Nutrition counseling cost in Washington
In Washington, 49 hospitals publish a cash price for nutrition counseling (medical nutrition therapy), first visit, 15 minutes: from $25.20 to $154.00, with a median of $63.70. The lowest price is at Willapa Harbor Hospital (South Bend). The highest price is 6.1× the lowest.
- The median here, $63.70, is 22% above the US median of $52.20.
- That is 1.7× Medicare's 2026 national rate for the same service ($36.74).
- Washington ranks 36th of 49 states by median, cheapest first.
- 3 of 49 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 97802. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$25.20Willapa Harbor Hospital
Median$63.70half of hospitals charge less
Highest$154.00in Washington
Lowest saves$38.50vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Willapa Harbor Hospital lowest South Bend · South Bend, WA MEDICAL NUTRITION INDIV IN | $25.20 | $36.00 | Feb 24, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC MEDICAL NUTRITION INDIV INITIAL THERAPY EA 15 MIN CDM | $30.10 | $43.00 | Apr 1, 2026 source file |
| Snoqualmie Valley Hospital Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC MNT INIT ASSESSMENT EA 15MIN | $35.72 | $61.59 | Apr 14, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC MEDICAL NUTRITION INDIV INITIAL THERAPY EA 15 MIN CDM | $37.10 | $53.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC MEDICAL NUTRITION INDIV INIT EA 15 MIN | $38.50 | $70.00 | Jan 1, 2025 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA MEDICAL NUTRITION INDIV IN | $41.02 | $102.55 | Jul 10, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Therapy procedure for nutrition management, each 15 minutes | $44.10 | $44.10 | Sep 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC MEDICAL NUTRITION INDIV INITIAL THERAPY EA 15 MIN CDM | $45.00 | $60.00 | Oct 23, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA MEDICAL NUTRITION INDIV IN | $48.10 | $74.00 | Mar 20, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA MEDICAL NUTRITION INDIV IN | $48.10 | $74.00 | Mar 21, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC OP MNT INIT ASSESS EA 15MIN | $51.42 | $178.29 | Sep 30, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Therapy procedure for nutrition management, each 15 minutes | $53.32 | $86.00 | May 18, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC OP MNT INIT ASSESS EA 15MIN | $54.22 | $178.29 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC OP MNT INIT ASSESS EA 15MIN | $54.28 | $178.29 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC OP MNT INIT ASSESS EA 15MIN | $54.83 | $178.29 | Sep 30, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Therapy procedure for nutrition management, each 15 minutes | $59.94 | $111.00 | Aug 31, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Therapy procedure nutrition management - each 15m | $60.00 | $75.00 | Jun 24, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Mnt Init Assessment Ea 15Min | $61.00 | $122.00 | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC MEDICAL NUTRITION INITIAL 15 | $61.75 | $95.00 | Apr 1, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC OP MNT INIT ASSESS EA 15MIN | $62.16 | $187.67 | Feb 28, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC MEDICAL NUTRITION INDIV INITIAL THERAPY EA 15 MIN CDM | $62.40 | $130.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC MEDICAL NUTRITION INDIV INITIAL THERAPY EA 15 MIN CDM | $62.40 | $130.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC MEDICAL NUTRITION INDIV INITIAL THERAPY EA 15 MIN CDM | $62.40 | $130.00 | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA MEDICAL NUTRITION INDIV IN | $63.70 | $98.00 | Mar 20, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA MEDICAL NUTRITION INDIV IN | $63.70 | $98.00 | Mar 21, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA MEDICAL NUTRITION INDIV IN | $63.70 | $98.00 | Mar 21, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA MED NUTRN, INIT, INDIV, FACE-TO-FACE W/PT, EA 15 MIN | $64.77 | $127.00 | Jan 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 97802 Medical nutrition therapy initial assessmen | $65.00 | $100.00 | Apr 1, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC OP MNT INIT ASSESS EA 15MIN | $65.47 | $178.29 | Sep 30, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC MNT INITIAL INDIV EA 15 MIN | $70.40 | $88.00 | Mar 26, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Therapy procedure for nutrition management, each 15 minutes | $73.95 | $87.00 | Jun 9, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC MEDICAL NUTRITION INDIV INITIAL THERAPY EA 15 MIN CDM | $80.08 | $154.00 | Apr 1, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC CRISIS TELEH 97802 MEDICAL NUTRITION INDIV INIT THERAPY EA 15 MIN CDM | $80.50 | $115.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Therapy procedure for nutrition management, each 15 minutes | $80.75 | $95.00 | Oct 7, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Therapy procedure for nutrition management, each 15 minutes | $80.80 | $101.00 | Aug 6, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC OP MNT INIT ASSESS EA 15MIN | $82.83 | $187.67 | Feb 28, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Therapy procedure for nutrition management, each 15 minutes | $85.60 | $107.00 | Oct 27, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 97802 MNT Dietician Individual, Initial in 15 min increments CHARGE | $86.40 | $115.20 | Mar 10, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA MNT intial ind per 15min | $90.40 | $113.00 | May 15, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC MEDICAL NUTRITION INITIAL ASSMT&IVNTJ BARIATRIC THERAPY INDIV EACH 15MIN | $91.70 | $131.00 | Apr 1, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA MED NUTRI THER EACH 15 MINS | $91.80 | $108.00 | Sep 14, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA Med Nutrition Assmt&Ivntj Initial Indivtherapy Each15min | $94.00 | $94.00 | Jan 4, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC MNT INITIAL INDIV EA 15 MIN | $97.60 | $122.00 | Mar 26, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC CRISIS TELEH 97802 MEDICAL NUTRITION INDIV INIT THERAPY EA 15 MIN CDM | $99.40 | $142.00 | Apr 1, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Therapy procedure for nutrition management, each 15 minutes | $102.40 | $128.00 | Jun 29, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Med Nutr Ther, 1st, Indiv, Ea 15 Min--Pbb | $102.60 | $114.00 | Aug 10, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Med Nutrition Therapy Initial Ea 15 Min | $104.40 | $104.40 | Mar 31, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Medical Nutrition Assmt&Ivntj Indiv Each 15 Mi | $105.00 | $150.00 | Mar 12, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC MEDICAL NUTRITION INITIAL ASSMT&IVNTJ BARIATRIC THERAPY INDIV EACH 15MIN | $154.00 | $220.00 | 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.
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
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 | 16 | $35.72 | $62.40 |
| Spokane-Spokane Valley, WA | 4 | $30.10 | $64.40 |
| Kennewick-Richland, WA | 3 | $38.50 | $41.02 |
| Wenatchee-East Wenatchee, WA | 3 | $44.10 | $90.40 |
| Mount Vernon-Anacortes, WA | 2 | $48.10 | $72.85 |
| Port Townsend, WA | 2 | $80.80 | $83.20 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $61.75 | $62.72 |
| Pullman, WA | 2 | $73.95 | $88.18 |
| Aberdeen, WA | 1 | $59.94 | $59.94 |
| Bellingham, WA | 1 | $63.70 | $63.70 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $82.83 | $82.83 |
| Centralia, WA | 1 | $53.32 | $53.32 |
| Ellensburg, WA | 1 | $80.75 | $80.75 |
| Friday Harbor, WA | 1 | $48.10 | $48.10 |
| Ilwaco, WA | 1 | $45.00 | $45.00 |
| Longview-Kelso, WA | 1 | $63.70 | $63.70 |
| Moses Lake, WA | 1 | $94.00 | $94.00 |
| Port Angeles, WA | 1 | $60.00 | $60.00 |
| Republic, WA | 1 | $91.80 | $91.80 |
| South Bend, WA | 1 | $25.20 | $25.20 |
| Shelton, WA | 1 | $86.40 | $86.40 |
| Walla Walla, WA | 1 | $154.00 | $154.00 |
| Yakima, WA | 1 | $65.00 | $65.00 |
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 nutrition counseling is, what the price covers and why prices differ: Nutrition counseling explained.
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes in other states
- Alabama$51.80
- Alaska$77.22
- Arizona$147.20
- Arkansas$34.29
- California$99.68
- Colorado$55.98
- Connecticut$73.70
- Delaware$73.18
- District of Columbia$68.66, 4 hospitals
- Florida$66.59
- Georgia$36.27
- Hawaii$42.00, 3 hospitals
- Idaho$54.75
- Illinois$52.50
- Indiana$34.20
- Iowa$44.36
- Kansas$30.36
- Kentucky$29.69
- Louisiana$30.87
- Maine$45.50
- Maryland$172.81
- Massachusetts$100.00
- Michigan$46.00
- Minnesota$61.49
- Mississippi$24.00
- Missouri$40.15
- Montana$45.34
- Nebraska$52.00
- Nevada$61.21
- New Hampshire$59.57
- New Jersey$40.94
- New Mexico$57.30
- New York$53.00
- North Carolina$46.50
- North Dakota$100.00
- Ohio$64.76
- Oklahoma$48.29
- Oregon$71.20
- Pennsylvania$50.40
- Puerto Rico$45.00, 1 hospital
- Rhode Island$50.75
- South Carolina$48.00
- South Dakota$54.42
- Tennessee$26.62
- Texas$50.27
- Utah$93.39
- Vermont$56.00
- Virginia$26.00
- West Virginia$48.00
- Wisconsin$60.00
- Wyoming$67.00
Median cash price across the state's hospitals.