Sed rate (ESR) cost in Washington
In Washington, 57 hospitals publish a cash price for sed rate (ESR, erythrocyte sedimentation rate): from $4.89 to $120.64, with a median of $35.75. The lowest price is at Legacy Salmon Creek Medical Center (Vancouver). The highest price is 24.7× the lowest.
- The median here, $35.75, is 6% below the US median of $38.00.
- That is 13.2× Medicare's 2026 national rate for the same service ($2.70).
- Washington ranks 22nd of 49 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 85652. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$4.89Legacy Salmon Creek Medical Center
Median$35.75half of hospitals charge less
Highest$120.64in Washington
Lowest saves$30.86vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Legacy Salmon Creek Medical Center lowest Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC SED RATE ESR/AUTOMATED | $4.89 | $7.52 | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC RBC SED RATE AUTOMATED | $12.60 | $18.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC RBC SED RATE AUTOMATED | $13.30 | $19.00 | Apr 1, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC SEDIMENTATION RATE -LC | $13.83 | $23.85 | Apr 14, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Sedimentation Rate, Erythrocyte; Automat | $14.40 | $16.00 | Aug 10, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC SED RATE AUTO | $14.72 | $51.04 | Sep 30, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC RBC SED RATE AUTOMATED | $15.36 | $32.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC RBC SED RATE AUTOMATED | $15.36 | $32.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC RBC SED RATE AUTOMATED | $15.36 | $32.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC RBC SED RATE AUTOMATED | $15.36 | $32.00 | Apr 1, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC SED RATE AUTO | $15.53 | $51.04 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC SED RATE AUTO | $15.54 | $51.04 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC SED RATE AUTO | $15.70 | $51.04 | Sep 30, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC SED RATE AUTO | $16.26 | $49.08 | Feb 28, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA RBC SED RATE AUTOMATED | $16.32 | $32.00 | Jan 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC RBC SED RATE AUTOMATED | $16.64 | $32.00 | Apr 1, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC SED RATE AUTO | $18.75 | $51.04 | Sep 30, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $20.80 | $32.00 | Mar 21, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC SED RATE AUTO | $21.67 | $49.08 | Feb 28, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $23.40 | $23.40 | Mar 18, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Red blood cell sedimentation rate, to detect inflammation, automated | $24.18 | $24.18 | Sep 1, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Sedimentation Rate RBC Automated | $25.20 | $36.00 | Mar 12, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA RBC SED RATE AUTOMATED | $27.00 | $67.49 | Jul 10, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Red blood cell sedimentation rate, to detect inflammation, automated | $27.54 | $51.00 | Aug 31, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $27.95 | $43.00 | Mar 20, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA RBC sedimentation rate, to detect inflammation, automated | $29.60 | $37.00 | Jun 24, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Sedimentation Rate, Automated | $31.00 | $62.00 | Apr 1, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA SEDIMENTATION RATE ERYTHROCYE AUTOMATED | $32.00 | $40.00 | Apr 1, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $35.75 | $55.00 | Mar 21, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA RBC sedimentation rate, to detect inflammation, automated | $38.00 | $38.00 | Jan 4, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $39.65 | $61.00 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $39.65 | $61.00 | Mar 21, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC RBC SED RATE AUTOMATED | $42.00 | $56.00 | Oct 23, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Rbc sed rate automated | $42.40 | $53.00 | May 15, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC RBC SED RATE AUTOMATED | $44.40 | $55.50 | Mar 26, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC RBC SED RATE AUTOMATED | $46.40 | $58.00 | Mar 26, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Red blood cell sedimentation rate, to detect inflammation, automated | $46.75 | $55.00 | Jun 9, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Red blood cell sedimentation rate, to detect inflammation, automated | $51.20 | $64.00 | Aug 6, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA SED RATE RBC AUTOMATED | $52.70 | $62.00 | Sep 14, 2026 source file |
| Othello Community Hospital Othello · Othello, WA Red blood cell sedimentation rate, to detect inflammation, automated | $53.81 | $71.75 | Jul 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC RBC SED RATE AUTOMATED | $53.90 | $77.00 | Apr 1, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Red blood cell sedimentation rate, to detect inflammation, automated | $54.75 | $54.75 | May 27, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC RBC SED RATE AUTOMATED | $55.30 | $79.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC RBC SED RATE AUTOMATED | $56.65 | $103.00 | Jan 1, 2025 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA Erythrocyte Sedimentation Rate (ESR) | $58.50 | $90.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Red blood cell sedimentation rate, to detect inflammation, automated | $58.65 | $69.00 | Oct 7, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Red blood cell sedimentation rate, to detect inflammation, automated | $58.90 | $95.00 | May 18, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Red blood cell sedimentation rate, to detect inflammation, automated | $64.13 | $71.25 | Sep 14, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA Sedimentation Rate | $67.88 | $90.50 | Mar 10, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA ERYTHROCYTE SEDIMENT RATE-ESR | $68.00 | $85.00 | Dec 2, 2024 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC RBC SED RATE AUTOMATED | $70.70 | $101.00 | Apr 1, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA Erythrocyte Sedimentation Rate (ESR) | $72.96 | $128.00 | Apr 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC RBC SED RATE AUTOMATED | $78.40 | $112.00 | Apr 1, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Sedimentation Rate (Esr) | $78.70 | $78.70 | Mar 31, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Red blood cell sedimentation rate, to detect inflammation, automated | $92.00 | $115.00 | Oct 27, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC RBC SED RATE AUTOMATED | $120.64 | $232.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC RBC SED RATE AUTOMATED | $120.64 | $232.00 | Apr 1, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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
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 | 18 | $13.83 | $15.98 |
| Spokane-Spokane Valley, WA | 5 | $12.60 | $23.40 |
| Kennewick-Richland, WA | 4 | $27.00 | $64.80 |
| Wenatchee-East Wenatchee, WA | 3 | $14.40 | $24.18 |
| Centralia, WA | 2 | $58.90 | $89.77 |
| Moses Lake, WA | 2 | $38.00 | $46.38 |
| Mount Vernon-Anacortes, WA | 2 | $20.80 | $33.60 |
| Port Townsend, WA | 2 | $51.20 | $71.60 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $4.89 | $22.27 |
| Aberdeen, WA | 1 | $27.54 | $27.54 |
| Bellingham, WA | 1 | $35.75 | $35.75 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $21.67 | $21.67 |
| Davenport, WA | 1 | $64.13 | $64.13 |
| Ellensburg, WA | 1 | $58.65 | $58.65 |
| Friday Harbor, WA | 1 | $27.95 | $27.95 |
| Goldendale, WA | 1 | $68.00 | $68.00 |
| Ilwaco, WA | 1 | $42.00 | $42.00 |
| Longview-Kelso, WA | 1 | $39.65 | $39.65 |
| Olympia-Lacey-Tumwater, WA | 1 | $120.64 | $120.64 |
| Othello, WA | 1 | $53.81 | $53.81 |
| Port Angeles, WA | 1 | $29.60 | $29.60 |
| Pullman, WA | 1 | $46.75 | $46.75 |
| Republic, WA | 1 | $52.70 | $52.70 |
| Shelton, WA | 1 | $67.88 | $67.88 |
| Walla Walla, WA | 1 | $55.30 | $55.30 |
| Yakima, WA | 1 | $58.50 | $58.50 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What sed rate (ESR) is, what the price covers and why prices differ: Sed rate (ESR) explained.
Sed rate (ESR, erythrocyte sedimentation rate) in other states
- Alabama$23.64
- Alaska$64.00
- Arizona$63.18
- Arkansas$22.80
- California$56.00
- Colorado$58.30
- Connecticut$28.90
- Delaware$37.00
- District of Columbia$23.14, 2 hospitals
- Florida$110.24
- Georgia$33.06
- Hawaii$52.50
- Idaho$20.15
- Illinois$48.40
- Indiana$38.98
- Iowa$36.83
- Kansas$32.40
- Kentucky$38.40
- Louisiana$18.17
- Maine$29.58
- Maryland$13.48
- Massachusetts$13.06
- Michigan$24.00
- Minnesota$38.94
- Mississippi$38.55
- Missouri$34.40
- Montana$42.38
- Nebraska$52.50
- Nevada$55.00
- New Hampshire$36.27
- New Jersey$15.50
- New Mexico$43.50
- New York$24.77
- North Carolina$75.65
- North Dakota$30.85
- Ohio$37.93
- Oklahoma$24.57
- Oregon$28.08
- Pennsylvania$21.63
- Puerto Rico$140.00, 3 hospitals
- Rhode Island$19.95, 3 hospitals
- South Carolina$54.50
- South Dakota$69.60
- Tennessee$17.68
- Texas$61.80
- Utah$55.76
- Vermont$42.00
- Virginia$57.50
- West Virginia$16.75
- Wisconsin$41.60
- Wyoming$31.70
Median cash price across the state's hospitals.