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Critical Access Hospital

Ocean Beach Hospital

Also listed as: Ocean Beach Hospital (Ocean Beach Health)

Ilwaco, Washington · Pacific County · Emergency services listed

Ocean Beach Hospital is a critical access hospital at 174 First Avenue North, Ilwaco, WA 98624. Phone: (360) 642-3181. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked November 2, 2026).

Summary

Ocean Beach Hospital is a critical access hospital in Ilwaco, Washington. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 14 services, specialties and programs. Medicare lists 132 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

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

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). 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
25Beds (hospital website)
14Services listed

Quick answers

Does Ocean Beach Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Ocean Beach Hospital. In a medical emergency, call 911.
Where is Ocean Beach Hospital?
174 First Avenue North, Ilwaco, WA 98624, in Pacific County, Washington.
What is the phone number of Ocean Beach Hospital?
(360) 642-3181, as listed by Medicare (CMS).
What is the Medicare star rating of Ocean Beach Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas[4]

Programs and centers[4]

  • Swing bed program

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV
Stroke designationLevel III Stroke Hospital

Visiting and practical information

Patient portalMyChart

Recognition[4]

  • Critical Access Hospital

Doctors and clinicians (132)

132 doctors and other clinicians list Ocean Beach 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 (132)

And 108 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Ilwaco

Hospitals in Pacific County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Ocean Beach 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.

Rated the hospital 9 or 10 out of 1082%National average: 72%
Would definitely recommend the hospital83%National average: 71%
Nurses “always” communicated well84%National average: 80%
Doctors “always” communicated well92%National average: 80%
“Always” got help as soon as they wanted80%National average: 64%
Staff “always” explained medicines before giving them64%National average: 62%
Were given information about recovery at home92%National average: 86%
Room and bathroom “always” clean95%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys53Response rate: 36%

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

Complications and deaths

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

Deaths within 30 days: heart failure patients11.5%
Deaths within 30 days: pneumonia patients26%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)15.5%
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia17.3%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)110 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Not reported to MedicareSepsis patients who got all the recommended early care (SEP-1)

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

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 59 common services exactly as Ocean Beach 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 →

Show the prices of 59 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99203 NEW PT VISIT - LEVEL 3 $252 $189 $89.14 – $249.48
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • Cigna — CIGNA: $144
  • Cigna — CIGNA HealthCare: $144
  • UnitedHealthcare — All Payer (Products other than Options PPO): $119.50
  • UnitedHealthcare — Medicare Advantage: $89.14
  • UnitedHealthcare — Options PPO: $119.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99203 OFFICE OUTPATIENT NEW RHC $252 $189 $89.14 – $249.48
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • Cigna — CIGNA: $144
  • Cigna — CIGNA HealthCare: $144
  • UnitedHealthcare — All Payer (Products other than Options PPO): $119.50
  • UnitedHealthcare — Medicare Advantage: $89.14
  • UnitedHealthcare — Options PPO: $119.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99203 OFFICE OUTPATIENT NEW RHC $252 $189 $89.14 – $249.48
New patient office visit (about 30–44 minutes): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $249.48
  • NYLCare Health Plans Northwest — Commercial Products: $214.20
  • NYLCare Health Plans Northwest — PEBB: $214.20
  • UnitedHealthcare — Medicare Advantage: $108.36
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99204 NEW PT VISIT - LEVEL 4 $379 $284.25 $107.13 – $375.21
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
  • Cigna — CIGNA: $221.41
  • Cigna — CIGNA HealthCare: $224.44
  • UnitedHealthcare — All Payer (Products other than Options PPO): $182
  • UnitedHealthcare — Medicare Advantage: $107.13
  • UnitedHealthcare — Options PPO: $182
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99204 OFFICE OUTPATIENT NEW RHC $379 $284.25 $107.13 – $375.21
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
  • Cigna — CIGNA: $221.41
  • Cigna — CIGNA HealthCare: $224.44
  • UnitedHealthcare — All Payer (Products other than Options PPO): $182
  • UnitedHealthcare — Medicare Advantage: $107.13
  • UnitedHealthcare — Options PPO: $182
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99204 OFFICE OUTPATIENT NEW RHC $379 $284.25 $107.13 – $375.21
New patient office visit (about 45–59 minutes): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $375.21
  • NYLCare Health Plans Northwest — Commercial Products: $322.15
  • NYLCare Health Plans Northwest — PEBB: $322.15
  • UnitedHealthcare — Medicare Advantage: $162.97
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99205 OFFICE OUTPATIENT NEW RHC $486 $364.50 $170.99 – $481.14
New patient office visit (about 60–74 minutes): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $481.14
  • NYLCare Health Plans Northwest — Commercial Products: $413.10
  • NYLCare Health Plans Northwest — PEBB: $413.10
  • UnitedHealthcare — Medicare Advantage: $208.98
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99205 NEW PT VISIT - LEVEL 5 $486 $364.50 $170.99 – $481.14
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $481.14
  • NYLCare Health Plans Northwest — Commercial Products: $413.10
  • NYLCare Health Plans Northwest — PEBB: $413.10
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99205 NEW PT VISIT - LEVEL 5 $486 $364.50 $170.99 – $481.14
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • UnitedHealthcare — All Payer (Products other than Options PPO): $228.50
  • UnitedHealthcare — Medicare Advantage: $170.99
  • UnitedHealthcare — Options PPO: $228.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99213 ESTAB PT VISIT - LEVEL 3 $164 $123 $58.84 – $162.36
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
  • Cigna — CIGNA: $96.73
  • Cigna — CIGNA HealthCare: $96.73
  • UnitedHealthcare — All Payer (Products other than Options PPO): $78.50
  • UnitedHealthcare — Medicare Advantage: $58.84
  • UnitedHealthcare — Options PPO: $78.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99213 OFFICE OUTPATIENT VISIT RHC $164 $123 $58.84 – $162.36
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
  • Cigna — CIGNA: $96.73
  • Cigna — CIGNA HealthCare: $96.73
  • UnitedHealthcare — All Payer (Products other than Options PPO): $78.50
  • UnitedHealthcare — Medicare Advantage: $58.84
  • UnitedHealthcare — Options PPO: $78.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99213 OFFICE OUTPATIENT VISIT RHC $164 $123 $58.84 – $162.36
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $162.36
  • NYLCare Health Plans Northwest — Commercial Products: $139.40
  • NYLCare Health Plans Northwest — PEBB: $139.40
  • UnitedHealthcare — Medicare Advantage: $70.52
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99214 DOT PHYSICAL $105 $78.75 $88.44 – $143.50
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • Cigna — CIGNA: $143.50
  • Cigna — CIGNA HealthCare: $143.50
  • UnitedHealthcare — All Payer (Products other than Options PPO): $118.01
  • UnitedHealthcare — Medicare Advantage: $88.44
  • UnitedHealthcare — Options PPO: $118.01
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99214 ESTAB PT VISIT - LEVEL 4 $234 $175.50 $88.44 – $231.66
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • Cigna — CIGNA: $143.50
  • Cigna — CIGNA HealthCare: $143.50
  • UnitedHealthcare — All Payer (Products other than Options PPO): $118.01
  • UnitedHealthcare — Medicare Advantage: $88.44
  • UnitedHealthcare — Options PPO: $118.01
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99214 OFFICE OUTPATIENT VISIT RHC $234 $175.50 $88.44 – $231.66
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • Cigna — CIGNA: $143.50
  • Cigna — CIGNA HealthCare: $143.50
  • UnitedHealthcare — All Payer (Products other than Options PPO): $118.01
  • UnitedHealthcare — Medicare Advantage: $88.44
  • UnitedHealthcare — Options PPO: $118.01
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES CDM $307 $230.25 $119.74 – $303.93
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • Cigna — CIGNA: $182.50
  • Cigna — CIGNA HealthCare: $182.50
  • UnitedHealthcare — All Payer (Products other than Options PPO): $160.50
  • UnitedHealthcare — Medicare Advantage: $119.74
  • UnitedHealthcare — Options PPO: $160.50
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES CDM $307 $230.25 $119.74 – $303.93
Office consultation with a specialist (moderate): rates for 3 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $303.93
  • NYLCare Health Plans Northwest — Commercial Products: $260.95
  • NYLCare Health Plans Northwest — PEBB: $260.95
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99385 PREV VISIT NEW AGE 18-39 $329 $246.75 $141.47 – $325.71
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $325.71
  • NYLCare Health Plans Northwest — Commercial Products: $279.65
  • NYLCare Health Plans Northwest — PEBB: $279.65
  • UnitedHealthcare — Medicare Advantage: $141.47
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99386 PREV VISIT NEW AGE 40-64 $358 $268.50 $153.94 – $354.42
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $354.42
  • NYLCare Health Plans Northwest — Commercial Products: $304.30
  • NYLCare Health Plans Northwest — PEBB: $304.30
  • UnitedHealthcare — Medicare Advantage: $153.94
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: HC ED FAC E&M VISIT LEVEL 3 CDM $236 $177 $57.92 – $233.64
Emergency room visit (moderate): rates for 5 insurance plans
  • Cigna — CIGNA: $93.44
  • Cigna — CIGNA HealthCare: $93.41
  • UnitedHealthcare — All Payer (Products other than Options PPO): $77.49
  • UnitedHealthcare — Medicare Advantage: $57.92
  • UnitedHealthcare — Options PPO: $77.49
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR ED 99283 VISIT LOW MDM CDM $946 $709.50 $57.92 – $936.54
Emergency room visit (moderate): rates for 5 insurance plans
  • Cigna — CIGNA: $93.44
  • Cigna — CIGNA HealthCare: $93.41
  • UnitedHealthcare — All Payer (Products other than Options PPO): $77.49
  • UnitedHealthcare — Medicare Advantage: $57.92
  • UnitedHealthcare — Options PPO: $77.49
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 3 CDM $236 $177 $57.92 – $233.64
Emergency room visit (moderate): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $233.64
  • NYLCare Health Plans Northwest — Commercial Products: $200.60
  • NYLCare Health Plans Northwest — PEBB: $200.60
  • UnitedHealthcare — Medicare Advantage: $101.48
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: HC ED FAC E&M VISIT LEVEL 4 CDM $407 $305.25 $107.16 – $402.93
Emergency room visit (moderately high): rates for 5 insurance plans
  • Cigna — CIGNA: $176.40
  • Cigna — CIGNA HealthCare: $176
  • UnitedHealthcare — All Payer (Products other than Options PPO): $143
  • UnitedHealthcare — Medicare Advantage: $107.16
  • UnitedHealthcare — Options PPO: $143
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR ED 99284 VISIT MODERATE MDM CDM $1,631 $1,223.25 $107.16 – $1,614.69
Emergency room visit (moderately high): rates for 5 insurance plans
  • Cigna — CIGNA: $176.40
  • Cigna — CIGNA HealthCare: $176
  • UnitedHealthcare — All Payer (Products other than Options PPO): $143
  • UnitedHealthcare — Medicare Advantage: $107.16
  • UnitedHealthcare — Options PPO: $143
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 4 CDM $407 $305.25 $107.16 – $402.93
Emergency room visit (moderately high): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $402.93
  • NYLCare Health Plans Northwest — Commercial Products: $345.95
  • NYLCare Health Plans Northwest — PEBB: $345.95
  • UnitedHealthcare — Medicare Advantage: $175.01
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM $628 $471 $159.79 – $621.72
Emergency room visit (high): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $621.72
  • NYLCare Health Plans Northwest — Commercial Products: $533.80
  • NYLCare Health Plans Northwest — PEBB: $533.80
  • UnitedHealthcare — Medicare Advantage: $270.04
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM $628 $471 $159.79 – $621.72
Emergency room visit (high): rates for 3 insurance plans
  • UnitedHealthcare — All Payer (Products other than Options PPO): $213.50
  • UnitedHealthcare — Medicare Advantage: $159.79
  • UnitedHealthcare — Options PPO: $213.50
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR ED 99285 VISIT HIGH MDM CDM $2,514 $1,885.50 $159.79 – $2,488.86
Emergency room visit (high): rates for 3 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $2,488.86
  • NYLCare Health Plans Northwest — Commercial Products: $2,136.90
  • NYLCare Health Plans Northwest — PEBB: $2,136.90

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $118 $88.50 $8.46 – $116.82
Basic metabolic panel (blood test): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $116.82
  • NYLCare Health Plans Northwest — Commercial Products: $100.30
  • NYLCare Health Plans Northwest — PEBB: $100.30
  • UnitedHealthcare — Medicare Advantage: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL $150 $112.50 $10.56 – $148.50
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $148.50
  • NYLCare Health Plans Northwest — Commercial Products: $127.50
  • NYLCare Health Plans Northwest — PEBB: $127.50
  • UnitedHealthcare — Medicare Advantage: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PANEL CDM $258 $193.50 $13.39 – $255.42
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $255.42
  • NYLCare Health Plans Northwest — Commercial Products: $219.30
  • NYLCare Health Plans Northwest — PEBB: $219.30
  • UnitedHealthcare — Medicare Advantage: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM $95 $71.25 $8.68 – $94.05
Kidney function panel: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $94.05
  • NYLCare Health Plans Northwest — Commercial Products: $80.75
  • NYLCare Health Plans Northwest — PEBB: $80.75
  • UnitedHealthcare — Medicare Advantage: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM $106 $79.50 $8.17 – $104.94
Liver function panel: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $104.94
  • NYLCare Health Plans Northwest — Commercial Products: $90.10
  • NYLCare Health Plans Northwest — PEBB: $90.10
  • UnitedHealthcare — Medicare Advantage: $8.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM $70 $52.50 $3.17 – $69.30
Urine test (automated, with microscope): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $69.30
  • NYLCare Health Plans Northwest — Commercial Products: $59.50
  • NYLCare Health Plans Northwest — PEBB: $59.50
  • UnitedHealthcare — Medicare Advantage: $3.17
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM $43 $32.25 $3.48 – $42.57
Urine test (manual, without microscope): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $42.57
  • NYLCare Health Plans Northwest — Commercial Products: $36.55
  • NYLCare Health Plans Northwest — PEBB: $36.55
  • UnitedHealthcare — Medicare Advantage: $3.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE $56 $42 $2.25 – $55.44
Urine test (automated, without microscope): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $55.44
  • NYLCare Health Plans Northwest — Commercial Products: $47.60
  • NYLCare Health Plans Northwest — PEBB: $47.60
  • UnitedHealthcare — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY CDM $56 $42 $2.25 – $55.44
Urine test (automated, without microscope): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $55.44
  • NYLCare Health Plans Northwest — Commercial Products: $47.60
  • NYLCare Health Plans Northwest — PEBB: $47.60
  • UnitedHealthcare — Medicare Advantage: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $124 $93 $18.39 – $122.76
PSA (prostate specific antigen) blood test: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $122.76
  • NYLCare Health Plans Northwest — Commercial Products: $105.40
  • NYLCare Health Plans Northwest — PEBB: $105.40
  • UnitedHealthcare — Medicare Advantage: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC TSH $177 $132.75 $16.80 – $175.23
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $175.23
  • NYLCare Health Plans Northwest — Commercial Products: $150.45
  • NYLCare Health Plans Northwest — PEBB: $150.45
  • UnitedHealthcare — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC TSH REFLEX TO FT4 $177 $132.75 $16.80 – $175.23
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $175.23
  • NYLCare Health Plans Northwest — Commercial Products: $150.45
  • NYLCare Health Plans Northwest — PEBB: $150.45
  • UnitedHealthcare — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH CDM $177 $132.75 $16.80 – $175.23
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $175.23
  • NYLCare Health Plans Northwest — Commercial Products: $150.45
  • NYLCare Health Plans Northwest — PEBB: $150.45
  • UnitedHealthcare — Medicare Advantage: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $164 $123 $7.77 – $162.36
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $162.36
  • NYLCare Health Plans Northwest — Commercial Products: $139.40
  • NYLCare Health Plans Northwest — PEBB: $139.40
  • UnitedHealthcare — Medicare Advantage: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO $109 $81.75 $7.77 – $107.91
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $107.91
  • NYLCare Health Plans Northwest — Commercial Products: $92.65
  • NYLCare Health Plans Northwest — PEBB: $92.65
  • UnitedHealthcare — Medicare Advantage: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED $74 $55.50 $6.47 – $73.26
Complete blood count (CBC), automated: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $73.26
  • NYLCare Health Plans Northwest — Commercial Products: $62.90
  • NYLCare Health Plans Northwest — PEBB: $62.90
  • UnitedHealthcare — Medicare Advantage: $6.47
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL $112 $84 $6.01 – $110.88
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $110.88
  • NYLCare Health Plans Northwest — Commercial Products: $95.20
  • NYLCare Health Plans Northwest — PEBB: $95.20
  • UnitedHealthcare — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD CDM $112 $84 $6.01 – $110.88
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $110.88
  • NYLCare Health Plans Northwest — Commercial Products: $95.20
  • NYLCare Health Plans Northwest — PEBB: $95.20
  • UnitedHealthcare — Medicare Advantage: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST $2,200 $1,650 $946 – $2,178
CT scan of the head or brain, without contrast: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $2,178
  • NYLCare Health Plans Northwest — Commercial Products: $1,870
  • NYLCare Health Plans Northwest — PEBB: $1,870
  • UnitedHealthcare — Medicare Advantage: $946
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE $4,972 $3,729 $652.97 – $4,922.28
MRI of the brain, before and after contrast: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $4,922.28
  • NYLCare Health Plans Northwest — Commercial Products: $4,226.20
  • NYLCare Health Plans Northwest — PEBB: $4,226.20
  • UnitedHealthcare — Medicare Advantage: $2,137.96
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: HC MRI BRAIN W/O & W/DYE $4,972 $3,729 $652.97 – $4,922.28
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • UnitedHealthcare — All Payer (Products other than Options PPO): $1,009.47
  • UnitedHealthcare — Medicare Advantage: $652.97
  • UnitedHealthcare — Options PPO: $1,009.47
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $364 $273 $156.52 – $360.36
Chest X-ray, 2 views: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $360.36
  • NYLCare Health Plans Northwest — Commercial Products: $309.40
  • NYLCare Health Plans Northwest — PEBB: $309.40
  • UnitedHealthcare — Medicare Advantage: $156.52
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS $601 $450.75 $258.43 – $594.99
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $594.99
  • NYLCare Health Plans Northwest — Commercial Products: $510.85
  • NYLCare Health Plans Northwest — PEBB: $510.85
  • UnitedHealthcare — Medicare Advantage: $258.43
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE $3,114 $2,335.50 $1,339.02 – $3,082.86
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $3,082.86
  • NYLCare Health Plans Northwest — Commercial Products: $2,646.90
  • NYLCare Health Plans Northwest — PEBB: $2,646.90
  • UnitedHealthcare — Medicare Advantage: $1,339.02
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $2,785 $2,088.75 $1,197.55 – $2,757.15
CT scan of the pelvis, with contrast: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $2,757.15
  • NYLCare Health Plans Northwest — Commercial Products: $2,367.25
  • NYLCare Health Plans Northwest — PEBB: $2,367.25
  • UnitedHealthcare — Medicare Advantage: $1,197.55
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST $2,715 $2,036.25 $1,167.45 – $2,687.85
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $2,687.85
  • NYLCare Health Plans Northwest — Commercial Products: $2,307.75
  • NYLCare Health Plans Northwest — PEBB: $2,307.75
  • UnitedHealthcare — Medicare Advantage: $1,167.45
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST $4,843 $3,632.25 $2,082.49 – $4,794.57
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $4,794.57
  • NYLCare Health Plans Northwest — Commercial Products: $4,116.55
  • NYLCare Health Plans Northwest — PEBB: $4,116.55
  • UnitedHealthcare — Medicare Advantage: $2,082.49
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE $1,010 $757.50 $434.30 – $999.90
Ultrasound of the abdomen, complete: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $999.90
  • NYLCare Health Plans Northwest — Commercial Products: $858.50
  • NYLCare Health Plans Northwest — PEBB: $858.50
  • UnitedHealthcare — Medicare Advantage: $434.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS $945 $708.75 $406.35 – $935.55
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $935.55
  • NYLCare Health Plans Northwest — Commercial Products: $803.25
  • NYLCare Health Plans Northwest — PEBB: $803.25
  • UnitedHealthcare — Medicare Advantage: $406.35
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB $617 $462.75 $265.31 – $610.83
Transvaginal ultrasound: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $610.83
  • NYLCare Health Plans Northwest — Commercial Products: $524.45
  • NYLCare Health Plans Northwest — PEBB: $524.45
  • UnitedHealthcare — Medicare Advantage: $265.31
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD $518 $388.50 $222.74 – $512.82
Diagnostic mammogram, one breast: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $512.82
  • NYLCare Health Plans Northwest — Commercial Products: $440.30
  • NYLCare Health Plans Northwest — PEBB: $440.30
  • UnitedHealthcare — Medicare Advantage: $222.74
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD $623 $467.25 $267.89 – $616.77
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $616.77
  • NYLCare Health Plans Northwest — Commercial Products: $529.55
  • NYLCare Health Plans Northwest — PEBB: $529.55
  • UnitedHealthcare — Medicare Advantage: $267.89
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SCREEN MAMMO BI INCL CAD $500 $375 $131.47 – $495
Screening mammogram, both breasts: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $495
  • NYLCare Health Plans Northwest — Commercial Products: $425
  • NYLCare Health Plans Northwest — PEBB: $425
  • UnitedHealthcare — Medicare Advantage: $131.47
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD $500 $375 $131.47 – $495
Screening mammogram, both breasts: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $495
  • NYLCare Health Plans Northwest — Commercial Products: $425
  • NYLCare Health Plans Northwest — PEBB: $425
  • UnitedHealthcare — Medicare Advantage: $131.47
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN UNIL/BIL W CAD $500 $375 $131.47 – $495
Screening mammogram, both breasts: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $495
  • NYLCare Health Plans Northwest — Commercial Products: $425
  • NYLCare Health Plans Northwest — PEBB: $425
  • UnitedHealthcare — Medicare Advantage: $131.47

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 93000 ECG 12 LEAD W/INTERP & REPORT $104 $78 $21.07 – $102.96
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $102.96
  • NYLCare Health Plans Northwest — Commercial Products: $88.40
  • NYLCare Health Plans Northwest — PEBB: $88.40
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 93000 ECG 12 LEAD W/INTERP & REPORT $104 $78 $21.07 – $102.96
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • UnitedHealthcare — All Payer (Products other than Options PPO): $30
  • UnitedHealthcare — Medicare Advantage: $21.07
  • UnitedHealthcare — Options PPO: $30

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $129 $96.75 $25.25 – $127.71
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $127.71
  • NYLCare Health Plans Northwest — Commercial Products: $109.65
  • NYLCare Health Plans Northwest — PEBB: $109.65
  • UnitedHealthcare — Medicare Advantage: $55.47
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $129 $96.75 $25.25 – $127.71
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans
  • UnitedHealthcare — All Payer (Products other than Options PPO): $35.50
  • UnitedHealthcare — Medicare Advantage: $25.25
  • UnitedHealthcare — Options PPO: $35.50
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM $329 $246.75 $141.47 – $325.71
Physical therapy evaluation (low complexity): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $325.71
  • NYLCare Health Plans Northwest — Commercial Products: $279.65
  • NYLCare Health Plans Northwest — PEBB: $279.65
  • UnitedHealthcare — Medicare Advantage: $141.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM $329 $246.75 $141.47 – $325.71
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $325.71
  • NYLCare Health Plans Northwest — Commercial Products: $279.65
  • NYLCare Health Plans Northwest — PEBB: $279.65
  • UnitedHealthcare — Medicare Advantage: $141.47
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX $329 $246.75 $141.47 – $325.71
Physical therapy evaluation (high complexity): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $325.71
  • NYLCare Health Plans Northwest — Commercial Products: $279.65
  • NYLCare Health Plans Northwest — PEBB: $279.65
  • UnitedHealthcare — Medicare Advantage: $141.47
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90832 PSYTX W PT 30 MIN RHC $180 $135 $77.40 – $178.20
Psychotherapy, 30 minutes: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $178.20
  • NYLCare Health Plans Northwest — Commercial Products: $153
  • NYLCare Health Plans Northwest — PEBB: $153
  • UnitedHealthcare — Medicare Advantage: $77.40
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90832 PSYCHOTHERAPY W/PATIENT 30 MINUTES $180 $135 $77.40 – $178.20
Psychotherapy, 30 minutes: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $178.20
  • NYLCare Health Plans Northwest — Commercial Products: $153
  • NYLCare Health Plans Northwest — PEBB: $153
  • UnitedHealthcare — Medicare Advantage: $77.40
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90834 PSYTX W PT 45 MIN RHC $237 $177.75 $101.91 – $234.63
Psychotherapy, 45 minutes: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $234.63
  • NYLCare Health Plans Northwest — Commercial Products: $201.45
  • NYLCare Health Plans Northwest — PEBB: $201.45
  • UnitedHealthcare — Medicare Advantage: $101.91
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90834 PSYCHOTHERAPY W/PATIENT 45 MINUTES $237 $177.75 $101.91 – $234.63
Psychotherapy, 45 minutes: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $234.63
  • NYLCare Health Plans Northwest — Commercial Products: $201.45
  • NYLCare Health Plans Northwest — PEBB: $201.45
  • UnitedHealthcare — Medicare Advantage: $101.91
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90837 PSYTX W PT 60 MIN RHC $351 $263.25 $150.93 – $347.49
Psychotherapy, 60 minutes: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $347.49
  • NYLCare Health Plans Northwest — Commercial Products: $298.35
  • NYLCare Health Plans Northwest — PEBB: $298.35
  • UnitedHealthcare — Medicare Advantage: $150.93
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90837 PSYCHOTHERAPY W/PATIENT 60 MINUTES $351 $263.25 $150.93 – $347.49
Psychotherapy, 60 minutes: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $347.49
  • NYLCare Health Plans Northwest — Commercial Products: $298.35
  • NYLCare Health Plans Northwest — PEBB: $298.35
  • UnitedHealthcare — Medicare Advantage: $150.93
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC $102 $76.50 $43.86 – $100.98
Family psychotherapy, without the patient: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $100.98
  • NYLCare Health Plans Northwest — Commercial Products: $86.70
  • NYLCare Health Plans Northwest — PEBB: $86.70
  • UnitedHealthcare — Medicare Advantage: $43.86
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC $106 $79.50 $45.58 – $104.94
Family psychotherapy, with the patient: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $104.94
  • NYLCare Health Plans Northwest — Commercial Products: $90.10
  • NYLCare Health Plans Northwest — PEBB: $90.10
  • UnitedHealthcare — Medicare Advantage: $45.58

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM $7,595 $5,696.25 $3,265.85 – $7,519.05
Removal of breast growth (open surgery): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $7,519.05
  • NYLCare Health Plans Northwest — Commercial Products: $6,455.75
  • NYLCare Health Plans Northwest — PEBB: $6,455.75
  • UnitedHealthcare — Medicare Advantage: $3,265.85
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 19120 REMOVAL OF BREAST LESION 1 OR MORE LESIONS $1,116 $837 $479.88 – $1,104.84
Removal of breast growth (open surgery): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $1,104.84
  • NYLCare Health Plans Northwest — Commercial Products: $948.60
  • NYLCare Health Plans Northwest — PEBB: $948.60
  • UnitedHealthcare — Medicare Advantage: $479.88
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 27447 TOTAL KNEE ARTHROPLASTY $3,584 $2,688 $1,541.12 – $3,548.16
Total knee replacement: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $3,548.16
  • NYLCare Health Plans Northwest — Commercial Products: $3,046.40
  • NYLCare Health Plans Northwest — PEBB: $3,046.40
  • UnitedHealthcare — Medicare Advantage: $1,541.12
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 43235 EGD DIAGNOSTIC BRUSH WASH $340 $255 $146.20 – $336.60
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $336.60
  • NYLCare Health Plans Northwest — Commercial Products: $289
  • NYLCare Health Plans Northwest — PEBB: $289
  • UnitedHealthcare — Medicare Advantage: $146.20
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM $333 $249.75 $143.19 – $329.67
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $329.67
  • NYLCare Health Plans Northwest — Commercial Products: $283.05
  • NYLCare Health Plans Northwest — PEBB: $283.05
  • UnitedHealthcare — Medicare Advantage: $143.19
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 43239 EGD BIOPSY SINGLE/MULTIPLE $382 $286.50 $164.26 – $378.18
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $378.18
  • NYLCare Health Plans Northwest — Commercial Products: $324.70
  • NYLCare Health Plans Northwest — PEBB: $324.70
  • UnitedHealthcare — Medicare Advantage: $164.26
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM $1,097 $822.75 $183.98 – $1,086.03
Colonoscopy (diagnostic): rates for 5 insurance plans
  • Cigna — CIGNA: $331.96
  • Cigna — CIGNA HealthCare: $331.96
  • UnitedHealthcare — All Payer (Products other than Options PPO): $490.99
  • UnitedHealthcare — Medicare Advantage: $183.98
  • UnitedHealthcare — Options PPO: $490.99
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 45378 DX COLONOSCOPY FLEXIBLE W/COLLTN SPEC WHEN PFRMD CDM $1,097 $822.75 $183.98 – $1,086.03
Colonoscopy (diagnostic): rates for 3 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $1,086.03
  • NYLCare Health Plans Northwest — Commercial Products: $932.45
  • NYLCare Health Plans Northwest — PEBB: $932.45
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 45380 COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MULTIPLE CDM $1,206 $904.50 $398.27 – $1,193.94
Colonoscopy with biopsy: rates for 5 insurance plans
  • Cigna — CIGNA: $398.27
  • Cigna — CIGNA HealthCare: $398.27
  • UnitedHealthcare — All Payer (Products other than Options PPO): $586.50
  • UnitedHealthcare — Medicare Advantage: $414.73
  • UnitedHealthcare — Options PPO: $586.50
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 45380 COLONOSCOPY FLEXIBLE W/BIOPSY SINGLE/MULTIPLE CDM $1,206 $904.50 $398.27 – $1,193.94
Colonoscopy with biopsy: rates for 3 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $1,193.94
  • NYLCare Health Plans Northwest — Commercial Products: $1,025.10
  • NYLCare Health Plans Northwest — PEBB: $1,025.10
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM $1,553 $1,164.75 $472.36 – $1,537.47
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $1,537.47
  • NYLCare Health Plans Northwest — Commercial Products: $1,320.05
  • NYLCare Health Plans Northwest — PEBB: $1,320.05
  • UnitedHealthcare — Medicare Advantage: $667.79
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: HC PR 45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ CDM $1,553 $1,164.75 $472.36 – $1,537.47
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans
  • Cigna — CIGNA: $472.36
  • Cigna — CIGNA HealthCare: $472.36
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR G0121 COLORECTAL SCRN NOT HI RISK IND $510 $382.50 $219.30 – $504.90
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $504.90
  • NYLCare Health Plans Northwest — Commercial Products: $433.50
  • NYLCare Health Plans Northwest — PEBB: $433.50
  • UnitedHealthcare — Medicare Advantage: $219.30
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 47562 LAPAROSCOPIC CHOLECYSTECTOMY $1,727 $1,295.25 $742.61 – $1,709.73
Gallbladder removal by laparoscope: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $1,709.73
  • NYLCare Health Plans Northwest — Commercial Products: $1,467.95
  • NYLCare Health Plans Northwest — PEBB: $1,467.95
  • UnitedHealthcare — Medicare Advantage: $742.61
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 49505 REPAIR INGUINAL HERNIA INITIAL BLOCK >5 YR REDUCIBLE $1,368 $1,026 $588.24 – $1,354.32
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $1,354.32
  • NYLCare Health Plans Northwest — Commercial Products: $1,162.80
  • NYLCare Health Plans Northwest — PEBB: $1,162.80
  • UnitedHealthcare — Medicare Advantage: $588.24
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 64721 CARPAL TUNNEL SURGERY $1,162 $871.50 $499.66 – $1,150.38
Carpal tunnel release: rates for 4 insurance plans
  • Integrated Health Plan (IHP) — IHP Network: $1,150.38
  • NYLCare Health Plans Northwest — Commercial Products: $987.70
  • NYLCare Health Plans Northwest — PEBB: $987.70
  • UnitedHealthcare — Medicare Advantage: $499.66

Source: Ocean Beach Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 23, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeCritical Access Hospital
Address174 First Avenue North, Ilwaco, WA 98624
CountyPacific County
StateWashington
Phone(360) 642‑3181
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating2 of 5 stars
CMS Certification Number501314
Name in Medicare recordsOCEAN BEACH HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteOcean Beach Hospital (Ocean Beach Health)
Official websiteoceanbeachhealth.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. Ocean Beach Hospital - Ocean Beach Health - Ocean Beach Hospital — oceanbeachhealth.com