New patient visit, 45 min cost in Washington
In Washington, 39 hospitals publish a cash price for new patient office visit, about 45 minutes: from $39.88 to $511.20, with a median of $252.20. The lowest price is at Snoqualmie Valley Hospital (Snoqualmie). The highest price is 12.8× the lowest.
- The median here, $252.20, is 8% above the US median of $233.31.
- That is 1.9× Medicare's 2026 national rate for the same service ($136.02).
- Washington ranks 30th of 51 states by median, cheapest first.
- 4 of 39 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 99204. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 6, 2026. See them on a map
Lowest$39.88Snoqualmie Valley Hospital
Median$252.20half of hospitals charge less
Highest$511.20in Washington
Lowest saves$212.32vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Snoqualmie Valley Hospital lowest Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC SVH MCR SPEC CLINIC FAC NEW LVL 4 | $39.88 | $68.76 | Apr 14, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA NEW PATIENTLEVL 4 COMPREHENSIVE. | $72.42 | $142.00 | Jan 1, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $84.70 | $121.00 | Feb 24, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA 99204 New patient visit- level 4 | $108.30 | $190.00 | Apr 1, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA Hspc Office/Outpatient New Moderate Mdm 45 Minutes Met or Exceeded | $118.01 | $131.12 | Aug 10, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA OFFICE O/P NEW MOD 45 MIN | $124.15 | $191.00 | Mar 20, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA New Clinic Facility Med/Surg | $140.00 | $140.00 | Mar 31, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA OP VISIT LEVEL 4 NEW PT | $176.80 | $272.00 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC VISIT NEW PT LEVEL 4 | $177.27 | $615.00 | Feb 28, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC VISIT NEW PT LEVEL 4 | $187.06 | $615.00 | Feb 28, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC VISIT NEW PT LEVEL 4 | $187.80 | $615.00 | Feb 28, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC VISIT NEW PT LEVEL 4 | $193.01 | $615.00 | Feb 28, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC VISIT NEW PT LEVEL 4 | $203.69 | $615.00 | Feb 28, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA OFFICE O/P NEW MOD 45 MIN | $211.90 | $326.00 | Mar 21, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC VISIT NEW PT LEVEL 4 | $217.32 | $615.00 | Feb 28, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC PR 99204 NEW PT VISIT - LEVEL 4 | $219.10 | $313.00 | Apr 1, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC NEW PT VISIT - LEVEL 4 | $238.70 | $434.00 | Jan 1, 2025 source file |
| Ferry County Memorial Hospital Republic · Republic, WA DIVISION OF DISABILITY EXAM | $239.77 | $282.08 | Sep 14, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $251.45 | $251.45 | Sep 1, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC PR 99204 NEW PT VISIT - LEVEL 4 | $252.20 | $485.00 | Apr 1, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC VISIT NEW PT LEVEL 4 | $271.43 | $615.00 | Feb 28, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $272.80 | $440.00 | May 18, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $279.18 | $517.00 | Aug 31, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC PR 99204 NEW PT VISIT - LEVEL 4 | $282.10 | $403.00 | Apr 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC PR 99204 OFFICE OUTPATIENT NEW RHC | $284.25 | $379.00 | Oct 23, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Office/Outpatient New Moderate Mdm 45 Minutes | $302.40 | $432.00 | Mar 12, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC NEW PATIENT VISIT LEVEL 4 | $306.40 | $383.00 | Mar 26, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA E/M NEW PT LVL 4 FAC | $312.00 | $390.00 | Dec 2, 2024 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 99204 Office/Outpatient Visit - New Level 4 45-59 Minutes | $320.20 | $426.93 | Mar 10, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC PR 99204 NEW PT VISIT - LEVEL 4 | $326.04 | $627.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC PR 99204 NEW PT VISIT - LEVEL 4 | $326.04 | $627.00 | Apr 1, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $348.50 | $410.00 | Oct 7, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR 99204 Office Outpatient New Rhc | $375.00 | $375.00 | Jan 4, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC ONC NEW PATIENT VISIT LEVEL 4 | $398.40 | $498.00 | Mar 26, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Office o/p new mod 45-59 min | $405.60 | $507.00 | May 15, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $411.80 | $411.80 | Mar 18, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $420.80 | $526.00 | Aug 6, 2026 source file |
| Lourdes Health Pasco · Kennewick-Richland, WA OFFICE/OUTPATIENT VISIT NEW | $473.29 | $1,183.23 | Jul 10, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $511.20 | $639.00 | Oct 27, 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 | $39.88 | $190.40 |
| Kennewick-Richland, WA | 3 | $108.30 | $238.70 |
| Spokane-Spokane Valley, WA | 3 | $219.10 | $282.10 |
| Wenatchee-East Wenatchee, WA | 3 | $118.01 | $251.45 |
| Centralia, WA | 2 | $272.80 | $299.42 |
| Port Townsend, WA | 2 | $420.80 | $466.00 |
| Aberdeen, WA | 1 | $279.18 | $279.18 |
| Bellingham, WA | 1 | $211.90 | $211.90 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $271.43 | $271.43 |
| Ellensburg, WA | 1 | $348.50 | $348.50 |
| Friday Harbor, WA | 1 | $124.15 | $124.15 |
| Goldendale, WA | 1 | $312.00 | $312.00 |
| Ilwaco, WA | 1 | $284.25 | $284.25 |
| Moses Lake, WA | 1 | $375.00 | $375.00 |
| Mount Vernon-Anacortes, WA | 1 | $398.40 | $398.40 |
| Olympia-Lacey-Tumwater, WA | 1 | $326.04 | $326.04 |
| Republic, WA | 1 | $239.77 | $239.77 |
| South Bend, WA | 1 | $84.70 | $84.70 |
| Shelton, WA | 1 | $320.20 | $320.20 |
| Yakima, WA | 1 | $176.80 | $176.80 |
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 new patient visit, 45 min is, what the price covers and why prices differ: New patient visit, 45 min explained.
New patient office visit, about 45 minutes in other states
- Alabama$254.50
- Alaska$647.00
- Arizona$198.07
- Arkansas$148.72
- California$244.50
- Colorado$365.60
- Connecticut$335.00
- Delaware$271.32
- District of Columbia$250.96, 3 hospitals
- Florida$643.82
- Georgia$199.50
- Hawaii$280.35
- Idaho$196.95
- Illinois$296.00
- Indiana$189.00
- Iowa$232.40
- Kansas$184.00
- Kentucky$186.00
- Louisiana$91.23
- Maine$209.22
- Maryland$251.80
- Massachusetts$352.43
- Michigan$118.15
- Minnesota$171.60
- Mississippi$158.40
- Missouri$214.50
- Montana$236.81
- Nebraska$297.99
- Nevada$259.00
- New Hampshire$213.55
- New Jersey$147.69
- New Mexico$290.44
- New York$298.00
- North Carolina$243.60
- North Dakota$322.20
- Ohio$121.20
- Oklahoma$228.15
- Oregon$284.70
- Pennsylvania$300.00
- Puerto Rico$456.96
- Rhode Island$351.40
- South Carolina$224.05
- South Dakota$256.50
- Tennessee$93.06
- Texas$292.50
- Utah$524.63
- Vermont$251.11
- Virginia$162.30
- West Virginia$91.75
- Wisconsin$224.44
- Wyoming$245.25
Median cash price across the state's hospitals.