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Acute Care Hospital

Multicare Covington Medical Center

Covington, Washington · King County · Emergency services listed

Multicare Covington Medical Center is an acute care hospital at 17700 SE 272nd St, Covington, WA 98042. Phone: (253) 372-7400. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Multicare Covington Medical Center is an acute care hospital in Covington, Washington. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 8 services, specialties and programs. Medicare lists 413 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
8Services listed

Quick answers

Does Multicare Covington Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Multicare Covington Medical Center. In a medical emergency, call 911.
Where is Multicare Covington Medical Center?
17700 SE 272nd St, Covington, WA 98042, in King County, Washington.
What is the phone number of Multicare Covington Medical Center?
(253) 372-7400, as listed by Medicare (CMS).
What is the Medicare star rating of Multicare Covington Medical Center?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Multicare Covington Medical Center for hospital-acquired conditions?
Yes. For fiscal year 2026, CMS applies a 1-percent reduction to Medicare payments to Multicare Covington Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.4894; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[5][6][7]

Procedures[4]

  • Total hip and knee replacement

Emergency care (hospital website)[4][7]

Emergency roomYes
Open 24/7Yes
Stroke designationDNV Certified Primary Stroke Center

Visiting and practical information

VisitingVisitor hours 8am-8pm[4]
ParkingPatient and visitor parking garage off SE Wax Road, open 24/7[8]

Recognition[4]

  • DNV Certified Primary Stroke Center
  • American Heart Association Get With The Guidelines Gold Plus (stroke), 2026
  • Joint Commission Advanced Total Hip and Knee Replacement Certification
  • Leapfrog Hospital Safety Grade A

Doctors and clinicians (413)

413 doctors and other clinicians list Multicare Covington 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

Doctors with a page on this site (413)

And 389 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Covington

Hospitals in King County · Hospitals near me

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

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Multicare Covington 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) 2 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1067%National average: 72%
Would definitely recommend the hospital69%National average: 71%
Nurses “always” communicated well72%National average: 80%
Doctors “always” communicated well71%National average: 80%
“Always” got help as soon as they wanted50%National average: 64%
Staff “always” explained medicines before giving them51%National average: 62%
Were given information about recovery at home82%National average: 86%
Room and bathroom “always” clean73%National average: 73%
Completed surveys484Response rate: 18%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Clostridioides difficile (C. diff) intestinal infections0.995No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 failure patients9.9%
Deaths within 30 days: pneumonia patients12.7%
Deaths within 30 days: COPD patients9%
Deaths within 30 days: stroke patients10.2%
Serious complications (patient safety indicator PSI-90)0.95No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)16.7%
Readmitted within 30 days: heart failure21.4%
Readmitted within 30 days: pneumonia17%
Readmitted within 30 days: COPD20.5%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)173 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)65%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Multicare Covington Medical Center, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026YesCMS applies a 1-percent payment reduction to this hospital.
Total HAC Score0.4894Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9831Fewer readmissions than expected
Pneumonia0.9921Fewer readmissions than expected
COPD (chronic lung disease)0.9729Fewer readmissions than expected
No result publishedHeart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score36.75 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)30.00 out of 100
Person and community engagement (patient survey)22.00 out of 100
Safety (infections and sepsis care)15.00 out of 100
Efficiency and cost reduction (Medicare spending)80.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.87Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 80 common services exactly as Multicare Covington 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 →

Show the prices of 80 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM, IF USING TIME, 20 MINUTES OR MORE $443 $177.20 $43.75 – $323.39
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $223.63
  • First Choice — MCC Wellfound Employee: $229.47
  • First Choice — MHS Employee MCC/PPO: $170.56
  • First Choice — PPO: $310.10
  • First Health — All Commercial Plans: $323.39
  • Multiplan/PHCS — All Commercial Plans: $323.39
  • Regence — Blue High Performance: $43.75
  • Regence — Commercial: $50
  • Regence — MCC/AHN: $43.75
  • Regence — RealValue: $45
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED LOW MDM, IF USING TIME, 20 MINUTES OR MORE $443 $177.20 $323.39
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • First Health — All Commercial Plans: $323.39
  • Multiplan/PHCS — All Commercial Plans: $323.39
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED MOD MDM, IF USING TIME, 30 MINUTES OR MORE $443 $177.20 $43.75 – $323.39
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $223.63
  • First Choice — MCC Wellfound Employee: $229.47
  • First Choice — MHS Employee MCC/PPO: $170.56
  • First Choice — PPO: $310.10
  • First Health — All Commercial Plans: $323.39
  • Multiplan/PHCS — All Commercial Plans: $323.39
  • Regence — Blue High Performance: $43.75
  • Regence — Commercial: $50
  • Regence — MCC/AHN: $43.75
  • Regence — RealValue: $45
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OFFICE/OUTPATIENT ESTABLISHED MOD MDM, IF USING TIME, 30 MINUTES OR MORE $443 $177.20 $323.39
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • First Health — All Commercial Plans: $323.39
  • Multiplan/PHCS — All Commercial Plans: $323.39
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $122.70 – $140.23
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • Regence — Blue High Performance: $122.70
  • Regence — Commercial: $140.23
  • Regence — MCC/AHN: $122.70
  • Regence — RealValue: $126.20
  • Uniform Medical — All Commercial Plans: $140.23
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $175.12 – $200.14
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • Regence — Blue High Performance: $175.12
  • Regence — Commercial: $200.14
  • Regence — MCC/AHN: $175.12
  • Regence — RealValue: $180.12
  • Uniform Medical — All Commercial Plans: $200.14
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $140.90 – $161.03
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • Regence — Blue High Performance: $140.90
  • Regence — Commercial: $161.03
  • Regence — MCC/AHN: $140.90
  • Regence — RealValue: $144.92
  • Uniform Medical — All Commercial Plans: $161.03
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $162.38 – $185.58
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans
  • Regence — Blue High Performance: $162.38
  • Regence — Commercial: $185.58
  • Regence — MCC/AHN: $162.38
  • Regence — RealValue: $167.02
  • Uniform Medical — All Commercial Plans: $185.58
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT-ED,LEVEL III $1,755 $702 $310.65 – $1,876.79
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,291.76
  • Aetna — MedAdvantage: $319.97
  • Ambetter — Coordinated Care Exchange: $621.30
  • Cigna — All Commercial Plans: $1,876.79
  • Community Health Plan of Washington — Cascade Care: $523.76
  • Community Health Plan of Washington — MedAdvantage: $341.72
  • First Choice — MCC Wellfound Employee: $553.66
  • First Choice — MHS Employee MCC/PPO: $396.54
  • First Choice — PPO: $748.19
  • First Health — All Commercial Plans: $1,281.15
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT-ADULT ED,LEVEL III-25 $1,755 $702 $310.65 – $1,876.79
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,291.76
  • Aetna — MedAdvantage: $319.97
  • Ambetter — Coordinated Care Exchange: $621.30
  • Cigna — All Commercial Plans: $1,876.79
  • Community Health Plan of Washington — Cascade Care: $523.76
  • Community Health Plan of Washington — MedAdvantage: $341.72
  • First Choice — MCC Wellfound Employee: $553.66
  • First Choice — MHS Employee MCC/PPO: $396.54
  • First Choice — PPO: $748.19
  • First Health — All Commercial Plans: $1,281.15
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC VISIT-ED,LEVEL III $1,755 $702 $1,281.15
Emergency room visit (moderate): rates for 2 insurance plans
  • First Health — All Commercial Plans: $1,281.15
  • Multiplan/PHCS — All Commercial Plans: $1,281.15
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT-ADULT ED,LEVEL IV-25 $2,757 $1,102.80 $474.85 – $2,129.31
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,986.57
  • Aetna — MedAdvantage: $489.10
  • Ambetter — Coordinated Care Exchange: $949.70
  • Cigna — All Commercial Plans: $1,865.50
  • Community Health Plan of Washington — Cascade Care: $800.60
  • Community Health Plan of Washington — MedAdvantage: $522.34
  • First Choice — MCC Wellfound Employee: $872.09
  • First Choice — MHS Employee MCC/PPO: $624.60
  • First Choice — PPO: $1,178.50
  • First Health — All Commercial Plans: $2,012.61
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT-ED,LEVEL IV $2,757 $1,102.80 $474.85 – $2,129.31
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,986.57
  • Aetna — MedAdvantage: $489.10
  • Ambetter — Coordinated Care Exchange: $949.70
  • Cigna — All Commercial Plans: $1,865.50
  • Community Health Plan of Washington — Cascade Care: $800.60
  • Community Health Plan of Washington — MedAdvantage: $522.34
  • First Choice — MCC Wellfound Employee: $872.09
  • First Choice — MHS Employee MCC/PPO: $624.60
  • First Choice — PPO: $1,178.50
  • First Health — All Commercial Plans: $2,012.61
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INHOUSE TRAUMA ACTIVATION LEVEL IV-RC 450 $3,446 $1,378.40 $474.85 – $2,515.58
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,986.57
  • Aetna — MedAdvantage: $489.10
  • Ambetter — Coordinated Care Exchange: $949.70
  • Cigna — All Commercial Plans: $1,865.50
  • Community Health Plan of Washington — Cascade Care: $800.60
  • Community Health Plan of Washington — MedAdvantage: $522.34
  • First Choice — MCC Wellfound Employee: $872.09
  • First Choice — MHS Employee MCC/PPO: $624.60
  • First Choice — PPO: $1,178.50
  • First Health — All Commercial Plans: $2,515.58
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT-ADULT ED,LEVEL V-25 $4,925 $1,970 $677.72 – $3,595.25
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $2,860.29
  • Aetna — MedAdvantage: $698.05
  • Ambetter — Coordinated Care Exchange: $1,355.45
  • Cigna — All Commercial Plans: $1,849.09
  • Community Health Plan of Washington — Cascade Care: $1,142.64
  • Community Health Plan of Washington — MedAdvantage: $745.49
  • First Choice — MCC Wellfound Employee: $1,250.68
  • First Choice — MHS Employee MCC/PPO: $895.76
  • First Choice — PPO: $1,690.11
  • First Health — All Commercial Plans: $3,595.25
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED-SART-LEVEL II EXAM - TG $4,925 $1,970 $677.72 – $3,595.25
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $2,860.29
  • Aetna — MedAdvantage: $698.05
  • Ambetter — Coordinated Care Exchange: $1,355.45
  • Cigna — All Commercial Plans: $1,849.09
  • Community Health Plan of Washington — Cascade Care: $1,142.64
  • Community Health Plan of Washington — MedAdvantage: $745.49
  • First Choice — MCC Wellfound Employee: $1,250.68
  • First Choice — MHS Employee MCC/PPO: $895.76
  • First Choice — PPO: $1,690.11
  • First Health — All Commercial Plans: $3,595.25
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INHOUSE TRAUMA ACTIVATION LEVEL V-RC 450 $6,156 $2,462.40 $677.72 – $4,493.88
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $2,860.29
  • Aetna — MedAdvantage: $698.05
  • Ambetter — Coordinated Care Exchange: $1,355.45
  • Cigna — All Commercial Plans: $1,849.09
  • Community Health Plan of Washington — Cascade Care: $1,142.64
  • Community Health Plan of Washington — MedAdvantage: $745.49
  • First Choice — MCC Wellfound Employee: $1,250.68
  • First Choice — MHS Employee MCC/PPO: $895.76
  • First Choice — PPO: $1,690.11
  • First Health — All Commercial Plans: $4,493.88

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O BASIC METABOLIC PANEL $48 $19.20 $5.74 – $39.25
Basic metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $39.25
  • Aetna — MedAdvantage: $8.54
  • Ambetter — Coordinated Care Exchange: $16.58
  • Cigna — All Commercial Plans: $10.15
  • Community Health Plan of Washington — Apple Health: $6.20
  • Community Health Plan of Washington — Cascade Care: $13.98
  • Community Health Plan of Washington — MedAdvantage: $9.12
  • Coordinated Care — Apple Health: $6.20
  • First Choice — MCC Wellfound Employee: $11.89
  • First Choice — MHS Employee MCC/PPO: $8.52
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: O BASIC METABOLIC PANEL $60 $24 $43.80
Basic metabolic panel (blood test): rates for 2 insurance plans
  • First Health — All Commercial Plans: $43.80
  • Multiplan/PHCS — All Commercial Plans: $43.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O COMPREHENSIVE METABOLIC PANEL $66 $26.40 $5.74 – $49
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $49
  • Aetna — MedAdvantage: $10.66
  • Ambetter — Coordinated Care Exchange: $20.70
  • Cigna — All Commercial Plans: $12.67
  • Community Health Plan of Washington — Apple Health: $6.20
  • Community Health Plan of Washington — Cascade Care: $17.45
  • Community Health Plan of Washington — MedAdvantage: $11.38
  • Coordinated Care — Apple Health: $6.20
  • First Choice — MCC Wellfound Employee: $14.85
  • First Choice — MHS Employee MCC/PPO: $10.63
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: O COMPREHENSIVE METABOLIC PANEL $83 $33.20 $60.59
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • First Health — All Commercial Plans: $60.59
  • Multiplan/PHCS — All Commercial Plans: $60.59
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O PRENATAL TYPE AND SCREEN $195 $78 $5.74 – $221.84
Obstetric blood test panel: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $221.84
  • Aetna — MedAdvantage: $48.26
  • Ambetter — Coordinated Care Exchange: $93.71
  • Cigna — All Commercial Plans: $57.37
  • Community Health Plan of Washington — Apple Health: $6.20
  • Community Health Plan of Washington — Cascade Care: $79
  • Community Health Plan of Washington — MedAdvantage: $51.54
  • Coordinated Care — Apple Health: $6.20
  • First Choice — MCC Wellfound Employee: $67.22
  • First Choice — MHS Employee MCC/PPO: $48.14
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O PANEL - PRENATAL W/ CBC $195 $78 $5.74 – $221.84
Obstetric blood test panel: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $221.84
  • Aetna — MedAdvantage: $48.26
  • Ambetter — Coordinated Care Exchange: $93.71
  • Cigna — All Commercial Plans: $57.37
  • Community Health Plan of Washington — Apple Health: $6.20
  • Community Health Plan of Washington — Cascade Care: $79
  • Community Health Plan of Washington — MedAdvantage: $51.54
  • Coordinated Care — Apple Health: $6.20
  • First Choice — MCC Wellfound Employee: $67.22
  • First Choice — MHS Employee MCC/PPO: $48.14
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: O PANEL - PRENATAL W/ CBC $244 $97.60 $178.12
Obstetric blood test panel: rates for 2 insurance plans
  • First Health — All Commercial Plans: $178.12
  • Multiplan/PHCS — All Commercial Plans: $178.12
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P POCT LIPID PROFILE W/O GLUCOSE $67 $26.80 $5.74 – $48.91
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $17.94
  • Aetna — MedAdvantage: $13.52
  • Ambetter — Coordinated Care Exchange: $26.24
  • Cigna — All Commercial Plans: $16.07
  • Community Health Plan of Washington — Apple Health: $6.20
  • Community Health Plan of Washington — Cascade Care: $22.12
  • Community Health Plan of Washington — MedAdvantage: $14.43
  • Coordinated Care — Apple Health: $6.20
  • First Choice — MCC Wellfound Employee: $22.29
  • First Choice — MHS Employee MCC/PPO: $15.97
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O LIPID PANEL $67 $26.80 $5.74 – $48.91
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $17.94
  • Aetna — MedAdvantage: $13.52
  • Ambetter — Coordinated Care Exchange: $26.24
  • Cigna — All Commercial Plans: $16.07
  • Community Health Plan of Washington — Apple Health: $6.20
  • Community Health Plan of Washington — Cascade Care: $22.12
  • Community Health Plan of Washington — MedAdvantage: $14.43
  • Coordinated Care — Apple Health: $6.20
  • First Choice — MCC Wellfound Employee: $22.29
  • First Choice — MHS Employee MCC/PPO: $15.97
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P POCT LIPID PANEL (SEA MAR LRR) $67 $26.80 $5.74 – $48.91
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $17.94
  • Aetna — MedAdvantage: $13.52
  • Ambetter — Coordinated Care Exchange: $26.24
  • Cigna — All Commercial Plans: $16.07
  • Community Health Plan of Washington — Apple Health: $6.20
  • Community Health Plan of Washington — Cascade Care: $22.12
  • Community Health Plan of Washington — MedAdvantage: $14.43
  • Coordinated Care — Apple Health: $6.20
  • First Choice — MCC Wellfound Employee: $22.29
  • First Choice — MHS Employee MCC/PPO: $15.97
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O RENAL FUNCTION PANEL $35 $14 $5.74 – $40.28
Kidney function panel: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $40.28
  • Aetna — MedAdvantage: $8.76
  • Ambetter — Coordinated Care Exchange: $17.01
  • Cigna — All Commercial Plans: $10.42
  • Community Health Plan of Washington — Apple Health: $6.20
  • Community Health Plan of Washington — Cascade Care: $14.34
  • Community Health Plan of Washington — MedAdvantage: $9.36
  • Coordinated Care — Apple Health: $6.20
  • First Choice — MCC Wellfound Employee: $12.20
  • First Choice — MHS Employee MCC/PPO: $8.74
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: O RENAL FUNCTION PANEL $44 $17.60 $32.12
Kidney function panel: rates for 2 insurance plans
  • First Health — All Commercial Plans: $32.12
  • Multiplan/PHCS — All Commercial Plans: $32.12
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O HEPATIC FUNCTION PANEL $35 $14 $5.74 – $37.91
Liver function panel: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $37.91
  • Aetna — MedAdvantage: $8.25
  • Ambetter — Coordinated Care Exchange: $16.01
  • Cigna — All Commercial Plans: $9.80
  • Community Health Plan of Washington — Apple Health: $6.20
  • Community Health Plan of Washington — Cascade Care: $13.50
  • Community Health Plan of Washington — MedAdvantage: $8.81
  • Coordinated Care — Apple Health: $6.20
  • First Choice — MCC Wellfound Employee: $11.49
  • First Choice — MHS Employee MCC/PPO: $8.23
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: O HEPATIC FUNCTION PANEL $44 $17.60 $32.12
Liver function panel: rates for 2 insurance plans
  • First Health — All Commercial Plans: $32.12
  • Multiplan/PHCS — All Commercial Plans: $32.12
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O UA W/MICROSCOPIC $18 $7.20 $1.91 – $14.71
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $14.71
  • Aetna — MedAdvantage: $3.20
  • Ambetter — Coordinated Care Exchange: $6.21
  • Cigna — All Commercial Plans: $3.80
  • Community Health Plan of Washington — Apple Health: $2.06
  • Community Health Plan of Washington — Cascade Care: $5.24
  • Community Health Plan of Washington — MedAdvantage: $3.42
  • Coordinated Care — Apple Health: $2.06
  • First Choice — MCC Wellfound Employee: $4.46
  • First Choice — MHS Employee MCC/PPO: $3.19
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C UA W/MICROSCOPIC $18 $7.20 $1.91 – $14.71
Urine test (automated, with microscope): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $14.71
  • Aetna — MedAdvantage: $3.20
  • Ambetter — Coordinated Care Exchange: $6.21
  • Cigna — All Commercial Plans: $3.80
  • Community Health Plan of Washington — Apple Health: $2.06
  • Community Health Plan of Washington — Cascade Care: $5.24
  • Community Health Plan of Washington — MedAdvantage: $3.42
  • Coordinated Care — Apple Health: $2.06
  • First Choice — MCC Wellfound Employee: $4.46
  • First Choice — MHS Employee MCC/PPO: $3.19
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C UA W/MICROSCOPIC $23 $9.20 $16.79
Urine test (automated, with microscope): rates for 2 insurance plans
  • First Health — All Commercial Plans: $16.79
  • Multiplan/PHCS — All Commercial Plans: $16.79
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C POCT-UA MACRO MANUAL $13 $5.20 $1.91 – $16.15
Urine test (manual, without microscope): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $16.15
  • Aetna — MedAdvantage: $3.51
  • Ambetter — Coordinated Care Exchange: $6.82
  • Cigna — All Commercial Plans: $4.18
  • Community Health Plan of Washington — Apple Health: $2.06
  • Community Health Plan of Washington — Cascade Care: $5.75
  • Community Health Plan of Washington — MedAdvantage: $3.75
  • Coordinated Care — Apple Health: $2.06
  • First Choice — MCC Wellfound Employee: $4.89
  • First Choice — MHS Employee MCC/PPO: $3.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P POCT UA MACROSCOPIC $13 $5.20 $1.91 – $16.15
Urine test (manual, without microscope): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $16.15
  • Aetna — MedAdvantage: $3.51
  • Ambetter — Coordinated Care Exchange: $6.82
  • Cigna — All Commercial Plans: $4.18
  • Community Health Plan of Washington — Apple Health: $2.06
  • Community Health Plan of Washington — Cascade Care: $5.75
  • Community Health Plan of Washington — MedAdvantage: $3.75
  • Coordinated Care — Apple Health: $2.06
  • First Choice — MCC Wellfound Employee: $4.89
  • First Choice — MHS Employee MCC/PPO: $3.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C URINE KETONES $13 $5.20 $1.91 – $16.15
Urine test (manual, without microscope): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $16.15
  • Aetna — MedAdvantage: $3.51
  • Ambetter — Coordinated Care Exchange: $6.82
  • Cigna — All Commercial Plans: $4.18
  • Community Health Plan of Washington — Apple Health: $2.06
  • Community Health Plan of Washington — Cascade Care: $5.75
  • Community Health Plan of Washington — MedAdvantage: $3.75
  • Coordinated Care — Apple Health: $2.06
  • First Choice — MCC Wellfound Employee: $4.89
  • First Choice — MHS Employee MCC/PPO: $3.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O UA MACROSCOPIC (NO CULTURE) $11 $4.40 $1.91 – $10.44
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $10.44
  • Aetna — MedAdvantage: $2.27
  • Ambetter — Coordinated Care Exchange: $4.41
  • Cigna — All Commercial Plans: $2.70
  • Community Health Plan of Washington — Apple Health: $2.06
  • Community Health Plan of Washington — Cascade Care: $3.72
  • Community Health Plan of Washington — MedAdvantage: $2.43
  • Coordinated Care — Apple Health: $2.06
  • First Choice — MCC Wellfound Employee: $3.16
  • First Choice — MHS Employee MCC/PPO: $2.27
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P POCT UA MACRO AUTOMATED $11 $4.40 $1.91 – $10.44
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $10.44
  • Aetna — MedAdvantage: $2.27
  • Ambetter — Coordinated Care Exchange: $4.41
  • Cigna — All Commercial Plans: $2.70
  • Community Health Plan of Washington — Apple Health: $2.06
  • Community Health Plan of Washington — Cascade Care: $3.72
  • Community Health Plan of Washington — MedAdvantage: $2.43
  • Coordinated Care — Apple Health: $2.06
  • First Choice — MCC Wellfound Employee: $3.16
  • First Choice — MHS Employee MCC/PPO: $2.27
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P POCT URINALYSIS AUTO W/O SCOPE $11 $4.40 $1.91 – $10.44
Urine test (automated, without microscope): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $10.44
  • Aetna — MedAdvantage: $2.27
  • Ambetter — Coordinated Care Exchange: $4.41
  • Cigna — All Commercial Plans: $2.70
  • Community Health Plan of Washington — Apple Health: $2.06
  • Community Health Plan of Washington — Cascade Care: $3.72
  • Community Health Plan of Washington — MedAdvantage: $2.43
  • Coordinated Care — Apple Health: $2.06
  • First Choice — MCC Wellfound Employee: $3.16
  • First Choice — MHS Employee MCC/PPO: $2.27
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O PSA, DIAGNOSTIC $77 $30.80 $8.43 – $85.33
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $85.33
  • Aetna — MedAdvantage: $18.56
  • Ambetter — Coordinated Care Exchange: $36.04
  • Cigna — All Commercial Plans: $22.07
  • Community Health Plan of Washington — Apple Health: $9.11
  • Community Health Plan of Washington — Cascade Care: $30.39
  • Community Health Plan of Washington — MedAdvantage: $19.82
  • Coordinated Care — Apple Health: $9.11
  • First Choice — MCC Wellfound Employee: $25.86
  • First Choice — MHS Employee MCC/PPO: $18.52
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PSA TOTAL $77 $30.80 $8.43 – $85.33
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $85.33
  • Aetna — MedAdvantage: $18.56
  • Ambetter — Coordinated Care Exchange: $36.04
  • Cigna — All Commercial Plans: $22.07
  • Community Health Plan of Washington — Apple Health: $9.11
  • Community Health Plan of Washington — Cascade Care: $30.39
  • Community Health Plan of Washington — MedAdvantage: $19.82
  • Coordinated Care — Apple Health: $9.11
  • First Choice — MCC Wellfound Employee: $25.86
  • First Choice — MHS Employee MCC/PPO: $18.52
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O PSA ULTRASENSITIVE $77 $30.80 $8.43 – $85.33
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $85.33
  • Aetna — MedAdvantage: $18.56
  • Ambetter — Coordinated Care Exchange: $36.04
  • Cigna — All Commercial Plans: $22.07
  • Community Health Plan of Washington — Apple Health: $9.11
  • Community Health Plan of Washington — Cascade Care: $30.39
  • Community Health Plan of Washington — MedAdvantage: $19.82
  • Coordinated Care — Apple Health: $9.11
  • First Choice — MCC Wellfound Employee: $25.86
  • First Choice — MHS Employee MCC/PPO: $18.52
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C TSH $84 $33.60 $8.73 – $77.95
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $77.95
  • Aetna — MedAdvantage: $16.96
  • Ambetter — Coordinated Care Exchange: $32.93
  • Cigna — All Commercial Plans: $20.16
  • Community Health Plan of Washington — Apple Health: $9.43
  • Community Health Plan of Washington — Cascade Care: $27.76
  • Community Health Plan of Washington — MedAdvantage: $18.11
  • Coordinated Care — Apple Health: $9.43
  • First Choice — MCC Wellfound Employee: $23.62
  • First Choice — MHS Employee MCC/PPO: $16.92
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O TSH REFLEX FT4 $76 $30.40 $8.73 – $77.95
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $77.95
  • Aetna — MedAdvantage: $16.96
  • Ambetter — Coordinated Care Exchange: $32.93
  • Cigna — All Commercial Plans: $20.16
  • Community Health Plan of Washington — Apple Health: $9.43
  • Community Health Plan of Washington — Cascade Care: $27.76
  • Community Health Plan of Washington — MedAdvantage: $18.11
  • Coordinated Care — Apple Health: $9.43
  • First Choice — MCC Wellfound Employee: $23.62
  • First Choice — MHS Employee MCC/PPO: $16.92
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C ASSAY THYROID STIM HORMONE $84 $33.60 $8.73 – $77.95
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $77.95
  • Aetna — MedAdvantage: $16.96
  • Ambetter — Coordinated Care Exchange: $32.93
  • Cigna — All Commercial Plans: $20.16
  • Community Health Plan of Washington — Apple Health: $9.43
  • Community Health Plan of Washington — Cascade Care: $27.76
  • Community Health Plan of Washington — MedAdvantage: $18.11
  • Coordinated Care — Apple Health: $9.43
  • First Choice — MCC Wellfound Employee: $23.62
  • First Choice — MHS Employee MCC/PPO: $16.92
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C CBC WITH DIFF $54 $21.60 $3.92 – $39.42
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $36.05
  • Aetna — MedAdvantage: $7.84
  • Ambetter — Coordinated Care Exchange: $15.23
  • Cigna — All Commercial Plans: $9.32
  • Community Health Plan of Washington — Apple Health: $4.23
  • Community Health Plan of Washington — Cascade Care: $12.84
  • Community Health Plan of Washington — MedAdvantage: $8.38
  • Coordinated Care — Apple Health: $4.23
  • First Choice — MCC Wellfound Employee: $10.92
  • First Choice — MHS Employee MCC/PPO: $7.82
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P POCT CBC WITH DIFF (SEA MAR LRR) $54 $21.60 $3.92 – $39.42
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $36.05
  • Aetna — MedAdvantage: $7.84
  • Ambetter — Coordinated Care Exchange: $15.23
  • Cigna — All Commercial Plans: $9.32
  • Community Health Plan of Washington — Apple Health: $4.23
  • Community Health Plan of Washington — Cascade Care: $12.84
  • Community Health Plan of Washington — MedAdvantage: $8.38
  • Coordinated Care — Apple Health: $4.23
  • First Choice — MCC Wellfound Employee: $10.92
  • First Choice — MHS Employee MCC/PPO: $7.82
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O CBC WITH DIFF $54 $21.60 $3.92 – $39.42
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $36.05
  • Aetna — MedAdvantage: $7.84
  • Ambetter — Coordinated Care Exchange: $15.23
  • Cigna — All Commercial Plans: $9.32
  • Community Health Plan of Washington — Apple Health: $4.23
  • Community Health Plan of Washington — Cascade Care: $12.84
  • Community Health Plan of Washington — MedAdvantage: $8.38
  • Coordinated Care — Apple Health: $4.23
  • First Choice — MCC Wellfound Employee: $10.92
  • First Choice — MHS Employee MCC/PPO: $7.82
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O BLOOD COUNT AND PLT $44 $17.60 $3.92 – $32.12
Complete blood count (CBC), automated: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $30.02
  • Aetna — MedAdvantage: $6.53
  • Ambetter — Coordinated Care Exchange: $12.68
  • Cigna — All Commercial Plans: $7.76
  • Community Health Plan of Washington — Apple Health: $4.23
  • Community Health Plan of Washington — Cascade Care: $10.69
  • Community Health Plan of Washington — MedAdvantage: $6.97
  • Coordinated Care — Apple Health: $4.23
  • First Choice — MCC Wellfound Employee: $9.10
  • First Choice — MHS Employee MCC/PPO: $6.52
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P POCT CBC (MBCHA ONLY) $44 $17.60 $3.92 – $32.12
Complete blood count (CBC), automated: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $30.02
  • Aetna — MedAdvantage: $6.53
  • Ambetter — Coordinated Care Exchange: $12.68
  • Cigna — All Commercial Plans: $7.76
  • Community Health Plan of Washington — Apple Health: $4.23
  • Community Health Plan of Washington — Cascade Care: $10.69
  • Community Health Plan of Washington — MedAdvantage: $6.97
  • Coordinated Care — Apple Health: $4.23
  • First Choice — MCC Wellfound Employee: $9.10
  • First Choice — MHS Employee MCC/PPO: $6.52
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C AUTO HEMOGRAM/PLATELET $44 $17.60 $3.92 – $32.12
Complete blood count (CBC), automated: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $30.02
  • Aetna — MedAdvantage: $6.53
  • Ambetter — Coordinated Care Exchange: $12.68
  • Cigna — All Commercial Plans: $7.76
  • Community Health Plan of Washington — Apple Health: $4.23
  • Community Health Plan of Washington — Cascade Care: $10.69
  • Community Health Plan of Washington — MedAdvantage: $6.97
  • Coordinated Care — Apple Health: $4.23
  • First Choice — MCC Wellfound Employee: $9.10
  • First Choice — MHS Employee MCC/PPO: $6.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P POCT PROTHROMBIN TIME $22 $8.80 $2.58 – $19.91
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $19.91
  • Aetna — MedAdvantage: $4.33
  • Ambetter — Coordinated Care Exchange: $8.41
  • Cigna — All Commercial Plans: $5.15
  • Community Health Plan of Washington — Apple Health: $2.79
  • Community Health Plan of Washington — Cascade Care: $7.09
  • Community Health Plan of Washington — MedAdvantage: $4.62
  • Coordinated Care — Apple Health: $2.79
  • First Choice — MCC Wellfound Employee: $6.03
  • First Choice — MHS Employee MCC/PPO: $4.32
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: P POCT COAGUCHEK INR $22 $8.80 $2.58 – $19.91
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $19.91
  • Aetna — MedAdvantage: $4.33
  • Ambetter — Coordinated Care Exchange: $8.41
  • Cigna — All Commercial Plans: $5.15
  • Community Health Plan of Washington — Apple Health: $2.79
  • Community Health Plan of Washington — Cascade Care: $7.09
  • Community Health Plan of Washington — MedAdvantage: $4.62
  • Coordinated Care — Apple Health: $2.79
  • First Choice — MCC Wellfound Employee: $6.03
  • First Choice — MHS Employee MCC/PPO: $4.32
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PROTHROMBIN TIME $22 $8.80 $2.58 – $19.91
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $19.91
  • Aetna — MedAdvantage: $4.33
  • Ambetter — Coordinated Care Exchange: $8.41
  • Cigna — All Commercial Plans: $5.15
  • Community Health Plan of Washington — Apple Health: $2.79
  • Community Health Plan of Washington — Cascade Care: $7.09
  • Community Health Plan of Washington — MedAdvantage: $4.62
  • Coordinated Care — Apple Health: $2.79
  • First Choice — MCC Wellfound Employee: $6.03
  • First Choice — MHS Employee MCC/PPO: $4.32
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: O PTT $29 $11.60 $2.58 – $27.89
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $27.89
  • Aetna — MedAdvantage: $6.07
  • Ambetter — Coordinated Care Exchange: $11.78
  • Cigna — All Commercial Plans: $7.21
  • Community Health Plan of Washington — Apple Health: $2.79
  • Community Health Plan of Washington — Cascade Care: $9.93
  • Community Health Plan of Washington — MedAdvantage: $6.48
  • Coordinated Care — Apple Health: $2.79
  • First Choice — MCC Wellfound Employee: $8.45
  • First Choice — MHS Employee MCC/PPO: $6.05
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: O PTT $36 $14.40 $26.28
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans
  • First Health — All Commercial Plans: $26.28
  • Multiplan/PHCS — All Commercial Plans: $26.28

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C CT HEAD W/O CONTRAST $1,382 $552.80 $118.97 – $1,008.86
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $496.12
  • Aetna — MedAdvantage: $122.54
  • Ambetter — Coordinated Care Exchange: $237.95
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $236.81
  • Community Health Plan of Washington — Cascade Care: $200.59
  • Community Health Plan of Washington — MedAdvantage: $130.87
  • Coordinated Care — Apple Health: $236.81
  • First Choice — MCC Wellfound Employee: $527.49
  • First Choice — MHS Employee MCC/PPO: $377.80
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C CT HEAD W/O CONTRAST $1,728 $691.20 $1,261.44
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • First Health — All Commercial Plans: $1,261.44
  • Multiplan/PHCS — All Commercial Plans: $1,261.44
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C MRI HEAD W/&W/O CONTRAST $3,849 $1,539.60 $309.60 – $2,809.77
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $1,666.12
  • Aetna — MedAdvantage: $408.93
  • Ambetter — Coordinated Care Exchange: $794.05
  • Cigna — All Commercial Plans: $1,674.66
  • Community Health Plan of Washington — Apple Health: $334.36
  • Community Health Plan of Washington — Cascade Care: $669.38
  • Community Health Plan of Washington — MedAdvantage: $436.73
  • Coordinated Care — Apple Health: $334.36
  • First Choice — MCC Wellfound Employee: $1,797.14
  • First Choice — MHS Employee MCC/PPO: $1,287.14
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C MRI HEAD W/&W/O CONTRAST $4,811 $1,924.40 $3,512.03
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • First Health — All Commercial Plans: $3,512.03
  • Multiplan/PHCS — All Commercial Plans: $3,512.03
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C XR CHEST SINGLE 2 VIEWS $533 $213.20 $39.73 – $507.59
Chest X-ray, 2 views: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $410.76
  • Aetna — MedAdvantage: $102.01
  • Ambetter — Coordinated Care Exchange: $198.07
  • Cigna — All Commercial Plans: $417.74
  • Community Health Plan of Washington — Apple Health: $42.90
  • Community Health Plan of Washington — Cascade Care: $166.97
  • Community Health Plan of Washington — MedAdvantage: $108.94
  • Coordinated Care — Apple Health: $42.90
  • First Choice — MCC Wellfound Employee: $375.62
  • First Choice — MHS Employee MCC/PPO: $269.02
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C XR CHEST SINGLE 2 VIEWS $666 $266.40 $486.18
Chest X-ray, 2 views: rates for 2 insurance plans
  • First Health — All Commercial Plans: $486.18
  • Multiplan/PHCS — All Commercial Plans: $486.18
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C XR LSPINE 4+ VIEW $729 $291.60 $39.73 – $712.83
X-ray of the lower spine, at least 4 views: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $496.12
  • Aetna — MedAdvantage: $122.54
  • Ambetter — Coordinated Care Exchange: $237.95
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $42.90
  • Community Health Plan of Washington — Cascade Care: $200.59
  • Community Health Plan of Washington — MedAdvantage: $130.87
  • Coordinated Care — Apple Health: $42.90
  • First Choice — MCC Wellfound Employee: $527.49
  • First Choice — MHS Employee MCC/PPO: $377.80
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C XR LSPINE 4+ VIEW $911 $364.40 $665.03
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • First Health — All Commercial Plans: $665.03
  • Multiplan/PHCS — All Commercial Plans: $665.03
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C MRI LSPINE W/O CONTRAST $3,406 $1,362.40 $176.69 – $2,486.38
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $1,127.69
  • Aetna — MedAdvantage: $279.68
  • Ambetter — Coordinated Care Exchange: $543.06
  • Cigna — All Commercial Plans: $1,145.33
  • Community Health Plan of Washington — Apple Health: $190.82
  • Community Health Plan of Washington — Cascade Care: $457.80
  • Community Health Plan of Washington — MedAdvantage: $298.69
  • Coordinated Care — Apple Health: $190.82
  • First Choice — MCC Wellfound Employee: $1,096.78
  • First Choice — MHS Employee MCC/PPO: $785.53
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C MRI LSPINE W/O CONTRAST $4,258 $1,703.20 $3,108.34
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • First Health — All Commercial Plans: $3,108.34
  • Multiplan/PHCS — All Commercial Plans: $3,108.34
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C CT PELVIS W/ IV CONTRAST $2,166 $866.40 $199.61 – $1,581.18
CT scan of the pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $830.50
  • Aetna — MedAdvantage: $205.60
  • Ambetter — Coordinated Care Exchange: $399.22
  • Cigna — All Commercial Plans: $841.97
  • Community Health Plan of Washington — Apple Health: $236.81
  • Community Health Plan of Washington — Cascade Care: $336.54
  • Community Health Plan of Washington — MedAdvantage: $219.57
  • Coordinated Care — Apple Health: $236.81
  • First Choice — MCC Wellfound Employee: $857.60
  • First Choice — MHS Employee MCC/PPO: $614.23
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C CT PELVIS W/ IV CONTRAST $2,708 $1,083.20 $1,976.84
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • First Health — All Commercial Plans: $1,976.84
  • Multiplan/PHCS — All Commercial Plans: $1,976.84
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C MRI LWR EXT JOINT W/O CONTRAST $3,063 $1,225.20 $176.69 – $2,235.99
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $1,127.69
  • Aetna — MedAdvantage: $279.68
  • Ambetter — Coordinated Care Exchange: $543.06
  • Cigna — All Commercial Plans: $1,145.33
  • Community Health Plan of Washington — Apple Health: $190.82
  • Community Health Plan of Washington — Cascade Care: $457.80
  • Community Health Plan of Washington — MedAdvantage: $298.69
  • Coordinated Care — Apple Health: $190.82
  • First Choice — MCC Wellfound Employee: $1,096.78
  • First Choice — MHS Employee MCC/PPO: $785.53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C MRI LWR EXT JOINT W/O CONTRAST $3,829 $1,531.60 $2,795.17
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • First Health — All Commercial Plans: $2,795.17
  • Multiplan/PHCS — All Commercial Plans: $2,795.17
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C CT ABDOMEN&PELVIS W/CONTRAST $4,043 $1,617.20 $219.27 – $2,951.39
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $1,666.12
  • Aetna — MedAdvantage: $408.93
  • Ambetter — Coordinated Care Exchange: $794.05
  • Cigna — All Commercial Plans: $1,674.66
  • Community Health Plan of Washington — Apple Health: $236.81
  • Community Health Plan of Washington — Cascade Care: $669.38
  • Community Health Plan of Washington — MedAdvantage: $436.73
  • Coordinated Care — Apple Health: $236.81
  • First Choice — MCC Wellfound Employee: $1,797.14
  • First Choice — MHS Employee MCC/PPO: $1,287.14
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C CT ABDOMEN&PELVIS W/CONTRAST $5,054 $2,021.60 $3,689.42
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • First Health — All Commercial Plans: $3,689.42
  • Multiplan/PHCS — All Commercial Plans: $3,689.42
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C US ABDOMINAL $844 $337.60 $116.51 – $712.83
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $496.12
  • Aetna — MedAdvantage: $122.54
  • Ambetter — Coordinated Care Exchange: $237.95
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $125.83
  • Community Health Plan of Washington — Cascade Care: $200.59
  • Community Health Plan of Washington — MedAdvantage: $130.87
  • Coordinated Care — Apple Health: $125.83
  • First Choice — MCC Wellfound Employee: $527.49
  • First Choice — MHS Employee MCC/PPO: $377.80
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C US ABDOMINAL $1,055 $422 $770.15
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • First Health — All Commercial Plans: $770.15
  • Multiplan/PHCS — All Commercial Plans: $770.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C US OB COMPLETE > 14 WEEKS $844 $337.60 $70.55 – $712.83
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $496.12
  • Aetna — MedAdvantage: $122.54
  • Ambetter — Coordinated Care Exchange: $237.95
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $76.19
  • Community Health Plan of Washington — Cascade Care: $200.59
  • Community Health Plan of Washington — MedAdvantage: $130.87
  • Coordinated Care — Apple Health: $76.19
  • First Choice — MCC Wellfound Employee: $527.49
  • First Choice — MHS Employee MCC/PPO: $377.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C US OB COMPLETE > 14 WEEKS $1,055 $422 $770.15
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • First Health — All Commercial Plans: $770.15
  • Multiplan/PHCS — All Commercial Plans: $770.15
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OBSTETRIC $976 $390.40 $76.75 – $712.83
Transvaginal ultrasound: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $496.12
  • Aetna — MedAdvantage: $122.54
  • Ambetter — Coordinated Care Exchange: $237.95
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $82.89
  • Community Health Plan of Washington — Cascade Care: $200.59
  • Community Health Plan of Washington — MedAdvantage: $130.87
  • Coordinated Care — Apple Health: $82.89
  • First Choice — MCC Wellfound Employee: $527.49
  • First Choice — MHS Employee MCC/PPO: $377.80
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON OBSTETRIC $1,220 $488 $890.60
Transvaginal ultrasound: rates for 2 insurance plans
  • First Health — All Commercial Plans: $890.60
  • Multiplan/PHCS — All Commercial Plans: $890.60
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL $599 $239.60 $35.14 – $437.27
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $302.38
  • Aetna — MedAdvantage: $104.52
  • Ambetter — Coordinated Care Exchange: $202.96
  • Cigna — All Commercial Plans: $144.97
  • Community Health Plan of Washington — Apple Health: $37.95
  • Community Health Plan of Washington — Cascade Care: $171.09
  • Community Health Plan of Washington — MedAdvantage: $111.63
  • Coordinated Care — Apple Health: $37.95
  • First Choice — MCC Wellfound Employee: $157.43
  • First Choice — MHS Employee MCC/PPO: $112.76
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; UNILATERAL $749 $299.60 $546.77
Diagnostic mammogram, one breast: rates for 2 insurance plans
  • First Health — All Commercial Plans: $546.77
  • Multiplan/PHCS — All Commercial Plans: $546.77
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; BILATERAL $769 $307.60 $35.14 – $561.37
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $388.19
  • Aetna — MedAdvantage: $133.20
  • Ambetter — Coordinated Care Exchange: $258.64
  • Cigna — All Commercial Plans: $184.74
  • Community Health Plan of Washington — Apple Health: $37.95
  • Community Health Plan of Washington — Cascade Care: $218.03
  • Community Health Plan of Washington — MedAdvantage: $142.25
  • Coordinated Care — Apple Health: $37.95
  • First Choice — MCC Wellfound Employee: $200.70
  • First Choice — MHS Employee MCC/PPO: $143.74
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C DIAGNOSTIC MAMMOGRAPHY, INCLUDING COMPUTER-AIDED DETECTION (CAD) WHEN PERFORMED; BILATERAL $961 $384.40 $701.53
Diagnostic mammogram, both breasts: rates for 2 insurance plans
  • First Health — All Commercial Plans: $701.53
  • Multiplan/PHCS — All Commercial Plans: $701.53
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW STUDY OF EACH BREAST), INCLUDING CAD WHEN PERFORMED $454 $181.60 $35.14 – $331.42
Screening mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $229.18
  • Aetna — MedAdvantage: $110.22
  • Ambetter — Coordinated Care Exchange: $214.01
  • Cigna — All Commercial Plans: $152.87
  • Community Health Plan of Washington — Apple Health: $37.95
  • Community Health Plan of Washington — Cascade Care: $180.41
  • Community Health Plan of Washington — MedAdvantage: $117.71
  • Coordinated Care — Apple Health: $37.95
  • First Choice — MCC Wellfound Employee: $166.45
  • First Choice — MHS Employee MCC/PPO: $119.21
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C SCREENING MAMMOGRAPHY, BILATERAL (2-VIEW STUDY OF EACH BREAST), INCLUDING CAD WHEN PERFORMED $568 $227.20 $414.64
Screening mammogram, both breasts: rates for 2 insurance plans
  • First Health — All Commercial Plans: $414.64
  • Multiplan/PHCS — All Commercial Plans: $414.64

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C LEFT HEART CATHETERIZATION INC INTRAPROCEDURAL INJECTION LT VENTRICULOGRAPHY $20,745 $8,298 $1,633.37 – $16,543.53
Left heart catheterization (diagnostic): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $15,005.54
  • Aetna — MedAdvantage: $3,800.04
  • Ambetter — Coordinated Care Exchange: $7,378.73
  • Cigna — All Commercial Plans: $15,562.01
  • Community Health Plan of Washington — Apple Health: $1,764.04
  • Community Health Plan of Washington — Cascade Care: $6,220.27
  • Community Health Plan of Washington — MedAdvantage: $4,058.30
  • Coordinated Care — Apple Health: $1,764.04
  • First Choice — MCC Wellfound Employee: $6,643.23
  • First Choice — MHS Employee MCC/PPO: $4,757.99
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C LEFT HEART CATHETERIZATION INC INTRAPROCEDURAL INJECTION LT VENTRICULOGRAPHY $20,745 $8,298 $15,143.85
Left heart catheterization (diagnostic): rates for 2 insurance plans
  • First Health — All Commercial Plans: $15,143.85
  • Multiplan/PHCS — All Commercial Plans: $15,143.85
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C EPHYS-COMP EP W/O INDUCTION/ATTEMP ARRHY $23,495 $9,398 $8,876.12 – $39,801.59
Heart rhythm study (electrophysiology evaluation): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $35,400.77
  • Aetna — MedAdvantage: $9,142.41
  • Ambetter — Coordinated Care Exchange: $17,752.25
  • Cigna — All Commercial Plans: $37,440.17
  • Community Health Plan of Washington — Apple Health: $12,246.65
  • Community Health Plan of Washington — Cascade Care: $14,965.15
  • Community Health Plan of Washington — MedAdvantage: $9,763.74
  • Coordinated Care — Apple Health: $12,246.65
  • First Choice — MCC Wellfound Employee: $13,719.59
  • First Choice — MHS Employee MCC/PPO: $9,826.19
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C EPHYS-COMP EP W/O INDUCTION/ATTEMP ARRHY $23,495 $9,398 $17,151.35
Heart rhythm study (electrophysiology evaluation): rates for 2 insurance plans
  • First Health — All Commercial Plans: $17,151.35
  • Multiplan/PHCS — All Commercial Plans: $17,151.35
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPRE EP EVAL W/TRANSSEPT CATH, MULT ELECT CATHS, INDUC OF ARRHYTHMIA, ABLATION OF A-FIB BY PULM VEIN ISOLAT $52,627 $21,050.80 $11,339.49 – $133,381.17
Heart rhythm study with ablation for atrial fibrillation: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $114,450.50
  • Aetna — MedAdvantage: $30,637.60
  • Ambetter — Coordinated Care Exchange: $59,490.49
  • Cigna — All Commercial Plans: $125,467.69
  • Community Health Plan of Washington — Apple Health: $12,246.65
  • Community Health Plan of Washington — Cascade Care: $50,150.48
  • Community Health Plan of Washington — MedAdvantage: $32,719.77
  • Coordinated Care — Apple Health: $12,246.65
  • First Choice — MCC Wellfound Employee: $47,634.61
  • First Choice — MHS Employee MCC/PPO: $34,116.68
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPRE EP EVAL W/TRANSSEPT CATH, MULT ELECT CATHS, INDUC OF ARRHYTHMIA, ABLATION OF A-FIB BY PULM VEIN ISOLAT $52,627 $21,050.80 $38,417.71
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans
  • First Health — All Commercial Plans: $38,417.71
  • Multiplan/PHCS — All Commercial Plans: $38,417.71
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY GREATER 6 YRS WITH 4 0R MORE ADDTL PARAM $6,528 $2,611.20 $528.70 – $5,780.92
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $4,746.44
  • Aetna — MedAdvantage: $1,006.58
  • Ambetter — Coordinated Care Exchange: $1,954.52
  • Cigna — All Commercial Plans: $4,122.14
  • Community Health Plan of Washington — Apple Health: $571
  • Community Health Plan of Washington — Cascade Care: $1,647.66
  • Community Health Plan of Washington — MedAdvantage: $1,074.98
  • Coordinated Care — Apple Health: $571
  • First Choice — MCC Wellfound Employee: $4,277.88
  • First Choice — MHS Employee MCC/PPO: $3,063.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C DIAGNOSITC POLYSOMNOGRAPY W/O TREATMENT < 6 HOURS $6,528 $2,611.20 $528.70 – $5,780.92
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $4,746.44
  • Aetna — MedAdvantage: $1,006.58
  • Ambetter — Coordinated Care Exchange: $1,954.52
  • Cigna — All Commercial Plans: $4,122.14
  • Community Health Plan of Washington — Apple Health: $571
  • Community Health Plan of Washington — Cascade Care: $1,647.66
  • Community Health Plan of Washington — MedAdvantage: $1,074.98
  • Coordinated Care — Apple Health: $571
  • First Choice — MCC Wellfound Employee: $4,277.88
  • First Choice — MHS Employee MCC/PPO: $3,063.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C POLYSOMNOGRAPHY, 4 OR MORE $6,528 $2,611.20 $528.70 – $5,780.92
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $4,746.44
  • Aetna — MedAdvantage: $1,006.58
  • Ambetter — Coordinated Care Exchange: $1,954.52
  • Cigna — All Commercial Plans: $4,122.14
  • Community Health Plan of Washington — Apple Health: $571
  • Community Health Plan of Washington — Cascade Care: $1,647.66
  • Community Health Plan of Washington — MedAdvantage: $1,074.98
  • Coordinated Care — Apple Health: $571
  • First Choice — MCC Wellfound Employee: $4,277.88
  • First Choice — MHS Employee MCC/PPO: $3,063.89

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C OT-LYMPHEDEMA EXERCISES 15MIN $131 $52.40 $17.16 – $138.07
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $66.13
  • Aetna — MedAdvantage: $33.17
  • Ambetter — Coordinated Care Exchange: $64.41
  • Cigna — All Commercial Plans: $45.40
  • Community Health Plan of Washington — Apple Health: $18.53
  • Community Health Plan of Washington — Cascade Care: $54.29
  • Community Health Plan of Washington — MedAdvantage: $35.42
  • Coordinated Care — Apple Health: $18.53
  • First Choice — MCC Wellfound Employee: $52.28
  • First Choice — MHS Employee MCC/PPO: $37.44
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT-THERAPEUTIC EXERCISE EACH 15MIN $131 $52.40 $17.16 – $138.07
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $66.13
  • Aetna — MedAdvantage: $33.17
  • Ambetter — Coordinated Care Exchange: $64.41
  • Cigna — All Commercial Plans: $45.40
  • Community Health Plan of Washington — Apple Health: $18.53
  • Community Health Plan of Washington — Cascade Care: $54.29
  • Community Health Plan of Washington — MedAdvantage: $35.42
  • Coordinated Care — Apple Health: $18.53
  • First Choice — MCC Wellfound Employee: $52.28
  • First Choice — MHS Employee MCC/PPO: $37.44
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PT-PULMONARY REHAB PER 15 MINS $131 $52.40 $17.16 – $138.07
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $66.13
  • Aetna — MedAdvantage: $33.17
  • Ambetter — Coordinated Care Exchange: $64.41
  • Cigna — All Commercial Plans: $45.40
  • Community Health Plan of Washington — Apple Health: $18.53
  • Community Health Plan of Washington — Cascade Care: $54.29
  • Community Health Plan of Washington — MedAdvantage: $35.42
  • Coordinated Care — Apple Health: $18.53
  • First Choice — MCC Wellfound Employee: $52.28
  • First Choice — MHS Employee MCC/PPO: $37.44
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PT EVAL LOW COMPLEXITY $322 $128.80 $58.37 – $470.73
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $162.55
  • Aetna — MedAdvantage: $112.30
  • Ambetter — Coordinated Care Exchange: $218.05
  • Cigna — All Commercial Plans: $154.39
  • Community Health Plan of Washington — Apple Health: $63.04
  • Community Health Plan of Washington — Cascade Care: $183.82
  • Community Health Plan of Washington — MedAdvantage: $119.93
  • Coordinated Care — Apple Health: $63.04
  • First Choice — MCC Wellfound Employee: $146.02
  • First Choice — MHS Employee MCC/PPO: $104.58
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C PT EVAL LOW COMPLEXITY $322 $128.80 $235.06
Physical therapy evaluation (low complexity): rates for 2 insurance plans
  • First Health — All Commercial Plans: $235.06
  • Multiplan/PHCS — All Commercial Plans: $235.06
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PT EVAL MODERATE COMPLEXITY $359 $143.60 $58.37 – $470.73
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $181.22
  • Aetna — MedAdvantage: $112.30
  • Ambetter — Coordinated Care Exchange: $218.05
  • Cigna — All Commercial Plans: $154.39
  • Community Health Plan of Washington — Apple Health: $63.04
  • Community Health Plan of Washington — Cascade Care: $183.82
  • Community Health Plan of Washington — MedAdvantage: $119.93
  • Coordinated Care — Apple Health: $63.04
  • First Choice — MCC Wellfound Employee: $146.02
  • First Choice — MHS Employee MCC/PPO: $104.58
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C PT EVAL MODERATE COMPLEXITY $359 $143.60 $262.07
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans
  • First Health — All Commercial Plans: $262.07
  • Multiplan/PHCS — All Commercial Plans: $262.07
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PT EVAL HIGH COMPLEXITY $376 $150.40 $58.37 – $470.73
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $189.80
  • Aetna — MedAdvantage: $112.30
  • Ambetter — Coordinated Care Exchange: $218.05
  • Cigna — All Commercial Plans: $154.39
  • Community Health Plan of Washington — Apple Health: $63.04
  • Community Health Plan of Washington — Cascade Care: $183.82
  • Community Health Plan of Washington — MedAdvantage: $119.93
  • Coordinated Care — Apple Health: $63.04
  • First Choice — MCC Wellfound Employee: $146.02
  • First Choice — MHS Employee MCC/PPO: $104.58
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C PT EVAL HIGH COMPLEXITY $376 $150.40 $274.48
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • First Health — All Commercial Plans: $274.48
  • Multiplan/PHCS — All Commercial Plans: $274.48
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PSY THX 20-30 OUTPT ONLY $499 $199.60 $201.99 – $905.76
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $208.05
  • Ambetter — Coordinated Care Exchange: $403.98
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Cascade Care: $340.56
  • Community Health Plan of Washington — MedAdvantage: $222.19
  • First Choice — MCC Wellfound Employee: $618.23
  • First Choice — MHS Employee MCC/PPO: $442.79
  • First Choice — PPO: $835.45
  • First Health — All Commercial Plans: $364.27
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C PSY THX 20-30 OUTPT ONLY $499 $199.60 $364.27
Psychotherapy, 30 minutes: rates for 2 insurance plans
  • First Health — All Commercial Plans: $364.27
  • Multiplan/PHCS — All Commercial Plans: $364.27
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PSY THX 45-50 OUTPT ONLY $772 $308.80 $201.99 – $905.76
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $208.05
  • Ambetter — Coordinated Care Exchange: $403.98
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Cascade Care: $340.56
  • Community Health Plan of Washington — MedAdvantage: $222.19
  • First Choice — MCC Wellfound Employee: $618.23
  • First Choice — MHS Employee MCC/PPO: $442.79
  • First Choice — PPO: $835.45
  • First Health — All Commercial Plans: $563.56
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C PSY THX 45-50 OUTPT ONLY $772 $308.80 $563.56
Psychotherapy, 45 minutes: rates for 2 insurance plans
  • First Health — All Commercial Plans: $563.56
  • Multiplan/PHCS — All Commercial Plans: $563.56
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PSY THX 75-80 OUTPT ONLY $772 $308.80 $201.99 – $905.76
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $208.05
  • Ambetter — Coordinated Care Exchange: $403.98
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Cascade Care: $340.56
  • Community Health Plan of Washington — MedAdvantage: $222.19
  • First Choice — MCC Wellfound Employee: $618.23
  • First Choice — MHS Employee MCC/PPO: $442.79
  • First Choice — PPO: $835.45
  • First Health — All Commercial Plans: $563.56
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C PSY THX 75-80 OUTPT ONLY $772 $308.80 $563.56
Psychotherapy, 60 minutes: rates for 2 insurance plans
  • First Health — All Commercial Plans: $563.56
  • Multiplan/PHCS — All Commercial Plans: $563.56
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PSY FAMILY W/O PATIENT $327 $130.80 $104.69 – $905.76
Family psychotherapy, without the patient: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $208.05
  • Ambetter — Coordinated Care Exchange: $403.98
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Apple Health: $113.06
  • Community Health Plan of Washington — Cascade Care: $340.56
  • Community Health Plan of Washington — MedAdvantage: $222.19
  • Coordinated Care — Apple Health: $113.06
  • First Choice — MCC Wellfound Employee: $618.23
  • First Choice — MHS Employee MCC/PPO: $442.79
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C PSY FAMILY W/O PATIENT $327 $130.80 $238.71
Family psychotherapy, without the patient: rates for 2 insurance plans
  • First Health — All Commercial Plans: $238.71
  • Multiplan/PHCS — All Commercial Plans: $238.71
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C PSY FAMILY W/PATIENT $327 $130.80 $201.99 – $905.76
Family psychotherapy, with the patient: 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $208.05
  • Ambetter — Coordinated Care Exchange: $403.98
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Cascade Care: $340.56
  • Community Health Plan of Washington — MedAdvantage: $222.19
  • First Choice — MCC Wellfound Employee: $618.23
  • First Choice — MHS Employee MCC/PPO: $442.79
  • First Choice — PPO: $835.45
  • First Health — All Commercial Plans: $238.71
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C PSY FAMILY W/PATIENT $327 $130.80 $238.71
Family psychotherapy, with the patient: rates for 2 insurance plans
  • First Health — All Commercial Plans: $238.71
  • Multiplan/PHCS — All Commercial Plans: $238.71
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 $115.61 – $499.51
Group psychotherapy: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $431.56
  • Aetna — MedAdvantage: $119.08
  • Ambetter — Coordinated Care Exchange: $231.22
  • Cigna — All Commercial Plans: $487.67
  • Community Health Plan of Washington — Cascade Care: $194.92
  • Community Health Plan of Washington — MedAdvantage: $127.17
  • First Choice — MCC Wellfound Employee: $369.64
  • First Choice — MHS Employee MCC/PPO: $264.74
  • First Choice — PPO: $499.51
  • Kaiser — PPO: $351.19

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LES $13,847 $5,538.80 $970.79 – $19,980.41
Removal of breast growth (open surgery): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $17,864.75
  • Aetna — MedAdvantage: $4,589.49
  • Ambetter — Coordinated Care Exchange: $8,911.64
  • Cigna — All Commercial Plans: $18,794.97
  • Community Health Plan of Washington — Apple Health: $1,048.46
  • Community Health Plan of Washington — Cascade Care: $7,512.51
  • Community Health Plan of Washington — MedAdvantage: $4,901.40
  • Coordinated Care — Apple Health: $1,048.46
  • First Choice — MCC Wellfound Employee: $7,061.88
  • First Choice — MHS Employee MCC/PPO: $5,057.83
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LES $13,847 $5,538.80 $10,108.31
Removal of breast growth (open surgery): rates for 2 insurance plans
  • First Health — All Commercial Plans: $10,108.31
  • Multiplan/PHCS — All Commercial Plans: $10,108.31
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 $6,468.63 – $61,628.63
Total hip replacement: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $60,027.55
  • Aetna — MedAdvantage: $15,048.91
  • Ambetter — Coordinated Care Exchange: $29,221.19
  • Cigna — All Commercial Plans: $61,628.63
  • Community Health Plan of Washington — Apple Health: $6,986.12
  • Community Health Plan of Washington — Cascade Care: $24,633.47
  • Community Health Plan of Washington — MedAdvantage: $16,071.66
  • Coordinated Care — Apple Health: $6,986.12
  • First Choice — MCC Wellfound Employee: $27,740.56
  • First Choice — MHS Employee MCC/PPO: $19,868.24
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 $6,468.63 – $61,628.63
Total knee replacement: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $60,027.55
  • Aetna — MedAdvantage: $15,048.91
  • Ambetter — Coordinated Care Exchange: $29,221.19
  • Cigna — All Commercial Plans: $61,628.63
  • Community Health Plan of Washington — Apple Health: $6,986.12
  • Community Health Plan of Washington — Cascade Care: $24,633.47
  • Community Health Plan of Washington — MedAdvantage: $16,071.66
  • Coordinated Care — Apple Health: $6,986.12
  • First Choice — MCC Wellfound Employee: $27,740.56
  • First Choice — MHS Employee MCC/PPO: $19,868.24
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,551.09 – $1,675.18
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans
  • Community Health Plan of Washington — Apple Health: $1,675.18
  • Coordinated Care — Apple Health: $1,675.18
  • Molina — Apple Health: $1,551.09
  • United Healthcare — Apple Health: $1,675.18
  • WellPoint — Apple Health: $1,675.18
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 $1,551.09 – $15,706.36
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $15,137.08
  • Aetna — MedAdvantage: $3,835.29
  • Ambetter — Coordinated Care Exchange: $7,447.16
  • Cigna — All Commercial Plans: $15,706.36
  • Community Health Plan of Washington — Apple Health: $1,675.18
  • Community Health Plan of Washington — Cascade Care: $6,277.96
  • Community Health Plan of Washington — MedAdvantage: $4,095.94
  • Coordinated Care — Apple Health: $1,675.18
  • First Choice — MCC Wellfound Employee: $6,381
  • First Choice — MHS Employee MCC/PPO: $4,570.17
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 $1,386.23 – $28,416.55
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $27,598.31
  • Aetna — MedAdvantage: $6,938.95
  • Ambetter — Coordinated Care Exchange: $13,473.70
  • Cigna — All Commercial Plans: $28,416.55
  • Community Health Plan of Washington — Apple Health: $1,497.13
  • Community Health Plan of Washington — Cascade Care: $11,358.33
  • Community Health Plan of Washington — MedAdvantage: $7,410.53
  • Coordinated Care — Apple Health: $1,497.13
  • First Choice — MCC Wellfound Employee: $11,306.59
  • First Choice — MHS Employee MCC/PPO: $8,097.96
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $10,222 $4,088.80 $663.68 – $7,462.06
Upper GI endoscopy (diagnostic): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $4,373.99
  • Aetna — MedAdvantage: $1,063.13
  • Ambetter — Coordinated Care Exchange: $2,064.32
  • Cigna — All Commercial Plans: $4,353.73
  • Community Health Plan of Washington — Apple Health: $716.78
  • Community Health Plan of Washington — Cascade Care: $1,740.22
  • Community Health Plan of Washington — MedAdvantage: $1,135.38
  • Coordinated Care — Apple Health: $716.78
  • First Choice — MCC Wellfound Employee: $3,698.85
  • First Choice — MHS Employee MCC/PPO: $2,649.18
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $10,222 $4,088.80 $7,462.06
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • First Health — All Commercial Plans: $7,462.06
  • Multiplan/PHCS — All Commercial Plans: $7,462.06
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 $663.68 – $4,998.45
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $4,373.99
  • Aetna — MedAdvantage: $1,063.13
  • Ambetter — Coordinated Care Exchange: $2,064.32
  • Cigna — All Commercial Plans: $4,353.73
  • Community Health Plan of Washington — Apple Health: $716.78
  • Community Health Plan of Washington — Cascade Care: $1,740.22
  • Community Health Plan of Washington — MedAdvantage: $1,135.38
  • Coordinated Care — Apple Health: $716.78
  • First Choice — MCC Wellfound Employee: $3,698.85
  • First Choice — MHS Employee MCC/PPO: $2,649.18
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 $673.60 – $4,858.28
Colonoscopy (diagnostic): 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $4,253.39
  • Aetna — MedAdvantage: $1,090.05
  • Ambetter — Coordinated Care Exchange: $2,116.61
  • Cigna — All Commercial Plans: $4,464.03
  • Community Health Plan of Washington — Apple Health: $727.49
  • Community Health Plan of Washington — Cascade Care: $1,784.30
  • Community Health Plan of Washington — MedAdvantage: $1,164.14
  • Coordinated Care — Apple Health: $727.49
  • First Choice — MCC Wellfound Employee: $3,595.12
  • First Choice — MHS Employee MCC/PPO: $2,574.89
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 $673.60 – $6,386.84
Colonoscopy with biopsy: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $5,500.77
  • Aetna — MedAdvantage: $1,402.65
  • Ambetter — Coordinated Care Exchange: $2,723.59
  • Cigna — All Commercial Plans: $5,744.14
  • Community Health Plan of Washington — Apple Health: $727.49
  • Community Health Plan of Washington — Cascade Care: $2,295.99
  • Community Health Plan of Washington — MedAdvantage: $1,497.97
  • Coordinated Care — Apple Health: $727.49
  • First Choice — MCC Wellfound Employee: $4,726.26
  • First Choice — MHS Employee MCC/PPO: $3,385.02
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 $673.60 – $6,386.84
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $5,500.77
  • Aetna — MedAdvantage: $1,402.65
  • Ambetter — Coordinated Care Exchange: $2,723.59
  • Cigna — All Commercial Plans: $5,744.14
  • Community Health Plan of Washington — Apple Health: $727.49
  • Community Health Plan of Washington — Cascade Care: $2,295.99
  • Community Health Plan of Washington — MedAdvantage: $1,497.97
  • Coordinated Care — Apple Health: $727.49
  • First Choice — MCC Wellfound Employee: $4,726.26
  • First Choice — MHS Employee MCC/PPO: $3,385.02
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 $673.60 – $6,386.84
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $5,500.77
  • Aetna — MedAdvantage: $1,402.65
  • Ambetter — Coordinated Care Exchange: $2,723.59
  • Cigna — All Commercial Plans: $5,744.14
  • Community Health Plan of Washington — Apple Health: $727.49
  • Community Health Plan of Washington — Cascade Care: $2,295.99
  • Community Health Plan of Washington — MedAdvantage: $1,497.97
  • Coordinated Care — Apple Health: $727.49
  • First Choice — MCC Wellfound Employee: $4,726.26
  • First Choice — MHS Employee MCC/PPO: $3,385.02
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 $673.60 – $4,858.28
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $4,253.39
  • Aetna — MedAdvantage: $1,090.05
  • Ambetter — Coordinated Care Exchange: $2,116.61
  • Cigna — All Commercial Plans: $4,464.03
  • Community Health Plan of Washington — Apple Health: $727.49
  • Community Health Plan of Washington — Cascade Care: $1,784.30
  • Community Health Plan of Washington — MedAdvantage: $1,164.14
  • Coordinated Care — Apple Health: $727.49
  • First Choice — MCC Wellfound Employee: $3,595.12
  • First Choice — MHS Employee MCC/PPO: $2,574.89
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 $2,393.08 – $29,019.93
Gallbladder removal by laparoscope: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $27,219.05
  • Aetna — MedAdvantage: $7,086.29
  • Ambetter — Coordinated Care Exchange: $13,759.79
  • Cigna — All Commercial Plans: $29,019.93
  • Community Health Plan of Washington — Apple Health: $2,584.53
  • Community Health Plan of Washington — Cascade Care: $11,599.50
  • Community Health Plan of Washington — MedAdvantage: $7,567.88
  • Coordinated Care — Apple Health: $2,584.53
  • First Choice — MCC Wellfound Employee: $11,267.38
  • First Choice — MHS Employee MCC/PPO: $8,069.88
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 $2,430.27 – $17,186.76
Groin (inguinal) hernia repair, age 5 or older: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $16,464.12
  • Aetna — MedAdvantage: $4,196.78
  • Ambetter — Coordinated Care Exchange: $8,149.09
  • Cigna — All Commercial Plans: $17,186.76
  • Community Health Plan of Washington — Apple Health: $2,624.69
  • Community Health Plan of Washington — Cascade Care: $6,869.68
  • Community Health Plan of Washington — MedAdvantage: $4,482
  • Coordinated Care — Apple Health: $2,624.69
  • First Choice — MCC Wellfound Employee: $7,247.87
  • First Choice — MHS Employee MCC/PPO: $5,191.04
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 $1,058 – $9,556.89
Prostate biopsy: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $9,556.89
  • Community Health Plan of Washington — Apple Health: $1,142.63
  • Coordinated Care — Apple Health: $1,142.63
  • First Choice — MCC Wellfound Employee: $4,129.48
  • First Choice — MHS Employee MCC/PPO: $2,957.60
  • First Choice — PPO: $5,580.38
  • Kaiser — PPO: $8,588.09
  • Molina — Apple Health: $1,058
  • Premera — HMO: $3,257.63
  • Premera — Other Commercial Plans: $9,352.17
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 $2,978.71 – $51,025.66
Prostate removal by laparoscope (radical prostatectomy): 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $48,571.45
  • Aetna — MedAdvantage: $12,459.80
  • Ambetter — Coordinated Care Exchange: $24,193.79
  • Cigna — All Commercial Plans: $51,025.66
  • Community Health Plan of Washington — Apple Health: $3,217.01
  • Community Health Plan of Washington — Cascade Care: $20,395.37
  • Community Health Plan of Washington — MedAdvantage: $13,306.59
  • Coordinated Care — Apple Health: $3,217.01
  • First Choice — MCC Wellfound Employee: $19,610.96
  • First Choice — MHS Employee MCC/PPO: $14,045.69
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 $1,576.44 – $15,538.94
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $14,833.44
  • Aetna — MedAdvantage: $3,794.41
  • Ambetter — Coordinated Care Exchange: $7,367.79
  • Cigna — All Commercial Plans: $15,538.94
  • Community Health Plan of Washington — Apple Health: $1,702.56
  • Community Health Plan of Washington — Cascade Care: $6,211.04
  • Community Health Plan of Washington — MedAdvantage: $4,052.28
  • Coordinated Care — Apple Health: $1,702.56
  • First Choice — MCC Wellfound Employee: $5,823.07
  • First Choice — MHS Employee MCC/PPO: $4,170.58
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C INJ/DIAG/THERAPEUTIC SUB/INC NDL OR CATH PLACEMNT,EPIDURAL/SUBARACH/LUMBAR/SACRAL W/IMAGE GUIDANCE $4,687 $1,874.80 $593.50 – $3,975.32
Spinal injection, lower back (epidural), with imaging guidance: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $3,230.82
  • Aetna — MedAdvantage: $827.40
  • Ambetter — Coordinated Care Exchange: $1,606.60
  • Cigna — All Commercial Plans: $3,388.40
  • Community Health Plan of Washington — Apple Health: $640.98
  • Community Health Plan of Washington — Cascade Care: $1,354.37
  • Community Health Plan of Washington — MedAdvantage: $883.63
  • Coordinated Care — Apple Health: $640.98
  • First Choice — MCC Wellfound Employee: $2,941.74
  • First Choice — MHS Employee MCC/PPO: $2,106.92
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ(S) DIAG/THERA SUBST(S),EPIDURAL/SUBARACHNOID,LUMBAR/SACRAL(CAUDAL),W/IMAGING GUIDANCE $4,687 $1,874.80 $593.50 – $3,975.32
Spinal injection, lower back (epidural), with imaging guidance: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $3,230.82
  • Aetna — MedAdvantage: $827.40
  • Ambetter — Coordinated Care Exchange: $1,606.60
  • Cigna — All Commercial Plans: $3,388.40
  • Community Health Plan of Washington — Apple Health: $640.98
  • Community Health Plan of Washington — Cascade Care: $1,354.37
  • Community Health Plan of Washington — MedAdvantage: $883.63
  • Coordinated Care — Apple Health: $640.98
  • First Choice — MCC Wellfound Employee: $2,941.74
  • First Choice — MHS Employee MCC/PPO: $2,106.92
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C INJ/DIAG/THERAPEUTIC SUB/INC NDL OR CATH PLACEMNT,EPIDURAL/SUBARACH/LUMBAR/SACRAL W/IMAGE GUIDANCE $4,687 $1,874.80 $3,421.51
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans
  • First Health — All Commercial Plans: $3,421.51
  • Multiplan/PHCS — All Commercial Plans: $3,421.51
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, SING $5,299 $2,119.60 $593.50 – $5,164.64
Nerve root injection, lower back, with imaging guidance: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $4,153.47
  • Aetna — MedAdvantage: $1,036.74
  • Ambetter — Coordinated Care Exchange: $2,013.08
  • Cigna — All Commercial Plans: $4,245.66
  • Community Health Plan of Washington — Apple Health: $640.98
  • Community Health Plan of Washington — Cascade Care: $1,697.03
  • Community Health Plan of Washington — MedAdvantage: $1,107.20
  • Coordinated Care — Apple Health: $640.98
  • First Choice — MCC Wellfound Employee: $3,821.83
  • First Choice — MHS Employee MCC/PPO: $2,737.26
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, SING $5,299 $2,119.60 $3,868.27
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans
  • First Health — All Commercial Plans: $3,868.27
  • Multiplan/PHCS — All Commercial Plans: $3,868.27
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 $954.36 – $9,373.54
Carpal tunnel release: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $9,110.28
  • Aetna — MedAdvantage: $2,288.89
  • Ambetter — Coordinated Care Exchange: $4,444.46
  • Cigna — All Commercial Plans: $9,373.54
  • Community Health Plan of Washington — Apple Health: $1,030.71
  • Community Health Plan of Washington — Cascade Care: $3,746.68
  • Community Health Plan of Washington — MedAdvantage: $2,444.45
  • Coordinated Care — Apple Health: $1,030.71
  • First Choice — MCC Wellfound Employee: $4,007.80
  • First Choice — MHS Employee MCC/PPO: $2,870.45
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: C YAG LASER SURGERY $2,952 $1,180.80 $368.21 – $3,224.07
Laser treatment of clouding after cataract surgery: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $2,559.40
  • Aetna — MedAdvantage: $644.68
  • Ambetter — Coordinated Care Exchange: $1,251.81
  • Cigna — All Commercial Plans: $2,640.11
  • Community Health Plan of Washington — Apple Health: $397.67
  • Community Health Plan of Washington — Cascade Care: $1,055.28
  • Community Health Plan of Washington — MedAdvantage: $688.50
  • Coordinated Care — Apple Health: $397.67
  • First Choice — MCC Wellfound Employee: $2,385.82
  • First Choice — MHS Employee MCC/PPO: $1,708.76
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: C YAG LASER SURGERY $2,952 $1,180.80 $2,154.96
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans
  • First Health — All Commercial Plans: $2,154.96
  • Multiplan/PHCS — All Commercial Plans: $2,154.96
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,196.12 – $11,078.09
Cataract removal with lens implant: 10 of 29 insurance plan rates
  • Aetna — All Commercial Plans: $10,640.28
  • Aetna — MedAdvantage: $2,705.13
  • Ambetter — Coordinated Care Exchange: $5,252.67
  • Cigna — All Commercial Plans: $11,078.09
  • Community Health Plan of Washington — Apple Health: $1,291.81
  • Community Health Plan of Washington — Cascade Care: $4,428
  • Community Health Plan of Washington — MedAdvantage: $2,888.97
  • Coordinated Care — Apple Health: $1,291.81
  • First Choice — MCC Wellfound Employee: $4,712.96
  • First Choice — MHS Employee MCC/PPO: $3,375.50

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $87,401.26 – $277,644.15
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $249,657.06
  • Aetna — MedAdvantage: $90,023.30
  • Ambetter — Coordinated Care Exchange: $210,564.99
  • Cigna — All Commercial Plans: $217,569.47
  • Community Health Plan of Washington — Cascade Care: $147,358.52
  • Community Health Plan of Washington — MedAdvantage: $96,141.39
  • First Choice — MCC Wellfound Employee: $205,456.67
  • First Choice — MHS Employee MCC/PPO: $147,151.40
  • First Choice — PPO: $277,644.15
  • Kaiser — PPO: $221,766.11
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 $56,591.37 – $107,331
Spinal fusion (not neck), without major complications: rates for 5 insurance plans
  • First Choice — MCC Wellfound Employee: $79,424.94
  • First Choice — MHS Employee MCC/PPO: $56,885.43
  • First Choice — PPO: $107,331
  • Kaiser — PPO: $83,583.02
  • Premera — HMO: $56,591.37
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 $18,818.10 – $54,489.15
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $49,225.53
  • Aetna — MedAdvantage: $19,382.64
  • Ambetter — Coordinated Care Exchange: $41,517.64
  • Cigna — All Commercial Plans: $42,898.74
  • Community Health Plan of Washington — Cascade Care: $31,727.31
  • Community Health Plan of Washington — MedAdvantage: $20,699.91
  • First Choice — MCC Wellfound Employee: $40,321.97
  • First Choice — MHS Employee MCC/PPO: $28,879.25
  • First Choice — PPO: $54,489.15
  • Kaiser — PPO: $42,996.85
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 $23,292.56 – $72,250.35
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $62,301.98
  • Aetna — MedAdvantage: $23,991.34
  • Ambetter — Coordinated Care Exchange: $52,546.54
  • Cigna — All Commercial Plans: $54,294.51
  • Community Health Plan of Washington — Cascade Care: $39,271.26
  • Community Health Plan of Washington — MedAdvantage: $25,621.82
  • First Choice — MCC Wellfound Employee: $53,465.26
  • First Choice — MHS Employee MCC/PPO: $38,292.69
  • First Choice — PPO: $72,250.35
  • Kaiser — PPO: $56,224.71
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 $12,808.48 – $33,374.83
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $31,662.66
  • Aetna — MedAdvantage: $13,192.74
  • Ambetter — Coordinated Care Exchange: $26,704.83
  • Cigna — All Commercial Plans: $27,593.17
  • Community Health Plan of Washington — Cascade Care: $21,595.10
  • Community Health Plan of Washington — MedAdvantage: $14,089.33
  • First Choice — MCC Wellfound Employee: $24,687.95
  • First Choice — MHS Employee MCC/PPO: $17,681.91
  • First Choice — PPO: $33,362.10
  • Kaiser — PPO: $26,551.70

Source: Multicare Covington Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 27, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the price transparency link on the hospital’s website (multicare.org), because the hospital has no cms-hpt.txt file; both are 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 typeAcute Care Hospital
Address17700 SE 272nd St, Covington, WA 98042
CountyKing County
StateWashington
Phone(253) 372‑7400
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
CMS Certification Number500154
Name in Medicare recordsMULTICARE COVINGTON MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(253) 372‑6500[7]
Name on the hospital’s websiteMultiCare Covington Medical Center
Official websitemulticare.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. MultiCare Covington Medical Center - Covington, WA - MultiCare — multicare.org
  2. About Covington Medical Center - Covington, WA - MultiCare — multicare.org
  3. Services & Departments at Covington Medical Center - MultiCare — multicare.org
  4. Phone Directory - Covington Medical Center - MultiCare — multicare.org
  5. Campus Map & Parking at Covington Medical Center - MultiCare — multicare.org