Does Legacy Good Samaritan Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Legacy Good Samaritan Medical Center. In a medical emergency, call 911.

Where is Legacy Good Samaritan Medical Center?

1015 NW 22nd Avenue, W121, Portland, OR 97210, in Multnomah County, Oregon.

What is the phone number of Legacy Good Samaritan Medical Center?

(503) 413-7682, as listed by Medicare (CMS).

What is the Medicare star rating of Legacy Good Samaritan Medical Center?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Legacy Good Samaritan Medical Center

Quick answers

Does Legacy Good Samaritan Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Legacy Good Samaritan Medical Center. In a medical emergency, call 911.
Where is Legacy Good Samaritan Medical Center?: 1015 NW 22nd Avenue, W121, Portland, OR 97210, in Multnomah County, Oregon.
What is the phone number of Legacy Good Samaritan Medical Center?: (503) 413-7682, as listed by Medicare (CMS).
What is the Medicare star rating of Legacy Good Samaritan Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][7][8]

Emergency medicine
Urgent care (under the same roof as the ER)
Cancer care (oncology)
Eye care (ophthalmology)
Weight loss (bariatric) surgery
Transplant services
Inpatient rehabilitation

Conditions treated^[4][8]

Cancer

Treatments^[8]

Inpatient rehabilitation
Physical therapy
Occupational therapy

Procedures^[8]

Cataract surgery
LASIK
Kidney transplant
Bone marrow transplant
Stem cell transplant

Programs and centers^[8]

Legacy Cancer Institute
Legacy Devers Eye Institute
Legacy Transplant Services
Legacy Rehabilitation Institute of Oregon
Legacy Weight and Diabetes Institute

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Stroke designation	Advanced Primary Stroke Center (The Joint Commission)

Visiting and practical information

Visiting	Visiting hours 8 a.m. to 9 p.m^[4]
Parking	Three parking garages, metered street parking, valet at the main entrance^[4]
Interpreters and languages	Free interpreters in about 200 languages, in person, by phone or video; request when scheduling or on arrival. System-wide service^[5]
Patient portal	MyHealth

Recognition^[6][8]

Advanced Primary Stroke Center (The Joint Commission)
CARF accreditation (Rehabilitation Institute of Oregon, inpatient rehabilitation)

Doctors and clinicians (863)

863 doctors and other clinicians list Legacy Good Samaritan Medical Center 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

And 839 more: the button below opens the full list.

Other emergency rooms nearby

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

Legacy Emanuel Medical Center1.6 mi · Portland, OR · Acute Care Hospital
OHSU Hospital and Clinics2.1 mi · Portland, OR · Acute Care Hospital
Portland VA Medical Center2.4 mi · Portland, OR · Federal/VA Acute Care Hospital
Providence St Vincent Medical Center3.9 mi · Portland, OR · Acute Care Hospital
Providence Portland Medical Center4.0 mi · Portland, OR · Acute Care Hospital

Other hospitals nearby

Shriners Hospital for Children - Portland2.2 mi · Portland, OR · Children's Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Holladay Park Plaza2.3 mi · Portland, OR · 5 of 5 stars
Mirabella Portland2.6 mi · Portland, OR · 5 of 5 stars
Laurelhurst Post Acute & Rehabilitation3.3 mi · Portland, OR · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Kaiser Permanente Continuing Care Services Hospice2.6 mi · Portland, OR · 3 of 5 stars
Traditions Health2.6 mi · Portland, OR · 2 of 5 stars
Accentcare Hospice & Palliative Care of Oregon2.8 mi · Portland, OR

All hospice providers in the state →

Home health agencies

Kaiser Permanente Home Health Agency2.6 mi · Portland, OR
Providence Home Health4.7 mi · Portland, OR · 4 of 5 stars
Rose City Home Health Care, Inc5.2 mi · Portland, OR

All home health agencies in the state →

Dialysis facilities

Kaiser Central Interstate Peritoneal Dialysis Facility1.4 mi · Portland, OR · 3 of 5 stars
PNRS Hollywood Dialysis2.6 mi · Portland, OR · 2 of 5 stars
DaVita Portland MLK Dialysis2.8 mi · Portland, OR · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Northwest Ambulatory Surgery Center, LLC0.6 mi · Portland, OR
Oath Central0.6 mi · Portland, OR
Interstate Ambulatory Surgical Center1.4 mi · Portland, OR

All outpatient surgery centers in the state →

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.

Community health centers

Hiv Health Services0.6 mi · Portland, OR · Community health center
Oyate Behavioral Health0.8 mi · Portland, OR · Community health center
OLD - NARA Adult Mental Health and Housing Services0.9 mi · Portland, OR · Community health center

Clinics and urgent care

Carbon Health Medical Group of Florida PA0.7 mi · Portland, OR · Urgent care center
Evergreen Medical Solutions LLC2.2 mi · Portland, OR · Urgent care center
Urgent Care Express PC2.8 mi · Portland, OR · Urgent care center

Pharmacies

1918 Winter Street Operating Co LLC0.6 mi · Portland, OR · Community/retail pharmacy
Capsule Portland LLC0.6 mi · Portland, OR · Community/retail pharmacy
Central City Concern0.6 mi · Portland, OR · Clinic pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

MacDonald Residence0.6 mi · Portland, OR
The Watermark at the Pearl0.6 mi · Portland, OR
Terwilliger Plaza MetcALF Unit1.5 mi · Portland, OR
Terwilliger Terrace ALF1.5 mi · Portland, OR

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 Legacy Good Samaritan Medical Center 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	73%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	82%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	80%National average: 74%
Area around the room “always” quiet at night	62%National average: 60%
Completed surveys	1,131Response rate: 26%

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)	0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.556No different from the national benchmark
Surgical site infections after colon surgery	0.972No different from the national benchmark
Surgical site infections after abdominal hysterectomy	1.901No different from the national benchmark
MRSA bloodstream infections	0.799No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.311Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

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 patients	12.4%
Deaths within 30 days: heart failure patients	10.8%
Deaths within 30 days: pneumonia patients	14.5%
Deaths within 30 days: COPD patients	8.2%
Deaths within 30 days: stroke patients	12.6%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.97No different from the national rate
Complications after hip or knee replacement	3.6%

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 attack	14.2%
Readmitted within 30 days: heart failure	21.7%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	18.1%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.5%

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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	183 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	26%National average: 65%

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.

ER wait times in Portland Best hospitals in Portland

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Legacy Good Samaritan Medical Center 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHY NEW PT LIMITED VISIT MIN 30 MINUTES	$865	$562.25	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHZ SP DETAILED/LOW-NEW MIN 30 MINUTES	$632	$410.80	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$315	$204.75	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHY NEW PT COMPLEX VISIT MIN 45 MINUTES	$1,109	$720.85	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHZ SP COMPREHEN MOD-NEW MIN 45 MINUTES	$937	$609.05	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$472	$306.80	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHY NEW PT COMPREHNSV VST MIN 60 MINUTES	$1,195	$776.75	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHZ SP COMPLEX/HIGH-NEW MIN 60 MINUTES	$1,203	$781.95	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$624	$405.60	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHY EST PT LIMITED VISIT MIN 20 MINUTES	$373	$242.45	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHZ SP DETAILED/LOW-ESTB MIN 20 MINUTES	$335	$217.75	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$257	$167.05	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHY EST PT INTERMED VISIT MIN 30 MINUTES	$569	$369.85	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHZ SP DET/MOD COMP-ESTB MIN 30 MINUTES	$524	$340.60	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$362	$235.30	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHY CONSULT DETAILED	$660	$429	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$316	$205.40	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHY CONSULT OUTPATIENT	$1,032	$670.80	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES	$450	$292.50	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS	$365	$237.25	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS	$420	$273	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$303.42 – $1,173.48
Emergency room visit (moderate): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $318.59 Ageright — Medicare Managed Care Plan: $333.76 Atrio — Medicare Managed Care Plan: $312.52 BCBS — Regence - Blue HPN All Commercial Plans: $881.19 BCBS — Regence - Legacy LHP All Commercial Plans: $629.51 BCBS — Regence All Commercial Plans: $922.71 CareOregon — Medicare Managed Care Plan: $327.69 HealthNet — Medicare Managed Care Plan: $321.63 Kaiser — Medicare Managed Care Plan: $303.42 Kaiser — PEBB Other Commercial Plan: $606.84
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SERVICE LEVEL 3 ED	$1,375	$893.75	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EMERGENCY DEPARTMENT VISIT LOW MDM	$197	$128.05	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$463.80 – $1,793.74
Emergency room visit (moderately high): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $486.99 Ageright — Medicare Managed Care Plan: $510.18 Atrio — Medicare Managed Care Plan: $477.71 BCBS — Regence - Blue HPN All Commercial Plans: $1,387.99 BCBS — Regence - Legacy LHP All Commercial Plans: $991.56 BCBS — Regence All Commercial Plans: $1,453.39 CareOregon — Medicare Managed Care Plan: $500.90 HealthNet — Medicare Managed Care Plan: $491.63 Kaiser — Medicare Managed Care Plan: $463.80 Kaiser — PEBB Other Commercial Plan: $927.59
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SERVICE LEVEL 4 ED	$2,380	$1,547	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHZ SP ER DETAILED MOD	$955	$620.75	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$661.95 – $2,560.08
Emergency room visit (high): 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $695.04 Ageright — Medicare Managed Care Plan: $728.14 Atrio — Medicare Managed Care Plan: $681.81 BCBS — Regence - Blue HPN All Commercial Plans: $1,990.54 BCBS — Regence - Legacy LHP All Commercial Plans: $1,422.01 BCBS — Regence All Commercial Plans: $2,084.33 CareOregon — Medicare Managed Care Plan: $714.90 HealthNet — Medicare Managed Care Plan: $701.66 Kaiser — Medicare Managed Care Plan: $661.95 Kaiser — PEBB Other Commercial Plan: $1,323.90
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SERVICE LEVEL 5 ED	$3,511	$2,282.15	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PHZ SP ER COMPREH HIGH	$1,503	$976.95	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $32.72
Basic metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $15.82 Aetna — Medicare Managed Care Plan: $8.88 Ageright — Medicare Managed Care Plan: $9.31 Atrio — Medicare Managed Care Plan: $8.71 CareOregon — Medicare Managed Care Plan: $9.14 Cigna — All Commercial Plans: $30.36 Cigna — LocalPlus All Commercial Plans: $30.36 HealthNet — All Commercial Plans: $22.08 HealthNet — Medicare Managed Care Plan: $8.97 Kaiser — Medicare Managed Care Plan: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$116	$75.40	Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BASIC METABOLIC PANEL CALCIUM TOTAL	$19	$12.35	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $40.84
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $19.75 Aetna — Medicare Managed Care Plan: $11.09 Ageright — Medicare Managed Care Plan: $11.62 Atrio — Medicare Managed Care Plan: $10.88 CareOregon — Medicare Managed Care Plan: $11.40 Cigna — All Commercial Plans: $37.94 Cigna — LocalPlus All Commercial Plans: $37.94 HealthNet — All Commercial Plans: $27.56 HealthNet — Medicare Managed Care Plan: $11.19 Kaiser — Medicare Managed Care Plan: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRHNSV METABOLIC PANEL	$21.57	$14.02	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG COMPREHENSIVE METABOLIC PANEL	$23	$14.95	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $184.91
Obstetric blood test panel: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $89.40 Aetna — Medicare Managed Care Plan: $50.20 Ageright — Medicare Managed Care Plan: $52.59 Atrio — Medicare Managed Care Plan: $49.24 CareOregon — Medicare Managed Care Plan: $51.63 Cigna — All Commercial Plans: $164.03 Cigna — LocalPlus All Commercial Plans: $164.03 HealthNet — All Commercial Plans: $124.78 HealthNet — Medicare Managed Care Plan: $50.68 Kaiser — Medicare Managed Care Plan: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $51.79
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $25.04 Aetna — Medicare Managed Care Plan: $14.06 Ageright — Medicare Managed Care Plan: $14.73 Atrio — Medicare Managed Care Plan: $13.79 CareOregon — Medicare Managed Care Plan: $14.46 Cigna — All Commercial Plans: $46.73 Cigna — LocalPlus All Commercial Plans: $46.73 HealthNet — All Commercial Plans: $34.95 HealthNet — Medicare Managed Care Plan: $14.19 Kaiser — Medicare Managed Care Plan: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC NMR LIPO PROFILE PART 2	$17.25	$11.21	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LP WITHOUT VLDL+CHOL/HDL	$13.61	$8.85	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $33.57
Kidney function panel: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $16.23 Aetna — Medicare Managed Care Plan: $9.11 Ageright — Medicare Managed Care Plan: $9.55 Atrio — Medicare Managed Care Plan: $8.94 CareOregon — Medicare Managed Care Plan: $9.37 Cigna — All Commercial Plans: $31.18 Cigna — LocalPlus All Commercial Plans: $31.18 HealthNet — All Commercial Plans: $22.65 HealthNet — Medicare Managed Care Plan: $9.20 Kaiser — Medicare Managed Care Plan: $8.68
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$18.33	$11.91	Not listed in the file
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RENAL FUNCTION PANEL	$9.45	$6.14	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $31.60
Liver function panel: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $15.28 Aetna — Medicare Managed Care Plan: $8.58 Ageright — Medicare Managed Care Plan: $8.99 Atrio — Medicare Managed Care Plan: $8.42 CareOregon — Medicare Managed Care Plan: $8.82 Cigna — All Commercial Plans: $29.31 Cigna — LocalPlus All Commercial Plans: $29.31 HealthNet — All Commercial Plans: $21.32 HealthNet — Medicare Managed Care Plan: $8.66 Kaiser — Medicare Managed Care Plan: $8.17
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$19.67	$12.79	Not listed in the file
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG HEPATIC FUNCTION PANEL	$17	$11.05	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $12.26
Urine test (automated, with microscope): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $5.93 Aetna — Medicare Managed Care Plan: $3.33 Ageright — Medicare Managed Care Plan: $3.49 Atrio — Medicare Managed Care Plan: $3.27 CareOregon — Medicare Managed Care Plan: $3.42 Cigna — All Commercial Plans: $11.39 Cigna — LocalPlus All Commercial Plans: $11.39 HealthNet — All Commercial Plans: $8.27 HealthNet — Medicare Managed Care Plan: $3.36 Kaiser — Medicare Managed Care Plan: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS W MICROSCOPIC AUTO	$18.50	$12.02	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$18	$11.70	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $13.46
Urine test (manual, without microscope): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $6.51 Aetna — Medicare Managed Care Plan: $3.65 Ageright — Medicare Managed Care Plan: $3.83 Atrio — Medicare Managed Care Plan: $3.58 CareOregon — Medicare Managed Care Plan: $3.76 Cigna — All Commercial Plans: $9.20 Cigna — LocalPlus All Commercial Plans: $9.20 HealthNet — All Commercial Plans: $9.08 HealthNet — Medicare Managed Care Plan: $3.69 Kaiser — Medicare Managed Care Plan: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS NON-AUTOMATED W/O MICRO	$83	$53.95	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$15	$9.75	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $8.70
Urine test (automated, without microscope): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $4.21 Aetna — Medicare Managed Care Plan: $2.36 Ageright — Medicare Managed Care Plan: $2.48 Atrio — Medicare Managed Care Plan: $2.32 CareOregon — Medicare Managed Care Plan: $2.43 Cigna — All Commercial Plans: $8.07 Cigna — LocalPlus All Commercial Plans: $8.07 HealthNet — All Commercial Plans: $5.87 HealthNet — Medicare Managed Care Plan: $2.39 Kaiser — Medicare Managed Care Plan: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC U DIPSTICK POCT	$69	$44.85	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINE DIPSTICK	$72	$46.80	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $71.12
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $34.39 Aetna — Medicare Managed Care Plan: $19.31 Ageright — Medicare Managed Care Plan: $20.23 Atrio — Medicare Managed Care Plan: $18.94 CareOregon — Medicare Managed Care Plan: $19.86 Cigna — All Commercial Plans: $66.04 Cigna — LocalPlus All Commercial Plans: $66.04 HealthNet — All Commercial Plans: $48 HealthNet — Medicare Managed Care Plan: $19.49 Kaiser — Medicare Managed Care Plan: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSA, ULTRASENSITIVE	$16.50	$10.72	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROSTATE-SPECIFIC AG	$8	$5.20	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $64.97
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $31.42 Aetna — Medicare Managed Care Plan: $17.64 Ageright — Medicare Managed Care Plan: $18.48 Atrio — Medicare Managed Care Plan: $17.30 CareOregon — Medicare Managed Care Plan: $18.14 Cigna — All Commercial Plans: $60.34 Cigna — LocalPlus All Commercial Plans: $60.34 HealthNet — All Commercial Plans: $43.85 HealthNet — Medicare Managed Care Plan: $17.81 Kaiser — Medicare Managed Care Plan: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC TSH-THYROID STIMULATING HORMON	$219	$142.35	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG ASSAY OF THYROID STIMULATING HORMONE TSH	$18.27	$11.88	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $30.05
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $14.53 Aetna — Medicare Managed Care Plan: $8.16 Ageright — Medicare Managed Care Plan: $8.55 Atrio — Medicare Managed Care Plan: $8 CareOregon — Medicare Managed Care Plan: $8.39 Cigna — All Commercial Plans: $27.94 Cigna — LocalPlus All Commercial Plans: $27.94 HealthNet — All Commercial Plans: $20.28 HealthNet — Medicare Managed Care Plan: $8.24 Kaiser — Medicare Managed Care Plan: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC W AUTO DIFF	$24.88	$16.17	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$21	$13.65	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $25.02
Complete blood count (CBC), automated: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $12.10 Aetna — Medicare Managed Care Plan: $6.79 Ageright — Medicare Managed Care Plan: $7.12 Atrio — Medicare Managed Care Plan: $6.66 CareOregon — Medicare Managed Care Plan: $6.99 Cigna — All Commercial Plans: $23.24 Cigna — LocalPlus All Commercial Plans: $23.24 HealthNet — All Commercial Plans: $16.89 HealthNet — Medicare Managed Care Plan: $6.86 Kaiser — Medicare Managed Care Plan: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC AUTOMATED BLOOD COUNT	$22.25	$14.46	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG BLOOD COUNT COMPLETE AUTOMATED	$7.36	$4.78	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $16.59
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $8.02 Aetna — Medicare Managed Care Plan: $4.50 Ageright — Medicare Managed Care Plan: $4.72 Atrio — Medicare Managed Care Plan: $4.42 CareOregon — Medicare Managed Care Plan: $4.63 Cigna — All Commercial Plans: $14.14 Cigna — LocalPlus All Commercial Plans: $14.14 HealthNet — All Commercial Plans: $11.20 HealthNet — Medicare Managed Care Plan: $4.55 Kaiser — Medicare Managed Care Plan: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME INR	$103	$66.95	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME WITH INR POC	$26	$16.90	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $23.24
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $11.24 Aetna — Medicare Managed Care Plan: $6.31 Ageright — Medicare Managed Care Plan: $6.61 Atrio — Medicare Managed Care Plan: $6.19 CareOregon — Medicare Managed Care Plan: $6.49 Cigna — All Commercial Plans: $21.54 Cigna — LocalPlus All Commercial Plans: $21.54 HealthNet — All Commercial Plans: $15.69 HealthNet — Medicare Managed Care Plan: $6.37 Kaiser — Medicare Managed Care Plan: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PTT-LA MIX	$102.14	$66.39	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ACTIVATED PARTIAL THROMBOPLASTIN TIME	$102.14	$66.39	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$116.21 – $463.05
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $119.74 Aetna — Medicare Managed Care Plan: $122.02 Ageright — Medicare Managed Care Plan: $127.83 Atrio — Medicare Managed Care Plan: $119.69 BCBS — Regence - Blue HPN All Commercial Plans: $442.21 BCBS — Regence - Legacy LHP All Commercial Plans: $315.91 BCBS — Regence All Commercial Plans: $463.05 CareOregon — Medicare Managed Care Plan: $125.50 Cigna — All Commercial Plans: $304.05 Cigna — LocalPlus All Commercial Plans: $304.05
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEAD CT WITHOUT CONTRAST	$990	$643.50	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEAD CT LIMITED WITHOUT CONTRAST	$824	$535.60	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$377.92 – $1,577.58
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $377.92 Aetna — Medicare Managed Care Plan: $407.17 Ageright — Medicare Managed Care Plan: $426.56 Atrio — Medicare Managed Care Plan: $399.42 BCBS — Regence - Blue HPN All Commercial Plans: $1,506.59 BCBS — Regence - Legacy LHP All Commercial Plans: $1,076.28 BCBS — Regence All Commercial Plans: $1,577.58 CareOregon — Medicare Managed Care Plan: $418.80 Cigna — All Commercial Plans: $1,027.15 Cigna — LocalPlus All Commercial Plans: $1,027.15
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MR BRAIN WITH/WITHOUT CONTRAST	$3,706	$2,408.90	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$40.74 – $374.11
Chest X-ray, 2 views: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $40.74 Aetna — Medicare Managed Care Plan: $101.57 Ageright — Medicare Managed Care Plan: $106.40 Atrio — Medicare Managed Care Plan: $99.63 BCBS — Regence - Blue HPN All Commercial Plans: $314.89 BCBS — Regence - Legacy LHP All Commercial Plans: $224.95 BCBS — Regence All Commercial Plans: $329.73 CareOregon — Medicare Managed Care Plan: $104.47 Cigna — All Commercial Plans: $237.65 Cigna — LocalPlus All Commercial Plans: $237.65
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$243	$157.95	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADIOLOGIC EXAM CHEST 2 VIEWS	$94	$61.10	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$68.83 – $463.05
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $68.83 Aetna — Medicare Managed Care Plan: $122.02 Ageright — Medicare Managed Care Plan: $127.83 Atrio — Medicare Managed Care Plan: $119.69 BCBS — Regence - Blue HPN All Commercial Plans: $442.21 BCBS — Regence - Legacy LHP All Commercial Plans: $315.91 BCBS — Regence All Commercial Plans: $463.05 CareOregon — Medicare Managed Care Plan: $125.50 Cigna — All Commercial Plans: $304.05 Cigna — LocalPlus All Commercial Plans: $304.05
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SPINE LUMBAR MINIMUM 4 VIEWS	$448	$291.20	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS	$146	$94.90	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$217.81 – $1,025.71
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $217.81 Aetna — Medicare Managed Care Plan: $278.47 Ageright — Medicare Managed Care Plan: $291.73 Atrio — Medicare Managed Care Plan: $273.17 BCBS — Regence - Blue HPN All Commercial Plans: $919.46 BCBS — Regence - Legacy LHP All Commercial Plans: $656.85 BCBS — Regence All Commercial Plans: $962.78 CareOregon — Medicare Managed Care Plan: $286.43 Cigna — All Commercial Plans: $652.41 Cigna — LocalPlus All Commercial Plans: $652.41
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MR CINE MOTION LUMBAR	$574	$373.10	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MR SPINE LUMBAR WITHOUT CONTRAST	$1,744	$1,133.60	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$194.96 – $1,048.73
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $307.93 Aetna — Medicare Managed Care Plan: $204.71 Ageright — Medicare Managed Care Plan: $214.46 Atrio — Medicare Managed Care Plan: $200.81 BCBS — Regence - Blue HPN All Commercial Plans: $718.95 BCBS — Regence - Legacy LHP All Commercial Plans: $513.61 BCBS — Regence All Commercial Plans: $752.82 CareOregon — Medicare Managed Care Plan: $210.56 Cigna — All Commercial Plans: $498.20 Cigna — LocalPlus All Commercial Plans: $498.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PELVIS CT WITH CONTRAST	$1,370	$890.50	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$249.77 – $1,025.71
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $249.77 Aetna — Medicare Managed Care Plan: $278.47 Ageright — Medicare Managed Care Plan: $291.73 Atrio — Medicare Managed Care Plan: $273.17 BCBS — Regence - Blue HPN All Commercial Plans: $919.46 BCBS — Regence - Legacy LHP All Commercial Plans: $656.85 BCBS — Regence All Commercial Plans: $962.78 CareOregon — Medicare Managed Care Plan: $286.43 Cigna — All Commercial Plans: $652.41 Cigna — LocalPlus All Commercial Plans: $652.41
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MR LOWER EXTREMITY JOINT UNILATERAL WITHOUT CONTRAST	$1,670	$1,085.50	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MR LOWER EXTREMITY ANKLE UNILATERAL WITHOUT CONTRAST	$1,670	$1,085.50	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$386.32 – $1,577.58
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $386.32 Aetna — Medicare Managed Care Plan: $407.17 Ageright — Medicare Managed Care Plan: $426.56 Atrio — Medicare Managed Care Plan: $399.42 BCBS — Regence - Blue HPN All Commercial Plans: $1,506.59 BCBS — Regence - Legacy LHP All Commercial Plans: $1,076.28 BCBS — Regence All Commercial Plans: $1,577.58 CareOregon — Medicare Managed Care Plan: $418.80 Cigna — All Commercial Plans: $1,027.15 Cigna — LocalPlus All Commercial Plans: $1,027.15
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABD & PELVIS W/CONTRAST	$2,734	$1,777.10	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG CT ABDOMEN & PELVIS W/CONTRAST MATERIAL	$859	$558.35	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$116.21 – $463.05
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $135.30 Aetna — Medicare Managed Care Plan: $122.02 Ageright — Medicare Managed Care Plan: $127.83 Atrio — Medicare Managed Care Plan: $119.69 BCBS — Regence - Blue HPN All Commercial Plans: $442.21 BCBS — Regence - Legacy LHP All Commercial Plans: $315.91 BCBS — Regence All Commercial Plans: $463.05 CareOregon — Medicare Managed Care Plan: $125.50 Cigna — All Commercial Plans: $304.05 Cigna — LocalPlus All Commercial Plans: $304.05
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ABDOMEN COMPLETE ULTRASOUND	$732	$475.80	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION	$324	$210.60	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$116.21 – $519.39
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $152.27 Aetna — Medicare Managed Care Plan: $122.02 Ageright — Medicare Managed Care Plan: $127.83 Atrio — Medicare Managed Care Plan: $119.69 BCBS — Regence - Blue HPN All Commercial Plans: $442.21 BCBS — Regence - Legacy LHP All Commercial Plans: $315.91 BCBS — Regence All Commercial Plans: $463.05 CareOregon — Medicare Managed Care Plan: $125.50 Cigna — All Commercial Plans: $304.05 Cigna — LocalPlus All Commercial Plans: $304.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC OB COMPLETE >1ST TRIMESTER SINGLE GESTATION ULTRASOUND	$547	$355.55	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION	$376	$244.40	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$116.21 – $507.45
Transvaginal ultrasound: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $148.76 Aetna — Medicare Managed Care Plan: $122.02 Ageright — Medicare Managed Care Plan: $127.83 Atrio — Medicare Managed Care Plan: $119.69 BCBS — Regence - Blue HPN All Commercial Plans: $442.21 BCBS — Regence - Legacy LHP All Commercial Plans: $315.91 BCBS — Regence All Commercial Plans: $463.05 CareOregon — Medicare Managed Care Plan: $125.50 Cigna — All Commercial Plans: $304.05 Cigna — LocalPlus All Commercial Plans: $304.05
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC TRANSVAGINAL (NON-OB) ULTRASOUND	$360	$234	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG US TRANSVAGINAL	$330	$214.50	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$153.45 – $523.37
Diagnostic mammogram, one breast: rates for 6 insurance plans Aetna — All Commercial Plans: $153.45 Cigna — All Commercial Plans: $242.49 Cigna — LocalPlus All Commercial Plans: $242.49 HealthNet — All Commercial Plans: $523.37 PacificSource — Navigator All Commercial Plans: $191.33 PacificSource — Voyager All Commercial Plans: $437.37
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DIGITAL MAMMOGRAPHY DIAGNOSTIC UNILATERAL	$519	$337.35	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$85.73 – $331.56
Diagnostic mammogram, one breast: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $90.02 Ageright — Medicare Managed Care Plan: $94.30 Atrio — Medicare Managed Care Plan: $88.30 CareOregon — Medicare Managed Care Plan: $92.59 HealthNet — Medicare Managed Care Plan: $90.87 Kaiser — Medicare Managed Care Plan: $85.73 Kaiser — PEBB Other Commercial Plan: $171.46 Moda — All Commercial Plans: $331.56 Moda — Medicare Managed Care Plan: $96.02
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$195.57 – $666.65
Diagnostic mammogram, both breasts: rates for 6 insurance plans Aetna — All Commercial Plans: $195.57 Cigna — All Commercial Plans: $310.18 Cigna — LocalPlus All Commercial Plans: $310.18 HealthNet — All Commercial Plans: $666.65 PacificSource — Navigator All Commercial Plans: $243.71 PacificSource — Voyager All Commercial Plans: $557.11
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DIGITAL MAMMOGRAPHY DIAGNOSTIC BILATERAL	$568	$369.20	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$109.92 – $425.12
Diagnostic mammogram, both breasts: rates for 9 insurance plans Aetna — Medicare Managed Care Plan: $115.42 Ageright — Medicare Managed Care Plan: $120.91 Atrio — Medicare Managed Care Plan: $113.22 CareOregon — Medicare Managed Care Plan: $118.71 HealthNet — Medicare Managed Care Plan: $116.52 Kaiser — Medicare Managed Care Plan: $109.92 Kaiser — PEBB Other Commercial Plan: $219.84 Moda — All Commercial Plans: $425.12 Moda — Medicare Managed Care Plan: $123.11
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$161.85 – $551.23
Screening mammogram, both breasts: rates for 6 insurance plans Aetna — All Commercial Plans: $161.85 Cigna — All Commercial Plans: $256.40 Cigna — LocalPlus All Commercial Plans: $256.40 HealthNet — All Commercial Plans: $551.23 PacificSource — Navigator All Commercial Plans: $201.52 PacificSource — Voyager All Commercial Plans: $460.65
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DIGITAL MAMMOGRAPHY SCREENING BILATERAL	$534	$347.10	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$360	$234	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R	$40	$26	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,603.49 – $17,644
Left heart catheterization (diagnostic): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $13,856.92 Aetna — Medicare Managed Care Plan: $3,783.66 Ageright — Medicare Managed Care Plan: $3,963.84 Atrio — Medicare Managed Care Plan: $3,711.59 BCBS — Regence - Blue HPN All Commercial Plans: $11,244.48 BCBS — Regence - Legacy LHP All Commercial Plans: $8,032.87 BCBS — Regence All Commercial Plans: $11,774.28 CareOregon — Medicare Managed Care Plan: $3,891.77 First Health — All Commercial Plans: $17,599 HealthNet — Medicare Managed Care Plan: $3,819.70
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CD CATH LT HT W/ LV GRAM	$10,536	$6,848.40	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I	$644	$418.60	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$8,669.52 – $33,529.36
Heart rhythm study (electrophysiology evaluation): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $18,977.96 Aetna — Medicare Managed Care Plan: $9,102.99 Ageright — Medicare Managed Care Plan: $9,536.47 Atrio — Medicare Managed Care Plan: $8,929.60 BCBS — Regence - Blue HPN All Commercial Plans: $23,222.07 BCBS — Regence - Legacy LHP All Commercial Plans: $16,589.46 BCBS — Regence All Commercial Plans: $24,316.22 CareOregon — Medicare Managed Care Plan: $9,363.08 First Health — All Commercial Plans: $17,599 HealthNet — Medicare Managed Care Plan: $9,189.69
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$1,045	$679.25	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$17,599 – $112,361.99
Heart rhythm study with ablation for atrial fibrillation: 10 of 15 insurance plan rates Aetna — All Commercial Plans: $18,977.96 Aetna — Medicare Managed Care Plan: $30,505.52 Ageright — Medicare Managed Care Plan: $31,958.16 Atrio — Medicare Managed Care Plan: $29,924.46 BCBS — Regence - Blue HPN All Commercial Plans: $80,627.36 BCBS — Regence - Legacy LHP All Commercial Plans: $57,598.85 BCBS — Regence All Commercial Plans: $84,426.27 CareOregon — Medicare Managed Care Plan: $31,377.10 First Health — All Commercial Plans: $17,599 HealthNet — Medicare Managed Care Plan: $30,796.05
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EP ABLATION ATRIAL FIBRILLATION	$39,750	$25,837.50	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$2,592	$1,684.80	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$954.51 – $3,755.24
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $2,175.19 Aetna — Medicare Managed Care Plan: $1,002.24 Ageright — Medicare Managed Care Plan: $1,049.96 Atrio — Medicare Managed Care Plan: $983.15 BCBS — Regence - Blue HPN All Commercial Plans: $3,586.26 BCBS — Regence - Legacy LHP All Commercial Plans: $2,561.97 BCBS — Regence All Commercial Plans: $3,755.24 CareOregon — Medicare Managed Care Plan: $1,030.87 HealthNet — Medicare Managed Care Plan: $1,011.78 Kaiser — Medicare Managed Care Plan: $954.51
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPLEX 13 CH PSG ADULT	$5,206	$3,383.90	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSG COMPLEX PEDIATRIC AGED 6 TO 18 YEARS	$5,206	$3,383.90	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$28.90 – $111.77
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Aetna — All Commercial Plans: $40.12 Aetna — Medicare Managed Care Plan: $30.34 Ageright — Medicare Managed Care Plan: $31.79 Atrio — Medicare Managed Care Plan: $29.77 CareOregon — Medicare Managed Care Plan: $31.21 HealthNet — Medicare Managed Care Plan: $30.63 Kaiser — Medicare Managed Care Plan: $28.90 Kaiser — PEBB Other Commercial Plan: $57.80 Moda — All Commercial Plans: $111.77 Moda — Medicare Managed Care Plan: $32.37
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THER EXER 1:1 EA 15M PT PR	$176	$114.40	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THER EXER 1:1 EA 15M PT PR VV	$176	$114.40	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$97.58 – $377.39
Physical therapy evaluation (low complexity): rates for 10 insurance plans Aetna — All Commercial Plans: $137.62 Aetna — Medicare Managed Care Plan: $102.46 Ageright — Medicare Managed Care Plan: $107.34 Atrio — Medicare Managed Care Plan: $100.51 CareOregon — Medicare Managed Care Plan: $105.39 HealthNet — Medicare Managed Care Plan: $103.43 Kaiser — Medicare Managed Care Plan: $97.58 Kaiser — PEBB Other Commercial Plan: $195.16 Moda — All Commercial Plans: $377.39 Moda — Medicare Managed Care Plan: $109.29
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PUL REH PT EVAL LOW	$457	$297.05	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PUL REH PT EVAL LOW VV	$457	$297.05	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$97.58 – $377.39
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans Aetna — All Commercial Plans: $276.25 Aetna — Medicare Managed Care Plan: $102.46 Ageright — Medicare Managed Care Plan: $107.34 Atrio — Medicare Managed Care Plan: $100.51 CareOregon — Medicare Managed Care Plan: $105.39 HealthNet — Medicare Managed Care Plan: $103.43 Kaiser — Medicare Managed Care Plan: $97.58 Kaiser — PEBB Other Commercial Plan: $195.16 Moda — All Commercial Plans: $377.39 Moda — Medicare Managed Care Plan: $109.29
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PUL REH PT EVAL MOD	$555	$360.75	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PUL REH PT EVAL MOD VV	$555	$360.75	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$103.72 – $401.14
Physical therapy evaluation (high complexity): rates for 10 insurance plans Aetna — All Commercial Plans: $276.25 Aetna — Medicare Managed Care Plan: $108.91 Ageright — Medicare Managed Care Plan: $114.09 Atrio — Medicare Managed Care Plan: $106.83 CareOregon — Medicare Managed Care Plan: $112.02 HealthNet — Medicare Managed Care Plan: $109.94 Kaiser — Medicare Managed Care Plan: $103.72 Kaiser — PEBB Other Commercial Plan: $207.44 Moda — All Commercial Plans: $401.14 Moda — Medicare Managed Care Plan: $116.17
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PUL REH PT EVAL HIGH	$462	$300.30	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PUL REH PT EVAL HIGH VV	$462	$300.30	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$197.29 – $763.02
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $207.16 Ageright — Medicare Managed Care Plan: $217.02 Atrio — Medicare Managed Care Plan: $203.21 BCBS — Regence - Blue HPN All Commercial Plans: $518.28 BCBS — Regence - Legacy LHP All Commercial Plans: $370.25 BCBS — Regence All Commercial Plans: $542.70 CareOregon — Medicare Managed Care Plan: $213.07 HealthNet — Medicare Managed Care Plan: $209.13 Kaiser — Medicare Managed Care Plan: $197.29 Kaiser — PEBB Other Commercial Plan: $394.58
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSY IND PSYCH TX 30MIN IP	$220	$143	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSY IND TREATMENT 30 MIN	$256	$166.40	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$197.29 – $763.02
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $207.16 Ageright — Medicare Managed Care Plan: $217.02 Atrio — Medicare Managed Care Plan: $203.21 BCBS — Regence - Blue HPN All Commercial Plans: $518.28 BCBS — Regence - Legacy LHP All Commercial Plans: $370.25 BCBS — Regence All Commercial Plans: $542.70 CareOregon — Medicare Managed Care Plan: $213.07 HealthNet — Medicare Managed Care Plan: $209.13 Kaiser — Medicare Managed Care Plan: $197.29 Kaiser — PEBB Other Commercial Plan: $394.58
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSY IND TREATMENT 45 MIN	$281	$182.65	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC IND TREATMENT 45 MIN	$321	$208.65	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$197.29 – $763.02
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $207.16 Ageright — Medicare Managed Care Plan: $217.02 Atrio — Medicare Managed Care Plan: $203.21 BCBS — Regence - Blue HPN All Commercial Plans: $518.28 BCBS — Regence - Legacy LHP All Commercial Plans: $370.25 BCBS — Regence All Commercial Plans: $542.70 CareOregon — Medicare Managed Care Plan: $213.07 HealthNet — Medicare Managed Care Plan: $209.13 Kaiser — Medicare Managed Care Plan: $197.29 Kaiser — PEBB Other Commercial Plan: $394.58
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSY IND PSYCH TX 60MIN IP	$360	$234	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSY IND TREATMENT 60 MIN	$419	$272.35	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$197.29 – $763.02
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $207.16 Ageright — Medicare Managed Care Plan: $217.02 Atrio — Medicare Managed Care Plan: $203.21 BCBS — Regence - Blue HPN All Commercial Plans: $518.28 BCBS — Regence - Legacy LHP All Commercial Plans: $370.25 BCBS — Regence All Commercial Plans: $542.70 CareOregon — Medicare Managed Care Plan: $213.07 HealthNet — Medicare Managed Care Plan: $209.13 Kaiser — Medicare Managed Care Plan: $197.29 Kaiser — PEBB Other Commercial Plan: $394.58
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC FAMILY PSYCH TX 30MIN	$248	$161.20	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSY FAMILY PSYCH TX 60MIN	$318	$206.70	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$197.29 – $763.02
Family psychotherapy, with the patient: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $207.16 Ageright — Medicare Managed Care Plan: $217.02 Atrio — Medicare Managed Care Plan: $203.21 BCBS — Regence - Blue HPN All Commercial Plans: $518.28 BCBS — Regence - Legacy LHP All Commercial Plans: $370.25 BCBS — Regence All Commercial Plans: $542.70 CareOregon — Medicare Managed Care Plan: $213.07 HealthNet — Medicare Managed Care Plan: $209.13 Kaiser — Medicare Managed Care Plan: $197.29 Kaiser — PEBB Other Commercial Plan: $394.58
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CONJNT PSYCH TX 30MIN	$247	$160.55	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CONJNT PSYCH TX 60MIN	$444	$288.60	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$112.92 – $436.72
Group psychotherapy: 10 of 12 insurance plan rates Aetna — Medicare Managed Care Plan: $118.57 Ageright — Medicare Managed Care Plan: $124.21 Atrio — Medicare Managed Care Plan: $116.31 BCBS — Regence - Blue HPN All Commercial Plans: $309.88 BCBS — Regence - Legacy LHP All Commercial Plans: $221.37 BCBS — Regence All Commercial Plans: $324.48 CareOregon — Medicare Managed Care Plan: $121.95 HealthNet — Medicare Managed Care Plan: $119.69 Kaiser — Medicare Managed Care Plan: $112.92 Kaiser — PEBB Other Commercial Plan: $225.84
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC GROUP THERAPY 30 MIN PSYCH IP	$186	$120.90	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSY PSYCH GROUP TX 30 MIN	$112	$72.80	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$4,352.10 – $16,831.75
Removal of breast growth (open surgery): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $13,320 Aetna — Medicare Managed Care Plan: $4,569.71 Ageright — Medicare Managed Care Plan: $4,787.31 Atrio — Medicare Managed Care Plan: $4,482.66 BCBS — Regence - Blue HPN All Commercial Plans: $11,953.09 BCBS — Regence - Legacy LHP All Commercial Plans: $8,539.09 BCBS — Regence All Commercial Plans: $12,516.28 CareOregon — Medicare Managed Care Plan: $4,700.27 Cigna — All Commercial Plans: $11,555 Cigna — LocalPlus All Commercial Plans: $8,991
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION	$1,475	$958.75	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$14,270.51 – $55,191.20
Total hip replacement: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $23,856.49 Aetna — Medicare Managed Care Plan: $14,984.04 Ageright — Medicare Managed Care Plan: $15,697.56 Atrio — Medicare Managed Care Plan: $14,698.63 BCBS — Regence - Blue HPN All Commercial Plans: $46,954.25 BCBS — Regence - Legacy LHP All Commercial Plans: $33,543.34 BCBS — Regence All Commercial Plans: $49,166.59 CareOregon — Medicare Managed Care Plan: $15,412.15 Cigna — All Commercial Plans: $19,127 Cigna — LocalPlus All Commercial Plans: $14,884
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT	$3,640	$2,366	Not listed in the file
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$14,270.51 – $55,191.20
Total knee replacement: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $23,856.49 Aetna — Medicare Managed Care Plan: $14,984.04 Ageright — Medicare Managed Care Plan: $15,697.56 Atrio — Medicare Managed Care Plan: $14,698.63 BCBS — Regence - Blue HPN All Commercial Plans: $46,954.25 BCBS — Regence - Legacy LHP All Commercial Plans: $33,543.34 BCBS — Regence All Commercial Plans: $49,166.59 CareOregon — Medicare Managed Care Plan: $15,412.15 Cigna — All Commercial Plans: $19,127 Cigna — LocalPlus All Commercial Plans: $14,884
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS	$3,635	$2,362.75	Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$6,216 – $13,320
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans Aetna — All Commercial Plans: $13,320 Cigna — All Commercial Plans: $11,555 Cigna — LocalPlus All Commercial Plans: $8,991 First Health — All Commercial Plans: $10,243 HealthNet — All Commercial Plans: $9,105 UnitedHealthCare — All Commercial Plans: $6,216
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: PR SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS	$482	$313.30	Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,636.91 – $16,328
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $13,746 Aetna — Medicare Managed Care Plan: $3,818.75 Ageright — Medicare Managed Care Plan: $4,000.60 Atrio — Medicare Managed Care Plan: $3,746.02 BCBS — Regence - Blue HPN All Commercial Plans: $10,800.61 BCBS — Regence - Legacy LHP All Commercial Plans: $7,715.78 BCBS — Regence All Commercial Plans: $11,309.50 CareOregon — Medicare Managed Care Plan: $3,927.86 Cigna — All Commercial Plans: $16,275 Cigna — LocalPlus All Commercial Plans: $12,664
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ARTHRS KNEE SURG W/MENISCECTOMY MED/LAT W/SHVG	$1,556	$1,011.40	Not listed in the file
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$6,580.04 – $25,448.29
Removal of tonsils and adenoids (under age 12): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $13,320 Aetna — Medicare Managed Care Plan: $6,909.04 Ageright — Medicare Managed Care Plan: $7,238.04 Atrio — Medicare Managed Care Plan: $6,777.44 BCBS — Regence - Blue HPN All Commercial Plans: $19,137.77 BCBS — Regence - Legacy LHP All Commercial Plans: $13,671.70 BCBS — Regence All Commercial Plans: $20,039.48 CareOregon — Medicare Managed Care Plan: $7,106.44 Cigna — All Commercial Plans: $11,555 Cigna — LocalPlus All Commercial Plans: $8,991
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TONSILLECTOMY & ADENOIDECTOMY <AGE 12	$831	$540.15	Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$1,008.14 – $7,385
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,629.40 Aetna — Medicare Managed Care Plan: $1,058.54 Ageright — Medicare Managed Care Plan: $1,108.95 Atrio — Medicare Managed Care Plan: $1,038.38 BCBS — Regence - Blue HPN All Commercial Plans: $3,100.85 BCBS — Regence - Legacy LHP All Commercial Plans: $2,215.19 BCBS — Regence All Commercial Plans: $3,246.95 CareOregon — Medicare Managed Care Plan: $1,088.79 Cigna — All Commercial Plans: $5,435 Cigna — LocalPlus All Commercial Plans: $4,229
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$798	$518.70	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$1,008.14 – $7,569
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,072.60 Aetna — Medicare Managed Care Plan: $1,058.54 Ageright — Medicare Managed Care Plan: $1,108.95 Atrio — Medicare Managed Care Plan: $1,038.38 BCBS — Regence - Blue HPN All Commercial Plans: $3,100.85 BCBS — Regence - Legacy LHP All Commercial Plans: $2,215.19 BCBS — Regence All Commercial Plans: $3,246.95 CareOregon — Medicare Managed Care Plan: $1,088.79 Cigna — All Commercial Plans: $6,796 Cigna — LocalPlus All Commercial Plans: $5,288
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$1,032	$670.80	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,033.67 – $7,569
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,072.60 Aetna — Medicare Managed Care Plan: $1,085.35 Ageright — Medicare Managed Care Plan: $1,137.04 Atrio — Medicare Managed Care Plan: $1,064.68 BCBS — Regence - Blue HPN All Commercial Plans: $3,013.89 BCBS — Regence - Legacy LHP All Commercial Plans: $2,153.07 BCBS — Regence All Commercial Plans: $3,155.89 CareOregon — Medicare Managed Care Plan: $1,116.36 Cigna — All Commercial Plans: $6,796 Cigna — LocalPlus All Commercial Plans: $5,288
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$947	$615.55	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,330.10 – $7,569
Colonoscopy with biopsy: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,072.60 Aetna — Medicare Managed Care Plan: $1,396.60 Ageright — Medicare Managed Care Plan: $1,463.11 Atrio — Medicare Managed Care Plan: $1,370 BCBS — Regence - Blue HPN All Commercial Plans: $3,962.15 BCBS — Regence - Legacy LHP All Commercial Plans: $2,830.49 BCBS — Regence All Commercial Plans: $4,148.83 CareOregon — Medicare Managed Care Plan: $1,436.50 Cigna — All Commercial Plans: $6,796 Cigna — LocalPlus All Commercial Plans: $5,288
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$1,199	$779.35	Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,330.10 – $7,569
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,072.60 Aetna — Medicare Managed Care Plan: $1,396.60 Ageright — Medicare Managed Care Plan: $1,463.11 Atrio — Medicare Managed Care Plan: $1,370 BCBS — Regence - Blue HPN All Commercial Plans: $3,962.15 BCBS — Regence - Legacy LHP All Commercial Plans: $2,830.49 BCBS — Regence All Commercial Plans: $4,148.83 CareOregon — Medicare Managed Care Plan: $1,436.50 Cigna — All Commercial Plans: $6,796 Cigna — LocalPlus All Commercial Plans: $5,288
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$1,259	$818.35	Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,330.10 – $7,569
Ultrasound of the lower bowel by endoscope: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,072.60 Aetna — Medicare Managed Care Plan: $1,396.60 Ageright — Medicare Managed Care Plan: $1,463.11 Atrio — Medicare Managed Care Plan: $1,370 BCBS — Regence - Blue HPN All Commercial Plans: $3,962.15 BCBS — Regence - Legacy LHP All Commercial Plans: $2,830.49 BCBS — Regence All Commercial Plans: $4,148.83 CareOregon — Medicare Managed Care Plan: $1,436.50 Cigna — All Commercial Plans: $6,796 Cigna — LocalPlus All Commercial Plans: $5,288
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX	$712	$462.80	Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$1,033.67 – $7,569
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $6,072.60 Aetna — Medicare Managed Care Plan: $1,085.35 Ageright — Medicare Managed Care Plan: $1,137.04 Atrio — Medicare Managed Care Plan: $1,064.68 BCBS — Regence - Blue HPN All Commercial Plans: $3,013.89 BCBS — Regence - Legacy LHP All Commercial Plans: $2,153.07 BCBS — Regence All Commercial Plans: $3,155.89 CareOregon — Medicare Managed Care Plan: $1,116.36 Cigna — All Commercial Plans: $6,796 Cigna — LocalPlus All Commercial Plans: $5,288
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLON CA SCRN NOT HI RSK IND	$948	$616.20	Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$6,719.75 – $25,988.64
Gallbladder removal by laparoscope: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $15,978.56 Aetna — Medicare Managed Care Plan: $7,055.74 Ageright — Medicare Managed Care Plan: $7,391.73 Atrio — Medicare Managed Care Plan: $6,921.34 BCBS — Regence - Blue HPN All Commercial Plans: $19,071.40 BCBS — Regence - Legacy LHP All Commercial Plans: $13,624.30 BCBS — Regence All Commercial Plans: $19,969.99 CareOregon — Medicare Managed Care Plan: $7,257.33 Cigna — All Commercial Plans: $19,898 Cigna — LocalPlus All Commercial Plans: $15,483
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY SURG CHOLECYSTECTOMY	$1,876	$1,219.40	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,979.70 – $16,328
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $13,746 Aetna — Medicare Managed Care Plan: $4,178.69 Ageright — Medicare Managed Care Plan: $4,377.67 Atrio — Medicare Managed Care Plan: $4,099.09 BCBS — Regence - Blue HPN All Commercial Plans: $12,267.90 BCBS — Regence - Legacy LHP All Commercial Plans: $8,763.99 BCBS — Regence All Commercial Plans: $12,845.93 CareOregon — Medicare Managed Care Plan: $4,298.08 Cigna — All Commercial Plans: $16,275 Cigna — LocalPlus All Commercial Plans: $12,664
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE	$1,490	$968.50	Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$4,275 – $7,569
Prostate biopsy: rates for 9 insurance plans Aetna — All Commercial Plans: $6,072.60 BCBS — Regence - Blue HPN All Commercial Plans: $6,989.65 BCBS — Regence - Legacy LHP All Commercial Plans: $4,993.29 BCBS — Regence All Commercial Plans: $7,318.98 Cigna — All Commercial Plans: $6,796 Cigna — LocalPlus All Commercial Plans: $5,288 First Health — All Commercial Plans: $7,569 HealthNet — All Commercial Plans: $4,275 UnitedHealthCare — All Commercial Plans: $7,385
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PROSTATE NEEDLE BIOPSY ANY APPROACH	$674	$438.10	Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BIOPSY PROSTATE	$3,772	$2,451.80	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$11,815.32 – $45,695.76
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $15,978.56 Aetna — Medicare Managed Care Plan: $12,406.09 Ageright — Medicare Managed Care Plan: $12,996.85 Atrio — Medicare Managed Care Plan: $12,169.78 BCBS — Regence - Blue HPN All Commercial Plans: $33,193.93 BCBS — Regence - Legacy LHP All Commercial Plans: $23,713.19 BCBS — Regence All Commercial Plans: $34,757.92 CareOregon — Medicare Managed Care Plan: $12,760.55 Cigna — All Commercial Plans: $19,127 Cigna — LocalPlus All Commercial Plans: $14,884
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPS SURG PRST8ECT RPBIC RAD W/NERVE SPARING	$3,344	$2,173.60	Not listed in the file
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,598.14 – $13,915.83
Hysteroscopy with biopsy of the uterus lining: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $13,320 Aetna — Medicare Managed Care Plan: $3,778.05 Ageright — Medicare Managed Care Plan: $3,957.96 Atrio — Medicare Managed Care Plan: $3,706.09 BCBS — Regence - Blue HPN All Commercial Plans: $9,856.25 BCBS — Regence - Legacy LHP All Commercial Plans: $7,041.14 BCBS — Regence All Commercial Plans: $10,320.65 CareOregon — Medicare Managed Care Plan: $3,886 Cigna — All Commercial Plans: $11,555 Cigna — LocalPlus All Commercial Plans: $8,991
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C	$649	$421.85	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$784.60 – $7,246
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,629.40 Aetna — Medicare Managed Care Plan: $823.83 Ageright — Medicare Managed Care Plan: $863.06 Atrio — Medicare Managed Care Plan: $808.14 BCBS — Regence - Blue HPN All Commercial Plans: $2,466.13 BCBS — Regence - Legacy LHP All Commercial Plans: $1,761.77 BCBS — Regence All Commercial Plans: $2,582.33 CareOregon — Medicare Managed Care Plan: $847.37 Cigna — All Commercial Plans: $5,435 Cigna — LocalPlus All Commercial Plans: $4,229
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ INTERLAMINAR LMBR/SAC W/ FLUORO	$3,164	$2,056.60	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$278	$180.70	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$983.11 – $7,246
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,629.40 Aetna — Medicare Managed Care Plan: $1,032.27 Ageright — Medicare Managed Care Plan: $1,081.42 Atrio — Medicare Managed Care Plan: $1,012.61 BCBS — Regence - Blue HPN All Commercial Plans: $3,203.94 BCBS — Regence - Legacy LHP All Commercial Plans: $2,288.84 BCBS — Regence All Commercial Plans: $3,354.90 CareOregon — Medicare Managed Care Plan: $1,061.76 Cigna — All Commercial Plans: $5,435 Cigna — LocalPlus All Commercial Plans: $4,229
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC AN INJ SEL ROOT BLOCK LUMB/SACR SNGL LVL	$2,401	$1,560.65	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$683	$443.95	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,170.50 – $11,261
Carpal tunnel release: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,072.60 Aetna — Medicare Managed Care Plan: $2,279.03 Ageright — Medicare Managed Care Plan: $2,387.55 Atrio — Medicare Managed Care Plan: $2,235.62 BCBS — Regence - Blue HPN All Commercial Plans: $6,783.70 BCBS — Regence - Legacy LHP All Commercial Plans: $4,846.16 BCBS — Regence All Commercial Plans: $7,103.32 CareOregon — Medicare Managed Care Plan: $2,344.14 Cigna — All Commercial Plans: $6,796 Cigna — LocalPlus All Commercial Plans: $5,288
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: PR NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE	$1,283	$833.95	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$611.34 – $7,569
Laser treatment of clouding after cataract surgery: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,072.60 Aetna — Medicare Managed Care Plan: $641.90 Ageright — Medicare Managed Care Plan: $672.47 Atrio — Medicare Managed Care Plan: $629.68 BCBS — Regence - Blue HPN All Commercial Plans: $2,000.09 BCBS — Regence - Legacy LHP All Commercial Plans: $1,428.83 BCBS — Regence All Commercial Plans: $2,094.33 CareOregon — Medicare Managed Care Plan: $660.24 Cigna — All Commercial Plans: $6,796 Cigna — LocalPlus All Commercial Plans: $5,288
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: PR POST-CATARACT LASER SURGERY	$1,582	$1,028.30	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,565.20 – $15,978.56
Cataract removal with lens implant: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $15,978.56 Aetna — Medicare Managed Care Plan: $2,693.46 Ageright — Medicare Managed Care Plan: $2,821.72 Atrio — Medicare Managed Care Plan: $2,642.16 BCBS — Regence - Blue HPN All Commercial Plans: $7,977.25 BCBS — Regence - Legacy LHP All Commercial Plans: $5,698.81 BCBS — Regence All Commercial Plans: $8,353.11 CareOregon — Medicare Managed Care Plan: $2,770.42 Cigna — All Commercial Plans: $11,114 Cigna — LocalPlus All Commercial Plans: $8,648
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP	$1,508	$980.20	Not listed in the file

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$7,920.26
Vaginal delivery, with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $7,920.26
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM	$6,809	$4,425.85	Not listed in the file
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$7,920.26
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $7,920.26
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM	$7,563	$4,915.95	Not listed in the file
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$7,920.26
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $7,920.26
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB	$7,132	$4,635.80	Not listed in the file

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$92,345.63 – $269,027
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 30 insurance plan rates Aetna — All Commercial Plans: $269,027 Aetna — Medicare Managed Care Plan: $96,962.91 Ageright — Medicare Managed Care Plan: $101,580.19 Atrio — Medicare Managed Care Plan: $95,116 BCBS — Medicare Managed Care Plan: $96,962.91 BCBS — Regence - Blue HPN All Commercial Plans: $194,091.74 BCBS — Regence - Legacy LHP All Commercial Plans: $134,381.82 BCBS — Regence All Commercial Plans: $203,237.42 CareOregon — Medicare Managed Care Plan: $99,733.28 Cigna — Medicare Managed Care Plan: $101,580.19
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 2 insurance plans First Choice Health — All Commercial Plans: 72% (a percentage in the contract, not a dollar amount) HealthNet — Community Care Other Commercial Plan: 60.94% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$19,314.01 – $53,044.75
Hip or knee replacement (major joint of the leg), without major complications: 10 of 30 insurance plan rates Aetna — All Commercial Plans: $53,044.75 Aetna — Medicare Managed Care Plan: $20,279.71 Ageright — Medicare Managed Care Plan: $21,245.41 Atrio — Medicare Managed Care Plan: $19,893.43 BCBS — Medicare Managed Care Plan: $20,279.71 BCBS — Regence - Blue HPN All Commercial Plans: $37,921.74 BCBS — Regence - Legacy LHP All Commercial Plans: $26,255.59 BCBS — Regence All Commercial Plans: $39,708.63 CareOregon — Medicare Managed Care Plan: $20,859.13 Cigna — Medicare Managed Care Plan: $21,245.41
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$24,078.70 – $67,135.75
Neck (cervical) spinal fusion, without complications: 10 of 30 insurance plan rates Aetna — All Commercial Plans: $67,135.75 Aetna — Medicare Managed Care Plan: $25,282.64 Ageright — Medicare Managed Care Plan: $26,486.57 Atrio — Medicare Managed Care Plan: $24,801.06 BCBS — Medicare Managed Care Plan: $25,282.64 BCBS — Regence - Blue HPN All Commercial Plans: $47,609.84 BCBS — Regence - Legacy LHP All Commercial Plans: $32,963.26 BCBS — Regence All Commercial Plans: $49,853.23 CareOregon — Medicare Managed Care Plan: $26,005 Cigna — Medicare Managed Care Plan: $26,486.57
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$12,914.60 – $34,119.25
Uterus and ovary surgery (not for cancer), without complications: 10 of 30 insurance plan rates Aetna — All Commercial Plans: $34,119.25 Aetna — Medicare Managed Care Plan: $13,560.33 Ageright — Medicare Managed Care Plan: $14,206.06 Atrio — Medicare Managed Care Plan: $13,302.04 BCBS — Medicare Managed Care Plan: $13,560.33 BCBS — Regence - Blue HPN All Commercial Plans: $24,106.60 BCBS — Regence - Legacy LHP All Commercial Plans: $16,690.51 BCBS — Regence All Commercial Plans: $25,242.52 CareOregon — Medicare Managed Care Plan: $13,947.77 Cigna — Medicare Managed Care Plan: $14,206.06

Source: Legacy Good Samaritan Medical Center’s standard charges file (legacyhealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 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 type	Acute Care Hospital
Address	1015 NW 22nd Avenue, W121, Portland, OR 97210
County	Multnomah County
State	Oregon
Phone	(503) 413‑7682
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	380017
Name in Medicare records	LEGACY GOOD SAMARITAN MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(503) 413‑7711^[4]
Official website	legacyhealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Legacy Good Samaritan Medical Center | Legacy Health — legacyhealth.org
Interpreter Services | Additional Support | Legacy Health — legacyhealth.org
Stroke care | Neurosciences | Legacy — legacyhealth.org
Emergency Care In Oregon and Southwest Wash. | Legacy Health — legacyhealth.org
Good Samaritan 150th Anniversary | Legacy Health — legacyhealth.org