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Acute Care Hospital

Multicare Good Samaritan Hospital

Puyallup, Washington · Pierce County · Emergency services listed

Summary

Multicare Good Samaritan Hospital is an acute care hospital in Puyallup, Washington. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 27 services, specialties and programs. Medicare lists 890 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

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

Call(253) 697‑2102 Directions Website Medicare profile
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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
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
890Doctors and clinicians
27Services listed

Quick answers

Does Multicare Good Samaritan Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Multicare Good Samaritan Hospital. In a medical emergency, call 911.
Where is Multicare Good Samaritan Hospital?
401 15th Avenue SE, Puyallup, WA 98372, in Pierce County, Washington.
What is the phone number of Multicare Good Samaritan Hospital?
(253) 697-2102, as listed by Medicare (CMS).
What is the Medicare star rating of Multicare Good Samaritan Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[6]

Treatments[6]

  • Infusion services
  • Wound care
  • Home health and hospice
  • Transfusion-free program

Procedures[4]

  • Total hip and knee replacement

Programs and centers[4][6]

  • Birth Center
  • Level II special care nursery
  • Rehabilitation Center
  • START Inpatient Unit
  • RN Transition to Practice Program (ANCC accredited)

Emergency care (hospital website)[4][6][7]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel III
Stroke designationState-designated Level 2 Stroke Center; DNV Certified Primary Stroke Center

Visiting and practical information

VisitingVisiting hours 8am-8pm daily[5]
ParkingSeveral parking areas on campus marked (P) on the map; valet not currently offered[8]

Recognition[4][5][6]

  • Level III Trauma Center
  • DNV Certified Primary Stroke Center
  • State-designated Level 2 Stroke Center
  • American Heart Association Get With The Guidelines Gold Plus (stroke), 2026
  • Joint Commission Advanced Total Hip and Knee Replacement Certification
  • LEED Gold certification (Dally Tower)

Doctors and clinicians (890)

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

Main specialties

Doctors with a page on this site (890)

And 866 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1058%National average: 72%
Would definitely recommend the hospital58%National average: 71%
Nurses “always” communicated well68%National average: 80%
Doctors “always” communicated well67%National average: 80%
Staff “always” explained medicines before giving them52%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean62%National average: 74%
Area around the room “always” quiet at night47%National average: 60%
Completed surveys1,495Response rate: 20%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)1.014No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.222Better than the national benchmark
Surgical site infections after colon surgery1.236No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.723No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.415Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients13.5%
Deaths within 30 days: heart failure patients12.5%
Deaths within 30 days: pneumonia patients15.4%
Deaths within 30 days: COPD patients8.5%
Deaths within 30 days: stroke patients10.6%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.35Worse than the national rate
Complications after hip or knee replacement5.5%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.6%
Readmitted within 30 days: heart failure23%
Readmitted within 30 days: pneumonia18.1%
Readmitted within 30 days: COPD20.1%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement6.5%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)133 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)31%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in WashingtonBest hospitals in Washington

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 76 common services exactly as Multicare Good Samaritan Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VISIT-ED,LEVEL III $1,755 $702 $312.21 – $1,876.79
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,291.76
  • Aetna — MedAdvantage: $321.58
  • Ambetter — Coordinated Care Exchange: $624.42
  • Cigna — All Commercial Plans: $1,876.79
  • Community Health Plan of Washington — Cascade Care: $526.39
  • Community Health Plan of Washington — MedAdvantage: $343.43
  • 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 $312.21 – $1,876.79
Emergency room visit (moderate): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,291.76
  • Aetna — MedAdvantage: $321.58
  • Ambetter — Coordinated Care Exchange: $624.42
  • Cigna — All Commercial Plans: $1,876.79
  • Community Health Plan of Washington — Cascade Care: $526.39
  • Community Health Plan of Washington — MedAdvantage: $343.43
  • 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-ED,LEVEL IV $2,757 $1,102.80 $477.23 – $2,129.31
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,986.57
  • Aetna — MedAdvantage: $491.55
  • Ambetter — Coordinated Care Exchange: $954.46
  • Cigna — All Commercial Plans: $1,865.50
  • Community Health Plan of Washington — Cascade Care: $804.61
  • Community Health Plan of Washington — MedAdvantage: $524.95
  • 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-ADULT ED,LEVEL IV-25 $2,757 $1,102.80 $477.23 – $2,129.31
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,986.57
  • Aetna — MedAdvantage: $491.55
  • Ambetter — Coordinated Care Exchange: $954.46
  • Cigna — All Commercial Plans: $1,865.50
  • Community Health Plan of Washington — Cascade Care: $804.61
  • Community Health Plan of Washington — MedAdvantage: $524.95
  • 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 $477.23 – $2,515.58
Emergency room visit (moderately high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $1,986.57
  • Aetna — MedAdvantage: $491.55
  • Ambetter — Coordinated Care Exchange: $954.46
  • Cigna — All Commercial Plans: $1,865.50
  • Community Health Plan of Washington — Cascade Care: $804.61
  • Community Health Plan of Washington — MedAdvantage: $524.95
  • 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-ED,LEVEL V $4,925 $1,970 $681.12 – $3,595.25
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $2,860.29
  • Aetna — MedAdvantage: $701.55
  • Ambetter — Coordinated Care Exchange: $1,362.24
  • Cigna — All Commercial Plans: $1,849.09
  • Community Health Plan of Washington — Cascade Care: $1,148.37
  • Community Health Plan of Washington — MedAdvantage: $749.23
  • 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 VISIT-ADULT ED,LEVEL V-25 $4,925 $1,970 $681.12 – $3,595.25
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $2,860.29
  • Aetna — MedAdvantage: $701.55
  • Ambetter — Coordinated Care Exchange: $1,362.24
  • Cigna — All Commercial Plans: $1,849.09
  • Community Health Plan of Washington — Cascade Care: $1,148.37
  • Community Health Plan of Washington — MedAdvantage: $749.23
  • 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 $681.12 – $3,595.25
Emergency room visit (high): 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $2,860.29
  • Aetna — MedAdvantage: $701.55
  • Ambetter — Coordinated Care Exchange: $1,362.24
  • Cigna — All Commercial Plans: $1,849.09
  • Community Health Plan of Washington — Cascade Care: $1,148.37
  • Community Health Plan of Washington — MedAdvantage: $749.23
  • 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

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 $5.88 – $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: $6.35
  • Community Health Plan of Washington — Cascade Care: $13.98
  • Community Health Plan of Washington — MedAdvantage: $9.12
  • Coordinated Care — Apple Health: $6.35
  • 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 $5.88 – $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: $6.35
  • Community Health Plan of Washington — Cascade Care: $17.45
  • Community Health Plan of Washington — MedAdvantage: $11.38
  • Coordinated Care — Apple Health: $6.35
  • 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 PANEL - PRENATAL W/ CBC $195 $78 $5.88 – $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: $6.35
  • Community Health Plan of Washington — Cascade Care: $79
  • Community Health Plan of Washington — MedAdvantage: $51.54
  • Coordinated Care — Apple Health: $6.35
  • 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 PRENATAL TYPE AND SCREEN $195 $78 $5.88 – $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: $6.35
  • Community Health Plan of Washington — Cascade Care: $79
  • Community Health Plan of Washington — MedAdvantage: $51.54
  • Coordinated Care — Apple Health: $6.35
  • 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: O LIPID PANEL $67 $26.80 $5.88 – $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: $6.35
  • Community Health Plan of Washington — Cascade Care: $22.12
  • Community Health Plan of Washington — MedAdvantage: $14.43
  • Coordinated Care — Apple Health: $6.35
  • 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 PROFILE W/O GLUCOSE $67 $26.80 $5.88 – $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: $6.35
  • Community Health Plan of Washington — Cascade Care: $22.12
  • Community Health Plan of Washington — MedAdvantage: $14.43
  • Coordinated Care — Apple Health: $6.35
  • 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 $5.88 – $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: $6.35
  • Community Health Plan of Washington — Cascade Care: $22.12
  • Community Health Plan of Washington — MedAdvantage: $14.43
  • Coordinated Care — Apple Health: $6.35
  • 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 $5.88 – $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: $6.35
  • Community Health Plan of Washington — Cascade Care: $14.34
  • Community Health Plan of Washington — MedAdvantage: $9.36
  • Coordinated Care — Apple Health: $6.35
  • 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 $5.88 – $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: $6.35
  • Community Health Plan of Washington — Cascade Care: $13.50
  • Community Health Plan of Washington — MedAdvantage: $8.81
  • Coordinated Care — Apple Health: $6.35
  • 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: C UA W/MICROSCOPIC $18 $7.20 $1.95 – $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: $2.11
  • Community Health Plan of Washington — Cascade Care: $5.24
  • Community Health Plan of Washington — MedAdvantage: $3.42
  • Coordinated Care — Apple Health: $2.11
  • 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: O UA W/MICROSCOPIC $18 $7.20 $1.95 – $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: $2.11
  • Community Health Plan of Washington — Cascade Care: $5.24
  • Community Health Plan of Washington — MedAdvantage: $3.42
  • Coordinated Care — Apple Health: $2.11
  • 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 $1.95 – $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: $2.11
  • Community Health Plan of Washington — Cascade Care: $5.75
  • Community Health Plan of Washington — MedAdvantage: $3.75
  • Coordinated Care — Apple Health: $2.11
  • 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 SPECIFIC GRAVITY NON AUTO $13 $5.20 $1.95 – $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: $2.11
  • Community Health Plan of Washington — Cascade Care: $5.75
  • Community Health Plan of Washington — MedAdvantage: $3.75
  • Coordinated Care — Apple Health: $2.11
  • 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 $1.95 – $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: $2.11
  • Community Health Plan of Washington — Cascade Care: $5.75
  • Community Health Plan of Washington — MedAdvantage: $3.75
  • Coordinated Care — Apple Health: $2.11
  • 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 $1.95 – $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: $2.11
  • Community Health Plan of Washington — Cascade Care: $3.72
  • Community Health Plan of Washington — MedAdvantage: $2.43
  • Coordinated Care — Apple Health: $2.11
  • 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: O SPECIFIC GRAVITY URINE $11 $4.40 $1.95 – $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: $2.11
  • Community Health Plan of Washington — Cascade Care: $3.72
  • Community Health Plan of Washington — MedAdvantage: $2.43
  • Coordinated Care — Apple Health: $2.11
  • 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 $1.95 – $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: $2.11
  • Community Health Plan of Washington — Cascade Care: $3.72
  • Community Health Plan of Washington — MedAdvantage: $2.43
  • Coordinated Care — Apple Health: $2.11
  • 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 $8.63 – $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: $9.32
  • Community Health Plan of Washington — Cascade Care: $30.39
  • Community Health Plan of Washington — MedAdvantage: $19.82
  • Coordinated Care — Apple Health: $9.32
  • 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 $8.63 – $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: $9.32
  • Community Health Plan of Washington — Cascade Care: $30.39
  • Community Health Plan of Washington — MedAdvantage: $19.82
  • Coordinated Care — Apple Health: $9.32
  • 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 $8.63 – $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: $9.32
  • Community Health Plan of Washington — Cascade Care: $30.39
  • Community Health Plan of Washington — MedAdvantage: $19.82
  • Coordinated Care — Apple Health: $9.32
  • 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 ASSAY THYROID STIM HORMONE $84 $33.60 $8.93 – $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: $9.65
  • Community Health Plan of Washington — Cascade Care: $27.76
  • Community Health Plan of Washington — MedAdvantage: $18.11
  • Coordinated Care — Apple Health: $9.65
  • 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 TSH $84 $33.60 $8.93 – $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: $9.65
  • Community Health Plan of Washington — Cascade Care: $27.76
  • Community Health Plan of Washington — MedAdvantage: $18.11
  • Coordinated Care — Apple Health: $9.65
  • 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 $8.93 – $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: $9.65
  • Community Health Plan of Washington — Cascade Care: $27.76
  • Community Health Plan of Washington — MedAdvantage: $18.11
  • Coordinated Care — Apple Health: $9.65
  • 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 $4.01 – $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: $4.33
  • Community Health Plan of Washington — Cascade Care: $12.84
  • Community Health Plan of Washington — MedAdvantage: $8.38
  • Coordinated Care — Apple Health: $4.33
  • 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 $4.01 – $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: $4.33
  • Community Health Plan of Washington — Cascade Care: $12.84
  • Community Health Plan of Washington — MedAdvantage: $8.38
  • Coordinated Care — Apple Health: $4.33
  • 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 $4.01 – $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: $4.33
  • Community Health Plan of Washington — Cascade Care: $12.84
  • Community Health Plan of Washington — MedAdvantage: $8.38
  • Coordinated Care — Apple Health: $4.33
  • 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: C AUTO HEMOGRAM/PLATELET $44 $17.60 $4.01 – $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: $4.33
  • Community Health Plan of Washington — Cascade Care: $10.69
  • Community Health Plan of Washington — MedAdvantage: $6.97
  • Coordinated Care — Apple Health: $4.33
  • 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: O BLOOD COUNT AND PLT $44 $17.60 $4.01 – $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: $4.33
  • Community Health Plan of Washington — Cascade Care: $10.69
  • Community Health Plan of Washington — MedAdvantage: $6.97
  • Coordinated Care — Apple Health: $4.33
  • 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 $4.01 – $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: $4.33
  • Community Health Plan of Washington — Cascade Care: $10.69
  • Community Health Plan of Washington — MedAdvantage: $6.97
  • Coordinated Care — Apple Health: $4.33
  • 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: C PROTHROMBIN TIME $22 $8.80 $2.64 – $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: $2.85
  • Community Health Plan of Washington — Cascade Care: $7.09
  • Community Health Plan of Washington — MedAdvantage: $4.62
  • Coordinated Care — Apple Health: $2.85
  • 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: O PROTHROMBIN (PT) $22 $8.80 $2.64 – $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: $2.85
  • Community Health Plan of Washington — Cascade Care: $7.09
  • Community Health Plan of Washington — MedAdvantage: $4.62
  • Coordinated Care — Apple Health: $2.85
  • 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 PROTHROMBIN TIME $22 $8.80 $2.64 – $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: $2.85
  • Community Health Plan of Washington — Cascade Care: $7.09
  • Community Health Plan of Washington — MedAdvantage: $4.62
  • Coordinated Care — Apple Health: $2.85
  • 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 $2.64 – $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: $2.85
  • Community Health Plan of Washington — Cascade Care: $9.93
  • Community Health Plan of Washington — MedAdvantage: $6.48
  • Coordinated Care — Apple Health: $2.85
  • 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 $119.57 – $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: $123.16
  • Ambetter — Coordinated Care Exchange: $239.14
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $242.29
  • Community Health Plan of Washington — Cascade Care: $201.60
  • Community Health Plan of Washington — MedAdvantage: $131.53
  • Coordinated Care — Apple Health: $242.29
  • 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 $316.75 – $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: $410.98
  • Ambetter — Coordinated Care Exchange: $798.03
  • Cigna — All Commercial Plans: $1,674.66
  • Community Health Plan of Washington — Apple Health: $342.09
  • Community Health Plan of Washington — Cascade Care: $672.74
  • Community Health Plan of Washington — MedAdvantage: $438.92
  • Coordinated Care — Apple Health: $342.09
  • 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 $40.64 – $507.59
Chest X-ray, 2 views: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $410.76
  • Aetna — MedAdvantage: $102.52
  • Ambetter — Coordinated Care Exchange: $199.06
  • Cigna — All Commercial Plans: $417.74
  • Community Health Plan of Washington — Apple Health: $43.90
  • Community Health Plan of Washington — Cascade Care: $167.81
  • Community Health Plan of Washington — MedAdvantage: $109.49
  • Coordinated Care — Apple Health: $43.90
  • 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 $40.64 – $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: $123.16
  • Ambetter — Coordinated Care Exchange: $239.14
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $43.90
  • Community Health Plan of Washington — Cascade Care: $201.60
  • Community Health Plan of Washington — MedAdvantage: $131.53
  • Coordinated Care — Apple Health: $43.90
  • 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 $180.77 – $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: $281.08
  • Ambetter — Coordinated Care Exchange: $545.79
  • Cigna — All Commercial Plans: $1,145.33
  • Community Health Plan of Washington — Apple Health: $195.23
  • Community Health Plan of Washington — Cascade Care: $460.10
  • Community Health Plan of Washington — MedAdvantage: $300.18
  • Coordinated Care — Apple Health: $195.23
  • 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 $200.61 – $1,581.18
CT scan of the pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $830.50
  • Aetna — MedAdvantage: $206.63
  • Ambetter — Coordinated Care Exchange: $401.22
  • Cigna — All Commercial Plans: $841.97
  • Community Health Plan of Washington — Apple Health: $242.29
  • Community Health Plan of Washington — Cascade Care: $338.23
  • Community Health Plan of Washington — MedAdvantage: $220.67
  • Coordinated Care — Apple Health: $242.29
  • 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 $180.77 – $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: $281.08
  • Ambetter — Coordinated Care Exchange: $545.79
  • Cigna — All Commercial Plans: $1,145.33
  • Community Health Plan of Washington — Apple Health: $195.23
  • Community Health Plan of Washington — Cascade Care: $460.10
  • Community Health Plan of Washington — MedAdvantage: $300.18
  • Coordinated Care — Apple Health: $195.23
  • 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 $224.34 – $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: $410.98
  • Ambetter — Coordinated Care Exchange: $798.03
  • Cigna — All Commercial Plans: $1,674.66
  • Community Health Plan of Washington — Apple Health: $242.29
  • Community Health Plan of Washington — Cascade Care: $672.74
  • Community Health Plan of Washington — MedAdvantage: $438.92
  • Coordinated Care — Apple Health: $242.29
  • 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 $119.20 – $712.83
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $496.12
  • Aetna — MedAdvantage: $123.16
  • Ambetter — Coordinated Care Exchange: $239.14
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $128.74
  • Community Health Plan of Washington — Cascade Care: $201.60
  • Community Health Plan of Washington — MedAdvantage: $131.53
  • Coordinated Care — Apple Health: $128.74
  • 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 $72.18 – $712.83
Pregnancy ultrasound (after the first trimester): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $496.12
  • Aetna — MedAdvantage: $123.16
  • Ambetter — Coordinated Care Exchange: $239.14
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $77.95
  • Community Health Plan of Washington — Cascade Care: $201.60
  • Community Health Plan of Washington — MedAdvantage: $131.53
  • Coordinated Care — Apple Health: $77.95
  • 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 $78.52 – $712.83
Transvaginal ultrasound: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $496.12
  • Aetna — MedAdvantage: $123.16
  • Ambetter — Coordinated Care Exchange: $239.14
  • Cigna — All Commercial Plans: $501.84
  • Community Health Plan of Washington — Apple Health: $84.80
  • Community Health Plan of Washington — Cascade Care: $201.60
  • Community Health Plan of Washington — MedAdvantage: $131.53
  • Coordinated Care — Apple Health: $84.80
  • 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 $976 $390.40 $712.48
Transvaginal ultrasound: rates for 2 insurance plans
  • First Health — All Commercial Plans: $712.48
  • Multiplan/PHCS — All Commercial Plans: $712.48
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 $35.95 – $437.27
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $302.38
  • Aetna — MedAdvantage: $89.15
  • Ambetter — Coordinated Care Exchange: $173.11
  • Cigna — All Commercial Plans: $144.97
  • Community Health Plan of Washington — Apple Health: $38.83
  • Community Health Plan of Washington — Cascade Care: $145.93
  • Community Health Plan of Washington — MedAdvantage: $95.21
  • Coordinated Care — Apple Health: $38.83
  • 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 $35.95 – $561.37
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $388.19
  • Aetna — MedAdvantage: $113.60
  • Ambetter — Coordinated Care Exchange: $220.58
  • Cigna — All Commercial Plans: $184.74
  • Community Health Plan of Washington — Apple Health: $38.83
  • Community Health Plan of Washington — Cascade Care: $185.95
  • Community Health Plan of Washington — MedAdvantage: $121.32
  • Coordinated Care — Apple Health: $38.83
  • 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 $35.95 – $331.42
Screening mammogram, both breasts: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $229.18
  • Aetna — MedAdvantage: $93.99
  • Ambetter — Coordinated Care Exchange: $182.50
  • Cigna — All Commercial Plans: $152.87
  • Community Health Plan of Washington — Apple Health: $38.83
  • Community Health Plan of Washington — Cascade Care: $153.84
  • Community Health Plan of Washington — MedAdvantage: $100.37
  • Coordinated Care — Apple Health: $38.83
  • 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 $1,671.14 – $16,543.53
Left heart catheterization (diagnostic): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $15,005.54
  • Aetna — MedAdvantage: $3,819.10
  • Ambetter — Coordinated Care Exchange: $7,415.73
  • Cigna — All Commercial Plans: $15,562.01
  • Community Health Plan of Washington — Apple Health: $1,804.83
  • Community Health Plan of Washington — Cascade Care: $6,251.46
  • Community Health Plan of Washington — MedAdvantage: $4,078.65
  • Coordinated Care — Apple Health: $1,804.83
  • 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 $8,920.64 – $39,801.59
Heart rhythm study (electrophysiology evaluation): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $35,400.77
  • Aetna — MedAdvantage: $9,188.26
  • Ambetter — Coordinated Care Exchange: $17,841.27
  • Cigna — All Commercial Plans: $37,440.17
  • Community Health Plan of Washington — Apple Health: $12,529.81
  • Community Health Plan of Washington — Cascade Care: $15,040.19
  • Community Health Plan of Washington — MedAdvantage: $9,812.70
  • Coordinated Care — Apple Health: $12,529.81
  • 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 $11,601.67 – $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: $30,791.24
  • Ambetter — Coordinated Care Exchange: $59,788.82
  • Cigna — All Commercial Plans: $125,467.69
  • Community Health Plan of Washington — Apple Health: $12,529.81
  • Community Health Plan of Washington — Cascade Care: $50,401.98
  • Community Health Plan of Washington — MedAdvantage: $32,883.85
  • Coordinated Care — Apple Health: $12,529.81
  • 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 $540.93 – $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: $1,011.62
  • Ambetter — Coordinated Care Exchange: $1,964.32
  • Cigna — All Commercial Plans: $4,122.14
  • Community Health Plan of Washington — Apple Health: $584.20
  • Community Health Plan of Washington — Cascade Care: $1,655.92
  • Community Health Plan of Washington — MedAdvantage: $1,080.37
  • Coordinated Care — Apple Health: $584.20
  • 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 $540.93 – $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: $1,011.62
  • Ambetter — Coordinated Care Exchange: $1,964.32
  • Cigna — All Commercial Plans: $4,122.14
  • Community Health Plan of Washington — Apple Health: $584.20
  • Community Health Plan of Washington — Cascade Care: $1,655.92
  • Community Health Plan of Washington — MedAdvantage: $1,080.37
  • Coordinated Care — Apple Health: $584.20
  • 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 $540.93 – $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: $1,011.62
  • Ambetter — Coordinated Care Exchange: $1,964.32
  • Cigna — All Commercial Plans: $4,122.14
  • Community Health Plan of Washington — Apple Health: $584.20
  • Community Health Plan of Washington — Cascade Care: $1,655.92
  • Community Health Plan of Washington — MedAdvantage: $1,080.37
  • Coordinated Care — Apple Health: $584.20
  • 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: $30.18
  • Ambetter — Coordinated Care Exchange: $58.60
  • Cigna — All Commercial Plans: $45.40
  • Community Health Plan of Washington — Apple Health: $18.53
  • Community Health Plan of Washington — Cascade Care: $49.40
  • Community Health Plan of Washington — MedAdvantage: $32.23
  • 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: $30.18
  • Ambetter — Coordinated Care Exchange: $58.60
  • Cigna — All Commercial Plans: $45.40
  • Community Health Plan of Washington — Apple Health: $18.53
  • Community Health Plan of Washington — Cascade Care: $49.40
  • Community Health Plan of Washington — MedAdvantage: $32.23
  • 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: $30.18
  • Ambetter — Coordinated Care Exchange: $58.60
  • Cigna — All Commercial Plans: $45.40
  • Community Health Plan of Washington — Apple Health: $18.53
  • Community Health Plan of Washington — Cascade Care: $49.40
  • Community Health Plan of Washington — MedAdvantage: $32.23
  • 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: $102.20
  • Ambetter — Coordinated Care Exchange: $198.45
  • Cigna — All Commercial Plans: $154.39
  • Community Health Plan of Washington — Apple Health: $63.04
  • Community Health Plan of Washington — Cascade Care: $167.29
  • Community Health Plan of Washington — MedAdvantage: $109.15
  • 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: $102.20
  • Ambetter — Coordinated Care Exchange: $198.45
  • Cigna — All Commercial Plans: $154.39
  • Community Health Plan of Washington — Apple Health: $63.04
  • Community Health Plan of Washington — Cascade Care: $167.29
  • Community Health Plan of Washington — MedAdvantage: $109.15
  • 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: $102.20
  • Ambetter — Coordinated Care Exchange: $198.45
  • Cigna — All Commercial Plans: $154.39
  • Community Health Plan of Washington — Apple Health: $63.04
  • Community Health Plan of Washington — Cascade Care: $167.29
  • Community Health Plan of Washington — MedAdvantage: $109.15
  • 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 $203.01 – $905.76
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $209.10
  • Ambetter — Coordinated Care Exchange: $406.01
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Cascade Care: $342.27
  • Community Health Plan of Washington — MedAdvantage: $223.31
  • 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 $203.01 – $905.76
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $209.10
  • Ambetter — Coordinated Care Exchange: $406.01
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Cascade Care: $342.27
  • Community Health Plan of Washington — MedAdvantage: $223.31
  • 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 $203.01 – $905.76
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $209.10
  • Ambetter — Coordinated Care Exchange: $406.01
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Cascade Care: $342.27
  • Community Health Plan of Washington — MedAdvantage: $223.31
  • 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 $107.11 – $905.76
Family psychotherapy, without the patient: 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $209.10
  • Ambetter — Coordinated Care Exchange: $406.01
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Apple Health: $115.68
  • Community Health Plan of Washington — Cascade Care: $342.27
  • Community Health Plan of Washington — MedAdvantage: $223.31
  • Coordinated Care — Apple Health: $115.68
  • 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 $203.01 – $905.76
Family psychotherapy, with the patient: 10 of 27 insurance plan rates
  • Aetna — All Commercial Plans: $749.59
  • Aetna — MedAdvantage: $209.10
  • Ambetter — Coordinated Care Exchange: $406.01
  • Cigna — All Commercial Plans: $852.02
  • Community Health Plan of Washington — Cascade Care: $342.27
  • Community Health Plan of Washington — MedAdvantage: $223.31
  • 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 $116.19 – $499.51
Group psychotherapy: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $431.56
  • Aetna — MedAdvantage: $119.68
  • Ambetter — Coordinated Care Exchange: $232.38
  • Cigna — All Commercial Plans: $487.67
  • Community Health Plan of Washington — Cascade Care: $195.90
  • Community Health Plan of Washington — MedAdvantage: $127.81
  • 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 $993.24 – $19,980.41
Removal of breast growth (open surgery): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $17,864.75
  • Aetna — MedAdvantage: $4,612.51
  • Ambetter — Coordinated Care Exchange: $8,956.33
  • Cigna — All Commercial Plans: $18,794.97
  • Community Health Plan of Washington — Apple Health: $1,072.70
  • Community Health Plan of Washington — Cascade Care: $7,550.18
  • Community Health Plan of Washington — MedAdvantage: $4,925.98
  • Coordinated Care — Apple Health: $1,072.70
  • 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 $6,618.18 – $61,628.63
Total hip replacement: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $60,027.55
  • Aetna — MedAdvantage: $15,124.38
  • Ambetter — Coordinated Care Exchange: $29,367.73
  • Cigna — All Commercial Plans: $61,628.63
  • Community Health Plan of Washington — Apple Health: $7,147.64
  • Community Health Plan of Washington — Cascade Care: $24,757
  • Community Health Plan of Washington — MedAdvantage: $16,152.25
  • Coordinated Care — Apple Health: $7,147.64
  • 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 $6,618.18 – $61,628.63
Total knee replacement: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $60,027.55
  • Aetna — MedAdvantage: $15,124.38
  • Ambetter — Coordinated Care Exchange: $29,367.73
  • Cigna — All Commercial Plans: $61,628.63
  • Community Health Plan of Washington — Apple Health: $7,147.64
  • Community Health Plan of Washington — Cascade Care: $24,757
  • Community Health Plan of Washington — MedAdvantage: $16,152.25
  • Coordinated Care — Apple Health: $7,147.64
  • 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 $1,586.95 – $1,713.91
Shoulder arthroscopy: shaving of shoulder bone: rates for 5 insurance plans
  • Community Health Plan of Washington — Apple Health: $1,713.91
  • Coordinated Care — Apple Health: $1,713.91
  • Molina — Apple Health: $1,586.95
  • United Healthcare — Apple Health: $1,713.91
  • WellPoint — Apple Health: $1,713.91
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 $1,586.95 – $15,706.36
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $15,137.08
  • Aetna — MedAdvantage: $3,854.52
  • Ambetter — Coordinated Care Exchange: $7,484.51
  • Cigna — All Commercial Plans: $15,706.36
  • Community Health Plan of Washington — Apple Health: $1,713.91
  • Community Health Plan of Washington — Cascade Care: $6,309.44
  • Community Health Plan of Washington — MedAdvantage: $4,116.48
  • Coordinated Care — Apple Health: $1,713.91
  • 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 $1,418.28 – $28,416.55
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $27,598.31
  • Aetna — MedAdvantage: $6,973.75
  • Ambetter — Coordinated Care Exchange: $13,541.26
  • Cigna — All Commercial Plans: $28,416.55
  • Community Health Plan of Washington — Apple Health: $1,531.74
  • Community Health Plan of Washington — Cascade Care: $11,415.29
  • Community Health Plan of Washington — MedAdvantage: $7,447.70
  • Coordinated Care — Apple Health: $1,531.74
  • 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 $679.03 – $7,462.06
Upper GI endoscopy (diagnostic): 10 of 32 insurance plan rates
  • Aetna — All Commercial Plans: $4,373.99
  • Aetna — MedAdvantage: $1,068.46
  • Ambetter — Coordinated Care Exchange: $2,074.68
  • Cigna — All Commercial Plans: $4,353.73
  • Community Health Plan of Washington — Apple Health: $733.35
  • Community Health Plan of Washington — Cascade Care: $1,748.95
  • Community Health Plan of Washington — MedAdvantage: $1,141.07
  • Coordinated Care — Apple Health: $733.35
  • 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 $679.03 – $4,998.45
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $4,373.99
  • Aetna — MedAdvantage: $1,068.46
  • Ambetter — Coordinated Care Exchange: $2,074.68
  • Cigna — All Commercial Plans: $4,353.73
  • Community Health Plan of Washington — Apple Health: $733.35
  • Community Health Plan of Washington — Cascade Care: $1,748.95
  • Community Health Plan of Washington — MedAdvantage: $1,141.07
  • Coordinated Care — Apple Health: $733.35
  • 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 $689.17 – $4,858.28
Colonoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $4,253.39
  • Aetna — MedAdvantage: $1,095.52
  • Ambetter — Coordinated Care Exchange: $2,127.22
  • Cigna — All Commercial Plans: $4,464.03
  • Community Health Plan of Washington — Apple Health: $744.31
  • Community Health Plan of Washington — Cascade Care: $1,793.25
  • Community Health Plan of Washington — MedAdvantage: $1,169.97
  • Coordinated Care — Apple Health: $744.31
  • 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 $689.17 – $6,386.84
Colonoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $5,500.77
  • Aetna — MedAdvantage: $1,409.68
  • Ambetter — Coordinated Care Exchange: $2,737.25
  • Cigna — All Commercial Plans: $5,744.14
  • Community Health Plan of Washington — Apple Health: $744.31
  • Community Health Plan of Washington — Cascade Care: $2,307.50
  • Community Health Plan of Washington — MedAdvantage: $1,505.49
  • Coordinated Care — Apple Health: $744.31
  • 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 $689.17 – $6,386.84
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $5,500.77
  • Aetna — MedAdvantage: $1,409.68
  • Ambetter — Coordinated Care Exchange: $2,737.25
  • Cigna — All Commercial Plans: $5,744.14
  • Community Health Plan of Washington — Apple Health: $744.31
  • Community Health Plan of Washington — Cascade Care: $2,307.50
  • Community Health Plan of Washington — MedAdvantage: $1,505.49
  • Coordinated Care — Apple Health: $744.31
  • 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 $689.17 – $6,386.84
Ultrasound of the lower bowel by endoscope: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $5,500.77
  • Aetna — MedAdvantage: $1,409.68
  • Ambetter — Coordinated Care Exchange: $2,737.25
  • Cigna — All Commercial Plans: $5,744.14
  • Community Health Plan of Washington — Apple Health: $744.31
  • Community Health Plan of Washington — Cascade Care: $2,307.50
  • Community Health Plan of Washington — MedAdvantage: $1,505.49
  • Coordinated Care — Apple Health: $744.31
  • 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 $689.17 – $4,858.28
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $4,253.39
  • Aetna — MedAdvantage: $1,095.52
  • Ambetter — Coordinated Care Exchange: $2,127.22
  • Cigna — All Commercial Plans: $4,464.03
  • Community Health Plan of Washington — Apple Health: $744.31
  • Community Health Plan of Washington — Cascade Care: $1,793.25
  • Community Health Plan of Washington — MedAdvantage: $1,169.97
  • Coordinated Care — Apple Health: $744.31
  • 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 $2,448.41 – $29,019.93
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $27,219.05
  • Aetna — MedAdvantage: $7,121.83
  • Ambetter — Coordinated Care Exchange: $13,828.79
  • Cigna — All Commercial Plans: $29,019.93
  • Community Health Plan of Washington — Apple Health: $2,644.28
  • Community Health Plan of Washington — Cascade Care: $11,657.67
  • Community Health Plan of Washington — MedAdvantage: $7,605.83
  • Coordinated Care — Apple Health: $2,644.28
  • 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 $2,486.46 – $17,186.76
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $16,464.12
  • Aetna — MedAdvantage: $4,217.83
  • Ambetter — Coordinated Care Exchange: $8,189.96
  • Cigna — All Commercial Plans: $17,186.76
  • Community Health Plan of Washington — Apple Health: $2,685.37
  • Community Health Plan of Washington — Cascade Care: $6,904.13
  • Community Health Plan of Washington — MedAdvantage: $4,504.48
  • Coordinated Care — Apple Health: $2,685.37
  • 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 $1,082.46 – $9,556.89
Prostate biopsy: 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $9,556.89
  • Community Health Plan of Washington — Apple Health: $1,169.05
  • Coordinated Care — Apple Health: $1,169.05
  • 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: $1,082.46
  • 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 $3,047.58 – $51,025.66
Prostate removal by laparoscope (radical prostatectomy): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $48,571.45
  • Aetna — MedAdvantage: $12,522.29
  • Ambetter — Coordinated Care Exchange: $24,315.12
  • Cigna — All Commercial Plans: $51,025.66
  • Community Health Plan of Washington — Apple Health: $3,291.39
  • Community Health Plan of Washington — Cascade Care: $20,497.65
  • Community Health Plan of Washington — MedAdvantage: $13,373.32
  • Coordinated Care — Apple Health: $3,291.39
  • 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 $1,612.89 – $15,538.94
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $14,833.44
  • Aetna — MedAdvantage: $3,813.44
  • Ambetter — Coordinated Care Exchange: $7,404.74
  • Cigna — All Commercial Plans: $15,538.94
  • Community Health Plan of Washington — Apple Health: $1,741.92
  • Community Health Plan of Washington — Cascade Care: $6,242.19
  • Community Health Plan of Washington — MedAdvantage: $4,072.60
  • Coordinated Care — Apple Health: $1,741.92
  • 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 $607.22 – $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: $831.55
  • Ambetter — Coordinated Care Exchange: $1,614.66
  • Cigna — All Commercial Plans: $3,388.40
  • Community Health Plan of Washington — Apple Health: $655.80
  • Community Health Plan of Washington — Cascade Care: $1,361.16
  • Community Health Plan of Washington — MedAdvantage: $888.06
  • Coordinated Care — Apple Health: $655.80
  • 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 $607.22 – $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: $831.55
  • Ambetter — Coordinated Care Exchange: $1,614.66
  • Cigna — All Commercial Plans: $3,388.40
  • Community Health Plan of Washington — Apple Health: $655.80
  • Community Health Plan of Washington — Cascade Care: $1,361.16
  • Community Health Plan of Washington — MedAdvantage: $888.06
  • Coordinated Care — Apple Health: $655.80
  • 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 $607.22 – $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: $1,041.94
  • Ambetter — Coordinated Care Exchange: $2,023.18
  • Cigna — All Commercial Plans: $4,245.66
  • Community Health Plan of Washington — Apple Health: $655.80
  • Community Health Plan of Washington — Cascade Care: $1,705.54
  • Community Health Plan of Washington — MedAdvantage: $1,112.75
  • Coordinated Care — Apple Health: $655.80
  • 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 $976.42 – $9,373.54
Carpal tunnel release: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $9,110.28
  • Aetna — MedAdvantage: $2,300.37
  • Ambetter — Coordinated Care Exchange: $4,466.74
  • Cigna — All Commercial Plans: $9,373.54
  • Community Health Plan of Washington — Apple Health: $1,054.54
  • Community Health Plan of Washington — Cascade Care: $3,765.47
  • Community Health Plan of Washington — MedAdvantage: $2,456.71
  • Coordinated Care — Apple Health: $1,054.54
  • 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 $376.72 – $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: $647.91
  • Ambetter — Coordinated Care Exchange: $1,258.09
  • Cigna — All Commercial Plans: $2,640.11
  • Community Health Plan of Washington — Apple Health: $406.86
  • Community Health Plan of Washington — Cascade Care: $1,060.57
  • Community Health Plan of Washington — MedAdvantage: $691.95
  • Coordinated Care — Apple Health: $406.86
  • 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 $1,223.78 – $11,078.09
Cataract removal with lens implant: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $10,640.28
  • Aetna — MedAdvantage: $2,718.69
  • Ambetter — Coordinated Care Exchange: $5,279.01
  • Cigna — All Commercial Plans: $11,078.09
  • Community Health Plan of Washington — Apple Health: $1,321.68
  • Community Health Plan of Washington — Cascade Care: $4,450.21
  • Community Health Plan of Washington — MedAdvantage: $2,903.46
  • Coordinated Care — Apple Health: $1,321.68
  • 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 $86,000.55 – $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: $88,580.57
  • Ambetter — Coordinated Care Exchange: $160,203.13
  • Cigna — All Commercial Plans: $217,569.47
  • Community Health Plan of Washington — Cascade Care: $144,996.92
  • Community Health Plan of Washington — MedAdvantage: $94,600.60
  • 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 $17,746.78 – $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: $18,279.18
  • Ambetter — Coordinated Care Exchange: $31,587.67
  • Cigna — All Commercial Plans: $42,898.74
  • Community Health Plan of Washington — Cascade Care: $29,921.07
  • Community Health Plan of Washington — MedAdvantage: $19,521.46
  • 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 $22,199.76 – $72,250.35
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $62,301.98
  • Aetna — MedAdvantage: $22,865.75
  • Ambetter — Coordinated Care Exchange: $39,978.73
  • Cigna — All Commercial Plans: $54,294.51
  • Community Health Plan of Washington — Cascade Care: $37,428.79
  • Community Health Plan of Washington — MedAdvantage: $24,419.73
  • 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 $11,766.03 – $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: $12,119.01
  • Ambetter — Coordinated Care Exchange: $20,317.70
  • Cigna — All Commercial Plans: $27,593.17
  • Community Health Plan of Washington — Cascade Care: $19,837.52
  • Community Health Plan of Washington — MedAdvantage: $12,942.63
  • 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 Good Samaritan Hospital’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
Address401 15th Avenue SE, Puyallup, WA 98372
CountyPierce County
StateWashington
Phone(253) 697‑2102
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number500079
Name in Medicare recordsMULTICARE GOOD SAMARITAN HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(253) 697‑4000[7]
Official websitemulticare.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Good Samaritan Hospital - Puyallup, WA - MultiCare — multicare.org
  2. About Good Samaritan Hospital - Puyallup, WA - MultiCare — multicare.org
  3. Services & Departments at Good Samaritan Hospital - MultiCare — multicare.org
  4. Phone Directory - Good Samaritan Hospital - MultiCare — multicare.org
  5. Campus Map & Parking at Good Samaritan Hospital - MultiCare — multicare.org