Hospital Seattle-Tacoma-Bellevue, WA

St Anthony Hospital

Listed in its price file as “Franciscan Health System”.

St Anthony Hospital in Gig Harbor, WA publishes cash prices for 329 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 288 of 325 procedures and above it for 35. By typical cash price it ranks #8 of 60 Washington hospitals and #4 of 18 hospitals in the Seattle, WA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

11567 Canterwood Blvd, Gig Harbor, WA 98332 Collected Sep 23, 2026 Source price file Check a bill from this hospital (253) 530-2050

Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 500151 · CMS hospital register NPI 1447406699

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/O&W CONTRAST	$2,013.08	$6,618.73	$201.77–$4,964.05	3% below	70%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/O&W CONTRAST	$2,013.08	$6,618.73	$4,765.49–$4,964.05	—	70%
Abdominal X-ray, 2 views CPT 74019 HC ABDOMEN COMPLETE - 2 VIEWS	$269.62	$886.45	$120.53–$664.84	17% below	70%
Abdominal X-ray, 2 views inpatient CPT 74019 HC ABDOMEN COMPLETE - 2 VIEWS	$269.62	$886.45	$638.25–$664.84	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC DOPPLER ART EXTRM LMTD BILAT	$286.39	$941.60	$146.10–$706.20	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ANKLE-BRACHL INDICIES 1-2LV	$249.04	$818.78	$146.10–$642.84	34% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC DOPPLER ART EXTRM LMTD BILAT	$286.39	$941.60	$677.96–$706.20	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ANKLE-BRACHL INDICIES 1-2LV	$249.04	$818.78	$589.53–$614.09	—	70%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM W/KUB	$561.88	$1,847.38	$201.77–$1,385.54	8% below	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM W/KUB	$561.88	$1,847.38	$1,330.12–$1,385.54	—	70%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JOINT IMAGE WHOLE BODY	$1,443.18	$4,744.97	$455.45–$3,558.73	3% below	70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JOINT IMAGE WHOLE BODY	$1,443.18	$4,744.97	$3,416.38–$3,558.73	—	70%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN PELVIS W/O W	$4,064.36	$13,363.05	$404.79–$10,022.29	13% above	70%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN PELVIS W/O W	$4,064.36	$13,363.05	$9,621.40–$10,022.29	—	70%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY-HEAD W WO	$1,843.04	$6,059.64	$201.77–$4,544.73	13% below	70%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY-HEAD W WO	$1,843.04	$6,059.64	$4,362.95–$4,544.73	—	70%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY-NECK W WO	$1,935.19	$6,362.62	$201.77–$4,771.97	14% below	70%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY-NECK W WO	$1,935.19	$6,362.62	$4,581.09–$4,771.97	—	70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST WO & W/CONTRAST	$2,396.55	$7,879.51	$201.77–$5,909.64	at median	70%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST WO & W/CONTRAST	$2,396.55	$7,879.51	$5,673.25–$5,909.64	—	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HEART W 3D IMAGE	$1,003.90	$3,300.66	$404.79–$2,475.50	14% below	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA HEART W 3D IMAGE	$1,003.90	$3,300.66	$2,376.48–$2,475.50	—	70%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT CORONARY W CALCIUM TEST	$79.21	$260.40	$99.80–$439.12	40% below	70%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT CORONARY W CALCIUM TEST	$79.21	$260.40	$187.49–$195.30	—	70%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN AND PELVIS WO	$3,122.44	$10,266.14	$273.98–$7,699.61	24% above	70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN AND PELVIS WO	$3,122.44	$10,266.14	$7,391.63–$7,699.61	—	70%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN AND PELVIS W	$3,862.81	$12,700.38	$404.79–$9,525.29	25% above	70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS W	$3,862.81	$12,700.38	$9,144.28–$9,525.29	—	70%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN AND PELVIS WO W	$4,120.33	$13,547.07	$404.79–$10,160.31	11% above	70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN AND PELVIS WO W	$4,120.33	$13,547.07	$9,753.90–$10,160.31	—	70%
CT scan of the abdomen with contrast CPT 74160 HC CTE ABDOMEN W/CONTRAST	$1,872.64	$6,156.96	$201.77–$4,617.72	at median	70%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CTE ABDOMEN W/CONTRAST	$1,872.64	$6,156.96	$4,433.02–$4,617.72	—	70%
CT scan of the abdomen without contrast CPT 74150 HC CTE ABDOMEN W/O CONTRAST	$1,529.32	$5,028.18	$120.53–$3,771.14	7% above	70%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CTE ABDOMEN W/O CONTRAST	$1,529.32	$5,028.18	$3,620.29–$3,771.14	—	70%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SINUSES LTD ONE PLANE WO	$255.76	$840.90	$120.53–$993.99	77% below	70%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT LANDMARK SINUS WO CON	$358.07	$1,177.26	$120.53–$993.99	68% below	70%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CON	$1,278.80	$4,204.50	$120.53–$3,153.38	16% above	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SINUSES LTD ONE PLANE WO	$255.76	$840.90	$605.45–$630.68	—	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT LANDMARK SINUS WO CON	$358.07	$1,177.26	$847.63–$882.95	—	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CON	$1,278.80	$4,204.50	$3,027.24–$3,153.38	—	70%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$1,399.19	$4,600.33	$120.53–$3,450.25	5% above	70%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$1,399.19	$4,600.33	$3,312.24–$3,450.25	—	70%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$1,457.49	$4,792.01	$201.77–$3,594.01	at median	70%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$1,457.49	$4,792.01	$3,450.25–$3,594.01	—	70%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN WO&W CONTRAST	$1,632.39	$5,367.05	$201.77–$4,025.29	6% below	70%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN WO&W CONTRAST	$1,632.39	$5,367.05	$3,864.28–$4,025.29	—	70%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CON	$1,271.25	$4,179.68	$120.53–$3,134.76	11% below	70%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CON	$1,271.25	$4,179.68	$3,009.37–$3,134.76	—	70%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CON	$1,401.55	$4,608.10	$120.53–$3,456.08	6% below	70%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CON	$1,401.55	$4,608.10	$3,317.84–$3,456.08	—	70%
CT scan of the pelvis, with contrast dye CPT 72193 HC CTE PELVIS W/CONTRAST	$1,723.41	$5,666.31	$201.77–$4,249.74	4% below	70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CTE PELVIS W/CONTRAST	$1,723.41	$5,666.31	$4,079.75–$4,249.74	—	70%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC DUPLEX CAROTID COMPLETE BIL	$656.39	$2,158.12	$273.98–$1,618.59	26% below	70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC DUPLEX CAROTID COMPLETE BIL	$656.39	$2,158.12	$1,553.85–$1,618.59	—	70%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W/O & W/CONTRAST	$2,008.73	$6,604.41	$201.77–$4,953.31	3% below	70%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W/O & W/CONTRAST	$2,008.73	$6,604.41	$4,755.18–$4,953.31	—	70%
Chest X-ray, 2 views CPT 71046 HC CHEST 2 VIEWS	$262.81	$864.06	$99.80–$648.05	9% below	70%
Chest X-ray, 2 views inpatient CPT 71046 HC CHEST 2 VIEWS	$262.81	$864.06	$622.13–$648.05	—	70%
Chest X-ray, single view CPT 71045 HC CHEST SINGLE VIEW	$202.16	$664.66	$99.80–$498.50	16% below	70%
Chest X-ray, single view inpatient CPT 71045 HC CHEST SINGLE VIEW	$202.16	$664.66	$478.56–$498.50	—	70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROP RENAL AORTA COMPL	$532.78	$1,751.68	$120.53–$1,313.76	14% below	70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROP RENAL AORTA COMPL	$532.78	$1,751.68	$1,261.21–$1,313.76	—	70%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC BONE DENSITY DEXA SPINE/HIP	$362.42	$1,191.56	$120.53–$893.67	14% below	70%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC BONE DENSITY DEXA SPINE/HIP	$362.42	$1,191.56	$857.93–$893.67	—	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY DXA WRIST/HEEL	$155.85	$512.39	$99.80–$439.12	10% below	70%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY DXA WRIST/HEEL	$155.85	$512.39	$368.93–$384.30	—	70%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB W FAE SGL/1ST GEST	$655.32	$2,154.58	$234.44–$1,615.94	8% below	70%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB W FAE SGL/1ST GEST	$655.32	$2,154.58	$1,551.30–$1,615.94	—	70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W/O CONTRAST	$1,655.34	$5,442.52	$120.53–$4,081.89	11% above	70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX W/O CONTRAST	$1,655.34	$5,442.52	$3,918.62–$4,081.89	—	70%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W/CONTRAST	$1,859.93	$6,115.19	$201.77–$4,586.40	2% below	70%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W/CONTRAST	$1,859.93	$6,115.19	$4,402.94–$4,586.40	—	70%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAG MAMMO W/CAD BILAT	$350.61	$1,152.74	$129.11–$864.56	—	70%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAG MAMMO W/CAD BILAT	$350.61	$1,152.74	$829.98–$864.56	—	70%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LE ART COMPL BILAT	$701.27	$2,305.68	$273.98–$1,729.26	—	70%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LE ART COMPL BILAT	$701.27	$2,305.68	$1,660.09–$1,729.26	—	70%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC VEIN UE DUPLEX BILAT COMP	$739.84	$2,432.47	$273.98–$1,824.36	—	70%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC VEIN UE DUPLEX BILAT COMP	$739.84	$2,432.47	$1,751.38–$1,824.36	—	70%
Echocardiogram through the chest wall, complete, with Doppler one side CPT 93306 HC ECHO RT 2D WWO M MD W SPDOP	$1,691.01	$5,559.81	$621.47–$4,169.86	1% above	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient one side CPT 93306 HC ECHO RT 2D WWO M MD W SPDOP	$1,691.01	$5,559.81	$4,003.07–$4,169.86	—	70%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA W/O CON	$1,316.09	$4,327.12	$120.53–$3,245.34	8% above	70%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA W/O CON	$1,316.09	$4,327.12	$3,115.53–$3,245.34	—	70%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES COMPLETE 3+VWS	$248.67	$817.57	$120.53–$613.18	33% below	70%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES COMPLETE 3+VWS	$248.67	$817.57	$588.66–$613.18	—	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILI WO OR W GALLBLADDER	$1,174.77	$3,862.48	$455.45–$2,896.86	at median	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILI WO OR W GALLBLADDER	$1,174.77	$3,862.48	$2,780.99–$2,896.86	—	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP STUDY STAGING W/CPAP	$3,750.86	$12,332.32	$1,153.15–$9,249.24	9% above	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP STUDY STAGING W/CPAP	$3,750.86	$12,332.32	$8,879.28–$9,249.24	—	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL LIMITED	$400.06	$1,315.32	$120.53–$986.49	21% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL LIMITED	$400.06	$1,315.32	$947.04–$986.49	—	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC INITIAL LUNG CT SCREENING	$66.01	$217.00	$120.53–$530.33	72% below	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC INITIAL LUNG CT SCREENING	$66.01	$217.00	$156.24–$162.75	—	70%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$1,522.82	$5,006.82	$273.98–$3,755.12	23% below	70%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$1,522.82	$5,006.82	$3,604.92–$3,755.12	—	70%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,359.26	$4,469.06	$273.98–$3,351.80	35% below	70%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,359.26	$4,469.06	$3,217.73–$3,351.80	—	70%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO W/CONTRAST	$2,613.97	$8,594.35	$404.79–$6,445.77	16% below	70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WO W/CONTRAST	$2,613.97	$8,594.35	$6,187.94–$6,445.77	—	70%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,656.61	$5,446.69	$273.98–$4,085.02	14% below	70%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,656.61	$5,446.69	$3,921.62–$4,085.02	—	70%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI RAD THERAPY GUIDE	$682.43	$2,243.72	$404.79–$2,766.28	77% below	70%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WO W CONTRAST	$2,967.06	$9,755.27	$404.79–$7,316.46	2% above	70%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI RAD THERAPY GUIDE	$682.43	$2,243.72	$1,615.48–$1,682.79	—	70%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WO W CONTRAST	$2,967.06	$9,755.27	$7,023.80–$7,316.46	—	70%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE WO CON	$2,080.20	$6,839.41	$273.98–$5,129.56	1% below	70%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE WO CON	$2,080.20	$6,839.41	$4,924.38–$5,129.56	—	70%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE WO W/CON	$3,206.98	$10,544.09	$404.79–$7,908.07	6% above	70%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE WO W/CON	$3,206.98	$10,544.09	$7,591.75–$7,908.07	—	70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE WO CON	$2,082.46	$6,846.83	$273.98–$5,135.13	2% below	70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE WO CON	$2,082.46	$6,846.83	$4,929.72–$5,135.13	—	70%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE WO W/CON	$3,200.44	$10,522.61	$404.79–$7,891.96	9% above	70%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE WO W/CON	$3,200.44	$10,522.61	$7,576.28–$7,891.96	—	70%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE WO CON	$1,989.92	$6,542.56	$273.98–$4,906.92	1% below	70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE WO CON	$1,989.92	$6,542.56	$4,710.65–$4,906.92	—	70%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO W/CONTRAST	$2,828.34	$9,299.20	$404.79–$6,974.40	7% below	70%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO W/CONTRAST	$2,828.34	$9,299.20	$6,695.43–$6,974.40	—	70%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$1,555.59	$5,114.56	$273.98–$3,835.92	19% below	70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$1,555.59	$5,114.56	$3,682.49–$3,835.92	—	70%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL MIN 4 VIEWS	$381.99	$1,255.92	$120.53–$941.94	14% below	70%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL MIN 4 VIEWS	$381.99	$1,255.92	$904.27–$941.94	—	70%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W/CON	$1,437.76	$4,727.15	$201.77–$3,545.37	14% below	70%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W/CON	$1,437.76	$4,727.15	$3,403.55–$3,545.37	—	70%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK W/O CON	$1,282.00	$4,215.04	$120.53–$3,161.28	4% below	70%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK W/O CON	$1,282.00	$4,215.04	$3,034.83–$3,161.28	—	70%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE	$176.34	$579.77	$99.80–$439.12	26% below	70%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE	$176.34	$579.77	$417.44–$434.83	—	70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL PERF (SPECT) MUL	$2,720.24	$8,943.76	$1,479.68–$6,707.82	23% below	70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL PERF (SPECT) MUL	$2,720.24	$8,943.76	$6,439.51–$6,707.82	—	70%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET CT IMG WHOLE BODY	$3,127.91	$10,284.12	$1,653.22–$7,713.09	29% below	70%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET CT IMG WHOLE BODY	$3,127.91	$10,284.12	$7,404.57–$7,713.09	—	70%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$1,378.73	$4,533.05	$120.53–$3,399.79	4% below	70%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$1,378.73	$4,533.05	$3,263.80–$3,399.79	—	70%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NON OBS LTD OR FU	$349.04	$1,147.59	$120.53–$860.70	24% below	70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC NON OBS LTD OR FU	$349.04	$1,147.59	$826.27–$860.70	—	70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON OB COMPLETE	$487.04	$1,601.29	$120.53–$1,200.97	18% below	70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON OB COMPLETE	$487.04	$1,601.29	$1,152.93–$1,200.97	—	70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG UTERUS >14 WKS 1GST	$490.14	$1,611.51	$120.53–$1,208.64	24% below	70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREG UTERUS >14 WKS 1GST	$490.14	$1,611.51	$1,160.29–$1,208.64	—	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREG UTERUS <14 WKS 1GST	$459.51	$1,510.79	$120.53–$1,133.10	8% below	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREG UTERUS <14 WKS 1GST	$459.51	$1,510.79	$1,087.77–$1,133.10	—	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANT UTERUS-LIMITED	$295.03	$969.99	$120.53–$727.50	32% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANT UTERUS-LIMITED	$295.03	$969.99	$698.40–$727.50	—	70%
Screening mammogram, both breasts both sides CPT 77067 HC SCREEN MAMMO W/CAD BILAT	$299.42	$984.42	$99.58–$738.32	—	70%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREEN MAMMO W/CAD BILAT	$299.42	$984.42	$708.79–$738.32	—	70%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES COMPLETE 3+VIEWS	$237.65	$781.36	$99.80–$586.02	27% below	70%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES COMPLETE 3+VIEWS	$237.65	$781.36	$562.58–$586.02	—	70%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL LESS 4 VIEWS	$250.04	$822.07	$120.53–$616.56	14% below	70%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL LESS 4 VIEWS	$250.04	$822.07	$591.90–$616.56	—	70%
Sleep study in a lab (polysomnography) CPT 95810 HC SLEEP STUDY STAGING 4+PARAM	$3,233.50	$10,631.31	$1,153.15–$7,973.49	7% above	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC SLEEP STUDY STAGING 4+PARAM	$3,233.50	$10,631.31	$7,654.55–$7,973.49	—	70%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO PRE/PST STRESS CNT MNT	$831.71	$2,734.55	$621.47–$3,000.99	27% below	70%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO PRE/PST STRESS CNT MNT	$831.71	$2,734.55	$1,968.88–$2,050.92	—	70%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALOW FUNC W CIN/VIDEO W/KUB	$587.83	$1,932.70	$201.77–$1,449.53	9% above	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALOW FUNC W CIN/VIDEO W/KUB	$587.83	$1,932.70	$1,391.55–$1,449.53	—	70%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CON	$1,334.81	$4,388.67	$120.53–$3,291.51	8% below	70%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CON	$1,334.81	$4,388.67	$3,159.85–$3,291.51	—	70%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$443.15	$1,456.99	$120.53–$1,092.75	11% below	70%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$443.15	$1,456.99	$1,049.04–$1,092.75	—	70%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB PREG UTERUS TRANSVAG	$389.04	$1,279.10	$120.53–$959.33	8% below	70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB PREG UTERUS TRANSVAG	$389.04	$1,279.10	$920.96–$959.33	—	70%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE	$620.09	$2,038.75	$120.53–$1,529.07	11% below	70%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL COMPLETE	$620.09	$2,038.75	$1,467.90–$1,529.07	—	70%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM & CONTENTS	$433.87	$1,426.49	$120.53–$1,069.87	25% below	70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM & CONTENTS	$433.87	$1,426.49	$1,027.08–$1,069.87	—	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD & NECK	$371.98	$1,222.99	$120.53–$917.25	34% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD & NECK	$371.98	$1,222.99	$880.56–$917.25	—	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI W/KUB 1 CNTRST STDY	$637.44	$2,095.80	$201.77–$1,571.85	7% below	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI W/KUB 1 CNTRST STDY	$637.44	$2,095.80	$1,508.98–$1,571.85	—	70%
X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN SINGLE VIEW	$213.12	$700.70	$99.80–$525.53	18% below	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN SINGLE VIEW	$213.12	$700.70	$504.51–$525.53	—	70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE LUMBAR 2 OR 3 VIEWS	$271.24	$891.78	$120.53–$668.84	27% below	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE LUMBAR 2 OR 3 VIEWS	$271.24	$891.78	$642.09–$668.84	—	70%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBAR MIN 4 VIEWS	$334.53	$1,099.86	$120.53–$824.90	26% below	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBAR MIN 4 VIEWS	$334.53	$1,099.86	$791.90–$824.90	—	70%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE-THORACIC 2 VIEWS	$248.39	$816.67	$120.53–$612.51	22% below	70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE-THORACIC 2 VIEWS	$248.39	$816.67	$588.01–$612.51	—	70%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMPL MIN 3 VWS	$234.36	$770.52	$99.80–$577.89	9% below	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMPL MIN 3 VWS	$234.36	$770.52	$554.78–$577.89	—	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL 2 OR 3 VIEWS	$271.24	$891.78	$99.80–$668.84	15% below	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 2 OR 3 VIEWS	$271.24	$891.78	$642.09–$668.84	—	70%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS 1 OR 2 VIEWS	$252.34	$829.63	$120.53–$622.23	12% below	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS 1 OR 2 VIEWS	$252.34	$829.63	$597.34–$622.23	—	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM/COCCYX 2+ VIEWS	$220.75	$725.77	$99.80–$544.33	22% below	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM/COCCYX 2+ VIEWS	$220.75	$725.77	$522.56–$544.33	—	70%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ACTH blood test CPT 82024 HC ACTH ASSAY	$217.03	$713.55	$38.62–$535.17	2% below	70%
ACTH blood test inpatient CPT 82024 HC ACTH ASSAY	$217.03	$713.55	$513.76–$535.17	—	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALANINE AMINOTRANSFERASE	$20.23	$66.50	$5.30–$49.88	57% below	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC HCVFS ALT	$36.01	$118.37	$5.30–$88.78	24% below	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALANINE AMINOTRANSFERASE	$20.23	$66.50	$47.88–$49.88	—	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC HCVFS ALT	$36.01	$118.37	$85.23–$88.78	—	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC ASPARTATE AMINOTRNSFERASE-SGOT	$19.61	$64.47	$5.18–$48.36	54% below	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC ASPARTATE AMINOTRNSFERASE-SGOT	$19.61	$64.47	$46.42–$48.36	—	70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE	$229.53	$754.66	$47.63–$566.00	7% below	70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE	$229.53	$754.66	$543.36–$566.00	—	70%
Albumin blood test CPT 82040 HC ALBUMIN BCG	$22.92	$75.33	$4.95–$56.50	35% below	70%
Albumin blood test inpatient CPT 82040 HC ALBUMIN BCG	$22.92	$75.33	$54.24–$56.50	—	70%
Aldosterone blood test CPT 82088 HC ALDOSTERONE SERUM	$157.77	$518.70	$40.75–$389.03	6% below	70%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE SERUM	$157.77	$518.70	$373.47–$389.03	—	70%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE SERUM	$18.10	$59.48	$5.18–$44.61	52% below	70%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOS ISO AKP	$21.89	$71.97	$5.18–$53.98	42% below	70%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE SERUM	$18.10	$59.48	$42.83–$44.61	—	70%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOS ISO AKP	$21.89	$71.97	$51.82–$53.98	—	70%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GREEN PEPPERCORN IGE	$24.97	$82.09	$5.22–$61.57	7% below	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GREEN PEPPERCORN IGE	$24.97	$82.09	$59.11–$61.57	—	70%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP-TUMOR	$80.85	$265.80	$16.77–$199.35	3% below	70%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP-TUMOR	$80.85	$265.80	$191.38–$199.35	—	70%
Ammonia blood test CPT 82140 HC AMMONIA-ARTERIAL BLOOD	$66.91	$219.99	$14.57–$165.00	42% below	70%
Ammonia blood test inpatient CPT 82140 HC AMMONIA-ARTERIAL BLOOD	$66.91	$219.99	$158.40–$165.00	—	70%
Amylase blood test CPT 82150 HC AMYLASE-ISOENZYMES	$45.74	$150.36	$6.48–$112.77	27% below	70%
Amylase blood test CPT 82150 HC AMYLASE-SERUM	$47.64	$156.62	$6.48–$117.47	24% below	70%
Amylase blood test inpatient CPT 82150 HC AMYLASE-ISOENZYMES	$45.74	$150.36	$108.26–$112.77	—	70%
Amylase blood test inpatient CPT 82150 HC AMYLASE-SERUM	$47.64	$156.62	$112.77–$117.47	—	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATD PPTD AB	$75.24	$247.35	$12.95–$185.52	3% below	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATD PPTD AB	$75.24	$247.35	$178.10–$185.52	—	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SCREEN (REFLEXIVE)	$40.05	$131.67	$12.09–$98.76	43% below	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SCREEN (REFLEXIVE)	$40.05	$131.67	$94.81–$98.76	—	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC POC B-NATRIURETIC PEPTIDE	$127.73	$419.93	$39.26–$314.95	34% below	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC POC B-NATRIURETIC PEPTIDE	$127.73	$419.93	$302.35–$314.95	—	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC ENVIRONMENTAL CULTURE	$51.89	$170.60	$8.62–$127.95	41% below	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC H PYLORI CULT	$69.19	$227.47	$8.62–$170.61	22% below	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC ENVIRONMENTAL CULTURE	$51.89	$170.60	$122.84–$127.95	—	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC H PYLORI CULT	$69.19	$227.47	$163.78–$170.61	—	70%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL (POC)	$45.79	$150.54	$8.46–$112.91	39% below	70%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL (POC)	$45.79	$150.54	$108.39–$112.91	—	70%
Bilirubin blood test, total CPT 82247 HC NEONATAL BILIRUBIN (POCT)	$24.47	$80.44	$5.02–$60.33	45% below	70%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL NB	$25.76	$84.67	$5.02–$63.51	42% below	70%
Bilirubin blood test, total inpatient CPT 82247 HC NEONATAL BILIRUBIN (POCT)	$24.47	$80.44	$57.92–$60.33	—	70%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL NB	$25.76	$84.67	$60.97–$63.51	—	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH G&M-LEVEL IV H&E	$175.12	$575.76	$44.43–$431.82	at median	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH G&M-LEVEL IV H&E	$175.12	$575.76	$414.55–$431.82	—	70%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE + SENSITIVITY	$86.39	$284.02	$10.32–$213.02	42% below	70%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE + SENSITIVITY	$86.39	$284.02	$204.50–$213.02	—	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$22.25	$73.14	$4.41–$54.86	11% below	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$22.25	$73.14	$52.67–$54.86	—	70%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE-BLOOD QUANT (POC)	$33.92	$111.52	$3.93–$83.64	9% below	70%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE-BLOOD QUANT (POC)	$33.92	$111.52	$80.30–$83.64	—	70%
Blood lead test CPT 83655 HC LEAD SERUM	$43.79	$143.97	$12.11–$107.98	31% below	70%
Blood lead test inpatient CPT 83655 HC LEAD SERUM	$43.79	$143.97	$103.66–$107.98	—	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE URINE POC	$35.62	$117.09	$7.52–$87.82	52% below	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUALITATIVE SERUM POC	$36.10	$118.67	$7.52–$89.01	52% below	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE URINE POC	$35.62	$117.09	$84.31–$87.82	—	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUALITATIVE SERUM POC	$36.10	$118.67	$85.45–$89.01	—	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO GROUP TYPE	$62.29	$204.80	$5.42–$642.84	4% below	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO GROUP TYPE	$62.29	$204.80	$147.46–$153.60	—	70%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN (POC)	$17.06	$56.09	$3.95–$42.07	53% below	70%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN (POC)	$17.06	$56.09	$40.39–$42.07	—	70%
C-peptide blood test CPT 84681 HC C-PEPTIDE	$78.80	$259.06	$20.81–$194.30	29% below	70%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE	$78.80	$259.06	$186.53–$194.30	—	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN (PEDS)	$44.91	$147.63	$5.18–$110.73	23% below	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN (PEDS)	$44.91	$147.63	$106.30–$110.73	—	70%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE BY PCR	$120.95	$397.64	$37.27–$298.23	31% below	70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE BY PCR	$120.95	$397.64	$286.31–$298.23	—	70%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$100.58	$330.67	$20.81–$248.01	9% below	70%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$100.58	$330.67	$238.09–$248.01	—	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 OVARIAN CANCER AG	$102.21	$336.02	$20.81–$252.02	15% below	70%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 OVARIAN CANCER AG	$102.21	$336.02	$241.94–$252.02	—	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID19 NAA (ARUP)	$22.82	$75.00	$51.31–$225.76	78% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC ACCULA COVID TEST (POC)	$45.63	$150.00	$51.31–$225.76	57% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID19 NAA (ARUP)	$22.82	$75.00	$54.00–$56.25	—	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC ACCULA COVID TEST (POC)	$45.63	$150.00	$108.00–$112.50	—	70%
Calcium blood test, total CPT 82310 HC CALCIUM-SERUM	$23.83	$78.34	$5.16–$58.76	44% below	70%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM-SERUM	$23.83	$78.34	$56.41–$58.76	—	70%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN	$91.43	$300.59	$18.96–$225.45	30% below	70%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN	$91.43	$300.59	$216.43–$225.45	—	70%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER IGG & IGM	$35.11	$115.41	$12.88–$95.46	56% below	70%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER IGG & IGM	$35.11	$115.41	$83.10–$86.56	—	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH AMP PROBE	$123.17	$404.96	$35.09–$303.72	8% below	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH AMP PROBE	$123.17	$404.96	$291.58–$303.72	—	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$67.85	$223.07	$13.39–$167.31	24% below	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$67.85	$223.07	$160.62–$167.31	—	70%
Complete blood count (CBC) with differential CPT 85025 HC CBC+DIFF (RENAL)	$48.08	$158.07	$7.77–$118.56	29% below	70%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC+DIFF (RENAL)	$48.08	$158.07	$113.82–$118.56	—	70%
Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM RENAL	$33.21	$109.19	$6.47–$81.90	35% below	70%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM RENAL	$33.21	$109.19	$78.62–$81.90	—	70%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PNL	$38.48	$126.49	$10.56–$94.87	58% below	70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PNL	$38.48	$126.49	$91.08–$94.87	—	70%
Cortisol blood test, total CPT 82533 HC CORTISOL SALIVARY	$81.74	$268.75	$16.30–$201.57	23% below	70%
Cortisol blood test, total CPT 82533 HC CORTISOL-SURPRESSRANDOM	$86.05	$282.90	$16.30–$212.18	19% below	70%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SALIVARY	$81.74	$268.75	$193.50–$201.57	—	70%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL-SURPRESSRANDOM	$86.05	$282.90	$203.69–$212.18	—	70%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE	$36.10	$118.66	$6.51–$89.00	46% below	70%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE	$36.10	$118.66	$85.44–$89.00	—	70%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV NEGATIVE TESTING	$49.57	$162.95	$14.39–$122.22	35% below	70%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV NEGATIVE TESTING	$49.57	$162.95	$117.33–$122.22	—	70%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER	$106.83	$351.24	$10.18–$263.43	10% below	70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER	$106.83	$351.24	$252.90–$263.43	—	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA-SULFATE	$144.82	$476.13	$22.23–$357.10	12% above	70%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA-SULFATE	$144.82	$476.13	$342.82–$357.10	—	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN URINE	$170.29	$559.86	$62.14–$419.90	6% above	70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN URINE	$170.29	$559.86	$403.10–$419.90	—	70%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL (POC)	$30.22	$99.35	$7.01–$74.52	45% below	70%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL (POC)	$30.22	$99.35	$71.54–$74.52	—	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EBV IGM TO VIRAL CAPSID AG	$39.95	$131.35	$18.14–$134.44	58% below	70%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EBV IGM TO VIRAL CAPSID AG	$39.95	$131.35	$94.58–$98.52	—	70%
Estradiol blood test CPT 82670 HC ESTRADIOL	$134.74	$442.98	$27.94–$332.24	3% below	70%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$134.74	$442.98	$318.95–$332.24	—	70%
FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE	$85.25	$280.29	$18.58–$210.22	9% below	70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE	$85.25	$280.29	$201.81–$210.22	—	70%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL	$99.62	$327.52	$19.63–$245.64	50% below	70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL	$99.62	$327.52	$235.82–$245.64	—	70%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN SERUM	$65.93	$216.74	$13.63–$162.56	33% below	70%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN SERUM	$65.93	$216.74	$156.06–$162.56	—	70%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN QUANTITATIVE	$38.98	$128.15	$9.72–$96.12	52% below	70%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN QUANTITATIVE	$38.98	$128.15	$92.27–$96.12	—	70%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID-SERUM	$67.38	$221.51	$14.70–$166.14	36% below	70%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID-SERUM	$67.38	$221.51	$159.49–$166.14	—	70%
Free T3 thyroid hormone test CPT 84481 HC FREE T3 REFLEX	$73.15	$240.49	$16.94–$180.37	18% below	70%
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3 REFLEX	$73.15	$240.49	$173.16–$180.37	—	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 REFLEX	$48.88	$160.71	$9.02–$120.54	29% below	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 REFLEX	$48.88	$160.71	$115.72–$120.54	—	70%
Free testosterone test CPT 84402 HC TESTOSTERONE CALC FREE LCMS	$92.87	$305.34	$25.47–$229.01	27% below	70%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE CALC FREE LCMS	$92.87	$305.34	$219.85–$229.01	—	70%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GLUTAMYLTRANSFERASE	$23.90	$78.56	$7.20–$58.92	56% below	70%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GLUTAMYLTRANSFERASE	$23.90	$78.56	$56.57–$58.92	—	70%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$74.53	$245.02	$50.35–$479.01	68% below	70%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL	$74.53	$245.02	$176.42–$183.77	—	70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE CHALLENGE 1HR	$32.23	$105.95	$4.75–$79.47	22% below	70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE CHALLENGE 1HR	$32.23	$105.95	$76.29–$79.47	—	70%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TLRNCE 3 SPEC/2HR	$32.23	$105.95	$12.87–$95.38	56% below	70%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TLRNCE 3 SPEC/2HR	$32.23	$105.95	$76.29–$79.47	—	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC GC NAA PHARYNGEAL	$123.17	$404.96	$35.09–$303.72	2% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC GC NAA PHARYNGEAL	$123.17	$404.96	$291.58–$303.72	—	70%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB IGM	$104.42	$343.30	$16.85–$257.48	21% above	70%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB IGM	$104.42	$343.30	$247.18–$257.48	—	70%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$139.32	$458.05	$14.38–$343.54	2% below	70%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI AG STOOL	$139.32	$458.05	$329.80–$343.54	—	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC RNA REAL TIME PCR	$236.98	$779.13	$85.10–$630.65	39% below	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC RNA REAL TIME PCR	$236.98	$779.13	$560.98–$584.35	—	70%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV1 RAPID SCREEN	$59.23	$194.74	$13.71–$146.06	31% below	70%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV1 RAPID SCREEN	$59.23	$194.74	$140.22–$146.06	—	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX	$67.58	$222.18	$24.08–$178.47	31% below	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1/2 AG/AB COMBO ASSAY W/REFLEX	$67.58	$222.18	$159.97–$166.64	—	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV DNA HIGH RICK	$141.69	$465.85	$35.09–$349.39	at median	70%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV DNA HIGH RICK	$141.69	$465.85	$335.42–$349.39	—	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOHEMOGLOBIN A1C	$48.08	$158.07	$9.71–$118.56	32% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOHEMOGLOBIN A1C	$48.08	$158.07	$113.82–$118.56	—	70%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (ISTAT)	$30.32	$99.67	$2.37–$74.76	3% above	70%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (ISTAT)	$30.32	$99.67	$71.77–$74.76	—	70%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE AB TOTAL	$59.98	$197.18	$12.05–$147.89	13% below	70%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE AB TOTAL	$59.98	$197.18	$141.97–$147.89	—	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURF ANTIBODY	$51.02	$167.72	$10.74–$125.79	31% below	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURF ANTIBODY	$51.02	$167.72	$120.76–$125.79	—	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HBSAG (LABSNW)	$51.02	$167.72	$10.33–$125.79	33% below	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HBSAG (LABSNW)	$51.02	$167.72	$120.76–$125.79	—	70%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY(SCRN)	$71.70	$235.73	$14.27–$176.80	17% below	70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY(SCRN)	$71.70	$235.73	$169.73–$176.80	—	70%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HC HCV RT-PCR QNT-NO GRPH	$186.43	$612.93	$42.84–$459.70	44% below	70%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HC HCV RT-PCR QNT-NO GRPH	$186.43	$612.93	$441.31–$459.70	—	70%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGG IMMUNOBLOT	$31.34	$103.02	$13.19–$97.79	55% below	70%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 IGM	$41.68	$137.02	$13.19–$102.77	40% below	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGG IMMUNOBLOT	$31.34	$103.02	$74.18–$77.27	—	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 IGM	$41.68	$137.02	$98.66–$102.77	—	70%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX II IGM AB	$45.66	$150.11	$19.35–$143.46	48% below	70%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 IGG IMMUNOBLOT	$91.77	$301.72	$19.35–$226.29	4% above	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX II IGM AB	$45.66	$150.11	$108.08–$112.59	—	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 IGG IMMUNOBLOT	$91.77	$301.72	$217.24–$226.29	—	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC HGH SENSITIVITY CRP	$45.69	$150.19	$12.95–$112.65	39% below	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC HGH SENSITIVITY CRP	$45.69	$150.19	$108.14–$112.65	—	70%
Homocysteine blood test CPT 83090 HC HOMOCYSTINE PLASMA QUANT	$92.87	$305.34	$17.92–$229.01	24% below	70%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE PLASMA QUANT	$92.87	$305.34	$219.85–$229.01	—	70%
Insulin blood test CPT 83525 HC INSULIN ASSAY	$37.16	$122.17	$11.43–$91.63	55% below	70%
Insulin blood test inpatient CPT 83525 HC INSULIN ASSAY	$37.16	$122.17	$87.97–$91.63	—	70%
Iron blood test (serum iron) CPT 83540 HC IRON SERUM	$31.28	$102.83	$6.47–$77.13	34% below	70%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON SERUM	$31.28	$102.83	$74.04–$77.13	—	70%
Iron-binding capacity (TIBC) test CPT 83550 HC TOTAL IRON BINDING CAPACITY	$42.35	$139.23	$8.74–$104.43	29% below	70%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC TOTAL IRON BINDING CAPACITY	$42.35	$139.23	$100.25–$104.43	—	70%
Kidney function blood test panel CPT 80069 HC RENAL FUNTION PANEL	$30.22	$99.35	$8.68–$74.52	60% below	70%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNTION PANEL	$30.22	$99.35	$71.54–$74.52	—	70%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE	$79.75	$262.19	$18.52–$196.65	17% below	70%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE	$79.75	$262.19	$188.78–$196.65	—	70%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID (POC)	$73.64	$242.11	$11.57–$181.59	26% below	70%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID BLOOD (POC)	$83.21	$273.58	$11.57–$205.19	17% below	70%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID (POC)	$73.64	$242.11	$174.32–$181.59	—	70%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID BLOOD (POC)	$83.21	$273.58	$196.98–$205.19	—	70%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC SYNOVIAL FLUID LDH	$29.36	$96.51	$6.04–$72.39	32% below	70%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC SYNOVIAL FLUID LDH	$29.36	$96.51	$69.49–$72.39	—	70%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE SERUM	$58.00	$190.67	$6.89–$143.01	31% below	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE SERUM	$58.00	$190.67	$137.29–$143.01	—	70%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$34.94	$114.85	$8.17–$86.14	47% below	70%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$34.94	$114.85	$82.70–$86.14	—	70%
Lyme disease antibody test CPT 86618 HC C6 B BURGDORFI LYME	$56.03	$184.21	$17.03–$138.16	42% below	70%
Lyme disease antibody test inpatient CPT 86618 HC C6 B BURGDORFI LYME	$56.03	$184.21	$132.64–$138.16	—	70%
Magnesium blood test CPT 83735 HC MAGNESIUM SERUM	$42.35	$139.23	$6.70–$104.43	21% below	70%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM SERUM	$42.35	$139.23	$100.25–$104.43	—	70%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGM	$64.04	$210.53	$12.88–$157.90	10% below	70%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGM	$64.04	$210.53	$151.59–$157.90	—	70%
Mono test (heterophile antibody, Monospot) CPT 86308 HC INFECTIOUS MONONUCLEOSIS SCRN	$26.86	$88.29	$5.18–$66.22	53% below	70%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTBDY SCRN (POC)	$32.83	$107.91	$5.18–$80.94	43% below	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC INFECTIOUS MONONUCLEOSIS SCRN	$26.86	$88.29	$63.57–$66.22	—	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTBDY SCRN (POC)	$32.83	$107.91	$77.70–$80.94	—	70%
Mumps immunity blood test CPT 86735 HC MUMPS VIRUS AB IGM	$52.91	$173.93	$13.05–$130.45	26% below	70%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS VIRUS AB IGM	$52.91	$173.93	$125.23–$130.45	—	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC FREE PSA	$84.33	$277.25	$18.39–$207.94	14% below	70%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC FREE PSA	$84.33	$277.25	$199.62–$207.94	—	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN	$88.55	$291.11	$18.39–$218.34	20% below	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN	$88.55	$291.11	$209.60–$218.34	—	70%
Pap test (liquid-based, automated screening with review) CPT 88175 HC LIQUID-BASED PAP AUTOMATED	$35.46	$116.57	$26.61–$196.37	61% below	70%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC LIQUID-BASED PAP AUTOMATED	$35.46	$116.57	$83.94–$87.43	—	70%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE INTACT	$139.56	$458.85	$41.28–$344.14	34% below	70%
Parathyroid hormone (PTH) blood test CPT 83970 HC BIO INTACT PARATHYROID HORMONE	$227.49	$747.93	$41.28–$560.95	8% above	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE INTACT	$139.56	$458.85	$330.38–$344.14	—	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC BIO INTACT PARATHYROID HORMONE	$227.49	$747.93	$538.51–$560.95	—	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBN TIME ACTVTD	$25.09	$82.48	$6.01–$61.86	39% below	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBN TIME ACTVTD	$25.09	$82.48	$59.39–$61.86	—	70%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$22.31	$73.33	$4.74–$55.00	44% below	70%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$22.31	$73.33	$52.80–$55.00	—	70%
Potassium blood test CPT 84132 HC POTASSIUM ASSAY SERUM POC	$29.84	$98.10	$4.76–$73.58	28% below	70%
Potassium blood test CPT 84132 HC POTASSIUM I-STAT	$31.34	$103.01	$4.76–$77.26	24% below	70%
Potassium blood test inpatient CPT 84132 HC POTASSIUM ASSAY SERUM POC	$29.84	$98.10	$70.64–$73.58	—	70%
Potassium blood test inpatient CPT 84132 HC POTASSIUM I-STAT	$31.34	$103.01	$74.17–$77.26	—	70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC MTRNT21 FETAL CHR ANEUP (LCA)	$577.17	$1,897.63	$759.05–$3,339.82	25% below	70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC MTRNT21 FETAL CHR ANEUP (LCA)	$577.17	$1,897.63	$1,366.30–$1,423.23	—	70%
Progesterone blood test CPT 84144 HC PROGESTERONE	$84.03	$276.26	$20.86–$207.20	14% below	70%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$84.03	$276.26	$198.91–$207.20	—	70%
Prolactin blood test CPT 84146 HC PROLACTIN	$93.36	$306.95	$19.38–$230.22	14% below	70%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$93.36	$306.95	$221.01–$230.22	—	70%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME POC	$34.46	$113.27	$4.29–$84.96	14% below	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME POC	$34.46	$113.27	$81.56–$84.96	—	70%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA RAPID TEST	$57.82	$190.10	$16.55–$142.58	15% below	70%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA ASSAY OPTIC (POC)	$68.22	$224.27	$16.55–$168.21	1% above	70%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA RAPID TEST	$57.82	$190.10	$136.88–$142.58	—	70%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA ASSAY OPTIC (POC)	$68.22	$224.27	$161.48–$168.21	—	70%
Renin blood test CPT 84244 HC RENIN (PLASMA)	$144.37	$474.64	$21.99–$355.98	10% above	70%
Renin blood test inpatient CPT 84244 HC RENIN (PLASMA)	$144.37	$474.64	$341.75–$355.98	—	70%
Rh blood typing CPT 86901 HC BWNW RH TYPING CHARGE (HL)	$30.69	$100.89	$5.42–$195.76	36% below	70%
Rh blood typing inpatient CPT 86901 HC BWNW RH TYPING CHARGE (HL)	$30.69	$100.89	$72.65–$75.67	—	70%
Rheumatoid factor (RF) test CPT 86431 HC RA TITER	$27.24	$89.55	$5.67–$67.17	32% below	70%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RA TITER	$27.24	$89.55	$64.48–$67.17	—	70%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA SCREEN	$47.67	$156.71	$14.39–$117.54	31% below	70%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA SCREEN	$47.67	$156.71	$112.84–$117.54	—	70%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE AUTO	$14.93	$49.08	$2.70–$36.81	58% below	70%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE AUTO	$14.93	$49.08	$35.34–$36.81	—	70%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS	$93.00	$305.75	$12.31–$229.32	48% above	70%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS	$93.00	$305.75	$220.14–$229.32	—	70%
Sodium blood test CPT 84295 HC POC SODIUM	$29.68	$97.58	$4.81–$73.19	30% below	70%
Sodium blood test CPT 84295 HC SODIUM (WHOLE BLOOD) POC	$35.02	$115.14	$4.81–$86.36	17% below	70%
Sodium blood test inpatient CPT 84295 HC POC SODIUM	$29.68	$97.58	$70.26–$73.19	—	70%
Sodium blood test inpatient CPT 84295 HC SODIUM (WHOLE BLOOD) POC	$35.02	$115.14	$82.91–$86.36	—	70%
Stool ova and parasites exam CPT 87177 HC OVA & PARASITE EXAM	$39.69	$130.47	$8.90–$97.86	41% below	70%
Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITE EXAM	$39.69	$130.47	$93.94–$97.86	—	70%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD-STOOL (POC)	$16.73	$54.98	$4.38–$41.24	45% below	70%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD-STOOL (POC)	$16.73	$54.98	$39.59–$41.24	—	70%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC IMMUNOCHEMICAL-FECAL	$76.24	$250.66	$15.92–$188.00	3% above	70%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC IMMUNOCHEMICAL-FECAL	$76.24	$250.66	$180.48–$188.00	—	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMAL IGG AB	$54.49	$179.13	$13.24–$134.35	20% below	70%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMAL IGG AB	$54.49	$179.13	$128.98–$134.35	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR	$20.70	$68.04	$4.27–$51.03	36% below	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR (LABSNW)	$33.53	$110.22	$4.27–$82.67	4% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR	$20.70	$68.04	$48.99–$51.03	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR (LABSNW)	$33.53	$110.22	$79.36–$82.67	—	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC WHOLE BLOOD TB VIA QUANTIFERON	$177.03	$582.04	$61.98–$459.41	15% below	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC WHOLE BLOOD TB VIA QUANTIFERON	$177.03	$582.04	$419.07–$436.53	—	70%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL LC-MS/MS	$101.88	$334.95	$25.81–$251.22	20% below	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL LC-MS/MS	$101.88	$334.95	$241.17–$251.22	—	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE AUTOABS	$60.40	$198.58	$14.55–$148.94	25% below	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE AUTOABS	$60.40	$198.58	$142.98–$148.94	—	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE	$73.15	$240.49	$16.80–$180.37	31% below	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE	$73.15	$240.49	$173.16–$180.37	—	70%
Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN-IGE	$58.21	$191.36	$16.46–$143.52	39% below	70%
Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN-IGE	$58.21	$191.36	$137.78–$143.52	—	70%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL-BODY FLUID	$21.18	$69.62	$4.35–$52.22	42% below	70%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL-BODY FLUID	$21.18	$69.62	$50.13–$52.22	—	70%
Total thyroxine (T4) blood test CPT 84436 HC T4 (THYROXINE)	$31.33	$102.98	$6.87–$77.24	45% below	70%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 (THYROXINE)	$31.33	$102.98	$74.15–$77.24	—	70%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 BY ICMA (TBG CORRECTED)	$65.08	$213.97	$14.18–$160.48	28% below	70%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 BY ICMA (TBG CORRECTED)	$65.08	$213.97	$154.06–$160.48	—	70%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$79.40	$261.05	$12.76–$195.79	11% below	70%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$79.40	$261.05	$187.96–$195.79	—	70%
Trichomonas test (NAAT) CPT 87661 HC TRICH VAG AMP PROBE TECH	$65.99	$216.96	$35.09–$260.09	40% below	70%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICH VAG AMP PROBE TECH	$65.99	$216.96	$156.22–$162.72	—	70%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$37.54	$123.42	$5.74–$92.57	15% below	70%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$37.54	$123.42	$88.87–$92.57	—	70%
Troponin test, quantitative CPT 84484 HC POC TROPONIN I ISTAT	$101.63	$334.13	$12.47–$250.60	26% below	70%
Troponin test, quantitative inpatient CPT 84484 HC POC TROPONIN I ISTAT	$101.63	$334.13	$240.58–$250.60	—	70%
Uric acid blood test CPT 84550 HC URIC ACID SERUM	$17.49	$57.50	$4.52–$43.13	61% below	70%
Uric acid blood test inpatient CPT 84550 HC URIC ACID SERUM	$17.49	$57.50	$41.40–$43.13	—	70%
Urinalysis with microscope exam, automated CPT 81001 HC UA MICRO CULTURE (INDICATD)	$18.87	$62.02	$3.17–$46.52	52% below	70%
Urinalysis with microscope exam, automated CPT 81001 HC URINE W/MICROSCO	$26.95	$88.60	$3.17–$66.45	32% below	70%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICROSCOPIC	$30.46	$100.12	$3.17–$75.09	23% below	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC UA MICRO CULTURE (INDICATD)	$18.87	$62.02	$44.66–$46.52	—	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINE W/MICROSCO	$26.95	$88.60	$63.80–$66.45	—	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICROSCOPIC	$30.46	$100.12	$72.09–$75.09	—	70%
Urinalysis with microscope exam, manual CPT 81000 HC MANUAL UA W/ MICROSCOPY	$15.91	$52.28	$4.02–$39.21	7% below	70%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC MANUAL UA W/ MICROSCOPY	$15.91	$52.28	$37.65–$39.21	—	70%
Urinalysis without microscope exam, automated CPT 81003 HC BLOOD URINE	$26.95	$88.60	$2.25–$66.45	6% below	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC BLOOD URINE	$26.95	$88.60	$63.80–$66.45	—	70%
Urinalysis without microscope exam, manual CPT 81002 HC MANUAL UA W/O MICROSCOPY	$12.44	$40.89	$3.48–$30.67	39% below	70%
Urinalysis without microscope exam, manual CPT 81002 HC URINE DIP W/O LAB (POC)	$26.47	$87.01	$3.48–$65.26	30% above	70%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC MANUAL UA W/O MICROSCOPY	$12.44	$40.89	$29.45–$30.67	—	70%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE DIP W/O LAB (POC)	$26.47	$87.01	$62.65–$65.26	—	70%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE	$59.98	$197.18	$8.07–$147.89	29% below	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE	$59.98	$197.18	$141.97–$147.89	—	70%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE	$38.04	$125.07	$5.78–$93.81	28% below	70%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE	$38.04	$125.07	$90.06–$93.81	—	70%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY W/O LAB (POC)	$51.27	$168.56	$8.61–$126.42	2% above	70%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY W/O LAB (POC)	$51.27	$168.56	$121.37–$126.42	—	70%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12	$69.20	$227.51	$15.08–$170.64	30% below	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12	$69.20	$227.51	$163.81–$170.64	—	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D-25 HYDROXY	$106.91	$351.50	$29.60–$263.63	21% below	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D-25 HYDROXY	$106.91	$351.50	$253.08–$263.63	—	70%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1-25 VITAMIN D	$96.42	$317.00	$38.50–$285.29	45% below	70%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1-25 VITAMIN D	$96.42	$317.00	$228.24–$237.75	—	70%
Zinc blood test CPT 84630 HC ZINC RBC	$48.13	$158.22	$11.39–$118.67	37% below	70%
Zinc blood test inpatient CPT 84630 HC ZINC RBC	$48.13	$158.22	$113.92–$118.67	—	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANITATIVE SERUM	$93.49	$307.38	$15.05–$230.54	14% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANITATIVE SERUM	$93.49	$307.38	$221.32–$230.54	—	70%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Cardiac catheterization with coronary angiogram one side CPT 93458 HC LT HRT CORON ART/VENT ANGIO	$9,909.57	$32,581.32	$3,645.61–$24,435.99	6% below	70%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC LT HRT CORON ART/VENT ANGIO	$9,909.57	$32,581.32	$23,458.56–$24,435.99	—	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXT	$923.46	$3,036.21	$741.70–$3,263.48	16% below	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXT	$923.46	$3,036.21	$2,186.08–$2,277.16	—	70%
Catheter ablation for atrial fibrillation CPT 93656 HC COMP EP EVAL ABL ATR FIB PVI	$17,895.63	$58,838.40	$6,725.00–$122,345.92	31% below	70%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMP EP EVAL ABL ATR FIB PVI	$17,895.63	$58,838.40	$42,363.65–$44,128.80	—	70%
Cervical biopsy CPT 57500 HC BX/EXC CERVIX LOCAL	$406.51	$1,336.55	$962.32–$4,556.00	48% below	70%
Cervical biopsy inpatient CPT 57500 HC BX/EXC CERVIX LOCAL	$406.51	$1,336.55	$962.32–$1,002.42	—	70%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION	$807.29	$2,654.24	$1,911.06–$10,216.18	89% above	70%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION	$807.29	$2,654.24	$1,911.06–$1,990.68	—	70%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$588.25	$1,934.06	$756.54–$4,556.00	36% below	70%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$588.25	$1,934.06	$1,392.53–$1,450.55	—	70%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION AND CURETTAGE	$2,265.00	$7,447.00	$3,603.81–$15,856.76	23% below	70%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION AND CURETTAGE	$2,265.00	$7,447.00	$5,361.84–$5,585.25	—	70%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTR BENIGN SKIN LES 1ST	$135.55	$445.66	$225.21–$990.92	27% below	70%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTR BENIGN SKIN LES 1ST	$135.55	$445.66	$320.88–$334.25	—	70%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BX ENDOMTRIAL SMPLNG W/O DIL	$158.06	$519.67	$228.01–$1,003.24	46% below	70%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BX ENDOMTRIAL SMPLNG W/O DIL	$158.06	$519.67	$374.17–$389.76	—	70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ FOR EPI CERV/THOR W GD	$1,139.97	$3,748.05	$784.93–$4,556.00	25% below	70%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJ FOR EPI CERV/THOR W GD	$1,139.97	$3,748.05	$2,698.60–$2,811.04	—	70%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC REMOVE INT/EXT HEM 1 GROUP	$2,950.86	$9,702.00	$3,108.33–$13,676.65	27% below	70%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC REMOVE INT/EXT HEM 1 GROUP	$2,950.86	$9,702.00	$6,985.44–$7,276.50	—	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CTH/INTR SAL/CNTRST SIS HSG	$152.90	$502.69	$361.94–$377.02	40% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CTH/INTR SAL/CNTRST SIS HSG	$152.90	$502.69	$361.94–$377.02	—	70%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERT INTRAUTERINE DEVICE	$96.33	$316.72	$133.03–$516.83	66% below	70%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT INTRAUTERINE DEVICE	$96.33	$316.72	$228.04–$237.54	—	70%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS-SIMPLE OR SINGL	$362.53	$1,191.94	$225.21–$990.92	3% below	70%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS-SIMPLE OR SINGL	$362.53	$1,191.94	$858.20–$893.96	—	70%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ LIGAMENT/TENDON SINGLE	$180.71	$594.15	$334.58–$4,556.00	40% below	70%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ LIGAMENT/TENDON SINGLE	$180.71	$594.15	$427.79–$445.62	—	70%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION DRUG DLVR IMPLANT	$97.34	$320.03	$146.10–$642.84	65% below	70%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION DRUG DLVR IMPLANT	$97.34	$320.03	$230.43–$240.03	—	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INT LAC SCLP-BODY <= 2.5CM	$479.87	$1,577.72	$452.84–$1,992.50	27% below	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INT LAC SCLP-BODY <= 2.5CM	$479.87	$1,577.72	$1,135.96–$1,183.29	—	70%
Left heart catheterization, diagnostic one side CPT 93452 HC LT HEART CATH W/VENT ANGIO	$10,040.52	$33,011.87	$3,645.61–$24,758.91	24% above	70%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LT HEART CATH W/VENT ANGIO	$10,040.52	$33,011.87	$23,768.55–$24,758.91	—	70%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ FOR EPI LUMB/SACR W GD	$1,175.23	$3,863.97	$784.93–$4,556.00	23% below	70%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ FOR EPI LUMB/SACR W GD	$1,175.23	$3,863.97	$2,782.06–$2,897.98	—	70%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ EPIDURAL LUMB/SACR WO	$893.17	$2,936.62	$1,009.09–$4,556.00	22% below	70%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ EPIDURAL LUMB/SACR WO	$893.17	$2,936.62	$2,114.37–$2,202.47	—	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BN LS TRK AM LG<=0.5CM	$273.16	$898.11	$646.64–$4,556.00	63% below	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BN LS TRK AM LG<=0.5CM	$273.16	$898.11	$646.64–$673.59	—	70%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC BENIGN FACE LES -0.5CM	$273.16	$898.11	$646.64–$4,556.00	64% below	70%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC BENIGN FACE LES -0.5CM	$273.16	$898.11	$646.64–$673.59	—	70%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE -SINGLE	$235.00	$772.62	$225.21–$990.92	16% below	70%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE -SINGLE	$235.00	$772.62	$556.29–$579.47	—	70%
Pacemaker implant (dual chamber) CPT 33208 HC PACER INS/REP-PERM TV-A/V	$8,527.22	$28,036.33	$0.70–$52,588.08	18% below	70%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC PACER INS/REP-PERM TV-A/V	$8,527.22	$28,036.33	$20,186.16–$21,027.25	—	70%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS W/GUIDE	$726.95	$2,390.09	$1,062.67–$4,675.75	45% below	70%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS W/GUIDE	$726.95	$2,390.09	$1,720.87–$1,792.57	—	70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL MATRIX	$485.36	$1,595.77	$452.84–$4,556.00	28% below	70%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL MATRIX	$485.36	$1,595.77	$1,148.96–$1,196.83	—	70%
Prostate biopsy CPT 55700 HC PROSTATE BIOPSY	$1,572.45	$5,170.00	$2,321.86–$10,216.18	14% below	70%
Prostate biopsy inpatient CPT 55700 HC PROSTATE BIOPSY	$1,572.45	$5,170.00	$3,722.40–$3,877.50	—	70%
Removal of a foreign object under the skin, simple CPT 10120 HC INCIS/REM FB SUBQ-SIMPLE	$502.93	$1,653.55	$452.84–$1,992.50	3% below	70%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCIS/REM FB SUBQ-SIMPLE	$502.93	$1,653.55	$1,190.56–$1,240.17	—	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM LAC SCALP-BDY <=2.5CM	$357.29	$1,174.72	$225.21–$990.92	6% above	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SIM LAC SCALP-BDY <=2.5CM	$357.29	$1,174.72	$845.80–$881.04	—	70%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LES	$329.02	$1,081.77	$452.84–$1,992.50	2% below	70%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LES	$329.02	$1,081.77	$778.88–$811.33	—	70%
Skin tag removal, up to 15 tags CPT 11200 HC REM MULT SKIN TAGS-15 LES	$97.32	$319.97	$220.78–$990.92	55% below	70%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REM MULT SKIN TAGS-15 LES	$97.32	$319.97	$230.38–$239.98	—	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$655.72	$2,155.89	$784.93–$4,556.00	34% below	70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$655.72	$2,155.89	$1,552.25–$1,616.92	—	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIM LAC SCALP-BDY 2.6-7.5CM	$368.01	$1,209.96	$225.21–$990.92	11% below	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIM LAC SCALP-BDY 2.6-7.5CM	$368.01	$1,209.96	$871.18–$907.47	—	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIM LAC FACE-EAR <=2.5CM	$357.29	$1,174.72	$225.21–$990.92	12% below	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SIM LAC FACE-EAR <=2.5CM	$357.29	$1,174.72	$845.80–$881.04	—	70%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LES	$123.39	$405.66	$225.21–$990.92	53% below	70%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LES	$123.39	$405.66	$292.08–$304.25	—	70%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS/ASP WITH IMAG	$781.23	$2,568.57	$700.76–$4,556.00	41% below	70%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS/ASP WITH IMAG	$781.23	$2,568.57	$1,849.38–$1,926.43	—	70%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1-2 MUSCL	$230.64	$758.30	$334.58–$4,556.00	36% below	70%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT 1-2 MUSCL	$230.64	$758.30	$545.98–$568.73	—	70%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD BALLN DILAT ESOPH <30MM	$1,942.39	$6,386.29	$1,912.27–$9,460.53	16% below	70%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD BALLN DILAT ESOPH <30MM	$1,942.39	$6,386.29	$4,598.13–$4,789.72	—	70%
Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPR GI ENDOSCPY/BRUSH-WASH	$616.68	$2,027.55	$906.41–$4,675.75	62% below	70%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPR GI ENDOSCPY/BRUSH-WASH	$616.68	$2,027.55	$1,459.84–$1,520.67	—	70%
Vein ablation, radiofrequency, first vein CPT 36475 HC RFA VEIN EXTREMITY 1ST VEIN	$1,960.73	$6,446.60	$3,567.50–$16,796.78	59% below	70%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC RFA VEIN EXTREMITY 1ST VEIN	$1,960.73	$6,446.60	$4,641.56–$4,834.95	—	70%
Wart removal, up to 14 warts CPT 17110 HC DESTR BENIGN SKIN LES 1-14	$135.55	$445.66	$225.21–$990.92	43% below	70%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTR BENIGN SKIN LES 1-14	$135.55	$445.66	$320.88–$334.25	—	70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRID SQ TISSUE <= 20SQCM	$588.29	$1,934.19	$452.84–$5,920.00	9% below	70%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRID SQ TISSUE <= 20SQCM	$588.29	$1,934.19	$1,392.62–$1,450.65	—	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION	$976.36	$3,210.12	$495.52–$4,556.00	at median	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION	$976.36	$3,210.12	$2,311.29–$2,407.59	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC SVN (IAT) FIRST TREATMENT	$138.34	$454.82	$4.85–$1,014.33	31% below	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC SVN (IAT) FIRST TREATMENT	$138.34	$454.82	$327.48–$341.12	—	70%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INF 1ST 16MN-90MN	$443.71	$1,458.85	$375.95–$1,654.18	43% below	70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INF 1ST 16MN-90MN	$443.71	$1,458.85	$1,050.38–$1,094.14	—	70%
Critical care, first 30 to 74 minutes CPT 99291 HC ER FACILITY LEVEL 6	$3,885.20	$12,774.00	$955.05–$9,580.50	21% above	70%
Critical care, first 30 to 74 minutes CPT 99291 HC ER FACILITY LVL 7 T-LIMITED	$5,245.05	$17,245.00	$955.05–$12,933.75	63% above	70%
Critical care, first 30 to 74 minutes CPT 99291 HC ER FACILITY LEVEL 8 T-MAJOR	$6,061.08	$19,928.00	$955.05–$14,946.00	88% above	70%
Critical care, first 30 to 74 minutes CPT 99291 HC ER FACILITY LVL 9 T-CRITICAL	$6,721.69	$22,100.00	$955.05–$16,575.00	109% above	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER FACILITY LEVEL 6	$3,885.20	$12,774.00	$9,197.28–$9,580.50	—	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER FACILITY LVL 7 T-LIMITED	$5,245.05	$17,245.00	$12,416.40–$12,933.75	—	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER FACILITY LEVEL 8 T-MAJOR	$6,061.08	$19,928.00	$14,348.16–$14,946.00	—	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ER FACILITY LVL 9 T-CRITICAL	$6,721.69	$22,100.00	$15,912.00–$16,575.00	—	70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG - SLEEP DEPRIVED	$717.70	$2,359.67	$352.95–$1,769.76	7% below	70%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG - SLEEP DEPRIVED	$717.70	$2,359.67	$1,698.97–$1,769.76	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD	$155.87	$512.47	$67.33–$384.36	16% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD	$155.87	$512.47	$368.98–$384.36	—	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER FACILITY LEVEL 1	$233.90	$769.00	$99.80–$576.75	6% below	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ER FACILITY LEVEL 1	$233.90	$769.00	$553.68–$576.75	—	70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER FACILITY LEVEL 2	$382.93	$1,259.00	$179.49–$944.25	16% below	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ER FACILITY LEVEL 2	$382.93	$1,259.00	$906.48–$944.25	—	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER FACILITY LEVEL 3	$787.14	$2,588.00	$313.84–$1,941.00	2% below	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ER FACILITY LEVEL 3	$787.14	$2,588.00	$1,863.36–$1,941.00	—	70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER FACILITY LEVEL 4	$1,212.65	$3,987.00	$482.64–$2,990.25	10% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ER FACILITY LEVEL 4	$1,212.65	$3,987.00	$2,870.64–$2,990.25	—	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER FACILITY LEVEL 5	$2,127.22	$6,994.00	$694.91–$5,245.50	5% below	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ER FACILITY LEVEL 5	$2,127.22	$6,994.00	$5,035.68–$5,245.50	—	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST	$562.91	$1,850.75	$352.95–$1,552.98	5% below	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST	$562.91	$1,850.75	$1,332.54–$1,388.07	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INITL 31M-90MN	$288.41	$948.25	$238.80–$1,050.72	15% below	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INITL 31M-90MN	$288.41	$948.25	$682.74–$711.19	—	70%
IV infusion of a medicine, first hour CPT 96365 HC IV INF MED NONCHEM 16M-90MN	$297.29	$977.43	$238.80–$1,050.72	27% below	70%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF MED NONCHEM 16M-90MN	$297.29	$977.43	$703.75–$733.08	—	70%
IV push of a medicine, first drug CPT 96374 HC INJ/IV PUSH SGL OR 1ST DRUG	$189.13	$621.83	$180.32–$1,050.72	19% below	70%
IV push of a medicine, first drug inpatient CPT 96374 HC INJ/IV PUSH SGL OR 1ST DRUG	$189.13	$621.83	$447.72–$466.38	—	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION SQ/IM	$101.84	$334.83	$80.67–$354.95	4% above	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION SQ/IM	$101.84	$334.83	$241.08–$251.13	—	70%
New patient office visit, about 30 minutes CPT 99203 HC LACTATION VISIT NEW PT LVL 3	$151.78	$499.00	$87.00–$733.26	16% below	70%
New patient office visit, about 30 minutes inpatient CPT 99203 HC LACTATION VISIT NEW PT LVL 3	$151.78	$499.00	$359.28–$374.25	—	70%
New patient office visit, about 45 minutes CPT 99204 HC VISIT NEW PT LEVEL 4	$187.06	$615.00	$87.00–$1,246.20	26% below	70%
New patient office visit, about 45 minutes inpatient CPT 99204 HC VISIT NEW PT LEVEL 4	$187.06	$615.00	$442.80–$461.25	—	70%
New patient office visit, about 60 minutes CPT 99205 HC VISIT NEW PT LEVEL 5	$240.59	$791.00	$87.00–$1,618.40	27% below	70%
New patient office visit, about 60 minutes inpatient CPT 99205 HC VISIT NEW PT LEVEL 5	$240.59	$791.00	$569.52–$593.25	—	70%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC LACTATION VISIT NEW PT LVL 2	$112.54	$370.00	$87.00–$482.13	23% below	70%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC LACTATION VISIT NEW PT LVL 2	$112.54	$370.00	$266.40–$277.50	—	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC OP MNT INIT ASSESS EA 15MIN	$57.08	$187.67	$21.26–$401.79	10% below	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC OP MNT INIT ASSESS EA 15MIN	$57.08	$187.67	$135.13–$140.76	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 15 MIN	$24.67	$81.09	$15.67–$122.66	71% below	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY 15 MIN	$24.67	$81.09	$58.39–$60.82	—	70%
Preventive checkup, new patient aged 18–39 CPT 99385 HC DOT NEW PT PHYS 18-39YR FAC	$92.51	$304.14	$161.03–$934.14	37% below	70%
Preventive checkup, new patient aged 18–39 CPT 99385 HC NEW PT PHYSICAL 18-39YR FAC	$172.17	$566.04	$161.03–$934.14	18% above	70%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC DOT NEW PT PHYS 18-39YR FAC	$92.51	$304.14	$218.99–$228.11	—	70%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC NEW PT PHYSICAL 18-39YR FAC	$172.17	$566.04	$407.55–$424.53	—	70%
Preventive checkup, new patient aged 40–64 CPT 99386 HC DOT NEW PT PHYS 40-64YR FAC	$92.51	$304.14	$182.49–$1,133.55	53% below	70%
Preventive checkup, new patient aged 40–64 CPT 99386 HC NEW PT PHYSICAL 40-64YR FAC	$200.86	$660.38	$185.58–$1,133.55	1% above	70%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC DOT NEW PT PHYS 40-64YR FAC	$92.51	$304.14	$218.99–$228.11	—	70%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC NEW PT PHYSICAL 40-64YR FAC	$200.86	$660.38	$475.48–$495.29	—	70%
Preventive checkup, new patient aged 65 or older CPT 99387 HC DOT NEW PT PHYSICAL 65Y&UP FAC	$92.51	$304.14	$182.49–$1,217.88	31% below	70%
Preventive checkup, new patient aged 65 or older CPT 99387 HC NEW PT PHYSICAL 65Y&UP FAC	$218.85	$719.52	$201.39–$1,217.88	63% above	70%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC DOT NEW PT PHYSICAL 65Y&UP FAC	$92.51	$304.14	$218.99–$228.11	—	70%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC NEW PT PHYSICAL 65Y&UP FAC	$218.85	$719.52	$518.06–$539.64	—	70%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC EST PT SPORT PHYS 18-39Y FAC	$62.10	$204.17	$122.51–$851.91	60% below	70%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC DOT EST PT PHYS 18-39YR FAC	$92.51	$304.14	$145.21–$851.91	40% below	70%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC EST PT PHYSICAL 18-39YR FAC	$172.17	$566.04	$145.21–$851.91	12% above	70%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC EST PT SPORT PHYS 18-39Y FAC	$62.10	$204.17	$147.01–$153.13	—	70%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC DOT EST PT PHYS 18-39YR FAC	$92.51	$304.14	$218.99–$228.11	—	70%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC EST PT PHYSICAL 18-39YR FAC	$172.17	$566.04	$407.55–$424.53	—	70%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC DOT EST PT PHYS 40-64YR FAC	$92.51	$304.14	$154.38–$927.45	31% below	70%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC EST PT PHYSICAL 40-64YR FAC	$200.86	$660.38	$154.38–$927.45	50% above	70%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC DOT EST PT PHYS 40-64YR FAC	$92.51	$304.14	$218.99–$228.11	—	70%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC EST PT PHYSICAL 40-64YR FAC	$200.86	$660.38	$475.48–$495.29	—	70%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC DOT EST PT PHYS 65Y&UP FAC	$92.51	$304.14	$166.03–$975.69	42% below	70%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC EST PT PHYSICAL 65Y&UP FAC	$218.85	$719.52	$166.03–$975.69	36% above	70%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC DOT EST PT PHYS 65Y&UP FAC	$92.51	$304.14	$218.99–$228.11	—	70%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC EST PT PHYSICAL 65Y&UP FAC	$218.85	$719.52	$518.06–$539.64	—	70%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKE CESS INTERMED 3-10 MIN	$16.41	$53.95	$33.77–$148.59	52% below	70%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKE CESS INTERMED 3-10 MIN	$16.41	$53.95	$38.85–$40.47	—	70%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC VISIT ESTABLISHED LEVEL 5	$215.65	$709.00	$87.00–$1,071.07	12% below	70%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC VISIT ESTABLISHED LEVEL 5	$215.65	$709.00	$510.48–$531.75	—	70%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC LACTATION VISIT ESTAB LVL 3	$131.70	$433.00	$87.00–$490.22	8% below	70%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC LACTATION VISIT ESTAB LVL 3	$131.70	$433.00	$311.76–$324.75	—	70%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC VISIT ESTABLISHED LEVEL 4	$157.55	$518.00	$87.00–$755.98	12% below	70%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC VISIT ESTABLISHED LEVEL 4	$157.55	$518.00	$372.96–$388.50	—	70%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC LACTATION VISIT ESTAB LVL 2	$95.51	$314.00	$87.00–$479.60	8% below	70%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC LACTATION VISIT ESTAB LVL 2	$95.51	$314.00	$226.08–$235.50	—	70%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$176.87	$581.52	$177.34–$780.30	29% below	70%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$176.87	$581.52	$418.70–$436.14	—	70%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY PRE POST BRONCH	$336.59	$1,106.66	$352.95–$1,552.98	20% below	70%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY PRE POST BRONCH	$336.59	$1,106.66	$796.80–$830.00	—	70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$143.27	$471.05	$146.10–$642.84	29% below	70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$143.27	$471.05	$339.16–$353.29	—	70%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$82.57	$271.45	$46.15–$203.59	at median	70%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2024-25(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE	$82.57	$271.45	$46.15–$203.59	—	70%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VAC 2023-24 (12 YRS AND UP) (RAXTOZIN)(PF) 30 MCG/0.3 ML IM SUSP	$169.11	$556.00	$278.00–$417.00	6% above	70%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID VAC 2023-24 (12 YR UP) (RAXTOZIN) (PF) 30 MCG/0.3 ML IM SYRINGE	$176.47	$580.20	$290.10–$435.15	10% above	70%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VAC 2023-24 (12 YRS AND UP) (RAXTOZIN)(PF) 30 MCG/0.3 ML IM SUSP	$169.11	$556.00	$305.80–$417.00	—	70%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID VAC 2023-24 (12 YR UP) (RAXTOZIN) (PF) 30 MCG/0.3 ML IM SYRINGE	$176.47	$580.20	$319.11–$435.15	—	70%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$180.09	$592.10	$296.05–$896.64	11% below	70%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE (PF) 1350 UNIT/0.5 ML SUBCUTANEOUS SUSP	$180.09	$592.10	$325.66–$444.08	—	70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$39.59	$130.15	$65.08–$97.62	15% below	70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHPERTUS(ACEL)TET PEDI (PF) 15 LF UNIT-10 MCG-5 LF/0.5 ML IM SUSP	$39.59	$130.15	$71.59–$97.62	—	70%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$15.21	$50.00	$8.50–$109.70	47% below	70%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2024-25(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$15.21	$50.00	$8.50–$37.50	—	70%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$62.95	$206.95	$103.48–$155.22	18% below	70%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 25 UNIT/0.5 ML INTRAMUSCULAR SUSPENSION	$62.95	$206.95	$113.83–$155.22	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPB VAC ADULT IM 5M-125036	$77.57	$255.02	$43.36–$478.31	at median	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$81.44	$267.75	$45.52–$478.31	5% above	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP	$122.88	$404.00	$68.68–$478.31	58% above	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$130.33	$428.50	$72.67–$478.31	68% above	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$162.88	$535.50	$72.67–$478.31	110% above	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPB VAC ADULT IM 5M-125036	$77.57	$255.02	$43.36–$191.27	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 5 MCG/0.5 ML INTRAMUSCULAR SUSP	$81.44	$267.75	$45.52–$200.82	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SUSP	$122.88	$404.00	$68.68–$303.00	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/ML INTRAMUSCULAR SYRINGE	$130.33	$428.50	$72.85–$321.38	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP	$162.88	$535.50	$91.04–$401.63	—	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$81.08	$266.55	$30.56–$199.92	44% above	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$81.44	$267.75	$30.56–$200.82	45% above	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECMB(PF) 5 MCG/0.5 ML INTRAMUSCULAR SYRINGE	$81.08	$266.55	$45.32–$199.92	—	70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE	$81.44	$267.75	$45.52–$200.82	—	70%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$90.12	$296.30	$148.15–$222.23	186% above	70%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN	$90.12	$296.30	$162.97–$222.23	—	70%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT	$156.03	$513.00	$256.50–$384.75	10% below	70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLESMUMPSRUBELLA VACCINE LIVE(PF)1000-12500TCID50/0.5 ML SUBCUT	$156.03	$513.00	$282.15–$384.75	—	70%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$123.34	$405.50	$202.75–$941.38	22% below	70%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$216.07	$710.40	$355.20–$941.38	37% above	70%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$246.65	$810.95	$380.29–$941.38	56% above	70%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION	$123.34	$405.50	$223.03–$304.13	—	70%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION	$216.07	$710.40	$390.72–$532.80	—	70%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC ACYW-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS)	$246.65	$810.95	$446.03–$608.22	—	70%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOXMPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML IDRM SUSP	$81.99	$269.55	$134.78–$202.17	6% below	70%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 SMALLPOXMPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP	$409.86	$1,347.55	$673.78–$1,010.67	371% above	70%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOXMPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML IDRM SUSP	$81.99	$269.55	$148.26–$202.17	—	70%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule inpatient CPT 90611 SMALLPOXMPOX LIVE VACCINE(PF) 0.5X TO 3.95X 10EXP8/0.5 ML SUBCUT SUSP	$409.86	$1,347.55	$741.16–$1,010.67	—	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$472.35	$1,553.00	$776.50–$1,164.75	at median	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE	$472.35	$1,553.00	$854.15–$1,164.75	—	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$199.62	$656.30	$111.58–$699.81	39% above	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION	$199.62	$656.30	$111.58–$492.23	—	70%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$72.06	$236.90	$118.45–$177.68	3% below	70%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION	$72.06	$236.90	$130.30–$177.68	—	70%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$744.04	$2,446.30	$1,223.15–$1,834.73	3% above	70%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML INTRAMUSCULAR SYRINGE	$744.04	$2,446.30	$1,345.47–$1,834.73	—	70%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$744.04	$2,446.30	$1,223.15–$1,834.73	at median	70%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE	$744.04	$2,446.30	$1,345.47–$1,834.73	—	70%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$639.49	$2,102.55	$324.74–$1,634.64	3% above	70%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP	$639.49	$2,102.55	$1,156.41–$1,576.92	—	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$50.49	$166.00	$83.00–$124.50	10% below	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM SYRINGE	$50.49	$166.00	$91.30–$124.50	—	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC ADACEL .5ML NDC49281-400-88	$75.92	$249.61	$124.81–$187.21	8% below	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$79.69	$262.00	$131.00–$196.50	4% below	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC ADACEL .5ML NDC49281-400-88	$75.92	$249.61	$137.29–$187.21	—	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTHPERTUSSIS(ACEL)TETANUS 2.5 LF UNIT-8 MCG-5 LF/0.5ML IM SYRINGE	$79.69	$262.00	$144.10–$196.50	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION	$40.77	$134.02	$80.67–$354.95	3% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMINISTRATION	$40.77	$134.02	$96.50–$100.52	—	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC ADDTL IMMUNIZATION ADMIN	$40.36	$132.68	$95.53–$128.52	12% above	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC ADDTL IMMUNIZATION ADMIN	$40.36	$132.68	$95.53–$99.51	—	70%

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

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

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

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

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

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

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

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

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

Source file: https://www.vmfh.org/content/dam/vmfhorg/documents/price-transparency/383769889-1447406699_franciscan-health-system_standardcharges.json