Rapid strep test cost in Washington
In Washington, 44 hospitals publish a cash price for rapid strep A antigen test from a throat swab, read visually: from $18.90 to $158.00, with a median of $72.05. The lowest price is at Confluence Health Hospital (Wenatchee). The highest price is 8.4× the lowest.
- The median here, $72.05, is 22% above the US median of $59.00.
- That is 4.4× Medicare's 2026 national rate for the same service ($16.53).
- Washington ranks 35th of 50 states by median, cheapest first.
- 5 of 44 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 87880. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Lowest$18.90Confluence Health Hospital
Median$72.05half of hospitals charge less
Highest$158.00in Washington
Lowest saves$53.15vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Confluence Health Hospital lowest Wenatchee · Wenatchee-East Wenatchee, WA HC Strep a Assay W/Optic----Pbb | $18.90 | $21.00 | Aug 10, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC RAPID STREP SCREEN | $32.00 | $40.00 | Mar 26, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA DETECTION TEST BY IMMUNOASSAY WITH DIRECT VISUAL OBSERVATION FOR STREPTOCOCCUS; GROUP A (STREP) | $33.28 | $47.54 | Feb 24, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Primary Care Rapid Strep | $35.90 | $35.90 | Mar 31, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA Strep B Rapid | $39.00 | $60.00 | Apr 1, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $44.20 | $52.00 | Jun 9, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC RAPID STREP SCREEN | $44.80 | $56.00 | Mar 26, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Iaadiadoo Streptococcus Group A | $45.50 | $65.00 | Mar 12, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA INFECT AGNT DETECT,IMMUNOASSAY,STREPTOCOCCUS,GROUP A | $49.98 | $98.00 | Jan 1, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA Strep A POCT | $51.30 | $68.40 | Mar 10, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $53.60 | $67.00 | Jun 29, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Test by immunoassay w/ direct visual observation for Strep | $56.00 | $70.00 | Jun 24, 2026 source file |
| East Adams Rural Healthcare Ritzville · Othello, WA P POCT RAPID STREP | $58.03 | $77.38 | Jun 1, 2026 source file |
| Lincoln Hospital Davenport · Davenport, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $59.01 | $65.57 | Sep 14, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $59.20 | $74.00 | Aug 6, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC POCT RAPID STREP GROUP A SCREEN - ED | $65.65 | $101.00 | Apr 1, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $65.72 | $106.00 | May 18, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $66.50 | $95.00 | Apr 1, 2026 source file |
| Kaiser Permanente Central Hospital Seattle · Seattle-Tacoma-Bellevue, WA "LAB TEST BY IMMUNSSY W/OPTCL OBS,87880" | $67.20 | $84.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC IAADIADOO STREPTOCOCCUS GROUP A # | $68.20 | $124.00 | Jan 1, 2025 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $70.55 | $83.00 | Oct 7, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA Rapid Strep Test Group A | $72.00 | $90.00 | Dec 2, 2024 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $72.10 | $103.00 | Apr 1, 2026 source file |
| Swedish Edmonds Edmonds · Seattle-Tacoma-Bellevue, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $76.32 | $159.00 | Apr 1, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $76.32 | $159.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $76.32 | $159.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $76.32 | $159.00 | Apr 1, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Rapid Strep A Screen | $77.50 | $155.00 | Apr 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $81.90 | $117.00 | Apr 1, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $82.08 | $152.00 | Aug 31, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $82.68 | $159.00 | Apr 1, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC RAPID STREP A SCREEN | $84.66 | $145.96 | Apr 14, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $93.08 | $179.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $93.08 | $179.00 | Apr 1, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $95.90 | $95.90 | May 27, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $96.00 | $120.00 | Oct 27, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA IAADIADOO STREP GRP A | $96.05 | $113.00 | Sep 14, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $103.60 | $148.00 | Apr 1, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA STREP A ASSAY W/OPTIC | $104.10 | $104.10 | Mar 18, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Strep a assay w/optic | $110.40 | $138.00 | May 15, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA Strep B Rapid | $112.29 | $197.00 | Apr 1, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) | $112.82 | $112.82 | Sep 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC IAADIADOO STREPTOCOCCUS GROUP A LAB | $140.00 | $200.00 | Apr 1, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Test by immunoassay w/ direct visual observation for Strep | $158.00 | $158.00 | Jan 4, 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 | 12 | $35.90 | $76.32 |
| Spokane-Spokane Valley, WA | 5 | $66.50 | $103.60 |
| Kennewick-Richland, WA | 3 | $68.20 | $81.90 |
| Wenatchee-East Wenatchee, WA | 3 | $18.90 | $110.40 |
| Centralia, WA | 2 | $65.72 | $79.40 |
| Moses Lake, WA | 2 | $95.90 | $126.95 |
| Port Townsend, WA | 2 | $59.20 | $77.60 |
| Pullman, WA | 2 | $44.20 | $48.90 |
| Aberdeen, WA | 1 | $82.08 | $82.08 |
| Davenport, WA | 1 | $59.01 | $59.01 |
| Ellensburg, WA | 1 | $70.55 | $70.55 |
| Goldendale, WA | 1 | $72.00 | $72.00 |
| Mount Vernon-Anacortes, WA | 1 | $32.00 | $32.00 |
| Olympia-Lacey-Tumwater, WA | 1 | $93.08 | $93.08 |
| Othello, WA | 1 | $58.03 | $58.03 |
| Port Angeles, WA | 1 | $56.00 | $56.00 |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $65.65 | $65.65 |
| Republic, WA | 1 | $96.05 | $96.05 |
| South Bend, WA | 1 | $33.28 | $33.28 |
| Shelton, WA | 1 | $51.30 | $51.30 |
| Yakima, WA | 1 | $39.00 | $39.00 |
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 rapid strep test is, what the price covers and why prices differ: Rapid strep test explained.
Rapid strep A antigen test from a throat swab, read visually in other states
- Alabama$43.16
- Alaska$87.87
- Arizona$30.50
- Arkansas$26.65
- California$107.89
- Colorado$142.19
- Connecticut$46.63
- Delaware$114.75
- District of Columbia$102.00, 3 hospitals
- Florida$114.40
- Georgia$72.10
- Hawaii$55.50
- Idaho$61.51
- Illinois$61.00
- Indiana$77.70
- Iowa$53.90
- Kansas$72.00
- Kentucky$59.26
- Louisiana$26.55
- Maine$39.60
- Maryland$72.37
- Massachusetts$64.37
- Michigan$53.55
- Minnesota$54.56
- Mississippi$34.50
- Missouri$45.01
- Montana$48.75
- Nebraska$48.90
- Nevada$35.77
- New Hampshire$77.90
- New Jersey$18.18
- New Mexico$66.00
- New York$40.00
- North Carolina$57.25
- North Dakota$78.65
- Ohio$57.20
- Oklahoma$48.56
- Oregon$54.75
- Pennsylvania$63.30
- Puerto Rico$37.50
- Rhode Island$27.65, 4 hospitals
- South Carolina$87.50
- South Dakota$75.65
- Tennessee$36.00
- Texas$98.80
- Utah$112.60
- Vermont$67.00
- Virginia$89.50
- West Virginia$40.75
- Wisconsin$45.58
- Wyoming$53.25
Median cash price across the state's hospitals.