Hospital Seattle-Tacoma-Bellevue, WA

Cascade Valley Hospital

Listed in its price file as “Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital”.

Cascade Valley Hospital in Arlington, WA publishes cash prices for 368 common procedures listed here, from its own machine-readable price file updated Mar 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Washington median for 328 of 365 procedures and below it for 33. By typical cash price it ranks #51 of 60 Washington hospitals and #17 of 18 hospitals in the Seattle, WA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

330 S Stillaguamish Ave Arlington, WA 98223 Collected Sep 23, 2026 Source price file Check a bill from this hospital (360) 435-2133

Acute care hospital Government-owned hospital Emergency department CMS star rating 4 of 5 CCN 500060 · CMS hospital register NPI 1073566246

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Cascade Valley Hospital is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

State law

This state limits hospital bills for lower-income patients

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W W/O CONTRAST	$2,304.00	$2,880.00	$186.92–$2,592.00	11% above	20%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W W/O CONTRAST	$2,304.00	$2,880.00	$186.92–$2,592.00	—	20%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN - 2 VIEWS	$374.40	$468.00	$39.78–$421.20	15% above	20%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN - 2 VIEWS	$374.40	$468.00	$39.78–$421.20	—	20%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE MIN 3VW	$348.00	$435.00	$36.98–$391.50	12% above	20%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE MIN 3VW	$348.00	$435.00	$36.98–$391.50	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ARTERIAL STY EXTREMITIES 1 LVL	$527.20	$659.00	$128.90–$593.10	40% above	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ARTERIAL STY EXTREMITIES 1 LVL	$527.20	$659.00	$128.90–$593.10	—	20%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT EXTREM UPPER W/O CONTRAST	$2,008.00	$2,510.00	$111.66–$2,259.00	42% above	20%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT EXTREM UPPER W/O CONTRAST	$2,008.00	$2,510.00	$111.66–$2,259.00	—	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC CONTRAST X-RAY ESOPHAGUS	$656.80	$821.00	$69.79–$738.90	8% above	20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC CONTRAST X-RAY ESOPHAGUS	$656.80	$821.00	$69.79–$738.90	—	20%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE SCAN WHOLE BODY	$1,832.00	$2,290.00	$194.65–$1,832.00	23% above	20%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE SCAN WHOLE BODY	$1,832.00	$2,290.00	$194.65–$1,832.00	—	20%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE	$480.80	$601.00	$111.66–$441.74	11% above	20%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE	$480.80	$601.00	$111.66–$441.74	—	20%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST(S) SONOGRAM LTD	$326.40	$408.00	$34.68–$367.20	4% below	20%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST(S) SONOGRAM LTD	$326.40	$408.00	$34.68–$367.20	—	20%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC ANGIO ABD/PELVIS W/CON	$4,484.00	$5,605.00	$357.13–$4,484.00	25% above	20%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC ANGIO ABD/PELVIS W/CON	$4,484.00	$5,605.00	$357.13–$4,484.00	—	20%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO BRAIN	$2,540.00	$3,175.00	$186.92–$2,857.50	20% above	20%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO BRAIN	$2,540.00	$3,175.00	$186.92–$2,857.50	—	20%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO NECK	$2,489.60	$3,112.00	$186.92–$2,489.60	11% above	20%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO NECK	$2,489.60	$3,112.00	$186.92–$2,489.60	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO CHEST	$2,328.80	$2,911.00	$186.92–$2,619.90	3% below	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO CHEST	$2,328.80	$2,911.00	$186.92–$2,619.90	—	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT, ABD PELVIS W/O CONTRAST	$2,897.60	$3,622.00	$241.72–$3,259.80	15% above	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT, ABD PELVIS W/O CONTRAST	$2,897.60	$3,622.00	$241.72–$3,259.80	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT, ABD PELVIS W CONTRAST	$3,360.00	$4,200.00	$315.00–$1,459.27	9% above	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT, ABD PELVIS W CONTRAST	$3,360.00	$4,200.00	$315.00–$1,459.27	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT, ABD PELVIS W W/O CONTR	$4,484.00	$5,605.00	$357.13–$4,484.00	20% above	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT, ABD PELVIS W W/O CONTR	$4,484.00	$5,605.00	$357.13–$4,484.00	—	20%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$2,048.80	$2,561.00	$186.92–$1,882.34	9% above	20%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$2,048.80	$2,561.00	$186.92–$1,882.34	—	20%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,732.80	$2,166.00	$111.66–$1,949.40	21% above	20%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,732.80	$2,166.00	$111.66–$1,949.40	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT FACE W/O CONTRAST	$1,336.80	$1,671.00	$111.66–$1,336.80	21% above	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT FACE W/O CONTRAST	$1,336.80	$1,671.00	$111.66–$1,336.80	—	20%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT BRAIN WO CONTRAST	$1,240.00	$1,550.00	$111.66–$1,395.00	7% below	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT BRAIN WO CONTRAST	$1,240.00	$1,550.00	$111.66–$1,395.00	—	20%
CT scan of the head with contrast CPT 70460 HC CT BRAIN W CONTRAST	$1,594.40	$1,993.00	$169.41–$1,793.70	9% above	20%
CT scan of the head with contrast inpatient CPT 70460 HC CT BRAIN W CONTRAST	$1,594.40	$1,993.00	$169.41–$1,793.70	—	20%
CT scan of the head without and with contrast CPT 70470 HC CT BRAIN W WO CONTRAST	$2,223.20	$2,779.00	$186.92–$2,223.20	28% above	20%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT BRAIN W WO CONTRAST	$2,223.20	$2,779.00	$186.92–$2,223.20	—	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT L SPINE W/O CONTRAST	$1,874.40	$2,343.00	$111.66–$1,874.40	31% above	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT L SPINE W/O CONTRAST	$1,874.40	$2,343.00	$111.66–$1,874.40	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C SPINE W/O CONTRAST	$1,731.20	$2,164.00	$111.66–$1,947.60	16% above	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT C SPINE W/O CONTRAST	$1,731.20	$2,164.00	$111.66–$1,947.60	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$2,121.60	$2,652.00	$186.92–$2,386.80	18% above	20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$2,121.60	$2,652.00	$186.92–$2,386.80	—	20%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HC US CAROTID DUPLEX DOPPLER	$1,005.60	$1,257.00	$241.72–$1,131.30	14% above	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HC US CAROTID DUPLEX DOPPLER	$1,005.60	$1,257.00	$241.72–$1,131.30	—	20%
Chest CT scan without and with contrast CPT 71270 HC CHEST/THORAX W/WO CONTRAST	$2,256.00	$2,820.00	$186.92–$2,538.00	9% above	20%
Chest CT scan without and with contrast inpatient CPT 71270 HC CHEST/THORAX W/WO CONTRAST	$2,256.00	$2,820.00	$186.92–$2,538.00	—	20%
Chest X-ray, 2 views CPT 71046 HC CHEST, 2 VIEW FRONTAL/LATERAL	$362.40	$453.00	$38.51–$362.40	25% above	20%
Chest X-ray, 2 views inpatient CPT 71046 HC CHEST, 2 VIEW FRONTAL/LATERAL	$362.40	$453.00	$38.51–$362.40	—	20%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VW	$256.00	$320.00	$24.00–$344.80	7% above	20%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VW	$256.00	$320.00	$24.00–$344.80	—	20%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMP	$296.00	$370.00	$31.45–$344.80	8% above	20%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMP	$296.00	$370.00	$31.45–$344.80	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US SONOGRAM RETROPERITONEAL	$744.80	$931.00	$79.14–$837.90	20% above	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US SONOGRAM RETROPERITONEAL	$744.80	$931.00	$79.14–$837.90	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY, AXIAL	$595.20	$744.00	$63.24–$669.60	42% above	20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY, AXIAL	$595.20	$744.00	$63.24–$669.60	—	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA, PERIPHERAL WRIST OR HEEL	$182.40	$228.00	$19.38–$344.80	5% above	20%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA, PERIPHERAL WRIST OR HEEL	$182.40	$228.00	$19.38–$344.80	—	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US-OB SONO DETAIL FETAL ANATOM	$935.20	$1,169.00	$99.37–$935.20	32% above	20%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US-OB SONO DETAIL FETAL ANATOM	$935.20	$1,169.00	$99.37–$935.20	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W/O CONTRAST	$1,730.40	$2,163.00	$111.66–$1,946.70	16% above	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX W/O CONTRAST	$1,730.40	$2,163.00	$111.66–$1,946.70	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST	$2,032.80	$2,541.00	$186.92–$2,286.90	7% above	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST	$2,032.80	$2,541.00	$186.92–$2,286.90	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMO, BILATERAL, DIAG INCL CAD	$405.60	$507.00	$43.10–$456.30	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMO, BILATERAL, DIAG INCL CAD	$405.60	$507.00	$43.10–$456.30	—	20%
Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI	$380.80	$476.00	$133.17–$428.40	1% below	20%
Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI	$380.80	$476.00	$133.17–$428.40	—	20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC LOWER EXTREMITY STUDY, COMP BI	$1,118.40	$1,398.00	$118.83–$1,258.20	—	20%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC LOWER EXTREMITY STUDY, COMP BI	$1,118.40	$1,398.00	$118.83–$1,258.20	—	20%
Duplex ultrasound of the leg veins, both legs CPT 93970 HC US VEINS EXTREMITY DUPLEX,BILA	$1,256.80	$1,571.00	$133.54–$1,413.90	17% above	20%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HC US VEINS EXTREMITY DUPLEX,BILA	$1,256.80	$1,571.00	$133.54–$1,413.90	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC COMPLETE ECHO W/ DOPPLER W/CONTRAST	$1,888.00	$2,360.00	$177.00–$2,124.00	12% above	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC COMPLETE ECHO W/ DOPPLER	$1,888.00	$2,360.00	$177.00–$2,124.00	12% above	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC COMPLETE ECHO W/ DOPPLER W/CONTRAST	$1,888.00	$2,360.00	$177.00–$2,124.00	—	20%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2VW	$268.80	$336.00	$28.56–$344.80	at median	20%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2VW	$268.80	$336.00	$28.56–$344.80	—	20%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMP MIN 3VW	$362.40	$453.00	$38.51–$362.40	14% above	20%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMP MIN 3VW	$362.40	$453.00	$38.51–$362.40	—	20%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS W/O CONTRAST	$1,651.20	$2,064.00	$111.66–$1,857.60	35% above	20%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITS W/O CONTRAST	$1,651.20	$2,064.00	$111.66–$1,857.60	—	20%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES, COMPLETE	$531.20	$664.00	$56.44–$597.60	43% above	20%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES, COMPLETE	$531.20	$664.00	$56.44–$597.60	—	20%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2VW	$286.40	$358.00	$92.45–$344.80	5% above	20%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2VW	$286.40	$358.00	$92.45–$344.80	—	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC LIVER FUNCTION STUDY	$1,757.60	$2,197.00	$186.75–$1,977.30	49% above	20%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC LIVER FUNCTION STUDY	$1,757.60	$2,197.00	$186.75–$1,977.30	—	20%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2VW	$310.40	$388.00	$32.98–$417.18	9% above	20%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2VW	$310.40	$388.00	$32.98–$417.18	—	20%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS MIN 2VW	$283.20	$354.00	$92.45–$344.80	9% above	20%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS MIN 2VW	$283.20	$354.00	$92.45–$344.80	—	20%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3VW	$348.00	$435.00	$36.98–$391.50	12% above	20%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3VW	$348.00	$435.00	$36.98–$391.50	—	20%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE MIN 4VW	$456.00	$570.00	$48.45–$513.00	9% above	20%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE MIN 4VW	$456.00	$570.00	$48.45–$513.00	—	20%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT EXTREM LOWER W/O CONTRAST	$2,008.00	$2,510.00	$111.66–$2,259.00	50% above	20%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT EXTREM LOWER W/O CONTRAST	$2,008.00	$2,510.00	$111.66–$2,259.00	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC ULTRASOUND ABDOMEN, LIMITED	$620.80	$776.00	$65.96–$698.40	23% above	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC ULTRASOUND ABDOMEN, LIMITED	$620.80	$776.00	$65.96–$698.40	—	20%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NON VASC LMTD	$421.60	$527.00	$44.80–$474.30	33% above	20%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NON VASC LMTD	$421.60	$527.00	$44.80–$474.30	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCREENING	$355.20	$444.00	$37.74–$417.18	50% above	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCREENING	$355.20	$444.00	$37.74–$417.18	—	20%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA/FIBULA 2VW	$296.00	$370.00	$31.45–$344.80	7% above	20%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA/FIBULA 2VW	$296.00	$370.00	$31.45–$344.80	—	20%
MR angiography (MRA) of the head without contrast CPT 70544 HC MR ANGIO HEAD W/O DYE	$2,244.80	$2,806.00	$238.51–$2,525.40	13% above	20%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MR ANGIO HEAD W/O DYE	$2,244.80	$2,806.00	$238.51–$2,525.40	—	20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI JOINT LWR EXTRM W/O DYE	$2,228.00	$2,785.00	$236.73–$2,228.00	18% above	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI JOINT LWR EXTRM W/O DYE	$2,228.00	$2,785.00	$236.73–$2,228.00	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXT W/WO DYE	$3,168.80	$3,961.00	$336.69–$3,564.90	8% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXT W/WO DYE	$3,168.80	$3,961.00	$336.69–$3,564.90	—	20%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$2,172.80	$2,716.00	$241.72–$2,444.40	4% above	20%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$2,172.80	$2,716.00	$241.72–$2,444.40	—	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W AND W/O CONTRAST	$3,687.20	$4,609.00	$357.13–$4,148.10	18% above	20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W AND W/O CONTRAST	$3,687.20	$4,609.00	$357.13–$4,148.10	—	20%
MRI of the brain, no contrast dye CPT 70551 HC BRAIN W/O CONTRAST	$2,073.60	$2,592.00	$241.72–$2,332.80	8% above	20%
MRI of the brain, no contrast dye inpatient CPT 70551 HC BRAIN W/O CONTRAST	$2,073.60	$2,592.00	$241.72–$2,332.80	—	20%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN STEM WW/O CONTRAST	$3,368.00	$4,210.00	$357.13–$3,789.00	16% above	20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN STEM WW/O CONTRAST	$3,368.00	$4,210.00	$357.13–$3,789.00	—	20%
MRI of the lower back, no contrast dye CPT 72148 HC LUMBAR SPINE W/O CONTRAST	$2,360.00	$2,950.00	$236.00–$2,655.00	12% above	20%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC LUMBAR SPINE W/O CONTRAST	$2,360.00	$2,950.00	$236.00–$2,655.00	—	20%
MRI of the lower back, without and then with contrast dye CPT 72158 HC LUMBAR SPINE WW/O CONTRAST	$3,532.00	$4,415.00	$357.13–$3,973.50	16% above	20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC LUMBAR SPINE WW/O CONTRAST	$3,532.00	$4,415.00	$357.13–$3,973.50	—	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC THORACIC SPINE W/O CONTRAST	$2,512.00	$3,140.00	$241.72–$2,826.00	19% above	20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC THORACIC SPINE W/O CONTRAST	$2,512.00	$3,140.00	$241.72–$2,826.00	—	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC CERVICAL SPINE WW/O CONTRAST	$3,440.00	$4,300.00	$344.00–$3,225.00	17% above	20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC CERVICAL SPINE WW/O CONTRAST	$3,440.00	$4,300.00	$344.00–$3,225.00	—	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC CERVICAL SPINE W/O CONTRAST	$2,512.00	$3,140.00	$241.72–$2,826.00	25% above	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC CERVICAL SPINE W/O CONTRAST	$2,512.00	$3,140.00	$241.72–$2,826.00	—	20%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W AND W/O CONTRAST	$3,636.00	$4,545.00	$357.13–$3,636.00	20% above	20%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W AND W/O CONTRAST	$3,636.00	$4,545.00	$357.13–$3,636.00	—	20%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$2,700.80	$3,376.00	$241.72–$2,532.00	41% above	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$2,700.80	$3,376.00	$241.72–$2,532.00	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI JOINT UPR EXTREM W/O DYE	$2,296.00	$2,870.00	$241.72–$2,583.00	20% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI JOINT UPR EXTREM W/O DYE	$2,296.00	$2,870.00	$241.72–$2,583.00	—	20%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR CERV SPINE W/OBL 4 5 VWS	$571.20	$714.00	$111.66–$642.60	28% above	20%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR CERV SPINE W/OBL 4 5 VWS	$571.20	$714.00	$111.66–$642.60	—	20%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK SOFT TIS. W CONTRAST	$2,008.00	$2,510.00	$186.92–$2,259.00	20% above	20%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK SOFT TIS. W CONTRAST	$2,008.00	$2,510.00	$186.92–$2,259.00	—	20%
Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK SOFT TIS. W/O CONTRAST	$1,536.00	$1,920.00	$111.66–$1,728.00	15% above	20%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK SOFT TIS. W/O CONTRAST	$1,536.00	$1,920.00	$111.66–$1,728.00	—	20%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$282.40	$353.00	$92.45–$344.80	19% above	20%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$282.40	$353.00	$92.45–$344.80	—	20%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARD PERF SPECT MULTI STUDY	$3,804.00	$4,755.00	$2,773.64–$4,946.47	7% above	20%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARD PERF SPECT MULTI STUDY	$3,804.00	$4,755.00	$2,773.64–$4,946.47	—	20%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST	$1,563.20	$1,954.00	$111.66–$1,758.60	8% above	20%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST	$1,563.20	$1,954.00	$111.66–$1,758.60	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC SONOGRAM LTD.	$483.20	$604.00	$51.34–$543.60	6% above	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC SONOGRAM LTD.	$483.20	$604.00	$51.34–$543.60	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC SONOGRAM	$672.00	$840.00	$63.00–$756.00	13% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC SONOGRAM	$672.00	$840.00	$63.00–$756.00	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US-OB SONO > 14 WKS	$788.00	$985.00	$83.73–$886.50	22% above	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US-OB SONO > 14 WKS	$788.00	$985.00	$83.73–$886.50	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US-OB SONO < 14 WKS	$599.20	$749.00	$63.67–$674.10	20% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US 14 WKS SINGLE FETUS	$599.20	$749.00	$63.67–$674.10	20% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US-OB SONO < 14 WKS	$599.20	$749.00	$63.67–$674.10	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US-OB SONO LTD, 1 OR MORE FETU	$553.60	$692.00	$58.82–$622.80	27% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US-OB SONO LTD, 1 OR MORE FETU	$553.60	$692.00	$58.82–$622.80	27% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US-OB SONO LTD, 1 OR MORE FETU	$553.60	$692.00	$58.82–$622.80	—	20%
Rib X-ray, one side, 2 views one side CPT 71100 HC XR RIBS UNILAT 2VW	$419.20	$524.00	$44.54–$471.60	43% above	20%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XR RIBS UNILAT 2VW	$419.20	$524.00	$44.54–$471.60	—	20%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS INC PA CXR MIN 3VW	$563.20	$704.00	$59.84–$633.60	53% above	20%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS INC PA CXR MIN 3VW	$563.20	$704.00	$59.84–$633.60	—	20%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO BI 2-VIEW BREAST INC CAD	$601.60	$752.00	$63.92–$676.80	—	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO BI 2-VIEW BREAST INC CAD	$601.60	$752.00	$63.92–$676.80	—	20%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER MIN 2VW	$364.00	$455.00	$38.68–$364.00	11% above	20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER MIN 2VW	$364.00	$455.00	$38.68–$364.00	—	20%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES PARANASAL COMP 3-4V	$609.60	$762.00	$64.77–$685.80	88% above	20%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES PARANASAL COMP 3-4V	$609.60	$762.00	$64.77–$685.80	—	20%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL SERIES, LTD 1 3 VWS	$394.40	$493.00	$41.91–$443.70	36% above	20%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL SERIES, LTD 1 3 VWS	$394.40	$493.00	$41.91–$443.70	—	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC ESOPHAGUS/SWALLOW/FUNCT. VIDEO	$603.20	$754.00	$186.92–$697.18	12% above	20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC ESOPHAGUS/SWALLOW/FUNCT. VIDEO	$603.20	$754.00	$186.92–$697.18	—	20%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR 2VW	$315.20	$394.00	$33.49–$354.60	21% above	20%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR 2VW	$315.20	$394.00	$33.49–$354.60	—	20%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT T SPINE W/O CONTRAST	$1,745.60	$2,182.00	$111.66–$1,963.80	21% above	20%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT T SPINE W/O CONTRAST	$1,745.60	$2,182.00	$111.66–$1,963.80	—	20%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) 2 3 VW	$245.60	$307.00	$26.10–$344.80	at median	20%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) 2 3 VW	$245.60	$307.00	$26.10–$344.80	—	20%
Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND, TRANSVAGINAL	$547.20	$684.00	$58.14–$615.60	10% above	20%
Transvaginal pelvic ultrasound CPT 76830 HC US PELVIC SONO TRANSVAGINAL	$556.80	$696.00	$59.16–$626.40	12% above	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US PELVIC SONO TRANSVAGINAL	$556.80	$696.00	$59.16–$626.40	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 HC US-OB SONO TRANS VAG, 1 OR MOR	$561.60	$702.00	$59.67–$631.80	32% above	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US-OB SONO TRANS VAG, 1 OR MOR	$561.60	$702.00	$59.67–$631.80	—	20%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN SONOGRAM	$715.20	$894.00	$75.99–$715.20	3% above	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN SONOGRAM	$715.20	$894.00	$75.99–$715.20	—	20%
Ultrasound of the scrotum and testicles CPT 76870 HC US TESTICULAR SONOGRAM	$662.40	$828.00	$111.66–$745.20	15% above	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US TESTICULAR SONOGRAM	$662.40	$828.00	$111.66–$745.20	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US THYROID OR NECK SONOGRAM	$641.60	$802.00	$68.17–$721.80	15% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US THYROID OR NECK SONOGRAM	$641.60	$802.00	$68.17–$721.80	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI WITHOUT GAS	$737.60	$922.00	$78.37–$829.80	8% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI WITHOUT GAS	$737.60	$922.00	$78.37–$829.80	—	20%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2VW	$296.00	$370.00	$31.45–$344.80	7% above	20%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2VW	$296.00	$370.00	$31.45–$344.80	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC EXTREMITY STUDY LEVEL 2	$836.80	$1,046.00	$88.91–$941.40	24% above	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC EXTREMITY STUDY LEVEL 2	$836.80	$1,046.00	$88.91–$941.40	—	20%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2VW	$280.00	$350.00	$28.00–$344.80	12% above	20%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2VW	$280.00	$350.00	$28.00–$344.80	—	20%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMP MIN 3VW	$362.40	$453.00	$38.51–$362.40	15% above	20%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMP MIN 3VW	$362.40	$453.00	$38.51–$362.40	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XR UNILATERAL HIP 2/3 VW	$328.00	$410.00	$34.85–$369.00	1% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC XR UNILATERAL HIP 2/3 VW	$328.00	$410.00	$34.85–$369.00	—	20%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VW	$324.80	$406.00	$34.51–$365.40	25% above	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VW	$324.80	$406.00	$34.51–$365.40	—	20%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2VW	$296.80	$371.00	$31.54–$344.80	17% above	20%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2VW	$296.80	$371.00	$31.54–$344.80	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) 2VW	$290.40	$363.00	$92.45–$344.80	9% above	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) 2VW	$290.40	$363.00	$92.45–$344.80	—	20%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2VW	$319.20	$399.00	$33.92–$359.10	15% above	20%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2VW	$319.20	$399.00	$33.92–$359.10	—	20%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT COMP MIN 3VW	$344.80	$431.00	$36.64–$387.90	14% above	20%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT COMP MIN 3VW	$344.80	$431.00	$36.64–$387.90	—	20%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3VW	$364.00	$455.00	$38.68–$364.00	18% above	20%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3VW	$364.00	$455.00	$38.68–$364.00	—	20%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2VW	$278.40	$348.00	$29.58–$344.80	3% below	20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2VW	$278.40	$348.00	$29.58–$344.80	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR LUMBAR SPINE AP/LAT 2-3VWS	$424.00	$530.00	$111.66–$477.00	14% above	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR LUMBAR SPINE AP/LAT 2-3VWS	$424.00	$530.00	$111.66–$477.00	—	20%
X-ray of the lower back, 4 or more views CPT 72110 HC XR LUMBAR SPINE W/OBL 4 5 VWS	$668.00	$835.00	$111.66–$751.50	48% above	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR LUMBAR SPINE W/OBL 4 5 VWS	$668.00	$835.00	$111.66–$751.50	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR THORACIC SPINE 2 VW	$364.80	$456.00	$38.76–$417.18	15% above	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR THORACIC SPINE 2 VW	$364.80	$456.00	$38.76–$417.18	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES, MINIMUM 3 VIEWS	$372.80	$466.00	$39.61–$419.40	45% above	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES, MINIMUM 3 VIEWS	$372.80	$466.00	$39.61–$419.40	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR CERV. SPINE LTD. 3 VW	$348.00	$435.00	$36.98–$391.50	9% above	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR CERV. SPINE LTD. 3 VW	$348.00	$435.00	$36.98–$391.50	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 2 VWS	$398.40	$498.00	$42.33–$448.20	39% above	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 2 VWS	$398.40	$498.00	$42.33–$448.20	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR COCCYX /OR SACRUM 2 VWS	$339.20	$424.00	$92.45–$381.60	20% above	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR COCCYX /OR SACRUM 2 VWS	$339.20	$424.00	$92.45–$381.60	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
ACTH blood test CPT 82024 HC ACTH INTACT	$293.60	$367.00	$31.20–$293.60	33% above	20%
ACTH blood test inpatient CPT 82024 HC ACTH INTACT	$293.60	$367.00	$31.20–$293.60	—	20%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT (GPT)	$47.20	$59.00	$5.30–$53.10	at median	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT (GPT)	$47.20	$59.00	$5.30–$53.10	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST (GOT)	$46.40	$58.00	$4.93–$52.20	9% above	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST (GOT)	$46.40	$58.00	$4.93–$52.20	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL	$332.80	$416.00	$35.36–$374.40	35% above	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL	$332.80	$416.00	$35.36–$374.40	—	20%
Albumin blood test CPT 82040 HC ALBUMIN	$44.80	$56.00	$4.76–$44.80	26% above	20%
Albumin blood test inpatient CPT 82040 HC ALBUMIN	$44.80	$56.00	$4.76–$44.80	—	20%
Aldosterone blood test CPT 82088 HC ALDOSTERONE-SERUM	$358.40	$448.00	$42.79–$358.40	113% above	20%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE-SERUM	$358.40	$448.00	$42.79–$358.40	—	20%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK. PHOSPHATASE	$45.60	$57.00	$4.85–$51.30	20% above	20%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK. PHOSPHATASE	$45.60	$57.00	$4.85–$51.30	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE, QUANT	$47.20	$59.00	$5.22–$53.10	77% above	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE, QUANT	$47.20	$59.00	$5.22–$53.10	—	20%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN MAT INH	$135.20	$169.00	$14.37–$152.10	62% above	20%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN MAT INH	$135.20	$169.00	$14.37–$152.10	—	20%
Ammonia blood test CPT 82140 HC AMMONIA	$162.40	$203.00	$14.57–$182.70	42% above	20%
Ammonia blood test inpatient CPT 82140 HC AMMONIA	$162.40	$203.00	$14.57–$182.70	—	20%
Amylase blood test CPT 82150 HC AMYLASE-SERUM	$77.60	$97.00	$6.48–$87.30	25% above	20%
Amylase blood test inpatient CPT 82150 HC AMYLASE-SERUM	$77.60	$97.00	$6.48–$87.30	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANTI CITRULLINATED PEPTIDE	$130.40	$163.00	$12.95–$146.70	68% above	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANTI CITRULLINATED PEPTIDE	$130.40	$163.00	$12.95–$146.70	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA)	$96.80	$121.00	$12.69–$96.80	38% above	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA)	$96.80	$121.00	$12.69–$96.80	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE	$298.40	$373.00	$31.71–$335.70	54% above	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE	$298.40	$373.00	$31.71–$335.70	—	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECMN AEROBIC	$137.60	$172.00	$8.62–$154.80	56% above	20%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECMN AEROBIC	$137.60	$172.00	$8.62–$154.80	—	20%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROFILE	$72.00	$90.00	$7.65–$81.00	4% below	20%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROFILE	$72.00	$90.00	$7.65–$81.00	—	20%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN,TOT	$44.80	$56.00	$4.76–$44.80	1% above	20%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN,TOT	$44.80	$56.00	$4.76–$44.80	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATHOLOGY LEVEL IV	$222.40	$278.00	$23.63–$222.40	27% above	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURGICAL PATHOLOGY LEVEL IV	$222.40	$278.00	$23.63–$222.40	—	20%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE AND SENS	$169.60	$212.00	$11.15–$169.60	14% above	20%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE AND SENS	$169.60	$212.00	$11.15–$169.60	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUCTURE	$36.80	$46.00	$3.91–$41.40	47% above	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUCTURE	$36.80	$46.00	$3.91–$41.40	—	20%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE	$40.00	$50.00	$3.93–$45.00	7% above	20%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE	$40.00	$50.00	$3.93–$45.00	—	20%
Blood lead test CPT 83655 HC ASSAY OF LEAD	$60.80	$76.00	$6.46–$68.40	4% below	20%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD	$60.80	$76.00	$6.46–$68.40	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY,SRM QUAL	$102.40	$128.00	$7.52–$115.20	37% above	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC PREGNANCY,SRM QUAL	$102.40	$128.00	$7.52–$115.20	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING, ABO BWNW	$110.40	$138.00	$2.99–$483.84	70% above	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING, ABO	$110.40	$138.00	$2.99–$483.84	70% above	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING, ABO BWNW	$110.40	$138.00	$2.99–$483.84	—	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING, ABO	$110.40	$138.00	$2.99–$483.84	—	20%
Blood urea nitrogen (BUN) test CPT 84520 HC BLOOD UREA NITROGEN	$44.00	$55.00	$3.95–$49.50	21% above	20%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BLOOD UREA NITROGEN	$44.00	$55.00	$3.95–$49.50	—	20%
C-peptide blood test CPT 84681 HC C-PEPTIDE	$103.20	$129.00	$22.47–$116.10	7% below	20%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE	$103.20	$129.00	$22.47–$116.10	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$92.80	$116.00	$5.18–$92.80	58% above	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$92.80	$116.00	$5.18–$92.80	—	20%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C. DIFFICILE DNA AMPLIFICATION	$253.60	$317.00	$26.95–$285.30	45% above	20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C. DIFFICILE DNA AMPLIFICATION	$253.60	$317.00	$26.95–$285.30	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$176.00	$220.00	$18.70–$198.00	59% above	20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR CA 19-9	$176.00	$220.00	$18.70–$198.00	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR CA 125	$208.00	$260.00	$22.10–$234.00	73% above	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR CA 125	$208.00	$260.00	$22.10–$234.00	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB POCT	$98.40	$123.00	$51.31–$98.40	7% below	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB NWP	$176.00	$220.00	$18.70–$198.00	67% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB SRH	$176.00	$220.00	$18.70–$198.00	67% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB POCT	$98.40	$123.00	$51.31–$98.40	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB NWP	$176.00	$220.00	$18.70–$198.00	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB SRH	$176.00	$220.00	$18.70–$198.00	—	20%
Calcium blood test, total CPT 82310 HC CALCIUM	$53.60	$67.00	$5.16–$53.60	26% above	20%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM	$53.60	$67.00	$5.16–$53.60	—	20%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA ANTIGEN	$129.60	$162.00	$13.77–$145.80	at median	20%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA ANTIGEN	$129.60	$162.00	$13.77–$145.80	—	20%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY	$134.40	$168.00	$12.88–$151.20	70% above	20%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY	$134.40	$168.00	$12.88–$151.20	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACH DNA AMP PROBE	$154.40	$193.00	$16.41–$173.70	15% above	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACH DNA AMP PROBE	$154.40	$193.00	$16.41–$173.70	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$106.40	$133.00	$11.31–$119.70	20% above	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$106.40	$133.00	$11.31–$119.70	—	20%
Complete blood count (CBC) with differential CPT 85025 HC CBC W/DIFF PERCENT PLATELETS	$86.40	$108.00	$7.77–$97.20	28% above	20%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W/DIFF PERCENT PLATELETS	$86.40	$108.00	$7.77–$97.20	—	20%
Complete blood count (CBC), no differential CPT 85027 HC CBC, PLATELET COUNT	$56.00	$70.00	$5.95–$63.00	9% above	20%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC, PLATELET COUNT	$56.00	$70.00	$5.95–$63.00	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$91.20	$114.00	$9.69–$91.20	at median	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$91.20	$114.00	$9.69–$91.20	—	20%
Cortisol blood test, total CPT 82533 HC CORTISOL SERUM TOTAL	$131.20	$164.00	$13.94–$147.60	24% above	20%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SERUM TOTAL	$131.20	$164.00	$13.94–$147.60	—	20%
Creatine kinase (CK) blood test, total CPT 82550 HC CK, SERUM	$79.20	$99.00	$6.51–$89.10	19% above	20%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK, SERUM	$79.20	$99.00	$6.51–$89.10	—	20%
Creatinine blood test CPT 82565 HC CREATININE	$59.20	$74.00	$5.12–$66.60	37% above	20%
Creatinine blood test inpatient CPT 82565 HC CREATININE	$59.20	$74.00	$5.12–$66.60	—	20%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV, ANTIBODY (BWNW)	$105.60	$132.00	$11.22–$118.80	38% above	20%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV, ANTIBODY	$105.60	$132.00	$11.22–$118.80	38% above	20%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV, ANTIBODY	$105.60	$132.00	$11.22–$118.80	—	20%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV, ANTIBODY (BWNW)	$105.60	$132.00	$11.22–$118.80	—	20%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANTITATIVE	$192.80	$241.00	$12.22–$216.90	62% above	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANTITATIVE	$192.80	$241.00	$12.22–$216.90	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE	$209.60	$262.00	$22.23–$235.80	63% above	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE	$209.60	$262.00	$22.23–$235.80	—	20%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR	$224.80	$281.00	$23.89–$252.90	40% above	20%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR	$224.80	$281.00	$23.89–$252.90	—	20%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$52.80	$66.00	$5.61–$59.40	3% below	20%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$52.80	$66.00	$5.61–$59.40	—	20%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA	$145.60	$182.00	$15.47–$163.80	53% above	20%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA	$145.60	$182.00	$15.47–$163.80	—	20%
Estradiol blood test CPT 82670 HC ESTRADIOL	$172.00	$215.00	$18.28–$193.50	24% above	20%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$172.00	$215.00	$18.28–$193.50	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH SERUM	$138.40	$173.00	$14.71–$155.70	47% above	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH SERUM	$138.40	$173.00	$14.71–$155.70	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY OF CALPROTECTIN FECAL	$342.40	$428.00	$19.63–$385.20	72% above	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY OF CALPROTECTIN FECAL	$342.40	$428.00	$19.63–$385.20	—	20%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$121.60	$152.00	$12.92–$136.80	24% above	20%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$121.60	$152.00	$12.92–$136.80	—	20%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN - ACTIVITY	$111.20	$139.00	$9.72–$125.10	38% above	20%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN - ACTIVITY	$111.20	$139.00	$9.72–$125.10	—	20%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID-SERUM	$118.40	$148.00	$12.58–$133.20	12% above	20%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID-SERUM	$118.40	$148.00	$12.58–$133.20	—	20%
Free T3 thyroid hormone test CPT 84481 HC FREE T3	$152.00	$190.00	$16.15–$171.00	70% above	20%
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3	$152.00	$190.00	$16.15–$171.00	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE, FREE	$116.00	$145.00	$9.47–$116.00	68% above	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE, FREE	$116.00	$145.00	$9.47–$116.00	—	20%
Free testosterone test CPT 84402 HC FREE TESTOSTERONE	$206.40	$258.00	$21.93–$232.20	62% above	20%
Free testosterone test inpatient CPT 84402 HC FREE TESTOSTERONE	$206.40	$258.00	$21.93–$232.20	—	20%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT	$58.40	$73.00	$6.21–$65.70	8% above	20%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT	$58.40	$73.00	$6.21–$65.70	—	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$320.80	$401.00	$82.42–$294.74	38% above	20%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL	$320.80	$401.00	$82.42–$294.74	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE - POST GLUCOSE DOSE	$48.80	$61.00	$4.75–$54.90	19% above	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE - POST GLUCOSE DOSE	$48.80	$61.00	$4.75–$54.90	—	20%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE - TOLER TEST (GTT3)	$113.60	$142.00	$12.87–$127.80	56% above	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE - TOLER TEST (GTT3)	$113.60	$142.00	$12.87–$127.80	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB	$151.20	$189.00	$36.84–$151.20	20% above	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB	$151.20	$189.00	$36.84–$151.20	—	20%
H. pylori antibody blood test CPT 86677 HC H. PYLORI ANTIBODY	$126.40	$158.00	$13.43–$142.20	46% above	20%
H. pylori antibody blood test inpatient CPT 86677 HC H. PYLORI ANTIBODY	$126.40	$158.00	$13.43–$142.20	—	20%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PLY.STOOL	$171.20	$214.00	$14.38–$192.60	20% above	20%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PLY.STOOL	$171.20	$214.00	$14.38–$192.60	—	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV PCR,QUANTITATION	$459.20	$574.00	$48.79–$516.60	19% above	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV PCR,QUANTITATION	$459.20	$574.00	$48.79–$516.60	—	20%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 RESULT ANTBDY	$132.80	$166.00	$13.71–$149.40	55% above	20%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 RESULT ANTBDY	$132.80	$166.00	$13.71–$149.40	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 HIV-2 AB	$101.60	$127.00	$25.28–$114.30	4% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 HIV-2 AB	$101.60	$127.00	$25.28–$114.30	—	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV DNA PROBE, HI RISK	$152.80	$191.00	$16.24–$171.90	7% above	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV DNA PROBE, HI RISK	$152.80	$191.00	$16.24–$171.90	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED (AIC)	$30.40	$38.00	$3.23–$34.20	57% below	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HGB	$116.80	$146.00	$9.71–$131.40	66% above	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED (AIC)	$30.40	$38.00	$3.23–$34.20	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCATED HGB	$116.80	$146.00	$9.71–$131.40	—	20%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB)	$32.80	$41.00	$2.37–$36.90	12% above	20%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB)	$32.80	$41.00	$2.37–$36.90	—	20%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE AB	$100.80	$126.00	$12.65–$113.40	47% above	20%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE AB	$100.80	$126.00	$12.65–$113.40	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE AB	$90.40	$113.00	$9.61–$84.75	22% above	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE AB	$90.40	$113.00	$9.61–$84.75	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEP B SURFACE AG	$85.60	$107.00	$9.10–$96.30	13% above	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEP B SURFACE AG	$85.60	$107.00	$9.10–$96.30	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$114.40	$143.00	$12.16–$128.70	33% above	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY	$114.40	$143.00	$12.16–$128.70	—	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HCV RNA, PCR QNT	$398.40	$498.00	$42.33–$448.20	19% above	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HCV RNA, PCR QNT	$398.40	$498.00	$42.33–$448.20	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES (HSV) TYPE 1 IGG	$119.20	$149.00	$12.67–$134.10	72% above	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES (HSV) TYPE 1 IGG	$119.20	$149.00	$12.67–$134.10	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES (HSV) TYPE 2 IGG	$96.00	$120.00	$9.00–$96.00	9% above	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES (HSV) TYPE 2 IGG	$96.00	$120.00	$9.00–$96.00	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGHLY SENSITIVE	$92.80	$116.00	$9.86–$92.80	25% above	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGHLY SENSITIVE	$92.80	$116.00	$9.86–$92.80	—	20%
Homocysteine blood test CPT 83090 HC HOMOCYSTEIN LEVEL	$123.20	$154.00	$17.92–$138.60	1% above	20%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEIN LEVEL	$123.20	$154.00	$17.92–$138.60	—	20%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN	$81.60	$102.00	$8.67–$91.80	1% below	20%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN	$81.60	$102.00	$8.67–$91.80	—	20%
Iron blood test (serum iron) CPT 83540 HC IRON ASSAY	$66.40	$83.00	$6.47–$74.70	41% above	20%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON ASSAY	$66.40	$83.00	$6.47–$74.70	—	20%
Iron-binding capacity (TIBC) test CPT 83550 HC TOTAL IRON BINDING CAPACITY	$88.80	$111.00	$8.74–$99.90	48% above	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC TOTAL IRON BINDING CAPACITY	$88.80	$111.00	$8.74–$99.90	—	20%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$84.80	$106.00	$8.68–$95.40	12% above	20%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$84.80	$106.00	$8.68–$95.40	—	20%
LH (luteinizing hormone) test CPT 83002 HC LH,SERUM	$147.20	$184.00	$15.64–$165.60	53% above	20%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH,SERUM	$147.20	$184.00	$15.64–$165.60	—	20%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$128.00	$160.00	$11.57–$144.00	28% above	20%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$128.00	$160.00	$11.57–$144.00	—	20%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE (LD) (LDH) ENZIME	$50.40	$63.00	$5.36–$56.70	17% above	20%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE (LD) (LDH) ENZIME	$50.40	$63.00	$5.36–$56.70	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$99.20	$124.00	$6.89–$111.60	18% above	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$99.20	$124.00	$6.89–$111.60	—	20%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION	$78.40	$98.00	$8.17–$88.20	20% above	20%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION	$78.40	$98.00	$8.17–$88.20	—	20%
Lyme disease antibody test CPT 86618 HC LYME ANTIBODY	$80.00	$100.00	$8.00–$75.00	17% below	20%
Lyme disease antibody test inpatient CPT 86618 HC LYME ANTIBODY	$80.00	$100.00	$8.00–$75.00	—	20%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM	$63.20	$79.00	$6.70–$71.10	17% above	20%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM	$63.20	$79.00	$6.70–$71.10	—	20%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA (MEASLES) IGM	$101.60	$127.00	$12.88–$114.30	43% above	20%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA (MEASLES) IGM	$101.60	$127.00	$12.88–$114.30	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE TITER	$83.20	$104.00	$5.18–$93.60	45% above	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE TITER	$83.20	$104.00	$5.18–$93.60	—	20%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY	$76.00	$95.00	$15.66–$85.50	6% above	20%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY	$76.00	$95.00	$15.66–$85.50	—	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$113.60	$142.00	$18.39–$127.80	16% above	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$113.60	$142.00	$18.39–$127.80	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PSA TOTAL	$119.20	$149.00	$12.67–$134.10	8% above	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PSA TOTAL	$119.20	$149.00	$12.67–$134.10	—	20%
Pap test (liquid-based, automated screening with review) CPT 88175 HC THIN PREP PAP SMEAR	$113.60	$142.00	$26.61–$127.80	24% above	20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC THIN PREP PAP SMEAR	$113.60	$142.00	$26.61–$127.80	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATHOLOG PAPSMEAR THINPREP	$105.60	$132.00	$11.22–$118.80	27% above	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATHOLOG PAPSMEAR THINPREP	$105.60	$132.00	$11.22–$118.80	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE	$248.80	$311.00	$26.44–$279.90	18% above	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE	$248.80	$311.00	$26.44–$279.90	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN INHIBITION PARTIAL	$64.80	$81.00	$6.89–$72.90	57% above	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN INHIBITION PARTIAL	$64.80	$81.00	$6.89–$72.90	—	20%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY OF PHOSPHORUS	$49.60	$62.00	$4.74–$55.80	24% above	20%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY OF PHOSPHORUS	$49.60	$62.00	$4.74–$55.80	—	20%
Potassium blood test CPT 84132 HC ASSAY OF SERUM POTASSIUM	$43.20	$54.00	$4.59–$48.60	5% above	20%
Potassium blood test inpatient CPT 84132 HC ASSAY OF SERUM POTASSIUM	$43.20	$54.00	$4.59–$48.60	—	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC Fetal Chrmoml Aneuploidy	$1,284.00	$1,605.00	$136.43–$1,444.50	68% above	20%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC Fetal Chrmoml Aneuploidy	$1,284.00	$1,605.00	$136.43–$1,444.50	—	20%
Progesterone blood test CPT 84144 HC PROGESTERONE	$134.40	$168.00	$14.28–$151.20	37% above	20%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$134.40	$168.00	$14.28–$151.20	—	20%
Prolactin blood test CPT 84146 HC PROLACTIN	$164.80	$206.00	$17.51–$185.40	52% above	20%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$164.80	$206.00	$17.51–$185.40	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$44.80	$56.00	$4.29–$44.80	12% above	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$44.80	$56.00	$4.29–$44.80	—	20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG SCREEN MULTI DRUG CLASS	$112.80	$141.00	$11.99–$126.90	127% above	20%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG SCREEN MULTI DRUG CLASS	$112.80	$141.00	$11.99–$126.90	—	20%
Rapid flu test (influenza antigen) CPT 87804 HC RAPID INFLUENZA SCREEN	$123.20	$154.00	$16.55–$138.60	82% above	20%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC RAPID INFLUENZA SCREEN	$123.20	$154.00	$16.55–$138.60	—	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID STREP SCREEN	$44.80	$56.00	$4.76–$44.80	38% below	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP SCREEN	$44.80	$56.00	$4.76–$44.80	—	20%
Renin blood test CPT 84244 HC RENIN,PLASMA	$177.60	$222.00	$18.87–$199.80	36% above	20%
Renin blood test inpatient CPT 84244 HC RENIN,PLASMA	$177.60	$222.00	$18.87–$199.80	—	20%
Rh blood typing CPT 86901 HC RH TYPING	$57.60	$72.00	$2.99–$151.91	20% above	20%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D)	$66.40	$83.00	$2.99–$151.91	39% above	20%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) BWNW	$66.40	$83.00	$2.99–$151.91	39% above	20%
Rh blood typing inpatient CPT 86901 HC RH TYPING	$57.60	$72.00	$2.99–$151.91	—	20%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) BWNW	$66.40	$83.00	$2.99–$151.91	—	20%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D)	$66.40	$83.00	$2.99–$151.91	—	20%
Rheumatoid factor (RF) test CPT 86431 HC RA TITER	$44.80	$56.00	$4.76–$44.80	12% above	20%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RA TITER	$44.80	$56.00	$4.76–$44.80	—	20%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB,IGG	$105.60	$132.00	$11.22–$118.80	53% above	20%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB,IGG	$105.60	$132.00	$11.22–$118.80	—	20%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTOMATED	$44.40	$55.50	$2.70–$49.95	24% above	20%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE AUTOMATED	$44.40	$55.50	$2.70–$49.95	—	20%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANAL VOL/COUNT/MOT	$21.60	$27.00	$2.30–$24.30	66% below	20%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANAL VOL/COUNT/MOT	$21.60	$27.00	$2.30–$24.30	—	20%
Sodium blood test CPT 84295 HC SODIUM	$37.60	$47.00	$4.00–$42.30	11% below	20%
Sodium blood test inpatient CPT 84295 HC SODIUM	$37.60	$47.00	$4.00–$42.30	—	20%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS	$68.00	$85.00	$7.23–$76.50	1% above	20%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS	$68.00	$85.00	$7.23–$76.50	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD,OCCULT,GUAIAC,FECES	$48.00	$60.00	$4.38–$54.00	58% above	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD,OCCULT,GUAIAC,FECES	$48.00	$60.00	$4.38–$54.00	—	20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC FECAL OCCULT BLOOD IMMUNOASSAY	$111.20	$139.00	$11.82–$125.10	50% above	20%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC FECAL OCCULT BLOOD IMMUNOASSAY	$111.20	$139.00	$11.82–$125.10	—	20%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM	$120.00	$150.00	$12.00–$135.00	76% above	20%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM	$120.00	$150.00	$12.00–$135.00	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$52.00	$65.00	$4.27–$58.50	61% above	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$52.00	$65.00	$4.27–$58.50	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON	$256.80	$321.00	$27.29–$288.90	24% above	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON	$256.80	$321.00	$27.29–$288.90	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE,TOT SRM	$207.20	$259.00	$25.81–$233.10	62% above	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE,TOT SRM	$207.20	$259.00	$25.81–$233.10	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOME IgG	$131.20	$164.00	$13.94–$147.60	62% above	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY MICROSOME IgG	$131.20	$164.00	$13.94–$147.60	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$136.00	$170.00	$14.45–$153.00	29% above	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$136.00	$170.00	$14.45–$153.00	—	20%
Total IgE blood test CPT 82785 HC ASSAY OF IGE	$135.20	$169.00	$14.37–$152.10	41% above	20%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF IGE	$135.20	$169.00	$14.37–$152.10	—	20%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$41.60	$52.00	$4.35–$46.80	14% above	20%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$41.60	$52.00	$4.35–$46.80	—	20%
Total thyroxine (T4) blood test CPT 84436 HC T4-THYROXINE	$53.60	$67.00	$5.70–$53.60	5% below	20%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4-THYROXINE	$53.60	$67.00	$5.70–$53.60	—	20%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE T3 - TOTAL	$97.60	$122.00	$14.18–$97.60	7% above	20%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE T3 - TOTAL	$97.60	$122.00	$14.18–$97.60	—	20%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$114.40	$143.00	$12.16–$128.70	29% above	20%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$114.40	$143.00	$12.16–$128.70	—	20%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF	$133.60	$167.00	$14.20–$133.60	22% above	20%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF	$133.60	$167.00	$14.20–$133.60	—	20%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDE	$55.20	$69.00	$5.74–$62.10	25% above	20%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDE	$55.20	$69.00	$5.74–$62.10	—	20%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANT	$166.40	$208.00	$12.47–$187.20	22% above	20%
Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANT	$166.40	$208.00	$12.47–$187.20	—	20%
Uric acid blood test CPT 84550 HC URIC ACID	$48.80	$61.00	$4.52–$54.90	9% above	20%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$48.80	$61.00	$4.52–$54.90	—	20%
Urinalysis with microscope exam, automated CPT 81001 HC UA,COMPLETE	$52.00	$65.00	$3.17–$58.50	32% above	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC UA,COMPLETE	$52.00	$65.00	$3.17–$58.50	—	20%
Urinalysis with microscope exam, manual CPT 81000 HC UA ROUTINE WITH MICRO	$44.80	$56.00	$4.22–$44.80	162% above	20%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC UA ROUTINE WITH MICRO	$44.80	$56.00	$4.22–$44.80	—	20%
Urinalysis without microscope exam, automated CPT 81003 HC URINE ANALYSIS DIPSTICK W/O MICROSCOPY	$43.20	$54.00	$2.25–$48.60	51% above	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINE ANALYSIS DIPSTICK W/O MICROSCOPY	$43.20	$54.00	$2.25–$48.60	—	20%
Urinalysis without microscope exam, manual CPT 81002 HC URINE ANALYSIS, MANUAL	$30.40	$38.00	$3.23–$34.20	49% above	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE ANALYSIS, MANUAL	$30.40	$38.00	$3.23–$34.20	—	20%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE,URINE, QUANTITATIVE	$107.20	$134.00	$8.47–$98.49	27% above	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE,URINE, QUANTITATIVE	$107.20	$134.00	$8.47–$98.49	—	20%
Urine microalbumin (albumin) test CPT 82043 HC ALBUMIN, URINE	$85.60	$107.00	$5.78–$96.30	63% above	20%
Urine microalbumin (albumin) test inpatient CPT 82043 HC ALBUMIN, URINE	$85.60	$107.00	$5.78–$96.30	—	20%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$68.80	$86.00	$7.31–$77.40	37% above	20%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$68.80	$86.00	$7.31–$77.40	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12	$121.60	$152.00	$12.92–$136.80	22% above	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12	$121.60	$152.00	$12.92–$136.80	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VIT D (25 OH)	$152.00	$190.00	$16.15–$171.00	12% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VIT D (25 OH)	$152.00	$190.00	$16.15–$171.00	—	20%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VIT D(1,25DIHYDR)	$241.60	$302.00	$25.67–$271.80	39% above	20%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VIT D(1,25DIHYDR)	$241.60	$302.00	$25.67–$271.80	—	20%
Zinc blood test CPT 84630 HC ASSAY OF ZINC	$109.60	$137.00	$11.39–$123.30	45% above	20%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC	$109.60	$137.00	$11.39–$123.30	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG, QUANT	$139.20	$174.00	$14.79–$156.60	28% above	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG, QUANT	$139.20	$174.00	$14.79–$156.60	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC GUID	$3,264.80	$4,081.00	$346.89–$6,151.98	47% above	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STEREOTACTIC GUID	$3,264.80	$4,081.00	$346.89–$6,151.98	—	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLSD TX DIS FIBULA W/O MANIP	$785.20	$981.50	$83.43–$894.81	21% above	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION	$1,572.80	$1,966.00	$167.11–$2,469.55	44% above	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC HC CLSD TX DISTAL RADIAL FX W/OM	$616.80	$771.00	$65.54–$894.81	at median	20%
Colonoscopy with polyp removal CPT 45385 HC COLON - SNARE POLYPECTOMY	$1,814.40	$2,268.00	$192.78–$4,477.79	23% below	20%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLON - SNARE POLYPECTOMY	$1,814.40	$2,268.00	$192.78–$4,477.79	—	20%
Colonoscopy with tissue sample CPT 45380 HC COLON - BIOPSY	$1,134.40	$1,418.00	$1,134.40–$4,477.79	49% below	20%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLON - BIOPSY	$1,134.40	$1,418.00	$1,134.40–$4,477.79	—	20%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY BEDSIDE	$1,502.40	$1,878.00	$159.63–$3,461.95	22% below	20%
Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY	$1,632.80	$2,041.00	$173.49–$3,461.95	16% below	20%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY BEDSIDE	$1,502.40	$1,878.00	$159.63–$3,461.95	—	20%
Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY	$1,632.80	$2,041.00	$173.49–$3,461.95	—	20%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$1,836.00	$2,295.00	$667.47–$2,587.50	99% above	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVAL CERUMEN - IRRIGATION	$165.60	$207.00	$17.60–$231.67	49% above	20%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL CERUMEN - REQUIRING INSTRUMENTATION	$219.20	$274.00	$23.29–$246.60	29% above	20%
Earwax removal with instruments, one ear CPT 69210 HC CERUMEN REMOVAL 1 OR 2 EARS	$219.20	$274.00	$23.29–$246.60	29% above	20%
Earwax removal with instruments, one ear inpatient CPT 69210 HC CERUMEN REMOVAL 1 OR 2 EARS	$219.20	$274.00	$23.29–$246.60	—	20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJECTION CRV/THRC WITH IMG GUIDANCE	$1,532.00	$1,915.00	$162.78–$2,619.46	at median	20%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJECTION CRV/THRC WITH IMG GUIDANCE	$1,532.00	$1,915.00	$162.78–$2,619.46	—	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC FACET NERVE BLOCK, LUMBAR/SACR	$3,069.60	$3,837.00	$326.15–$3,458.60	33% above	20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC FACET NERVE BLOCK, LUMBAR/SACR	$3,069.60	$3,837.00	$326.15–$3,458.60	—	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOID - FLEXIBLE	$340.80	$426.00	$36.21–$3,461.95	78% below	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOID - FLEXIBLE	$340.80	$426.00	$36.21–$3,461.95	—	20%
Hammertoe correction surgery CPT 28285 HC HAMMERTOE REPAIR	$6,228.00	$7,785.00	$661.73–$6,228.00	58% above	20%
Hammertoe correction surgery inpatient CPT 28285 HC HAMMERTOE REPAIR	$6,228.00	$7,785.00	$661.73–$6,228.00	—	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC INJECT HYSTEROSALPINGOGRAM	$257.60	$322.00	$27.37–$289.80	2% above	20%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC INJECT HYSTEROSALPINGOGRAM	$257.60	$322.00	$27.37–$289.80	—	20%
IUD insertion (the device itself billed separately) CPT 58300 HC IUD INSERTION	$936.00	$1,170.00	$99.45–$936.00	227% above	20%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC IUD INSERTION	$936.00	$1,170.00	$99.45–$936.00	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D ABSCESS/CYST	$608.00	$760.00	$57.00–$759.65	62% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I & D ABSCESS/CYST	$640.00	$800.00	$6.00–$759.65	71% above	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I & D ABSCESS/CYST	$640.00	$800.00	$6.00–$759.65	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SINGLE TENDON SHEATH	$432.00	$540.00	$45.90–$1,123.87	43% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SINGLE TENDON SHEATH	$432.00	$540.00	$45.90–$1,123.87	43% above	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SINGLE TENDON SHEATH	$432.00	$540.00	$45.90–$1,123.87	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS - LARGE JOINT	$600.00	$750.00	$6.00–$1,123.87	24% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO/ASP/INJ MAJ JNT/BUR/CYS	$663.20	$829.00	$295.19–$1,123.87	37% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO/ASP/INJ MAJ JNT/BUR/CYS	$663.20	$829.00	$295.19–$1,123.87	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS - MEDIUM	$532.00	$665.00	$56.53–$1,123.87	16% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHRO/ASP/INJ INTERMEDIATE JT	$567.20	$709.00	$295.19–$1,123.87	24% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHRO/ASP/INJ INTERMEDIATE JT	$567.20	$709.00	$295.19–$1,123.87	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS - SMALL	$624.80	$781.00	$66.39–$1,123.87	65% above	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC SMALL JOINT (FINGER/TOE)	$624.80	$781.00	$66.39–$1,123.87	65% above	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC SMALL JOINT (FINGER/TOE)	$624.80	$781.00	$66.39–$1,123.87	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INTERM. REPAIR SCALP?.2.5 CM OR LESS	$1,011.20	$1,264.00	$399.53–$1,137.60	53% above	20%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJECT SPINE, LUMBAR OR SACRAL	$1,386.40	$1,733.00	$147.31–$2,619.46	10% below	20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJECT SPINE, LUMBAR OR SACRAL	$1,386.40	$1,733.00	$147.31–$2,619.46	—	20%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION OF NAIL PLATE (SINGLE	$311.20	$389.00	$198.70–$759.65	11% above	20%
Nail removal (partial or complete), one nail CPT 11730 HC CWC-AVULSION OF NAIL-SINGLE	$311.20	$389.00	$198.70–$759.65	11% above	20%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE ED	$311.20	$389.00	$198.70–$759.65	11% above	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC CWC-AVULSION OF NAIL-SINGLE	$311.20	$389.00	$198.70–$759.65	—	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION OF NAIL PLATE (SINGLE	$311.20	$389.00	$198.70–$759.65	—	20%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ GRTR OCCIPITAL NERVE	$820.00	$1,025.00	$82.00–$1,123.87	24% above	20%
Paracentesis with imaging guidance CPT 49083 HC US ABD PARACENTESIS IMAGE GUID	$2,678.40	$3,348.00	$284.58–$3,439.67	102% above	20%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W IMAGE GUIDE	$2,678.40	$3,348.00	$284.58–$3,439.67	102% above	20%
Paracentesis with imaging guidance inpatient CPT 49083 HC US ABD PARACENTESIS IMAGE GUID	$2,678.40	$3,348.00	$284.58–$3,439.67	—	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAILBED-PERMANENT	$1,032.00	$1,290.00	$399.53–$1,279.29	52% above	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION OF NAIL, PART OR COMP	$1,138.40	$1,423.00	$399.53–$1,279.29	68% above	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION OF NAIL, PART OR COMP	$1,138.40	$1,423.00	$399.53–$1,279.29	—	20%
Prostate biopsy CPT 55700 HC BX PROSTATE,NEEDLE, SNGLE/M	$3,306.40	$4,133.00	$351.31–$7,728.70	80% above	20%
Prostate biopsy inpatient CPT 55700 HC BX PROSTATE,NEEDLE, SNGLE/M	$3,306.40	$4,133.00	$351.31–$7,728.70	—	20%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVAL OF FB SMPL	$981.60	$1,227.00	$399.53–$981.60	89% above	20%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION & REMOVAL OF FB SMPL	$1,035.20	$1,294.00	$399.53–$1,164.60	99% above	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION & REMOVAL OF FB SMPL	$981.60	$1,227.00	$399.53–$981.60	—	20%
Short arm cast (elbow to hand) CPT 29075 HC APPLICATION OF FOREARM CAST	$362.40	$453.00	$38.51–$424.93	18% below	20%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT ARM SPLINT ED	$461.60	$577.00	$128.90–$519.30	66% above	20%
Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST	$409.60	$512.00	$43.52–$424.93	18% above	20%
Short leg cast (below the knee) CPT 29405 HC SHORT LEG CAST	$409.60	$512.00	$43.52–$424.93	18% above	20%
Short leg cast (below the knee) inpatient CPT 29405 HC SHORT LEG CAST	$409.60	$512.00	$43.52–$424.93	—	20%
Short leg splint (calf to foot) CPT 29515 HC APPLY SHORT LEG SPLINT	$409.60	$512.00	$43.52–$597.90	16% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SIM LAC UNDER 2.5 BODY,SCALP	$609.60	$762.00	$64.77–$759.65	80% above	20%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$340.80	$426.00	$36.21–$639.25	1% above	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$340.80	$426.00	$36.21–$639.25	—	20%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL SKIN TAG ED	$439.20	$549.00	$46.67–$759.65	102% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE ED	$1,544.00	$1,930.00	$692.52–$2,619.46	56% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR, DX	$1,706.40	$2,133.00	$181.31–$2,619.46	72% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC XR LUMBAR PUNCTURE	$1,706.40	$2,133.00	$181.31–$2,619.46	72% above	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR, DX	$1,706.40	$2,133.00	$181.31–$2,619.46	—	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC XR LUMBAR PUNCTURE	$1,706.40	$2,133.00	$181.31–$2,619.46	—	20%
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 2.6-7.5 BODY/SCLP/EXTR	$645.60	$807.00	$68.60–$759.65	56% above	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REPAIR FACE?.2.5 CM OR LESS	$604.00	$755.00	$64.18–$759.65	49% above	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BIOPSY SKIN SINGLE LESION	$417.60	$522.00	$44.37–$759.65	58% above	20%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BIOPSY SKIN SINGLE LESION	$417.60	$522.00	$44.37–$759.65	—	20%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMAGING GUIDE	$2,306.40	$2,883.00	$618.26–$2,594.70	74% above	20%
Thoracentesis with imaging guidance CPT 32555 HC ASPIRATE PLEURA W/ IMAGING	$2,440.00	$3,050.00	$244.00–$2,745.00	85% above	20%
Thoracentesis with imaging guidance inpatient CPT 32555 HC ASPIRATE PLEURA W/ IMAGING	$2,440.00	$3,050.00	$244.00–$2,745.00	—	20%
Trigger finger release surgery CPT 26055 HC INCISE FINGER TENDON SHEATH	$3,416.00	$4,270.00	$362.95–$5,346.17	16% above	20%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER PT <3 MUSCLES	$600.80	$751.00	$63.84–$1,123.87	67% above	20%
Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER POINT INJECTION	$664.00	$830.00	$295.19–$1,123.87	84% above	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER POINT INJECTION	$664.00	$830.00	$295.19–$1,123.87	—	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST WITH U/S GUIDANCE	$4,480.00	$5,600.00	$42.00–$6,151.98	79% above	20%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST WITH U/S GUIDANCE	$4,480.00	$5,600.00	$42.00–$6,151.98	—	20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC W/ BALLOON DILATION UNDER 30MM	$1,307.20	$1,634.00	$138.89–$2,232.81	43% below	20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC W/ BALLOON DILATION UNDER 30MM	$1,307.20	$1,634.00	$138.89–$2,232.81	43% below	20%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC W/ BALLOON DILATION UNDER 30MM	$1,307.20	$1,634.00	$138.89–$2,232.81	—	20%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD - BIOPSY	$1,088.80	$1,361.00	$115.69–$3,439.67	44% below	20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD - BIOPSY	$1,088.80	$1,361.00	$115.69–$3,439.67	—	20%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD DIRECTED SUBMUCOSAL INJ	$1,219.20	$1,524.00	$129.54–$3,439.67	34% below	20%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD DIRECTED SUBMUCOSAL INJ	$1,219.20	$1,524.00	$129.54–$3,439.67	—	20%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD - SNARE POLYPECTOMY	$1,307.20	$1,634.00	$138.89–$2,232.81	38% below	20%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD - SNARE POLYPECTOMY	$1,307.20	$1,634.00	$138.89–$2,232.81	—	20%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD - WIRE INSERTION/DILATION	$746.40	$933.00	$79.31–$3,439.67	37% below	20%
Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY/DIAGNOSTIC	$1,048.80	$1,311.00	$111.44–$3,439.67	36% below	20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDOSCOPY/DIAGNOSTIC	$1,048.80	$1,311.00	$111.44–$3,439.67	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDMENT (SKIN,SUB,TISS)	$1,105.60	$1,382.00	$117.47–$1,243.80	72% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT SKIN - SUBQ	$1,105.60	$1,382.00	$117.47–$1,243.80	72% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT - SKIN & SUBCUT	$1,216.00	$1,520.00	$114.00–$1,368.00	89% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDMENT (SKIN,SUB,TISS)	$1,105.60	$1,382.00	$117.47–$1,243.80	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT - SKIN & SUBCUT	$1,216.00	$1,520.00	$114.00–$1,368.00	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMINISTRATION	$1,200.00	$1,500.00	$12.00–$1,647.22	22% above	20%
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD ADMINISTRATION SERVICE	$1,200.00	$1,500.00	$12.00–$1,647.22	22% above	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMINISTRATION SERVICE	$1,200.00	$1,500.00	$12.00–$1,647.22	—	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD ADMINISTRATION	$1,200.00	$1,500.00	$12.00–$1,647.22	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT	$356.00	$445.00	$37.83–$713.68	77% above	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT	$356.00	$445.00	$37.83–$713.68	—	20%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO, IV INF, 1 HR, INITIAL	$929.60	$1,162.00	$98.77–$929.60	19% above	20%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO, IV INF, 1 HR, INITIAL	$929.60	$1,162.00	$98.77–$929.60	—	20%
Critical care, first 30 to 74 minutes CPT 99291 HC CRIT CARE EVAL TRAUMA W/O NOTI	$4,064.00	$5,080.00	$381.00–$4,572.00	26% above	20%
Critical care, first 30 to 74 minutes CPT 99291 HC CRIT CARE MOD TRAUMA W/O NOTIF	$4,064.00	$5,080.00	$381.00–$4,572.00	26% above	20%
Critical care, first 30 to 74 minutes CPT 99291 HC CRIT CARE FULL TRAUMA W/O NOTI	$4,064.00	$5,080.00	$381.00–$4,572.00	26% above	20%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, MIN 30-74	$4,078.40	$5,098.00	$433.33–$4,588.20	27% above	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRIT CARE FULL TRAUMA W/O NOTI	$4,064.00	$5,080.00	$381.00–$4,572.00	—	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRIT CARE MOD TRAUMA W/O NOTIF	$4,064.00	$5,080.00	$381.00–$4,572.00	—	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRIT CARE EVAL TRAUMA W/O NOTI	$4,064.00	$5,080.00	$381.00–$4,572.00	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG TRACING ONLY	$208.00	$260.00	$22.10–$234.00	12% above	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG TRACING ONLY	$208.00	$260.00	$22.10–$234.00	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ER LEVEL 1	$305.60	$382.00	$32.47–$343.80	22% above	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ER LEVEL 2	$536.80	$671.00	$158.36–$536.80	18% above	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ER LEVEL 3	$950.40	$1,188.00	$276.89–$891.00	18% above	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ER LEVEL 4	$1,694.40	$2,118.00	$425.82–$1,694.40	25% above	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ER LEVEL 5	$2,849.60	$3,562.00	$613.10–$2,849.60	27% above	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST	$942.40	$1,178.00	$311.40–$1,188.94	59% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ER HYDRATION IV INFUSION, INITIAL	$515.20	$644.00	$54.74–$811.89	52% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION, INITIAL	$515.20	$644.00	$54.74–$811.89	52% above	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION, INITIAL	$515.20	$644.00	$54.74–$811.89	—	20%
IV infusion of a medicine, first hour CPT 96365 HC IV INF,IX/DX/PROP INIT 0-60MIN	$564.00	$705.00	$59.93–$811.89	39% above	20%
IV infusion of a medicine, first hour CPT 96365 HC IV INF,TX/DX/PROP INIT 0-60MIN	$564.00	$705.00	$59.93–$811.89	39% above	20%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF,TX/DX/PROP INIT 0-60MIN	$564.00	$705.00	$59.93–$811.89	—	20%
IV push of a medicine, first drug CPT 96374 HC INJECT IV PUSH-THER/PROPH/DIAG	$536.00	$670.00	$56.95–$811.89	129% above	20%
IV push of a medicine, first drug CPT 96374 HC THER/PROPH/DIAG INJ IV PUSH	$536.00	$670.00	$56.95–$811.89	129% above	20%
IV push of a medicine, first drug CPT 96374 HC IV INJECTION - TRMT/DIAG/PROPH	$536.00	$670.00	$56.95–$811.89	129% above	20%
IV push of a medicine, first drug inpatient CPT 96374 HC INJECT IV PUSH-THER/PROPH/DIAG	$536.00	$670.00	$56.95–$811.89	—	20%
IV push of a medicine, first drug inpatient CPT 96374 HC THER/PROPH/DIAG INJ IV PUSH	$536.00	$670.00	$56.95–$811.89	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ OF ANTIBIOTIC IM, ED	$163.20	$204.00	$17.34–$267.30	67% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC SINGLE INJECTION - IM/SQ	$163.20	$204.00	$17.34–$267.30	67% above	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ/THER/PROPH/DIAGNOS/IM/SUB	$163.20	$204.00	$17.34–$267.30	67% above	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ/THER/PROPH/DIAGNOS/IM/SUB	$163.20	$204.00	$17.34–$267.30	—	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC SINGLE INJECTION - IM/SQ	$163.20	$204.00	$17.34–$267.30	—	20%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION PT	$123.20	$154.00	$51.35–$138.60	25% above	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR REEDUCATION PT	$123.20	$154.00	$51.35–$138.60	—	20%
New patient office visit, about 30 minutes CPT 99203 HC NEW PATIENT VISIT LEVEL 3	$245.60	$307.00	$26.10–$363.94	37% above	20%
New patient office visit, about 30 minutes CPT 99203 HC OP VISIT NEW PT LEVEL 3	$245.60	$307.00	$26.10–$363.94	37% above	20%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OP VISIT NEW PT LEVEL 3	$245.60	$307.00	$26.10–$363.94	—	20%
New patient office visit, about 45 minutes CPT 99204 HC OP VISIT NEW PT LEVEL 4	$306.40	$383.00	$32.56–$468.95	21% above	20%
New patient office visit, about 45 minutes CPT 99204 HC NEW PATIENT VISIT LEVEL 4	$306.40	$383.00	$32.56–$468.95	21% above	20%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OP VISIT NEW PT LEVEL 4	$306.40	$383.00	$32.56–$468.95	—	20%
New patient office visit, about 60 minutes CPT 99205 HC OP VISIT NEW PT LEVEL 5	$392.00	$490.00	$41.65–$616.56	18% above	20%
New patient office visit, about 60 minutes CPT 99205 HC NEW PATIENT VISIT - LEVEL 5	$392.00	$490.00	$41.65–$616.56	18% above	20%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OP VISIT NEW PT LEVEL 5	$392.00	$490.00	$41.65–$616.56	—	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC NEW PATIENT VISIT LEVEL 2	$178.40	$223.00	$18.96–$274.22	22% above	20%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OUTPT VISIT/NEW PT,LEV 2	$196.80	$246.00	$184.50–$274.22	34% above	20%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OUTPT VISIT/NEW PT,LEV 2	$196.80	$246.00	$184.50–$274.22	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INITIAL INDIV EA 15 MIN	$70.40	$88.00	$7.48–$79.20	11% above	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INTIAL EACH 15MIN <20YRS	$77.60	$97.00	$8.25–$87.30	22% above	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INITIAL INDIV EA 15 MIN	$70.40	$88.00	$7.48–$79.20	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INTIAL EACH 15MIN <20YRS	$77.60	$97.00	$8.25–$87.30	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC HIGH COMPLEXITY EVALUATION	$337.60	$422.00	$35.87–$379.80	22% above	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC HIGH COMPLEXITY EVALUATION	$337.60	$422.00	$35.87–$379.80	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT LOW COMPLEXITY EVALUATION	$265.60	$332.00	$28.22–$298.80	20% above	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT LOW COMPLEXITY EVALUATION	$265.60	$332.00	$28.22–$298.80	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT MODERATE COMPLEXITY EVALUATION	$300.00	$375.00	$3.00–$337.50	21% above	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT MODERATE COMPLEXITY EVALUATION	$300.00	$375.00	$3.00–$337.50	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY PT - 15 MIN	$103.20	$129.00	$41.18–$116.10	22% above	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY PT - 15 MIN	$103.20	$129.00	$41.18–$116.10	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES - 15 MIN	$103.20	$129.00	$44.73–$116.10	8% above	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER PROCEED EXER - 15 MIN	$103.20	$129.00	$44.73–$116.10	8% above	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER PROCEED EXER - 15 MIN	$103.20	$129.00	$44.73–$116.10	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISES - 15 MIN	$103.20	$129.00	$44.73–$116.10	—	20%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN	$54.40	$68.00	$5.78–$75.66	60% above	20%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN	$54.40	$68.00	$5.78–$75.66	—	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OUTPT VISIT/EST PT,LEV 5	$306.40	$383.00	$32.56–$468.95	25% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC MED MGMT, DIABETES, LEVEL 5	$306.40	$383.00	$32.56–$468.95	25% above	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC EST. PATIENT 40-60 MIN	$306.40	$383.00	$32.56–$468.95	25% above	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OUTPT VISIT/EST PT,LEV 5	$306.40	$383.00	$32.56–$468.95	—	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC MED MGMT, DIABETES, LEVEL 5	$306.40	$383.00	$32.56–$468.95	—	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC EST. PATIENT 15-25 MIN	$212.80	$266.00	$22.61–$274.22	48% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC MED MGMT, DIABETES, LEVEL 3	$212.80	$266.00	$22.61–$274.22	48% above	20%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OUTPT VISIT/EST PT,LEV 3	$235.20	$294.00	$24.99–$274.22	64% above	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC MED MGMT, DIABETES, LEVEL 3	$212.80	$266.00	$22.61–$274.22	—	20%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OUTPT VISIT/EST PT,LEV 3	$235.20	$294.00	$24.99–$274.22	—	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC MED MGMT, DIABETES, LEVEL 4	$245.60	$307.00	$26.10–$363.94	37% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC EST. PATIENT 25-40 MIN	$245.60	$307.00	$26.10–$363.94	37% above	20%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OUTPT VISIT/EST PT,LEV 4	$245.60	$307.00	$26.10–$363.94	37% above	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OUTPT VISIT/EST PT,LEV 4	$245.60	$307.00	$26.10–$363.94	—	20%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC MED MGMT, DIABETES, LEVEL 4	$245.60	$307.00	$26.10–$363.94	—	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC EST PATIENT LEVEL-2 LIMITED	$169.60	$212.00	$153.91–$274.22	63% above	20%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OUTPT VISIT/EST PT,LEV 2	$187.20	$234.00	$19.89–$274.22	80% above	20%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OUTPT VISIT/EST PT,LEV 2	$187.20	$234.00	$19.89–$274.22	—	20%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HC DIABETIC MED MGMT CONSULT	$212.80	$266.00	$22.61–$239.40	30% above	20%
Speech and language evaluation CPT 92523 HC SPCH SOUND LANG COMPREHENSION	$460.00	$575.00	$46.00–$517.50	20% above	20%
Speech and language evaluation inpatient CPT 92523 HC SPCH SOUND LANG COMPREHENSION	$460.00	$575.00	$46.00–$517.50	—	20%
Speech therapy session, individual CPT 92507 HC TREAT-SPEECH/LANG/VOICE/AUDIT	$200.00	$250.00	$2.00–$225.00	8% below	20%
Speech therapy session, individual inpatient CPT 92507 HC TREAT-SPEECH/LANG/VOICE/AUDIT	$200.00	$250.00	$2.00–$225.00	—	20%
Spirometry (breathing test) CPT 94010 HC PULMONARY FUNCTION TEST	$442.40	$553.00	$156.46–$592.71	78% above	20%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHOSPASM EVALUATION	$820.80	$1,026.00	$87.21–$1,188.94	95% above	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITIES - 15 MI	$114.40	$143.00	$12.16–$128.70	9% above	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITIES - 15 MI	$114.40	$143.00	$12.16–$128.70	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY, THERAPEUTIC	$274.40	$343.00	$29.16–$484.69	36% above	20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY, THERAPEUTIC	$274.40	$343.00	$29.16–$484.69	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Washington	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH,PERTUS(ACEL),TET PED (DTAP) 25-58-10 LF-MCG-LF/0.5ML IM SYRG [19451]	$132.00	$165.00	$121.28–$148.50	184% above	20%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH,PERTUS(ACEL),TET PED (DTAP) 25-58-10 LF-MCG-LF/0.5ML IM SYRG [19451]	$132.00	$165.00	$121.28–$148.50	—	20%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG [191712]	$103.32	$129.15	$19.32–$116.24	258% above	20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2024-25 6MOS UP(PF) 45 MCG (15 MCG X 3)/0.5 ML IM SYRG [191712]	$103.32	$129.15	$19.32–$116.24	—	20%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM INJECTION WRAPPER [4084128003]	$268.02	$335.03	$28.48–$251.27	248% above	20%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VIRUS VACCINE (PF) 1,440 ELISA UNIT/ML IM INJECTION WRAPPER [4084128003]	$268.02	$335.03	$28.48–$251.27	—	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HC HEPB VACC PED/ADOL 3 DOSE IM (WVA)	$14.55	$18.19	$1.55–$64.78	74% below	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE REC (PF) 10 MCG/0.5 ML IM INJECTION WRAPPER [408126912]	$71.74	$89.67	$7.62–$71.74	28% above	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG [126851]	$224.37	$280.46	$23.84–$252.41	299% above	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HC HEPB VACC PED/ADOL 3 DOSE IM (WVA)	$14.55	$18.19	$1.55–$64.78	—	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE REC (PF) 10 MCG/0.5 ML IM INJECTION WRAPPER [408126912]	$71.74	$89.67	$7.62–$71.74	—	20%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACC.REC(PF) 20 MCG/ML IM SYRG [126851]	$224.37	$280.46	$23.84–$252.41	—	20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR [11931]	$65.63	$82.04	$6.97–$73.84	108% above	20%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPH B POLY CONJ-TET TOX-PF 10 MCG/0.5 ML IM SOLR [11931]	$65.63	$82.04	$6.97–$73.84	—	20%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS2024-25(65YR UP)-PF 180 MCG/0.5 ML IM SYRG [191713]	$237.00	$296.25	$25.18–$266.63	183% above	20%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC TS2024-25(65YR UP)-PF 180 MCG/0.5 ML IM SYRG [191713]	$237.00	$296.25	$25.18–$266.63	—	20%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR [10512]	$303.40	$379.25	$32.24–$341.33	76% above	20%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR [10512]	$303.40	$379.25	$32.24–$341.33	—	20%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT [129531]	$360.82	$451.02	$38.34–$338.27	128% above	20%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM KIT [129531]	$360.82	$451.02	$38.34–$338.27	—	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG [127348]	$513.78	$642.23	$54.59–$513.78	48% above	20%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG [127348]	$513.78	$642.23	$54.59–$513.78	—	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG [182267]	$650.79	$813.49	$69.15–$732.14	38% above	20%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG [182267]	$650.79	$813.49	$69.15–$732.14	—	20%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HC RSV MONOC ANTB 0.5ML IM (WVA)	$360.00	$450.00	$36.00–$337.50	52% below	20%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML IM SYRG [188850]	$740.05	$925.06	$78.63–$832.56	1% below	20%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HC RSV MONOC ANTB 0.5ML IM (WVA)	$360.00	$450.00	$36.00–$337.50	—	20%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5 ML IM SYRG [188850]	$740.05	$925.06	$78.63–$832.56	—	20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR [188587]	$706.86	$883.58	$75.10–$795.22	48% above	20%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV VAC, PREF A AND PREF B(PF) 120 MCG/0.5 ML IM SOLR [188587]	$706.86	$883.58	$75.10–$795.22	—	20%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR [22120]	$953.66	$1,192.07	$322.77–$953.66	54% above	20%
Rabies vaccine, one dose CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNIT IM SOLR [11257]	$1,015.05	$1,268.81	$322.77–$1,141.93	64% above	20%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR [22120]	$953.66	$1,192.07	$322.77–$953.66	—	20%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACC,HUMAN DIPLOID (PF) 2.5 UNIT IM SOLR [11257]	$1,015.05	$1,268.81	$322.77–$1,141.93	—	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP [37504]	$132.00	$165.00	$121.28–$148.50	134% above	20%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML IM SUSP [37504]	$132.00	$165.00	$121.28–$148.50	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS (TDAP) 2.5-8-5 LF-MCG-LF/0.5ML WRAPPER [40817002]	$191.92	$239.91	$176.33–$215.92	132% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML IM WRAPPER [40817001]	$211.33	$264.17	$22.45–$237.75	156% above	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACELL),TETANUS (TDAP) 2.5-8-5 LF-MCG-LF/0.5ML WRAPPER [40817002]	$191.92	$239.91	$176.33–$215.92	—	20%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPH,PERTUSS(ACEL),TET VAC(PF) 2 LF-(2.5-5-3-5 MCG)-5LF/0.5 ML IM WRAPPER [40817001]	$211.33	$264.17	$22.45–$237.75	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC HEPATITIS B VAC ADMINISTRATION, NURS	$93.60	$117.00	$9.95–$267.30	123% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN, INITIAL	$93.60	$117.00	$9.95–$267.30	123% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN, INITIAL ED	$93.60	$117.00	$9.95–$267.30	123% above	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN, INITIAL	$93.60	$117.00	$9.95–$267.30	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC HEPATITIS B VAC ADMINISTRATION, NURS	$93.60	$117.00	$9.95–$267.30	—	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN, EA ADDTL ED	$72.00	$90.00	$7.65–$96.18	99% above	20%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN, EA ADDTL	$72.00	$90.00	$7.65–$96.18	99% above	20%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN, EA ADDTL	$72.00	$90.00	$7.65–$96.18	—	20%

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.skagitregionalhealth.org/docs/default-source/finance-and-billing/chargemasters/562392010_public-hospital-dist-no-1-skagit-dba-cascade-valley-hospital_standardcharges.csv