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Critical Access Hospital

Lake District Hospital

Lakeview, Oregon · Lake County · Emergency services listed

Summary

Lake District Hospital is a critical access hospital in Lakeview, Oregon. Medicare data lists emergency services. Its official website lists 66 services, specialties and programs. Medicare lists 86 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

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Exterior of Lake District Hospital
Photo: Orygun, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
66Services listed

Quick answers

Does Lake District Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Lake District Hospital. In a medical emergency, call 911.
Where is Lake District Hospital?
700 South J Street, Lakeview, OR 97630, in Lake County, Oregon.
What is the phone number of Lake District Hospital?
(541) 947-2114, as listed by Medicare (CMS).
What is the Medicare star rating of Lake District Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5][6][8][9][11][12][13][15]

Conditions treated[6][8]

Treatments[4][6][8][11][13][14][15]

Procedures[4][7][8]

Programs and centers[4][6][13]

  • Community Health Improvement Program (CHIP)
  • Case Review Program
  • Cardiac rehabilitation
  • Pulmonary rehabilitation
  • Better Breathers classes
  • Family practice residency (teaching facility)

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Doctors and clinicians (86)

86 doctors and other clinicians list Lake District Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (86)

And 62 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Clinics and urgent care

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Lake District Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)Not reported to Medicare
Overall rating of the hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1078%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well83%National average: 80%
Doctors “always” communicated well89%National average: 80%
Staff “always” explained medicines before giving them73%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean84%National average: 74%
Area around the room “always” quiet at night53%National average: 60%
Completed surveys67Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patients15.7%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)117 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Too few cases to report

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Lake District Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $220 $187 $110 – $286
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $209
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $143
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $202.40
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $110
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $205.04
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $209
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $209
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $215.60
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $209
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $209
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $325 $276.25 $162.50 – $422.50
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $308.75
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $211.25
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $299
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $162.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $302.90
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $308.75
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $308.75
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $318.50
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $308.75
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $308.75
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $642 $545.70 $167.68 – $834.60
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $609.90
  • BEACON HEALTH OP ONLY-ALL PLANS — BEACON HEALTH OP ONLY-ALL PLANS: $167.68
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $417.30
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $590.64
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $321
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $598.34
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $609.90
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $609.90
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $629.16
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $609.90
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $180 $153 $60.56 – $234
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $171
  • BEACON HEALTH OP ONLY-ALL PLANS — BEACON HEALTH OP ONLY-ALL PLANS: $60.56
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $117
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $165.60
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $90
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $167.76
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $171
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $171
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $176.40
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $171
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $255 $216.75 $64.13 – $331.50
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $242.25
  • BEACON HEALTH OP ONLY-ALL PLANS — BEACON HEALTH OP ONLY-ALL PLANS: $64.13
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $165.75
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $234.60
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $127.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $237.66
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $242.25
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $242.25
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $249.90
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $242.25
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more $441 $374.85 $220.50 – $573.30
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $418.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $286.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $405.72
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $220.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $411.01
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $418.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $418.95
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $432.18
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $418.95
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $418.95
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more $707 $600.95 $353.50 – $919.10
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $671.65
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $459.55
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $650.44
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $353.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $658.92
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $671.65
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $671.65
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $692.86
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $671.65
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $671.65
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years) $350 $297.50 $175 – $455
Preventive checkup, new patient, age 18–39: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $332.50
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $227.50
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $322
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $175
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $326.20
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $332.50
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $332.50
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $343
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $332.50
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $332.50
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years) $403 $342.55 $201.50 – $523.90
Preventive checkup, new patient, age 40–64: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $382.85
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $261.95
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $370.76
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $201.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $375.60
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $382.85
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $382.85
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $394.94
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $382.85
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $382.85
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making $810 $688.50 $405 – $1,053
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $769.50
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $526.50
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $745.20
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $405
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $754.92
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $769.50
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $769.50
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $793.80
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $769.50
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $769.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making $276 $234.60 $44.60 – $276
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $262.20
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $179.40
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $253.92
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $67.45
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $257.23
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $262.20
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $262.20
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $192.08
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $149.04
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $262.20
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making $1,369 $1,163.65 $684.50 – $1,779.70
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,300.55
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $889.85
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $1,259.48
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $684.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,275.91
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $1,300.55
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $1,300.55
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $1,341.62
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $1,300.55
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $1,300.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making $423 $359.55 $53.83 – $423
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $401.85
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $274.95
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $389.16
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $114.71
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $394.24
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $401.85
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $401.85
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $361.62
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $273.78
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $401.85
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making $2,219 $1,886.15 $1,109.50 – $2,884.70
Emergency room visit (high): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,108.05
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,442.35
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $2,041.48
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $1,109.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,068.11
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $2,108.05
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $2,108.05
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $2,174.62
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $2,108.05
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $2,108.05
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making $657 $558.45 $108.08 – $657
Emergency room visit (high): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $624.15
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $427.05
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $604.44
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $166.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $612.32
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $624.15
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $624.15
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $535.08
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $397.71
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $624.15

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total) $178 $151.30 $89 – $178
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $169.10
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $115.70
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $163.76
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $89
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $165.90
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $169.10
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $169.10
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $174.44
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $169.10
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $169.10
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals $203 $172.55 $101.50 – $203
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $192.85
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $131.95
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $186.76
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $101.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $189.20
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $192.85
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $192.85
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $198.94
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $192.85
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $192.85
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel $438 $372.30 $219 – $438
Obstetric blood test panel: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $416.10
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $284.70
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $402.96
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $219
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $408.22
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $416.10
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $416.10
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $429.24
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $416.10
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $416.10
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides) $120 $102 $60 – $120
Cholesterol panel (lipid panel): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $114
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $78
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $110.40
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $60
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $111.84
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $114
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $114
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $117.60
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $114
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $114
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel $191 $162.35 $95.50 – $191
Kidney function panel: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $181.45
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $124.15
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $175.72
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $95.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $178.01
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $181.45
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $181.45
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $187.18
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $181.45
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $181.45
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel $178 $151.30 $89 – $178
Liver function panel: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $169.10
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $115.70
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $163.76
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $89
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $165.90
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $169.10
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $169.10
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $174.44
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $169.10
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $169.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated $102 $86.70 $51 – $102
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $96.90
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $66.30
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $93.84
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $51
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $95.06
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $96.90
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $96.90
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $99.96
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $96.90
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $96.90
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · modifier QW In the file: Urinalysis, manual test $20 $17 $10 – $20
Urine test (manual, without microscope): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $19
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $13
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $18.40
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $10
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $18.64
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $19
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $19
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $19.60
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $19
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $19
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test $46 $39.10 $23 – $46
Urine test (automated, without microscope): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $43.70
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $29.90
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $42.32
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $23
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $42.87
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $43.70
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $43.70
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $45.08
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $43.70
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $43.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total $147 $124.95 $73.50 – $147
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $139.65
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $95.55
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $135.24
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $73.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $137
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $139.65
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $139.65
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $144.06
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $139.65
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $139.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH) $139 $118.15 $69.50 – $139
Thyroid stimulating hormone (TSH) test: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $132.05
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $90.35
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $127.88
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $69.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $129.55
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $132.05
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $132.05
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $136.22
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $132.05
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $132.05
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $107 $90.95 $53.50 – $107
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $101.65
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $69.55
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $98.44
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $53.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $99.72
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $101.65
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $101.65
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $104.86
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $101.65
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $101.65
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $66 $56.10 $33 – $66
Complete blood count (CBC), automated: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $62.70
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $42.90
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $60.72
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $33
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $61.51
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $62.70
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $62.70
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $64.68
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $62.70
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $62.70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time $70 $59.50 $35 – $70
Blood clotting time test (prothrombin time, PT): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $66.50
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $45.50
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $64.40
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $35
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $65.24
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $66.50
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $66.50
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $68.60
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $66.50
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $66.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood $145 $123.25 $72.50 – $145
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $137.75
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $94.25
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $133.40
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $72.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $135.14
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $137.75
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $137.75
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $142.10
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $137.75
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $137.75

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC | 26 In the file: CT scan head or brain without contrast $1,853 $1,575.05 $926.50 – $2,408.90
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,760.35
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,204.45
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $1,704.76
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $926.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,727
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $1,760.35
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $1,760.35
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $1,815.94
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $1,760.35
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $1,760.35
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan head or brain without contrast $112 $95.20 $38.88 – $112
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $106.40
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $72.80
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $103.04
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $38.88
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $104.38
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $106.40
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $106.40
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $98.01
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $106.40
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $106.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC | 26 In the file: MRI scan of brain before and after contrast $5,286 $4,493.10 $2,643 – $6,871.80
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $5,021.70
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $3,435.90
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $4,863.12
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $2,643
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,926.55
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $5,021.70
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $5,021.70
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $5,180.28
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $5,021.70
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $5,021.70
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of brain before and after contrast $302 $256.70 $103.82 – $311.06
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $286.90
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $196.30
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $277.84
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $103.82
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $281.46
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $286.90
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $286.90
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $263.25
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $286.90
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $286.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC | 26 In the file: X-ray of chest, 2 views $412 $350.20 $206 – $535.60
Chest X-ray, 2 views: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $391.40
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $267.80
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $379.04
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $206
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $383.98
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $391.40
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $391.40
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $403.76
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $391.40
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $391.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of chest, 2 views $30 $25.50 $9.91 – $30
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $28.50
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $19.50
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $27.60
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $9.91
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $27.96
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $28.50
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $28.50
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $25.11
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $28.50
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $28.50
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC | 26 In the file: X-ray of lower and sacral spine, minimum of 4 views $674 $572.90 $337 – $876.20
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $640.30
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $438.10
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $620.08
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $337
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $628.17
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $640.30
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $640.30
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $660.52
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $640.30
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $640.30
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of lower and sacral spine, minimum of 4 views $35 $29.75 $12.48 – $43.85
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $33.25
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $22.75
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $32.20
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $12.48
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $32.62
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $33.25
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $33.25
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $29.97
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $33.25
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $33.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC | 26 In the file: MRI scan of lower spinal canal without contrast $2,535 $2,154.75 $1,267.50 – $3,295.50
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,408.25
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,647.75
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $2,332.20
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $1,267.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,362.62
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $2,408.25
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $2,408.25
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $2,484.30
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $2,408.25
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $2,408.25
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of lower spinal canal without contrast $197 $167.45 $67.61 – $197
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $187.15
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $128.05
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $181.24
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $67.61
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $183.60
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $187.15
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $187.15
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $170.91
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $187.15
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $187.15
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC | 26 In the file: CT scan of pelvis with contrast $2,451 $2,083.35 $1,225.50 – $3,186.30
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,328.45
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,593.15
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $2,254.92
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $1,225.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,284.33
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $2,328.45
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $2,328.45
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $2,401.98
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $2,328.45
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $2,328.45
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of pelvis with contrast $154 $130.90 $52.69 – $204.45
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $146.30
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $100.10
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $141.68
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $52.69
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $143.53
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $146.30
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $146.30
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $132.84
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $146.30
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $146.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC | 26 In the file: MRI scan of leg joint without contrast $2,646 $2,249.10 $1,323 – $3,439.80
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,513.70
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,719.90
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $2,434.32
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $1,323
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,466.07
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $2,513.70
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $2,513.70
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $2,593.08
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $2,513.70
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $2,513.70
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of leg joint without contrast $181 $153.85 $62.03 – $390.48
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $171.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $117.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $166.52
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $62.03
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $168.69
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $171.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $171.95
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $155.52
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $171.95
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $171.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast $4,718 $4,010.30 $2,359 – $6,133.40
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $4,482.10
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $3,066.70
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $4,340.56
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $2,359
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,397.18
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $4,482.10
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $4,482.10
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $4,623.64
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $4,482.10
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $4,482.10
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC | 26 In the file: CT scan of abdomen and pelvis with contrast $4,718 $4,010.30 $2,359 – $6,133.40
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $4,482.10
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $3,066.70
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $4,340.56
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $2,359
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,397.18
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $4,482.10
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $4,482.10
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $4,623.64
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $4,482.10
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $4,482.10
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of abdomen and pelvis with contrast $241 $204.85 $82.66 – $281.80
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $228.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $156.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $221.72
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $82.66
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $224.61
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $228.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $228.95
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $209.79
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $228.95
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $228.95
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC | 26 In the file: Complete ultrasound scan of abdomen $993 $844.05 $496.50 – $1,290.90
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $943.35
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $645.45
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $913.56
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $496.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $925.48
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $943.35
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $943.35
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $973.14
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $943.35
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $943.35
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: Complete ultrasound scan of abdomen $108 $91.80 $36.97 – $108
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $102.60
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $70.20
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $99.36
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $36.97
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $100.66
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $102.60
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $102.60
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $93.96
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $102.60
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $102.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC | 26 In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $802 $681.70 $401 – $1,042.60
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $761.90
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $521.30
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $737.84
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $401
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $747.46
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $761.90
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $761.90
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $785.96
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $761.90
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $761.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $133 $113.05 $46.55 – $133
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $126.35
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $86.45
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $122.36
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $46.55
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $123.96
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $126.35
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $126.35
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $114.21
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $126.35
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $126.35
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC | 26 In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $995 $845.75 $497.50 – $1,293.50
Transvaginal ultrasound: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $945.25
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $646.75
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $915.40
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $497.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $927.34
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $945.25
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $945.25
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $975.10
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $945.25
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $945.25
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $92 $78.20 $31.97 – $92
Transvaginal ultrasound: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $87.40
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $59.80
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $84.64
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $31.97
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $85.74
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $87.40
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $87.40
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $79.38
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $87.40
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $87.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of 1 breast $329 $279.65 $164.50 – $427.70
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $312.55
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $213.85
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $302.68
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $164.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $306.63
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $312.55
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $312.55
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $322.42
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $312.55
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $312.55
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography of 1 breast $101 $85.85 $37.21 – $117.08
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $95.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $65.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $92.92
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $37.21
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $94.13
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $95.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $95.95
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $93.96
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $95.95
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $95.95
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography of both breasts $518 $440.30 $259 – $673.40
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $492.10
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $336.70
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $476.56
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $259
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $482.78
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $492.10
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $492.10
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $507.64
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $492.10
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $492.10
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier GG | TC In the file: Diagnostic mammography of both breasts $518 $440.30 $259 – $673.40
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $492.10
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $336.70
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $476.56
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $259
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $482.78
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $492.10
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $492.10
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $507.64
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $492.10
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $492.10
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography of both breasts $101 $85.85 $45.79 – $148.03
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $95.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $65.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $92.92
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $45.79
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $94.13
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $95.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $95.95
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $115.02
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $95.95
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $95.95
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: Screening mammography $408 $346.80 $204 – $530.40
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $387.60
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $265.20
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $375.36
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $204
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $380.26
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $387.60
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $387.60
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $399.84
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $387.60
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $387.60
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 26 In the file: Screening mammography $101 $85.85 $34.64 – $119.45
Screening mammogram, both breasts: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $95.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $65.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $92.92
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $34.64
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $94.13
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $95.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $95.95
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $88.29
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $95.95
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $95.95

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report $51 $43.35 $33.15 – $473.58
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $48.45
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $33.15
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $46.92
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $473.58
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $47.53
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $48.45
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $48.45
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $49.98
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $48.45
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $48.45
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older) $323 $274.55 $118.35 – $348.07
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $306.85
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $209.95
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $297.16
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $118.35
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $301.04
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $306.85
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $306.85
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $3,512.32
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $279.45
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $306.85

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $80 $68 $52 – $473.58
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $76
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $52
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $73.60
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $473.58
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $74.56
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $76
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $76
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $78.40
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $76
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $121 $102.85 $60.50 – $157.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $114.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $78.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $111.32
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $60.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $112.77
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $114.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $114.95
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $118.58
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $114.95
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $114.95
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $121 $102.85 $60.50 – $157.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $114.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $78.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $111.32
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $60.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $112.77
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $114.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $114.95
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $118.58
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $114.95
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $114.95
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes $100 $85 $50 – $130
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $92
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $93.20
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $95
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $98
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $95
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $95
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes $197 $167.45 $98.50 – $256.10
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $187.15
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $128.05
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $181.24
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $98.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $183.60
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $187.15
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $187.15
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $193.06
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $187.15
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $187.15
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes $290 $246.50 $145 – $377
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $275.50
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $188.50
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $266.80
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $145
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $270.28
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $275.50
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $275.50
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $284.20
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $275.50
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $275.50
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes $203 $172.55 $101.50 – $263.90
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $192.85
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $131.95
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $186.76
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $101.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $189.20
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $192.85
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $192.85
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $198.94
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $192.85
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $192.85
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes $270 $229.50 $135 – $351
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $256.50
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $175.50
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $248.40
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $135
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $251.64
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $256.50
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $256.50
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $264.60
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $256.50
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $256.50
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour $404 $343.40 $202 – $525.20
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $383.80
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $262.60
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $371.68
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $202
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $376.53
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $383.80
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $383.80
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $395.92
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $383.80
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $383.80
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes $325 $276.25 $162.50 – $422.50
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $308.75
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $211.25
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $299
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $162.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $302.90
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $308.75
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $308.75
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $318.50
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $308.75
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $308.75
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes $336 $285.60 $168 – $436.80
Family psychotherapy, with the patient: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $319.20
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $218.40
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $309.12
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $168
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $313.15
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $319.20
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $319.20
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $329.28
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $319.20
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $319.20

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: Removal of growth and tissue of breast, duct, or nipple $8,595 $7,305.75 $4,297.50 – $11,173.50
Removal of breast growth (open surgery): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $8,165.25
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $5,586.75
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $7,907.40
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $4,297.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $8,010.54
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $8,165.25
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $8,165.25
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $8,423.10
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $8,165.25
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $8,165.25
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple $1,004 $853.40 $210.72 – $1,004
Removal of breast growth (open surgery): 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $953.80
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $652.60
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $923.68
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $392.77
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $935.73
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $953.80
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $953.80
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $972
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $953.80
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $953.80
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee $4,037 $3,431.45 $297.84 – $4,037
Total knee replacement: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $3,835.15
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $2,624.05
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $3,714.04
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $1,117.92
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,762.48
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $3,835.15
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $3,835.15
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $31,598.14
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $3,171.96
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $3,835.15
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope $6,102 $5,186.70 $3,051 – $7,932.60
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $5,796.90
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $3,966.30
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $5,613.84
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $3,051
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,687.06
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $5,796.90
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $5,796.90
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $5,979.96
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $5,796.90
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $5,796.90
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years) $861 $731.85 $168.65 – $861
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $817.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $559.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $792.12
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $254.59
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $802.45
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $817.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $817.95
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $669.06
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $817.95
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $817.95
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope $378 $321.30 $108.04 – $378
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $359.10
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $245.70
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $347.76
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $108.04
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $352.30
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $359.10
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $359.10
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $2,051.14
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $286.74
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $359.10
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $2,824 $2,400.40 $1,412 – $3,671.20
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,682.80
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,835.60
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $2,598.08
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $1,412
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,631.97
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $2,682.80
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $2,682.80
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $2,767.52
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $2,682.80
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $2,682.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope $2,304 $1,958.40 $1,152 – $2,995.20
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,188.80
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,497.60
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $2,119.68
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $1,152
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,147.33
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $2,188.80
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $2,188.80
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $2,257.92
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $2,188.80
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $2,188.80
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope $621 $527.85 $173.34 – $621
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $589.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $403.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $571.32
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $173.34
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $578.77
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $589.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $589.95
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $2,276.54
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $468.99
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $589.95
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare $2,440 $2,074 $1,220 – $3,172
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $2,318
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,586
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $2,244.80
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $1,220
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $2,274.08
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $2,318
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $2,318
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $2,391.20
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $2,318
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $2,318
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope $13,565 $11,530.25 $6,782.50 – $17,634.50
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $12,886.75
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $8,817.25
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $12,479.80
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $6,782.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $12,642.58
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $12,886.75
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $12,886.75
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $13,293.70
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $12,886.75
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $12,886.75
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older) $8,202 $6,971.70 $4,101 – $10,662.60
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $7,791.90
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $5,331.30
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $7,545.84
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $4,101
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $7,644.26
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $7,791.90
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $7,791.90
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $8,037.96
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $7,791.90
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $7,791.90
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope $7,108 $6,041.80 $3,554 – $9,240.40
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $6,752.60
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $4,620.20
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $6,539.36
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $3,554
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $6,624.66
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $6,752.60
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $6,752.60
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $6,965.84
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $6,752.60
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $6,752.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier TC | 26 In the file: Injection of substance into lower spine canal using imaging guidance $1,719 $1,461.15 $859.50 – $2,234.70
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,633.05
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,117.35
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $1,581.48
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $859.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,602.11
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $1,633.05
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $1,633.05
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $1,684.62
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $1,633.05
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $1,633.05
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · modifier 26 In the file: Injection of substance into lower spine canal using imaging guidance $268 $227.80 $87.40 – $268
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $254.60
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $174.20
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $246.56
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $87.40
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $249.78
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $254.60
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $254.60
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $231.66
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $254.60
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $254.60
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier TC | 26 In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $3,443 $2,926.55 $1,721.50 – $4,475.90
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $3,270.85
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $2,237.95
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $3,167.56
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $1,721.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $3,208.88
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $3,270.85
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $3,270.85
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $3,374.14
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $3,270.85
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $3,270.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 26 In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $301 $255.85 $97.72 – $301
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $285.95
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $195.65
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $276.92
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $97.72
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $280.53
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $285.95
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $285.95
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $260.01
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $285.95
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $285.95
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve $1,291 $1,097.35 $63.29 – $1,291
Carpal tunnel release: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,226.45
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $839.15
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $1,187.72
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $412.46
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,203.21
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $1,226.45
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $1,226.45
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $4,811.80
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $1,001.97
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $1,226.45
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using a laser $1,732 $1,472.20 $866 – $2,251.60
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $1,645.40
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $1,125.80
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $1,593.44
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $866
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $1,614.22
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $1,645.40
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $1,645.40
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $1,697.36
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $1,645.40
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $1,645.40
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens $5,771 $4,905.35 $2,885.50 – $7,502.30
Cataract removal with lens implant: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $5,482.45
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $3,751.15
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $5,309.32
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $2,885.50
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $5,378.57
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $5,482.45
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $5,482.45
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $5,655.58
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $5,482.45
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $5,482.45

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery $4,833 $4,108.05 $2,091.21 – $4,983.93
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $4,591.35
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $3,141.45
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $4,446.36
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $2,107.42
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $4,504.36
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $4,591.35
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $4,591.35
  • LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS — LIFEWISE HEALTH PLAN OF OREGON - ALL PLANS: $169.54
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $4,983.93
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $4,591.35
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery $7,877 $6,695.45 $1,390.97 – $7,877
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates
  • AETNA - ALL PLANS — AETNA - ALL PLANS: $7,483.15
  • CAREOREGON HEALTH PLAN - ALL OTHER PLANS — CAREOREGON HEALTH PLAN - ALL OTHER PLANS: $5,120.05
  • CAREOREGON MEDICAID — CAREOREGON MEDICAID: $7,246.84
  • CAREOREGON MEDICARE ADVAN — CAREOREGON MEDICARE ADVAN: $2,341.70
  • CIGNA - ALL PLANS — CIGNA - ALL PLANS: $7,341.36
  • FIRST CHOICE HEALTH - ALL PLANS — FIRST CHOICE HEALTH - ALL PLANS: $7,483.15
  • GREAT-WEST HEALTHCARE - ALL PLANS — GREAT-WEST HEALTHCARE - ALL PLANS: $7,483.15
  • MODA HEALTH PLAN INC - ALL PLANS — MODA HEALTH PLAN INC - ALL PLANS: $5,527.44
  • PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS — PACIFICSOURCE HEALTH PLAN - ALL OTHER PLANS: $7,483.15
  • PACIFICSOURCE/CONET INC — PACIFICSOURCE/CONET INC: $7,483.15

Source: Lake District Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 19, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeCritical Access Hospital
Address700 South J Street, Lakeview, OR 97630
CountyLake County
StateOregon
Phone(541) 947‑2114
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
CMS Certification Number381309
Name in Medicare recordsLAKE DISTRICT HOSPITAL
Profile levelMedicare data + hospital website
Official websitelakehealthdistrict.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Lake Health District — lakehealthdistrict.org
  2. Emergency and Trauma Services — lakehealthdistrict.org
  3. Cardiopulmonary Services – Lake District Hospital — lakehealthdistrict.org
  4. Surgical Services – Lake District Hospital — lakehealthdistrict.org
  5. Specialty Clinic – Lake District Hospital — lakehealthdistrict.org
  6. Rehabilitation Services – Lake District Hospital — lakehealthdistrict.org
  7. Laboratory Services – Lake District Hospital — lakehealthdistrict.org
  8. Lake Health District - Lake Health District Hospital — lakehealthdistrict.org
  9. Services – Lake District Hospital — lakehealthdistrict.org
  10. Dietary Services – Lake District Hospital — lakehealthdistrict.org
  11. Infusion Services – Lake District Hospital — lakehealthdistrict.org