urinalysis without microscope exam, automated CPT 81003 UDT/TABLET RGNT AUTO W/O MICRO | $83.30 | $98.00 | $45.27–$96.04 | 190% above | 15% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS, NON-AUTO, W/O | $35.90 | $42.23 | $19.51–$41.38 | 76% above | 15% |
| Urine culture for bacteria, with colony count CPT 87086 BACT CULT UR QUANT CLNY CNT | $102.85 | $121.00 | $55.90–$118.58 | 22% above | 15% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN, URINE RANDOM | $40.80 | $48.00 | $22.17–$47.04 | 22% below | 15% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN, UR QUANT | $111.35 | $131.00 | $60.52–$128.38 | 112% above | 15% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $73.32 | $86.26 | — | 46% above | 15% |
| Urine pregnancy test, read by color change CPT 81025 DAT PREGNANCY URINE | $101.15 | $119.00 | $54.97–$116.62 | 102% above | 15% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY | $119.00 | $140.00 | $64.68–$137.20 | 138% above | 15% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN VIT B-12 | $168.30 | $198.00 | $91.47–$194.04 | 69% above | 15% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25 HYDROXY FRACTIONS PERFORM | $185.30 | $218.00 | $100.71–$213.64 | 36% above | 15% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 1,25 Dihydroxy Vit D by MS | $45.05 | $53.00 | $24.48–$51.94 | 74% below | 15% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 1 25 DIHYDROXY INCL FA IF PERF | $268.60 | $316.00 | $145.99–$309.68 | 54% above | 15% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $150.45 | $177.00 | $81.77–$173.46 | 98% above | 15% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN CHORIONIC QUANT | $254.15 | $299.00 | $138.13–$293.02 | 134% above | 15% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLOSED DISTAL FIB FX WO MAN | $916.27 | $1,077.96 | — | 41% above | 15% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED METATARSAL FX WO MAN | $755.38 | $888.68 | — | 32% above | 15% |
| Bunion correction with removal of part of the big toe joint CPT 28292 BUNION PROCEDURE | $7,939.94 | $9,341.11 | $4,315.59–$9,154.28 | 60% above | 15% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECT EXTER | $1,952.73 | $2,297.33 | $1,061.36–$2,251.38 | 78% above | 15% |
| Cervical biopsy CPT 57500 BX CERVIX | $319.12 | $375.44 | — | 59% below | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED DISTAL RAD FX WO MAN | $808.60 | $951.29 | $439.49–$932.26 | 31% above | 15% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED DIST RADIAL FX W/O MAN | $814.56 | $958.30 | — | 32% above | 15% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY REMOVE TPL W/SNARE | $4,907.05 | $5,773.00 | $2,667.12–$5,657.54 | 109% above | 15% |
| Colonoscopy with tissue sample CPT 45380 COLON W/BX SINGLE/MULTI | $3,257.93 | $3,832.86 | $1,770.78–$3,756.20 | 45% above | 15% |
| Colonoscopy, diagnostic CPT 45378 COLON DX FLEX/SPEC COLLECT | $3,091.76 | $3,637.37 | $1,680.46–$3,564.62 | 60% above | 15% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERVIX W/BIOPSY | $796.48 | $937.04 | — | 81% above | 15% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALIGNANT 1 LESION | $137.27 | $161.49 | — | 26% below | 15% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMV IMP CERUMEN-IRR/LVG,UNILA | $118.60 | $139.53 | — | 7% above | 15% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACT CERUMEN LAVAGE | $137.22 | $161.44 | $74.58–$158.21 | 23% above | 15% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED CERUM | $124.39 | $146.34 | — | 27% below | 15% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN UNI | $137.22 | $161.44 | $74.58–$158.21 | 20% below | 15% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY | $411.94 | $484.64 | — | 41% above | 15% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY | $1,522.55 | $1,791.24 | $827.55–$1,755.41 | 3% below | 15% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY INTER BAND | $2,134.08 | $2,510.68 | $1,159.93–$2,460.46 | 69% above | 15% |
| Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY, I & E | $3,159.28 | $3,716.80 | $1,717.16–$3,642.46 | 21% below | 15% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERT IUD | $111.96 | $131.72 | — | 61% below | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE SINGLE | $248.27 | $292.08 | — | 34% below | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D OF ABSCESS SIMPLE/SINGLE | $317.18 | $373.15 | $172.39–$365.68 | 15% below | 15% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $1,229.30 | $1,446.24 | $668.16–$1,417.31 | 228% above | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ 1 TENDON/LIGAMENT APONE | $217.43 | $255.80 | — | 28% below | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ 1 TNDN/LIGA APONEUROSIS | $259.62 | $305.44 | $141.11–$299.33 | 14% below | 15% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $429.57 | $505.38 | $233.48–$495.27 | 42% above | 15% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ MAJOR JOINT W/O US | $549.13 | $646.03 | $298.46–$633.10 | 13% above | 15% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERT DRUG IMPLANT DEVICE | $193.94 | $228.16 | $105.40–$223.59 | 30% below | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JOINT W/O US | $157.25 | $185.00 | — | 66% below | 15% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ INTER JNT WO US | $550.80 | $648.00 | $299.37–$635.04 | 20% above | 15% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT W/O US | $255.37 | $300.44 | $138.80–$294.43 | 33% below | 15% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JNT WO US | $505.55 | $594.77 | $274.78–$582.87 | 33% above | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTER REPAIR WOUND <2.5cm | $349.36 | $411.01 | — | 47% below | 15% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTER REPAIR WND <2.5cm | $869.40 | $1,022.82 | $472.54–$1,002.36 | 32% above | 15% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TX MISSED ABORTION 1ST TRI | $5,953.30 | $7,003.88 | — | 24% above | 15% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 BENIGN LESION +MARGINS <.5 CM | $251.72 | $296.14 | $136.81–$290.21 | 66% below | 15% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BENN LES +MARG <.5 CM | $283.02 | $332.97 | — | 62% below | 15% |
| Nail removal (partial or complete), one nail CPT 11730 AVUL NAIL PLATE P/C SIMP 1 | $288.68 | $339.62 | — | 3% above | 15% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION NAIL PLATE P/C SIMP 1 | $448.04 | $527.11 | $243.52–$516.56 | 60% above | 15% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGENT GTR OCC NERV | $116.47 | $137.02 | — | 82% below | 15% |
| Occipital nerve block (injection for headaches) CPT 64405 INJ GRTR OCCIPITAL NERVE | $777.60 | $914.82 | $422.64–$896.52 | 17% above | 15% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABDOMINAL W/IMAGE | $1,595.28 | $1,876.80 | $867.08–$1,839.26 | 20% above | 15% |
| Paracentesis with imaging guidance CPT 49083 US GUIDED PARACENTESIS | $1,595.28 | $1,876.80 | $867.08–$1,839.26 | 20% above | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/NAIL MATRIX PAR/COMP | $476.83 | $560.98 | — | 30% below | 15% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION-NAIL, PERMANENT | $643.59 | $757.16 | $349.80–$742.01 | 5% below | 15% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION CYST 1+ LESION | $7,295.07 | $8,582.43 | $3,965.08–$8,410.78 | 50% above | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISE/REMOVE FB SC SIMPLE | $274.06 | $322.42 | — | 47% below | 15% |
| Removal of a foreign object under the skin, simple CPT 10120 INCISION/REMOVAL FB SIMP | $1,154.28 | $1,357.98 | $627.38–$1,330.82 | 122% above | 15% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY MDCR SCRN NHR | $1,205.06 | $1,417.72 | $654.98–$1,389.36 | 24% below | 15% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY SCREEN HIGH RISK | $2,117.66 | $2,491.36 | $1,151.00–$2,441.53 | 9% above | 15% |
| Short arm cast (elbow to hand) CPT 29075 APP FOREARM CAST | $231.20 | $272.00 | — | 47% below | 15% |
| Short arm cast (elbow to hand) CPT 29075 APP CAST ELBOW/FINGER S ARM | $331.06 | $389.48 | $179.93–$381.69 | 25% below | 15% |
| Short arm splint (forearm and hand) CPT 29125 APP S ARM SPLINT FOREARM-HAND | $203.94 | $239.93 | — | 27% below | 15% |
| Short arm splint (forearm and hand) CPT 29125 APP S ARM SPLINT FORE-HAND | $471.03 | $554.15 | $256.01–$543.06 | 70% above | 15% |
| Short leg cast (below the knee) CPT 29405 APP S LEG CAST BELOW KNEE-TOE | $268.29 | $315.64 | — | 23% below | 15% |
| Short leg cast (below the knee) CPT 29405 APP S LEG CAST BLW KNEE-TOE | $291.41 | $342.84 | $158.39–$335.98 | 16% below | 15% |
| Short leg splint (calf to foot) CPT 29515 APP S LEG SPLINT CALF-FOOT | $510.00 | $600.00 | $277.20–$588.00 | 44% above | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUND CLSR BY ADHESIVE | $283.05 | $333.00 | $153.84–$326.34 | 16% below | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMP REPAIR SF WND <2.5cm | $283.67 | $333.73 | — | 16% below | 15% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR SF WOUND <2.5cm | $591.29 | $695.63 | $321.38–$681.71 | 75% above | 15% |
| Skin biopsy, punch, one lesion CPT 11104 BX PUNCH SKIN 1 LESION | $112.17 | $131.96 | — | 67% below | 15% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LES | $359.13 | $422.50 | $195.19–$414.05 | 7% above | 15% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 EXC MAL LES +MAR <.5cm | $360.23 | $423.80 | — | 46% below | 15% |
| Skin tag removal, up to 15 tags CPT 11200 SKIN TAG MULTI FC TAG <15 LES | $168.30 | $198.00 | $91.47–$194.04 | 23% below | 15% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE | $2,038.67 | $2,398.44 | $1,108.07–$2,350.47 | 106% above | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP REPAIR SF WND 2.6-7.5cm | $344.68 | $405.51 | — | 17% below | 15% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMP REPAIR SF WND2.6-7.5cm | $634.60 | $746.59 | $344.92–$731.65 | 53% above | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR SF WOUND <2.5 CM | $377.71 | $444.36 | $205.29–$435.47 | 7% below | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair SF Wound <2.5 | $382.25 | $449.71 | $207.76–$440.71 | 6% below | 15% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMP REPAIR SF WND <2.5cm | $442.88 | $521.04 | — | 9% above | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 BX TANGENTIAL 1 LESION | $159.28 | $187.39 | — | 40% below | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKN SIN LES | $512.81 | $603.30 | $278.72–$591.23 | 94% above | 15% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BX SKIN SING LES | $591.97 | $696.44 | $321.75–$682.51 | 124% above | 15% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTISIS W/IMAGING | $2,428.11 | $2,856.60 | $1,319.74–$2,799.46 | 84% above | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ 1+ TRIGGER PT 1/2 MUSCLES | $217.43 | $255.80 | — | 40% below | 15% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ 1+ TRIGR PNT 1/2 MUSCLES | $464.43 | $546.39 | $252.43–$535.46 | 29% above | 15% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY SINGLE/MULT | $3,596.42 | $4,231.08 | $1,954.75–$4,146.45 | 86% above | 15% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/DIREC SUBMUC INJ | $2,622.22 | $3,084.96 | $1,425.25–$3,023.26 | 41% above | 15% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UPPER GASTRO ENDO W/RO BY | $1,529.59 | $1,799.52 | $831.37–$1,763.52 | 28% below | 15% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD-DIAG FLEX W/SPEC COLLECT | $3,128.88 | $3,681.03 | $1,700.63–$3,607.40 | 92% above | 15% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $4,798.79 | $5,645.64 | — | at median | 15% |
| Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 VASECTOMY UNI/BILATERAL | $517.65 | $609.00 | $281.35–$596.82 | — | 15% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT BENIGN LESION 1-14 | $86.70 | $102.00 | $47.12–$99.96 | 64% below | 15% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN TISSUE <20 SQ CM | $1,139.76 | $1,340.89 | $619.49–$1,314.07 | 77% above | 15% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANS BLOOD/BLOOD COMP | $923.34 | $1,086.28 | — | 6% below | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMP | $1,346.40 | $1,584.00 | $731.80–$1,552.32 | 37% above | 15% |
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUS BLD/BLD COMPON | $1,761.06 | $2,071.84 | $957.19–$2,030.40 | 80% above | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRMT - RN | $125.72 | $147.90 | $68.32–$144.94 | 37% below | 15% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $131.47 | $154.67 | — | 35% below | 15% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION | $1,161.27 | $1,366.20 | $631.18–$1,338.87 | 48% above | 15% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE INITL 30-74 MIN | $1,020.00 | $1,200.00 | $554.40–$1,176.00 | 68% below | 15% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $251.63 | $296.04 | $136.77–$290.11 | 35% above | 15% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED FACILITY LEVEL 1 | $322.05 | $378.88 | $175.04–$371.30 | 29% above | 15% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ED FACILITY LEVEL 2 | $485.35 | $571.00 | $263.80–$559.58 | 7% above | 15% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ED FACILITY LEVEL 3 | $1,084.63 | $1,276.04 | $589.53–$1,250.51 | 35% above | 15% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ED FACILITY LEVEL 4 | $2,159.10 | $2,540.12 | $1,173.53–$2,489.31 | 60% above | 15% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ED FACILITY LEVEL 5 | $2,474.72 | $2,911.43 | $1,345.08–$2,853.20 | 11% above | 15% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL | $2,400.40 | $2,824.00 | $1,304.68–$2,767.52 | 304% above | 15% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCH W/PT PRESENT50MIN | $231.31 | $272.13 | — | 13% above | 15% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 1ST HR | $369.61 | $434.84 | $200.89–$426.14 | 9% above | 15% |
| IV infusion of a medicine, first hour CPT 96365 ADMIN IV INFUSION INITI 1ST HR | $369.61 | $434.84 | $200.89–$426.14 | 9% below | 15% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION INITIAL 1ST HR | $399.50 | $470.00 | $217.14–$460.60 | 1% below | 15% |
| IV push of a medicine, first drug CPT 96374 IV PUSH, INJECT, SNGL OR INITL | $85.85 | $101.00 | $46.66–$98.98 | 63% below | 15% |
| IV push of a medicine, first drug CPT 96374 IV PUSH, INJECT, INITIAL | $203.32 | $239.20 | — | 13% below | 15% |
| IV push of a medicine, first drug CPT 96374 ADMIN IV PUSH INITIAL | $274.48 | $322.92 | $149.18–$316.46 | 17% above | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SC/IM THERA PROPHYLACTIC | $63.71 | $74.95 | — | 35% below | 15% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJT SC/IM THERA PROPHYLAC | $164.22 | $193.20 | $89.25–$189.33 | 68% above | 15% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 BH PSYCHIATRIC DIAGNOSTIC EVAL | $238.64 | $280.75 | — | at median | 15% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDU 15MIN | $153.85 | $181.00 | $83.62–$177.38 | 56% above | 15% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OTH VST NEW PT 30-44MIN | $253.33 | $298.03 | — | 41% above | 15% |
| New patient office visit, about 45 minutes CPT 99204 DIVISION OF DISABILITY EXAM | $239.77 | $282.08 | — | 5% below | 15% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OTH VST NEW PT 45-49MIN | $299.34 | $352.16 | — | 19% above | 15% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OTH VST NEW PT 60-74MIN | $321.87 | $378.67 | — | 3% below | 15% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE VISIT NEW PT 15-29MIN | $173.44 | $204.05 | — | 18% above | 15% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MED NUTRI THER EACH 15 MINS | $91.80 | $108.00 | $49.89–$105.84 | 44% above | 15% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30MIN | $284.41 | $334.60 | $154.58–$327.90 | 32% above | 15% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45MIN | $310.26 | $365.01 | $168.63–$357.70 | 12% above | 15% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 20MIN | $233.33 | $274.50 | $126.81–$269.01 | 5% above | 15% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30MIN | $269.02 | $316.49 | $146.21–$310.16 | 9% above | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER 1>REGION 15MIN | $120.93 | $142.27 | $65.72–$139.42 | 43% above | 15% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1> REG 15MIN | $120.93 | $142.27 | $65.72–$139.42 | 43% above | 15% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXER 1> AREA 15MIN | $112.70 | $132.59 | $61.25–$129.93 | 17% above | 15% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT- NEW- 18-39YRS | $298.33 | $350.98 | — | 105% above | 15% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT- NEW- 40-64YRS | $326.15 | $383.70 | — | 65% above | 15% |
| Preventive checkup, new patient aged 65 or older CPT 99387 PREV VISIT- NEW- 65YRS+ | $344.23 | $404.98 | — | 156% above | 15% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT- EST PT, 18-39YRS | $205.79 | $242.11 | — | 34% above | 15% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 PREV VISIT- EST PT, 40-64YRS | $214.40 | $252.23 | — | 60% above | 15% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 PREV VISIT- EST PT, 65YRS+ | $237.65 | $279.59 | — | 48% above | 15% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 BH PSYCHOTHERP CRISIS INT 60 M | $288.36 | $339.25 | — | 9% above | 15% |
| Psychotherapy session, 30 minutes CPT 90832 BH PSYCHOTHERAPY W/PT 30 MIN | $138.32 | $162.73 | — | at median | 15% |
| Psychotherapy session, 45 minutes CPT 90834 BH PSYCHOTHERAPY W/PT 45 MIN | $184.42 | $216.96 | — | 1% above | 15% |
| Psychotherapy session, 60 minutes CPT 90837 BH PSYCHOTHERAPY W/PT 60 MIN | $275.85 | $324.53 | — | 5% above | 15% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION COUNSEL | $35.70 | $42.00 | — | 5% above | 15% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OTH VST EST PT 40-54MIN | $289.00 | $340.00 | $157.08–$333.20 | 18% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OTH VST EST 20-29MIN | $147.05 | $173.00 | $79.92–$169.54 | 3% above | 15% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OTH VST EST PT 20-29MIN | $173.44 | $204.05 | — | 21% above | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OTH VST EST PT 30-39MIN | $232.59 | $273.64 | — | 29% above | 15% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OTH VST EST 30-39MIN | $262.65 | $309.00 | $142.75–$302.82 | 46% above | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 SPORTS PHYSICAL | $29.75 | $35.00 | — | 71% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OTH EST PT OR 10-19MIN | $102.85 | $121.00 | $55.90–$118.58 | 1% below | 15% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OTH EST PT 10-19MIN | $122.37 | $143.96 | — | 18% above | 15% |
| Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY | $244.40 | $287.53 | $132.83–$281.77 | 12% above | 15% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $244.74 | $287.93 | $133.02–$282.17 | 1% below | 15% |
| Spirometry before and after a bronchodilator CPT 94060 PF SPIROM PRE/POST BRONCH | $132.60 | $156.00 | $72.07–$152.88 | 68% below | 15% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCDILAT RES SPMTRY PRE/POST | $489.59 | $575.99 | $266.10–$564.47 | 16% above | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT THERAPEUTIC ACT EA 15MIN | $120.33 | $141.57 | $65.40–$138.73 | 15% above | 15% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC FUNCT ACT 15MIN | $120.33 | $141.57 | $65.40–$138.73 | 15% above | 15% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERA PHLEB SEPARATE PROC | $553.35 | $651.00 | $300.76–$637.98 | 174% above | 15% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARS-CoV-2 VACCINE | $20.91 | $24.60 | $11.36–$24.10 | 87% below | 15% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 PFIZER COMIRNATY COVID VACCINE | $180.77 | $212.67 | $98.25–$208.41 | 13% above | 15% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 IMMUNIZATION (DTaP) | $20.72 | $24.38 | — | 55% below | 15% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP under 7 years | $39.10 | $46.00 | $21.25–$45.08 | 16% below | 15% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 ADULT TRIVALENT FLU SHOT | $60.11 | $70.72 | — | 108% above | 15% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE-ADULT | $238.85 | $281.00 | $129.82–$275.38 | 210% above | 15% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE- HIGH DOSE | $81.60 | $96.00 | $44.35–$94.08 | 3% below | 15% |
| Nasal spray flu vaccine, live (FluMist) CPT 90660 INFLU VIRAL VACC,LIVE/INT | $33.15 | $39.00 | — | 47% above | 15% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOVAX | $145.86 | $171.60 | — | 34% below | 15% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 VACCINE | $218.28 | $256.80 | — | 54% below | 15% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 ADULT PNEUMONIA 21 | $293.51 | $345.30 | — | — | 15% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX (ADULT) | $72.49 | $85.28 | — | 49% below | 15% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCL VAC POLYVALENT INJ | $188.70 | $222.00 | $102.56–$217.56 | 32% above | 15% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 | $250.75 | $295.00 | $136.29–$289.10 | 75% above | 15% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 DO NOT USE | $288.86 | $339.84 | — | 20% below | 15% |
| RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 ADULT RSV VACCINE | $288.86 | $339.84 | — | 20% below | 15% |
| Rabies vaccine, one dose CPT 90675 RABIES PCEC VACCINE FOR INJ | $1,191.28 | $1,401.50 | $647.49–$1,373.47 | 92% above | 15% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPHT TOXOID ADULT | $68.00 | $80.00 | $36.96–$78.40 | 21% above | 15% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS DIPHTHERIA TOXOID | $70.13 | $82.50 | $38.11–$80.85 | 24% above | 15% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 PCM CLINICAL, FIRST 30 MINS. | $157.25 | $185.00 | $85.47–$181.30 | 179% above | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 YRS | $20.72 | $24.38 | — | 75% below | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP Vaccine >7 Years | $20.72 | $24.38 | — | 75% below | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TET DIPTHERIA PERTUSSIS VACC | $20.72 | $24.38 | $11.26–$23.89 | 75% below | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP VACCINE | $30.23 | $35.56 | — | 63% below | 15% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP ADULT | $152.05 | $178.88 | — | 84% above | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN STATE IMMUNE | $19.92 | $23.44 | — | 53% below | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUNIZATION | $38.25 | $45.00 | — | 9% below | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN PNEUMOCOCCAL VACCINE | $38.25 | $45.00 | — | 9% below | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUNIZATION SINGLE INJ | $38.25 | $45.00 | $20.79–$44.10 | 9% below | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUN ADMIN SUBQ/IM 1 VACCINE | $48.45 | $57.00 | $26.33–$55.86 | 15% above | 15% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $111.04 | $130.64 | $60.35–$128.02 | 164% above | 15% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN STATE IMMUNE EA ADD | $19.92 | $23.44 | — | 45% below | 15% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN SUBQ/IM ADD VACC | $31.45 | $37.00 | $17.09–$36.26 | 13% below | 15% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN IMMUNE EA ADD | $37.26 | $43.83 | — | 3% above | 15% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://mrfs.hyvehealthcare.com/FerryCounty/910879683_ferry-county-public-hospital-district-no-1_standardcharges.csv