COVID-19 PCR test cost in Seattle, WA
In Seattle-Tacoma-Bellevue, WA, 17 hospitals list a cash price for COVID-19 PCR test (SARS-CoV-2 lab test): from $21.63 to $330.00, with a median of $74.46. The lowest listed price is at Saint Clare Hospital — $52.83 less than the median here. Across Washington, the median is $105.30 at 56 hospitals.
- The median here, $74.46, is 25% below the US median of $98.92.
- That is 1.5× Medicare's 2026 national rate for the same service ($51.31).
- 1 of 17 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 17 facilities across 14 cities for code 87635, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Sep 30, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Seattle-Tacoma-Bellevue, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Saint Clare Hospital lowest Lakewood, WA · (253) 588-1711 HC COVID19 NAA (ARUP) File of Sep 30, 2026 · source file | $21.63 | $75.00 | $50.65–$232.43 | 71% |
| St Anthony Hospital Gig Harbor, WA · (253) 530-2050 HC COVID19 NAA (ARUP) File of Sep 30, 2026 · source file | $22.81 | $75.00 | $50.65–$232.43 | 70% |
| Highline Medical Center Burien, WA · (206) 431-5237 HC COVID19 NAA (ARUP) File of Sep 30, 2026 · source file | $22.83 | $75.00 | $31.50–$216.53 | 70% |
| St Francis Community Hospital Federal Way, WA · (253) 944-8100 HC COVID19 NAA (ARUP) File of Sep 30, 2026 · source file | $23.07 | $75.00 | $50.65–$232.43 | 69% |
| St Joseph Medical Center Tacoma, WA · (253) 627-4101 HC COVID19 NAA (ARUP) File of Feb 28, 2026 · source file | $24.84 | $75.00 | $51.31–$225.76 | 67% |
| St Elizabeth Hospital Enumclaw, WA · (360) 825-2505 HC COVID19 NAA (ARUP) File of Sep 30, 2026 · source file | $27.54 | $75.00 | $12.00–$279.64 | 63% |
| Saint Clare Hospital Lakewood, WA · (253) 588-1711 HC ACCULA COVID TEST (POC) File of Sep 30, 2026 · source file | $43.26 | $150.00 | $50.65–$232.43 | 71% |
| St Anthony Hospital Gig Harbor, WA · (253) 530-2050 HC ACCULA COVID TEST (POC) File of Sep 30, 2026 · source file | $45.62 | $150.00 | $50.65–$232.43 | 70% |
| Highline Medical Center Burien, WA · (206) 431-5237 HC ACCULA COVID TEST (POC) File of Sep 30, 2026 · source file | $45.66 | $150.00 | $50.65–$216.53 | 70% |
| St Francis Community Hospital Federal Way, WA · (253) 944-8100 HC ACCULA COVID TEST (POC) File of Sep 30, 2026 · source file | $46.13 | $150.00 | $50.65–$232.43 | 69% |
| St Joseph Medical Center Tacoma, WA · (253) 627-4101 HC ACCULA COVID TEST (POC) File of Feb 28, 2026 · source file | $49.68 | $150.00 | $51.31–$225.76 | 67% |
| St Elizabeth Hospital Enumclaw, WA · (360) 825-2505 HC ACCULA COVID TEST (POC) File of Sep 30, 2026 · source file | $55.08 | $150.00 | $24.00–$279.64 | 63% |
| Overlake Medical Center & Clinics Bellevue, WA · (425) 688-5000 Hc Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq File of Apr 1, 2026 · source file | $60.00 | $120.00 | — | 50% |
| Snoqualmie Valley Hospital Snoqualmie, WA · (425) 831-2300 Facility Fee HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ File of Apr 14, 2026 · source file | $67.74 | $116.80 | $49.22–$107.46 | 42% |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 SARS-COV-2 COVID-19 AMP PRB File of Jan 1, 2026 · source file | $74.46 | $146.00 | $87.60–$116.80 | 49% |
| Valley Medical Center Renton, WA · (425) 228-3450 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq+1 more line at this price File of Mar 12, 2026 · source file | $79.10 | $113.00 | — | 30% |
| Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC SARS-COV-2 COVID-19 AMP PRB POCT File of Mar 26, 2026 · source file | $98.40 | $123.00 | $51.31–$98.40 | 20% |
| Cascade Valley Hospital Arlington, WA · (360) 435-2133 HC SARS-COV-2 COVID-19 AMP PRB SRH+1 more line at this price File of Mar 26, 2026 · source file | $176.00 | $220.00 | $18.70–$198.00 | 20% |
| Swedish Issaquah Issaquah, WA · (425) 313-4000 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB File of Apr 1, 2026 · source file | $179.04 | $373.00 | — | 52% |
| Swedish Medical Center / Cherry Hill Seattle, WA · (206) 320-2000 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB File of Apr 1, 2026 · source file | $179.04 | $373.00 | — | 52% |
| Swedish Edmonds Edmonds, WA · (425) 640-4000 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB File of Apr 1, 2026 · source file | $179.04 | $373.00 | — | 52% |
| Swedish Medical Center Seattle, WA · (206) 386-6000 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB File of Apr 1, 2026 · source file | $179.04 | $373.00 | — | 52% |
| Virginia Mason Medical Center Seattle, WA · (206) 223-6600 COVID-19 TEST, GENMARK EPLEX, RAPID RESPONSE File of Jan 1, 2026 · source file | $189.21 | $371.00 | $222.60–$296.80 | 49% |
| Providence Regional Medical Center Everett Everett, WA · (425) 261-2000 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB+1 more line at this price File of Apr 1, 2026 · source file | $193.96 | $373.00 | — | 48% |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 Covid-19 by High Throughput File of Mar 31, 2026 · source file | $330.00 | $330.00 | $83.16–$316.80 | — |
| Seattle Children's Hospital Seattle, WA · (206) 987-2000 Covid-19 Qual Pcr File of Mar 31, 2026 · source file | $344.50 | $344.50 | $86.81–$330.72 | — |
Outpatient: lowest $21.63, median $74.46, highest $330.00 — a 15.3× difference within the same market.
As an inpatient, the same code is billed by 17 facilities here, median $74.46. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 8 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What COVID-19 PCR test is, what the price covers and why prices differ: COVID-19 PCR test explained.