Spinal tap cost in Washington
In Washington, 57 hospitals publish a cash price for spinal tap (lumbar puncture), diagnostic: from $98.70 to $3,396.79, with a median of $992.00. The lowest price is at Providence St Joseph Hospital (Chewelah). The highest price is 34.4× the lowest.
- The median here, $992.00, is 15% above the US median of $859.25.
- That is 1.4× Medicare's 2026 national rate for the same service ($721.17).
- Washington ranks 33rd of 50 states by median, cheapest first.
- 5 of 57 hospitals list a cash price equal to their full list price, with no self-pay discount.
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.
Outpatient cash prices, one line per hospital — its lowest listed price for code 62270. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Providence St Joseph Hospital lowest Chewelah · Spokane-Spokane Valley, WA HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $98.70 | $141.00 | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC PR 62270 ANES/SPINAL PUNC | $157.50 | $225.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $252.70 | $361.00 | Apr 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC PR ED 62270 SPINAL FLUID TAP DIAGNOSTIC CDM | $260.52 | $501.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM | $265.65 | $483.00 | Jan 1, 2025 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 62270 Spinal puncture, lumbar, diagnostic | $337.35 | $519.00 | Apr 1, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST | $352.95 | $543.00 | Mar 20, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Spinal puncture, lumb, diag | $383.20 | $479.00 | May 15, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $433.01 | $433.01 | May 27, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $474.75 | $633.00 | Jul 1, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC LUMBAR PUNCTURE,DIAGNOSTIC | $620.80 | $776.00 | Mar 26, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA SPINAL PUNCTURE LUMBAR DX | $641.25 | $1,125.00 | Apr 1, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST | $690.20 | $986.00 | Feb 24, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $705.00 | $940.00 | Oct 23, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC LUMBAR PUNCTURE DIAGNOSTIC | $714.03 | $2,155.89 | Feb 28, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $721.06 | $1,163.00 | May 18, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC LUMBAR PUNCTURE DIAGNOSTIC | $746.11 | $2,587.06 | Sep 30, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Spinal Puncture,Lumbar,Diagnostic--Pbb | $758.70 | $843.00 | Aug 10, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC LUMBAR PUNCTURE DIAGNOSTIC | $786.73 | $2,587.06 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC LUMBAR PUNCTURE DIAGNOSTIC | $787.51 | $2,587.06 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC LUMBAR PUNCTURE DIAGNOSTIC | $795.53 | $2,587.06 | Sep 30, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $804.06 | $1,489.00 | Aug 31, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC LUMBAR PUNCTURE DIAGNOSTIC | $847.75 | $1,461.64 | Apr 14, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $905.51 | $1,006.12 | Sep 14, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $907.20 | $1,134.00 | Oct 27, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC LUMBAR PUNCTURE DIAGNOSTIC | $949.97 | $2,587.06 | Sep 30, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC LUMBAR PUNCTURE DIAGNOSTIC | $951.50 | $2,155.89 | Feb 28, 2026 source file |
| East Adams Rural Healthcare Ritzville · Othello, WA HC SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $979.44 | $1,305.92 | Jun 1, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA LUMBAR PUNCTURE | $992.00 | $1,240.00 | Dec 2, 2024 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $1,061.90 | $1,517.00 | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC LUMBAR PUNCTURE | $1,081.60 | $1,664.00 | Apr 1, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,110.40 | $1,388.00 | Jun 29, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $1,163.52 | $2,424.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $1,163.52 | $2,424.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $1,163.52 | $2,424.00 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Lumbar Puncture Diagnostic | $1,181.00 | $2,362.00 | Apr 1, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,309.85 | $1,541.00 | Jun 9, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,310.70 | $1,542.00 | Oct 7, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM | $1,349.60 | $1,928.00 | Apr 1, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,363.20 | $1,704.00 | Aug 6, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA DX LMBR SPI PNXR | $1,463.80 | $2,252.00 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA DX LMBR SPI PNXR | $1,463.80 | $2,252.00 | Mar 21, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST | $1,465.10 | $2,254.00 | Mar 21, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Remove cerebrospinal fluid w/ lower back spinal tap | $1,492.00 | $1,865.00 | Jun 24, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA DX LMBR SPI PNXR | $1,509.30 | $2,322.00 | Mar 21, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA SPINAL PUNCT, LUMB, DIAG | $1,530.00 | $3,000.00 | Jan 1, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Diagnostic Lumbar Spinal Puncture | $1,538.60 | $2,198.00 | Mar 12, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC LUMBAR PUNCTURE ED | $1,544.00 | $1,930.00 | Mar 26, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 62270-Lumbar Puncture Diagnostic | $1,612.20 | $2,149.60 | Mar 10, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $1,661.40 | $3,195.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE | $1,661.40 | $3,195.00 | Apr 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM | $1,851.50 | $2,645.00 | Apr 1, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA SPINAL PUNCTURE | $2,038.67 | $2,398.44 | Sep 14, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $2,210.62 | $2,210.62 | Sep 1, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Remove cerebrospinal fluid with lower back spinal tap | $2,679.00 | $2,679.00 | Jan 4, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Spinal Lumbar Puncture | $2,915.90 | $2,915.90 | Mar 31, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA DX LMBR SPI PNXR | $3,396.79 | $3,396.79 | Mar 18, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 16 | $260.52 | $1,056.74 |
| Spokane-Spokane Valley, WA | 5 | $98.70 | $1,061.90 |
| Kennewick-Richland, WA | 3 | $265.65 | $641.25 |
| Wenatchee-East Wenatchee, WA | 3 | $383.20 | $758.70 |
| Centralia, WA | 2 | $721.06 | $1,191.23 |
| Moses Lake, WA | 2 | $433.01 | $1,556.00 |
| Mount Vernon-Anacortes, WA | 2 | $620.80 | $1,042.95 |
| Othello, WA | 2 | $474.75 | $727.10 |
| Port Townsend, WA | 2 | $907.20 | $1,135.20 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $1,081.60 | $1,272.70 |
| Pullman, WA | 2 | $1,110.40 | $1,210.12 |
| Aberdeen, WA | 1 | $804.06 | $804.06 |
| Bellingham, WA | 1 | $1,509.30 | $1,509.30 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $951.50 | $951.50 |
| Davenport, WA | 1 | $905.51 | $905.51 |
| Ellensburg, WA | 1 | $1,310.70 | $1,310.70 |
| Friday Harbor, WA | 1 | $352.95 | $352.95 |
| Goldendale, WA | 1 | $992.00 | $992.00 |
| Ilwaco, WA | 1 | $705.00 | $705.00 |
| Longview-Kelso, WA | 1 | $1,463.80 | $1,463.80 |
| Olympia-Lacey-Tumwater, WA | 1 | $1,661.40 | $1,661.40 |
| Port Angeles, WA | 1 | $1,492.00 | $1,492.00 |
| Republic, WA | 1 | $2,038.67 | $2,038.67 |
| South Bend, WA | 1 | $690.20 | $690.20 |
| Shelton, WA | 1 | $1,612.20 | $1,612.20 |
| Walla Walla, WA | 1 | $252.70 | $252.70 |
| Yakima, WA | 1 | $337.35 | $337.35 |
What spinal tap is, what the price covers and why prices differ: Spinal tap explained.
Spinal tap (lumbar puncture), diagnostic in other states
- Alabama$674.88
- Alaska$893.88
- Arizona$648.16
- Arkansas$680.68
- California$1,320.80
- Colorado$906.27
- Connecticut$1,147.50
- Delaware$1,149.53
- District of Columbia$999.97, 3 hospitals
- Florida$1,245.30
- Georgia$1,267.32
- Hawaii$1,283.10
- Idaho$842.55
- Illinois$969.60
- Indiana$1,025.25
- Iowa$603.85
- Kansas$554.40
- Kentucky$687.26
- Louisiana$458.49
- Maine$523.25
- Maryland$577.32
- Massachusetts$1,463.00
- Michigan$856.05
- Minnesota$742.15
- Mississippi$476.70
- Missouri$667.93
- Montana$436.00
- Nebraska$508.80
- Nevada$785.35
- New Hampshire$548.50
- New Jersey$943.92
- New Mexico$853.31
- New York$1,185.00
- North Carolina$813.75
- North Dakota$862.97
- Ohio$1,071.00
- Oklahoma$622.87
- Oregon$995.48
- Pennsylvania$1,222.50
- Puerto Rico$1,050.00, 3 hospitals
- Rhode Island$1,091.65
- South Carolina$1,012.46
- South Dakota$1,018.44
- Tennessee$402.00
- Texas$1,045.65
- Utah$765.59
- Vermont$844.20
- Virginia$859.25
- West Virginia$1,005.50
- Wisconsin$605.00
- Wyoming$725.76
Median cash price across the state's hospitals.