Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Español Near me My list Help
US Patient GuideUSA
Surprise me
Acute Care Hospital

Overlake Hospital Medical Center & Clinics

Bellevue, Washington · King County · Emergency services listed

Summary

Overlake Hospital Medical Center & Clinics is an acute care hospital in Bellevue, Washington. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 142 services, specialties and programs. Medicare lists 875 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(425) 688‑5000 Directions Website Medicare profile
Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
875Doctors and clinicians
142Services listed

Quick answers

Does Overlake Hospital Medical Center & Clinics have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Overlake Hospital Medical Center & Clinics. In a medical emergency, call 911.
Where is Overlake Hospital Medical Center & Clinics?
1035-116TH Ave NE, Bellevue, WA 98004, in King County, Washington.
What is the phone number of Overlake Hospital Medical Center & Clinics?
(425) 688-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Overlake Hospital Medical Center & Clinics?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][8][9][10][11][14]

Conditions treated[8][9][11][13][14][16]

Treatments[4][8][9][13][14][15][16][18]

  • Infusion
  • Weight loss services
  • Heart failure medications
  • Implantable cardioverter defibrillators
  • Coronary angioplasty and stenting
  • Catheter-based treatment of heart attacks
  • Thrombectomy for blood clots
  • DVT medications
  • Varicose vein ablation (laser, radiofrequency, VenaSeal, Varithena)
  • Sclerotherapy
  • Dialysis access (AV fistula and AV graft)
  • Nerve blocks for breast cancer surgery
  • Nurse navigation for cancer patients
  • Clinical trials (through Fred Hutch partnership)
  • Genetic counseling
  • Radiation therapy

Procedures[4][9][11][12][14][16][17][18][19][20][21]

  • Surgical services
  • Mammography
  • Medical imaging
  • Ozaki procedure
  • Coronary artery bypass grafting (CABG)
  • Aortic aneurysm repair
  • Heart valve repair and replacement
  • Transcatheter aortic valve replacement (TAVR)
  • Transcatheter mitral valve repair
  • Maze procedure
  • Septal defect repair
  • Ventricular aneurysm repair
  • Lung resection surgery
  • Video-assisted thoracoscopic surgery (VATS)
  • Mediastinal surgery
  • Cardiac ablation
  • Cardiac resynchronization therapy
  • Alcohol septal ablation

Programs and centers[5][6][8][9][10][11][13][14][15][16][17][19][20]

  • Cancer Care Program
  • Childbirth and Infant Care Program
  • Heart and Vascular Center
  • Heart Failure Management Program
  • Electrophysiology Program
  • Interventional Cardiology Program
  • Cardiac Catheterization Laboratory
  • Complex Coronary Therapeutics Program
  • Cardiothoracic Surgery Program
  • Vascular Surgery Program
  • Dedicated DVT program
  • Cardiac MRI program
  • Cardiovascular Imaging and Diagnostics
  • Level III NICU
  • TeamBirth
  • Parent and Baby Center
  • Donor milk depot
  • Surgical Oncology Program

Emergency care (hospital website)[4][5][15]

Emergency roomYes

Visiting and practical information

Interpreters and languagesInterpreter services free for patients who don't speak English or are deaf or hard of hearing; call (425) 688-5304[7]
Patient portalhttps://www.overlakehospital.org/visit/patient-portal

Recognition[5][8][14][20]

  • U.S. News & World Report: Best Hospitals, Washington State 2026
  • Accredited by American College of Surgeons Commission on Cancer, NAPBC and ACRO (cancer care)
  • Fully accredited vascular laboratory
  • Accredited cardiac MRI program

Doctors and clinicians (875)

875 doctors and other clinicians list Overlake Hospital Medical Center & Clinics 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 (875)

And 851 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 Overlake Hospital Medical Center & Clinics reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1077%National average: 72%
Would definitely recommend the hospital79%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean75%National average: 74%
Area around the room “always” quiet at night58%National average: 60%
Completed surveys788Response rate: 25%

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)0.582No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.178Better than the national benchmark
Surgical site infections after colon surgery0.91No different from the national benchmark
Surgical site infections after abdominal hysterectomy2.969Worse than the national benchmark
MRSA bloodstream infections0.7No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.33Better 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 patients14.2%
Deaths within 30 days: heart failure patients11.6%
Deaths within 30 days: pneumonia patients18.2%
Deaths within 30 days: COPD patients14.6%
Deaths within 30 days: stroke patients11.2%
Deaths within 30 days: coronary bypass surgery (CABG)2.3%
Serious complications (patient safety indicator PSI-90)0.98No different from the national rate
Complications after hip or knee replacement4.1%

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 attack14.4%
Readmitted within 30 days: heart failure19%
Readmitted within 30 days: pneumonia17.5%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgery11.1%
Readmitted within 30 days: hip or knee replacement5.7%

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)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)176 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)55%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 87 common services exactly as Overlake Hospital Medical Center & Clinics lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $270.14
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • Aetna — All Commercial Plans: $270.14
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $440.83
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • Aetna — All Commercial Plans: $440.83
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $600.13
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • Aetna — All Commercial Plans: $600.13
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $218.05
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan
  • Aetna — All Commercial Plans: $218.05
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $320.78
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • Aetna — All Commercial Plans: $320.78
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation Not listed in the file Not listed in the file $289.75
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Aetna — All Commercial Plans: $289.75
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation Not listed in the file Not listed in the file $466.11
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Aetna — All Commercial Plans: $466.11
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $350.98
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $350.98
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $426.93
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $426.93
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $316.99 – $1,005.03
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $844.61
  • Aetna — Medicare Managed Care Plan: $326.50
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $707.20
  • Blue Cross — Premera Medicare Managed Care Plan: $316.99
  • Blue Shield — Regence All Commercial Plans: $799.62
  • Blue Shield — Regence Real Value Exchange: $719.66
  • Blue Shield — Regence Ump Other Commercial Plan: $644.72
  • First Choice — Evergreen Employee Other Commercial Plan: $670.02
  • First Choice — Health Administrators Tpa Other Commercial Plan: $670.02
  • First Choice — Ppo: $670.02
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mid Level Ed Visits-Level 3 $1,528 $764 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mid Level Obed Visits-Level 3 $1,528 $764 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $484.54 – $1,583.06
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $1,298.91
  • Aetna — Medicare Managed Care Plan: $499.08
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $707.20
  • Blue Cross — Premera Medicare Managed Care Plan: $484.54
  • Blue Shield — Regence All Commercial Plans: $1,241.27
  • Blue Shield — Regence Real Value Exchange: $1,117.14
  • Blue Shield — Regence Ump Other Commercial Plan: $1,000.82
  • First Choice — Evergreen Employee Other Commercial Plan: $1,055.37
  • First Choice — Health Administrators Tpa Other Commercial Plan: $1,055.37
  • First Choice — Ppo: $1,055.37
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: Hc High Level Ed Visits-Level 4 $2,523 $1,261.50 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: Hc High Level Obed Visits-Level 4 $2,523 $1,261.50 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $691.55 – $2,270.30
Emergency room visit (high): 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $1,870.19
  • Aetna — Medicare Managed Care Plan: $712.30
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $707.20
  • Blue Cross — Premera Medicare Managed Care Plan: $691.55
  • Blue Shield — Regence All Commercial Plans: $1,800.11
  • Blue Shield — Regence Real Value Exchange: $1,620.10
  • Blue Shield — Regence Ump Other Commercial Plan: $1,451.40
  • First Choice — Evergreen Employee Other Commercial Plan: $1,513.53
  • First Choice — Health Administrators Tpa Other Commercial Plan: $1,513.53
  • First Choice — Ppo: $1,513.53
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc High Level Ed Visits-Level 5 $3,943 $1,971.50 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee · modifier 25 In the file: Hc High Level Obed Visits-Level 5 $3,943 $1,971.50 Not listed in the file

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: Metabolic panel total ca Not listed in the file Not listed in the file $8.04 – $79.50
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $79.50
  • Aetna — Medicare Managed Care Plan: $8.71
  • Blue Cross — Premera - Heritage All Commercial Plans: $12.69
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $11.42
  • Blue Cross — Premera Medicare Managed Care Plan: $8.46
  • Cigna — Localplus Other Commercial Plan: $8.80
  • Cigna — Oap Other Commercial Plan: $8.80
  • Cigna — Ppo: $13.64
  • First Choice — Evergreen Employee Other Commercial Plan: $16.07
  • First Choice — Health Administrators Tpa Other Commercial Plan: $16.07
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Basic Metabolic Panel Calcium Total $86 $43 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Basic Metabolic Panel Calcium Total-Lc $23.54 $11.77 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.03 – $99.30
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $99.30
  • Aetna — Medicare Managed Care Plan: $10.88
  • Blue Cross — Premera - Heritage All Commercial Plans: $15.84
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $14.26
  • Blue Cross — Premera Medicare Managed Care Plan: $10.56
  • Cigna — Localplus Other Commercial Plan: $10.98
  • Cigna — Oap Other Commercial Plan: $10.98
  • Cigna — Ppo: $17.01
  • First Choice — Evergreen Employee Other Commercial Plan: $20.06
  • First Choice — Health Administrators Tpa Other Commercial Plan: $20.06
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Metabolic Panel,Comprehensive $97 $48.50 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Comprehensive Metabolic Panel-Lc $22.92 $11.46 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $45.42 – $449.40
Obstetric blood test panel: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $449.40
  • Aetna — Medicare Managed Care Plan: $49.24
  • Blue Cross — Premera - Heritage All Commercial Plans: $71.72
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $64.54
  • Blue Cross — Premera Medicare Managed Care Plan: $47.81
  • Cigna — Localplus Other Commercial Plan: $49.73
  • Cigna — Oap Other Commercial Plan: $49.73
  • Cigna — Ppo: $77.08
  • First Choice — Evergreen Employee Other Commercial Plan: $90.84
  • First Choice — Health Administrators Tpa Other Commercial Plan: $90.84
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39 – $45.20
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $33.78
  • Aetna — Medicare Managed Care Plan: $13.79
  • Blue Cross — Premera - Heritage All Commercial Plans: $20.09
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $18.08
  • Blue Cross — Premera Medicare Managed Care Plan: $13.39
  • Cigna — Localplus Other Commercial Plan: $13.92
  • Cigna — Oap Other Commercial Plan: $13.92
  • Cigna — Ppo: $21.58
  • First Choice — Evergreen Employee Other Commercial Plan: $30.13
  • First Choice — Health Administrators Tpa Other Commercial Plan: $30.13
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg Lipid Panel $20.09 $10.04 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lipid Panel Lab3244 $13.02 $6.51 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.25 – $81.60
Kidney function panel: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $81.60
  • Aetna — Medicare Managed Care Plan: $8.94
  • Blue Cross — Premera - Heritage All Commercial Plans: $13.02
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $11.72
  • Blue Cross — Premera Medicare Managed Care Plan: $8.68
  • Cigna — Localplus Other Commercial Plan: $9.02
  • Cigna — Oap Other Commercial Plan: $9.02
  • Cigna — Ppo: $13.99
  • First Choice — Evergreen Employee Other Commercial Plan: $16.49
  • First Choice — Health Administrators Tpa Other Commercial Plan: $16.49
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Renal Function Panel $86 $43 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $7.76 – $76.80
Liver function panel: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $76.80
  • Aetna — Medicare Managed Care Plan: $8.42
  • Blue Cross — Premera - Heritage All Commercial Plans: $12.26
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $11.03
  • Blue Cross — Premera Medicare Managed Care Plan: $8.17
  • Cigna — Localplus Other Commercial Plan: $8.50
  • Cigna — Oap Other Commercial Plan: $8.50
  • Cigna — Ppo: $13.17
  • First Choice — Evergreen Employee Other Commercial Plan: $15.52
  • First Choice — Health Administrators Tpa Other Commercial Plan: $15.52
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hepatic Function Panel $67 $33.50 Not listed in the file
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Hepatic Function Panel-Lc $23.52 $11.76 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.01 – $29.80
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $29.80
  • Aetna — Medicare Managed Care Plan: $3.27
  • Blue Cross — Premera - Heritage All Commercial Plans: $4.76
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $4.28
  • Blue Cross — Premera Medicare Managed Care Plan: $3.17
  • Cigna — Localplus Other Commercial Plan: $3.30
  • Cigna — Oap Other Commercial Plan: $3.30
  • Cigna — Ppo: $5.11
  • First Choice — Evergreen Employee Other Commercial Plan: $6.02
  • First Choice — Health Administrators Tpa Other Commercial Plan: $6.02
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis With Microscopy $67 $33.50 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.31 – $32.70
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $32.70
  • Aetna — Medicare Managed Care Plan: $3.58
  • Blue Cross — Premera - Heritage All Commercial Plans: $5.22
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $4.70
  • Blue Cross — Premera Medicare Managed Care Plan: $3.48
  • Cigna — Localplus Other Commercial Plan: $3.62
  • Cigna — Oap Other Commercial Plan: $3.62
  • Cigna — Ppo: $5.60
  • First Choice — Evergreen Employee Other Commercial Plan: $6.61
  • First Choice — Health Administrators Tpa Other Commercial Plan: $6.61
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis Nonauto W/O Scope $38 $19 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.14 – $21.20
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $21.20
  • Aetna — Medicare Managed Care Plan: $2.32
  • Blue Cross — Premera - Heritage All Commercial Plans: $3.38
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $3.04
  • Blue Cross — Premera Medicare Managed Care Plan: $2.25
  • Cigna — Localplus Other Commercial Plan: $2.34
  • Cigna — Oap Other Commercial Plan: $2.34
  • Cigna — Ppo: $3.62
  • First Choice — Evergreen Employee Other Commercial Plan: $4.28
  • First Choice — Health Administrators Tpa Other Commercial Plan: $4.28
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Urinalysis Dipstick Only No Culture $49 $24.50 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $17.47 – $172.90
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $172.90
  • Aetna — Medicare Managed Care Plan: $18.94
  • Blue Cross — Premera - Heritage All Commercial Plans: $27.59
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $24.83
  • Blue Cross — Premera Medicare Managed Care Plan: $18.39
  • Cigna — Localplus Other Commercial Plan: $19.12
  • Cigna — Oap Other Commercial Plan: $19.12
  • Cigna — Ppo: $29.64
  • First Choice — Evergreen Employee Other Commercial Plan: $34.94
  • First Choice — Health Administrators Tpa Other Commercial Plan: $34.94
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg Assay Of Prostate Specific Antigen Total $27.59 $13.80 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psa, Ultrasensitive W/O Serial $50.71 $25.36 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $15.96 – $157.90
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $157.90
  • Aetna — Medicare Managed Care Plan: $17.30
  • Blue Cross — Premera - Heritage All Commercial Plans: $25.20
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $22.68
  • Blue Cross — Premera Medicare Managed Care Plan: $16.80
  • Cigna — Localplus Other Commercial Plan: $17.47
  • Cigna — Oap Other Commercial Plan: $17.47
  • Cigna — Ppo: $27.08
  • First Choice — Evergreen Employee Other Commercial Plan: $31.92
  • First Choice — Health Administrators Tpa Other Commercial Plan: $31.92
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Assay Thyroid Stim Hormone $147 $73.50 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Thyroid Stimulating Hormone Reflex-Lc $26.50 $13.25 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.38 – $73
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $73
  • Aetna — Medicare Managed Care Plan: $8
  • Blue Cross — Premera - Heritage All Commercial Plans: $11.66
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $10.49
  • Blue Cross — Premera Medicare Managed Care Plan: $7.77
  • Cigna — Localplus Other Commercial Plan: $8.08
  • Cigna — Oap Other Commercial Plan: $8.08
  • Cigna — Ppo: $12.52
  • First Choice — Evergreen Employee Other Commercial Plan: $14.76
  • First Choice — Health Administrators Tpa Other Commercial Plan: $14.76
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Complete Cbc & Auto Diff Wbc $109 $54.50 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.15 – $60.80
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $60.80
  • Aetna — Medicare Managed Care Plan: $6.66
  • Blue Cross — Premera - Heritage All Commercial Plans: $9.71
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $8.73
  • Blue Cross — Premera Medicare Managed Care Plan: $6.47
  • Cigna — Localplus Other Commercial Plan: $6.74
  • Cigna — Oap Other Commercial Plan: $6.74
  • Cigna — Ppo: $10.44
  • First Choice — Evergreen Employee Other Commercial Plan: $12.29
  • First Choice — Health Administrators Tpa Other Commercial Plan: $12.29
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Complete Cbc $78 $39 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Complete Cbc-Lc $20.40 $10.20 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.08 – $40.30
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $40.30
  • Aetna — Medicare Managed Care Plan: $4.42
  • Blue Cross — Premera - Heritage All Commercial Plans: $6.44
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $5.79
  • Blue Cross — Premera Medicare Managed Care Plan: $4.29
  • Cigna — Localplus Other Commercial Plan: $4.46
  • Cigna — Oap Other Commercial Plan: $4.46
  • Cigna — Ppo: $6.92
  • First Choice — Evergreen Employee Other Commercial Plan: $8.15
  • First Choice — Health Administrators Tpa Other Commercial Plan: $8.15
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg Prothrombin Time $6.44 $3.22 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Prothrombin Time Lab3043 $25.67 $12.84 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $5.71 – $56.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $56.50
  • Aetna — Medicare Managed Care Plan: $6.19
  • Blue Cross — Premera - Heritage All Commercial Plans: $9.02
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $8.11
  • Blue Cross — Premera Medicare Managed Care Plan: $6.01
  • Cigna — Localplus Other Commercial Plan: $6.26
  • Cigna — Oap Other Commercial Plan: $6.26
  • Cigna — Ppo: $9.70
  • First Choice — Evergreen Employee Other Commercial Plan: $11.42
  • First Choice — Health Administrators Tpa Other Commercial Plan: $11.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Thromboplas Time Partial Lab3188 $40.47 $20.24 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Thromboplas Time Partial Lab4619 $12.04 $6.02 Not listed in the file

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: Ct head/brain w/o dye Not listed in the file Not listed in the file $121.40 – $1,069.25
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $324.39
  • Aetna — Medicare Managed Care Plan: $125.04
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $291.06
  • Blue Cross — Premera Medicare Managed Care Plan: $121.40
  • Blue Shield — Regence All Commercial Plans: $308.11
  • Blue Shield — Regence Real Value Exchange: $277.30
  • Blue Shield — Regence Ump Other Commercial Plan: $248.43
  • Cigna — Localplus Other Commercial Plan: $307.10
  • Cigna — Oap Other Commercial Plan: $316.60
  • Cigna — Ppo: $386.85
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Head Or Brain Wo Con $1,171 $585.50 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $405.13 – $3,642.86
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $1,089.39
  • Aetna — Medicare Managed Care Plan: $417.28
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $1,003.32
  • Blue Cross — Premera Medicare Managed Care Plan: $405.13
  • Blue Shield — Regence All Commercial Plans: $1,077.79
  • Blue Shield — Regence Real Value Exchange: $970.01
  • Blue Shield — Regence Ump Other Commercial Plan: $869
  • Cigna — Localplus Other Commercial Plan: $1,074.29
  • Cigna — Oap Other Commercial Plan: $1,107.52
  • Cigna — Ppo: $1,353.26
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Brain Incl Bs Wo/W Con $2,457 $1,228.50 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $101.06 – $761.39
Chest X-ray, 2 views: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $268.57
  • Aetna — Medicare Managed Care Plan: $104.09
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $236.59
  • Blue Cross — Premera Medicare Managed Care Plan: $101.06
  • Blue Shield — Regence All Commercial Plans: $254.67
  • Blue Shield — Regence Real Value Exchange: $229.20
  • Blue Shield — Regence Ump Other Commercial Plan: $205.33
  • Cigna — Localplus Other Commercial Plan: $253.83
  • Cigna — Oap Other Commercial Plan: $261.68
  • Cigna — Ppo: $319.75
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Chest 2 Vws $233 $116.50 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $121.40 – $1,069.25
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $324.39
  • Aetna — Medicare Managed Care Plan: $125.04
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $291.06
  • Blue Cross — Premera Medicare Managed Care Plan: $121.40
  • Blue Shield — Regence All Commercial Plans: $308.11
  • Blue Shield — Regence Real Value Exchange: $277.30
  • Blue Shield — Regence Ump Other Commercial Plan: $248.43
  • Cigna — Localplus Other Commercial Plan: $307.10
  • Cigna — Oap Other Commercial Plan: $316.60
  • Cigna — Ppo: $386.85
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 Vws $471 $235.50 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $277.07 – $2,223.20
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $737.34
  • Aetna — Medicare Managed Care Plan: $285.39
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $635.93
  • Blue Cross — Premera Medicare Managed Care Plan: $277.07
  • Blue Shield — Regence All Commercial Plans: $686.73
  • Blue Shield — Regence Real Value Exchange: $618.06
  • Blue Shield — Regence Ump Other Commercial Plan: $553.70
  • Cigna — Localplus Other Commercial Plan: $684.51
  • Cigna — Oap Other Commercial Plan: $705.68
  • Cigna — Ppo: $862.26
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Mri Lumbar Spine Wo Con $1,958 $979 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $203.68 – $1,738.38
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $543.02
  • Aetna — Medicare Managed Care Plan: $209.79
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $491.10
  • Blue Cross — Premera Medicare Managed Care Plan: $203.68
  • Blue Shield — Regence All Commercial Plans: $514.92
  • Blue Shield — Regence Real Value Exchange: $463.43
  • Blue Shield — Regence Ump Other Commercial Plan: $415.17
  • Cigna — Localplus Other Commercial Plan: $513.25
  • Cigna — Oap Other Commercial Plan: $529.12
  • Cigna — Ppo: $646.53
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Pelvis With Con $1,556 $778 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $277.07 – $2,223.20
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $737.34
  • Aetna — Medicare Managed Care Plan: $285.39
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $635.93
  • Blue Cross — Premera Medicare Managed Care Plan: $277.07
  • Blue Shield — Regence All Commercial Plans: $686.73
  • Blue Shield — Regence Real Value Exchange: $618.06
  • Blue Shield — Regence Ump Other Commercial Plan: $553.70
  • Cigna — Localplus Other Commercial Plan: $684.51
  • Cigna — Oap Other Commercial Plan: $705.68
  • Cigna — Ppo: $862.26
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: Hc Mri Low Extrem Joint Wo Con $1,877 $938.50 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Hc Mri Low Extrem Joint Wo Con Bilateral $3,753 $1,876.50 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $405.13 – $3,642.86
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $1,089.39
  • Aetna — Medicare Managed Care Plan: $417.28
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $1,003.32
  • Blue Cross — Premera Medicare Managed Care Plan: $405.13
  • Blue Shield — Regence All Commercial Plans: $1,077.79
  • Blue Shield — Regence Real Value Exchange: $970.01
  • Blue Shield — Regence Ump Other Commercial Plan: $869
  • Cigna — Localplus Other Commercial Plan: $1,074.29
  • Cigna — Oap Other Commercial Plan: $1,107.52
  • Cigna — Ppo: $1,353.26
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ct Abd & Pelvis With Con $3,200 $1,600 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $121.40 – $1,069.25
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $324.39
  • Aetna — Medicare Managed Care Plan: $125.04
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $291.06
  • Blue Cross — Premera Medicare Managed Care Plan: $121.40
  • Blue Shield — Regence All Commercial Plans: $308.11
  • Blue Shield — Regence Real Value Exchange: $277.30
  • Blue Shield — Regence Ump Other Commercial Plan: $248.43
  • Cigna — Localplus Other Commercial Plan: $307.10
  • Cigna — Oap Other Commercial Plan: $316.60
  • Cigna — Ppo: $386.85
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Abdomen Complete $617 $308.50 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $121.40 – $1,069.25
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $324.39
  • Aetna — Medicare Managed Care Plan: $125.04
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $291.06
  • Blue Cross — Premera Medicare Managed Care Plan: $121.40
  • Blue Shield — Regence All Commercial Plans: $308.11
  • Blue Shield — Regence Real Value Exchange: $277.30
  • Blue Shield — Regence Ump Other Commercial Plan: $248.43
  • Cigna — Localplus Other Commercial Plan: $307.10
  • Cigna — Oap Other Commercial Plan: $316.60
  • Cigna — Ppo: $386.85
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Ob F&M Evaluation >14 Wks Sngl Gest $598 $299 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $121.40 – $1,069.25
Transvaginal ultrasound: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $324.39
  • Aetna — Medicare Managed Care Plan: $125.04
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $291.06
  • Blue Cross — Premera Medicare Managed Care Plan: $121.40
  • Blue Shield — Regence All Commercial Plans: $308.11
  • Blue Shield — Regence Real Value Exchange: $277.30
  • Blue Shield — Regence Ump Other Commercial Plan: $248.43
  • Cigna — Localplus Other Commercial Plan: $307.10
  • Cigna — Oap Other Commercial Plan: $316.60
  • Cigna — Ppo: $386.85
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Us Transvaginal Non Ob $398 $199 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $106.38 – $319.13
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $261.20
  • Blue Cross — Premera - Heritage All Commercial Plans: $176.64
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $158.98
  • Cigna — Localplus Other Commercial Plan: $248.19
  • Cigna — Oap Other Commercial Plan: $255.87
  • Cigna — Ppo: $312.64
  • First Choice — Evergreen Employee Other Commercial Plan: $212.75
  • First Choice — Health Administrators Tpa Other Commercial Plan: $212.75
  • First Choice — Ppo: $212.75
  • First Choice — Virginia Mason Hvn Other Commercial Plan: $212.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $90.64 – $238.38
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Aetna — Medicare Managed Care Plan: $93.36
  • Blue Cross — Premera Medicare Managed Care Plan: $90.64
  • Kaiser — All Commercial Plans: $238.38
  • Molina — Exchange: $163.15
  • Unitedhealthcare — All Commercial Plans: $99.70
  • Unitedhealthcare — Medicare Managed Care Plan: $94.27
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee · modifier RT In the file: Hc Diagnostic Mammo Ddi Uni Incl Cad $342 $171 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $135.61 – $406.82
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $332.87
  • Blue Cross — Premera - Heritage All Commercial Plans: $225.08
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $202.57
  • Cigna — Localplus Other Commercial Plan: $318.14
  • Cigna — Oap Other Commercial Plan: $327.98
  • Cigna — Ppo: $400.75
  • First Choice — Evergreen Employee Other Commercial Plan: $271.21
  • First Choice — Health Administrators Tpa Other Commercial Plan: $271.21
  • First Choice — Ppo: $271.21
  • First Choice — Virginia Mason Hvn Other Commercial Plan: $271.21
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Diagnostic Mammo Ddi Bil Inc Cad $433 $216.50 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $116.22 – $305.66
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Aetna — Medicare Managed Care Plan: $119.71
  • Blue Cross — Premera Medicare Managed Care Plan: $116.22
  • Kaiser — All Commercial Plans: $305.66
  • Molina — Exchange: $209.20
  • Unitedhealthcare — All Commercial Plans: $127.84
  • Unitedhealthcare — Medicare Managed Care Plan: $120.87
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $112.47 – $337.40
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna — All Commercial Plans: $275.43
  • Blue Cross — Premera - Heritage All Commercial Plans: $186.22
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $167.60
  • Cigna — Localplus Other Commercial Plan: $262.43
  • Cigna — Oap Other Commercial Plan: $270.55
  • Cigna — Ppo: $330.58
  • First Choice — Evergreen Employee Other Commercial Plan: $224.93
  • First Choice — Health Administrators Tpa Other Commercial Plan: $224.93
  • First Choice — Ppo: $224.93
  • First Choice — Virginia Mason Hvn Other Commercial Plan: $224.93
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Screen Mammo Ddi Bilateral Inc Cad $422 $211 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $95.92 – $252.27
Screening mammogram, both breasts: rates for 6 insurance plans
  • Aetna — Medicare Managed Care Plan: $98.80
  • Blue Cross — Premera Medicare Managed Care Plan: $95.92
  • Kaiser — All Commercial Plans: $252.27
  • Molina — Exchange: $172.66
  • Unitedhealthcare — All Commercial Plans: $105.51
  • Unitedhealthcare — Medicare Managed Care Plan: $99.76

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $39.75
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $39.75
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $3,764.66 – $12,824.78
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $9,811.31
  • Aetna — Medicare Managed Care Plan: $3,877.60
  • Blue Cross — Premera - Heritage All Commercial Plans: $9,735.20
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $8,056.65
  • Blue Cross — Premera Medicare Managed Care Plan: $3,764.66
  • Blue Shield — Regence All Commercial Plans: $9,132.25
  • Blue Shield — Regence Real Value Exchange: $8,219.03
  • Blue Shield — Regence Ump Other Commercial Plan: $7,363.18
  • First Choice — Evergreen Employee Other Commercial Plan: $8,549.85
  • First Choice — Health Administrators Tpa Other Commercial Plan: $8,549.85
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Lt Heart Cath $15,612 $7,806 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $8,828.57 – $26,485.70
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $23,146.66
  • Aetna — Medicare Managed Care Plan: $9,328.99
  • Blue Cross — Premera - Heritage All Commercial Plans: $22,967.10
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $18,335.01
  • Blue Cross — Premera Medicare Managed Care Plan: $9,057.27
  • Blue Shield — Regence All Commercial Plans: $20,929.88
  • Blue Shield — Regence Real Value Exchange: $18,836.89
  • Blue Shield — Regence Ump Other Commercial Plan: $16,875.40
  • First Choice — Evergreen Employee Other Commercial Plan: $17,657.13
  • First Choice — Health Administrators Tpa Other Commercial Plan: $17,657.13
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $30,352.29 – $91,958.72
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $74,833.02
  • Aetna — Medicare Managed Care Plan: $31,262.86
  • Blue Cross — Premera - Heritage All Commercial Plans: $74,252.51
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $63,945.60
  • Blue Cross — Premera Medicare Managed Care Plan: $30,352.29
  • Blue Shield — Regence All Commercial Plans: $66,561.50
  • Blue Shield — Regence Real Value Exchange: $59,905.35
  • Blue Shield — Regence Ump Other Commercial Plan: $53,667.39
  • First Choice — Evergreen Employee Other Commercial Plan: $61,305.81
  • First Choice — Health Administrators Tpa Other Commercial Plan: $61,305.81
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Ep&Ablate A Fib Pulm Vein Isol $51,498 $25,749 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $997.20 – $8,671.38
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $3,103.44
  • Aetna — Medicare Managed Care Plan: $1,027.12
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $2,544.57
  • Blue Cross — Premera Medicare Managed Care Plan: $997.20
  • Blue Shield — Regence All Commercial Plans: $2,930.16
  • Blue Shield — Regence Real Value Exchange: $2,637.14
  • Blue Shield — Regence Ump Other Commercial Plan: $2,362.54
  • First Choice — Evergreen Employee Other Commercial Plan: $5,780.92
  • First Choice — Health Administrators Tpa Other Commercial Plan: $5,780.92
  • First Choice — Ppo: $5,780.92

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: Therapeutic exercises Not listed in the file Not listed in the file $29.90 – $105.98
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $81.80
  • Aetna — Medicare Managed Care Plan: $30.80
  • Blue Cross — Premera - Heritage All Commercial Plans: $58.76
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $52.88
  • Blue Cross — Premera Medicare Managed Care Plan: $29.90
  • First Choice — Evergreen Employee Other Commercial Plan: $70.65
  • First Choice — Health Administrators Tpa Other Commercial Plan: $70.65
  • First Choice — Ppo: $70.65
  • First Choice — Virginia Mason Hvn Other Commercial Plan: $70.65
  • Kaiser — All Commercial Plans: $78.64
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Therapeutic Procedure Ea 15Min $126 $63 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: Hc Therapeutic Procedure Ea 15Min $126 $63 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $98.66 – $295.98
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $278.18
  • Aetna — Medicare Managed Care Plan: $114.17
  • Blue Cross — Premera - Heritage All Commercial Plans: $199.96
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $179.96
  • Blue Cross — Premera Medicare Managed Care Plan: $110.84
  • First Choice — Evergreen Employee Other Commercial Plan: $197.32
  • First Choice — Health Administrators Tpa Other Commercial Plan: $197.32
  • First Choice — Ppo: $197.32
  • First Choice — Virginia Mason Hvn Other Commercial Plan: $197.32
  • Kaiser — All Commercial Plans: $291.51
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Low Complex $183 $91.50 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $98.66 – $295.98
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $278.18
  • Aetna — Medicare Managed Care Plan: $103.93
  • Blue Cross — Premera - Heritage All Commercial Plans: $199.96
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $179.96
  • Blue Cross — Premera Medicare Managed Care Plan: $100.90
  • First Choice — Evergreen Employee Other Commercial Plan: $197.32
  • First Choice — Health Administrators Tpa Other Commercial Plan: $197.32
  • First Choice — Ppo: $197.32
  • First Choice — Virginia Mason Hvn Other Commercial Plan: $197.32
  • Kaiser — All Commercial Plans: $265.37
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval Mod Complex $274 $137 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $98.66 – $295.98
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $278.18
  • Aetna — Medicare Managed Care Plan: $114.17
  • Blue Cross — Premera - Heritage All Commercial Plans: $199.96
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $179.96
  • Blue Cross — Premera Medicare Managed Care Plan: $110.84
  • First Choice — Evergreen Employee Other Commercial Plan: $197.32
  • First Choice — Health Administrators Tpa Other Commercial Plan: $197.32
  • First Choice — Ppo: $197.32
  • First Choice — Virginia Mason Hvn Other Commercial Plan: $197.32
  • Kaiser — All Commercial Plans: $291.51
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee · modifier GP In the file: Hc Pt Eval High Complex $411 $205.50 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $206.11 – $1,253.18
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $490.12
  • Aetna — Medicare Managed Care Plan: $212.30
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $396.78
  • Blue Cross — Premera Medicare Managed Care Plan: $206.11
  • Blue Shield — Regence All Commercial Plans: $446.83
  • Blue Shield — Regence Real Value Exchange: $402.15
  • Blue Shield — Regence Ump Other Commercial Plan: $360.27
  • First Choice — Evergreen Employee Other Commercial Plan: $835.45
  • First Choice — Health Administrators Tpa Other Commercial Plan: $835.45
  • First Choice — Ppo: $835.45
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $206.11 – $1,253.18
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $490.12
  • Aetna — Medicare Managed Care Plan: $212.30
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $396.78
  • Blue Cross — Premera Medicare Managed Care Plan: $206.11
  • Blue Shield — Regence All Commercial Plans: $446.83
  • Blue Shield — Regence Real Value Exchange: $402.15
  • Blue Shield — Regence Ump Other Commercial Plan: $360.27
  • First Choice — Evergreen Employee Other Commercial Plan: $835.45
  • First Choice — Health Administrators Tpa Other Commercial Plan: $835.45
  • First Choice — Ppo: $835.45
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psychotherapy, 45 Minutes $361 $180.50 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $206.11 – $1,253.18
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $490.12
  • Aetna — Medicare Managed Care Plan: $212.30
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $396.78
  • Blue Cross — Premera Medicare Managed Care Plan: $206.11
  • Blue Shield — Regence All Commercial Plans: $446.83
  • Blue Shield — Regence Real Value Exchange: $402.15
  • Blue Shield — Regence Ump Other Commercial Plan: $360.27
  • First Choice — Evergreen Employee Other Commercial Plan: $835.45
  • First Choice — Health Administrators Tpa Other Commercial Plan: $835.45
  • First Choice — Ppo: $835.45
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $206.11 – $1,253.18
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $490.12
  • Aetna — Medicare Managed Care Plan: $212.30
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $396.78
  • Blue Cross — Premera Medicare Managed Care Plan: $206.11
  • Blue Shield — Regence All Commercial Plans: $446.83
  • Blue Shield — Regence Real Value Exchange: $402.15
  • Blue Shield — Regence Ump Other Commercial Plan: $360.27
  • First Choice — Evergreen Employee Other Commercial Plan: $835.45
  • First Choice — Health Administrators Tpa Other Commercial Plan: $835.45
  • First Choice — Ppo: $835.45
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $206.11 – $1,253.18
Family psychotherapy, with the patient: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $490.12
  • Aetna — Medicare Managed Care Plan: $212.30
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $396.78
  • Blue Cross — Premera Medicare Managed Care Plan: $206.11
  • Blue Shield — Regence All Commercial Plans: $446.83
  • Blue Shield — Regence Real Value Exchange: $402.15
  • Blue Shield — Regence Ump Other Commercial Plan: $360.27
  • First Choice — Evergreen Employee Other Commercial Plan: $835.45
  • First Choice — Health Administrators Tpa Other Commercial Plan: $835.45
  • First Choice — Ppo: $835.45
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 $117.97 – $749.27
Group psychotherapy: 10 of 15 insurance plan rates
  • Aetna — All Commercial Plans: $282.17
  • Aetna — Medicare Managed Care Plan: $121.51
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $206.57
  • Blue Cross — Premera Medicare Managed Care Plan: $117.97
  • Blue Shield — Regence All Commercial Plans: $249.81
  • Blue Shield — Regence Real Value Exchange: $224.83
  • Blue Shield — Regence Ump Other Commercial Plan: $201.42
  • First Choice — Evergreen Employee Other Commercial Plan: $499.51
  • First Choice — Health Administrators Tpa Other Commercial Plan: $499.51
  • First Choice — Ppo: $499.51
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych Day Hospital (Comm) $1,360 $680 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Psych 1/2 Day Hospital (Comm) $431 $215.50 Not listed in the file

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: Removal of breast lesion Not listed in the file Not listed in the file $3,980 – $13,632.98
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $11,680.80
  • Aetna — Medicare Managed Care Plan: $4,683.16
  • Blue Cross — Premera - Heritage All Commercial Plans: $11,590.18
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $9,362
  • Blue Cross — Premera Medicare Managed Care Plan: $4,546.75
  • Blue Shield — Regence All Commercial Plans: $10,682.55
  • Blue Shield — Regence Real Value Exchange: $9,614.30
  • Blue Shield — Regence Ump Other Commercial Plan: $8,613.15
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc Excise Lesion Breast 1+ $6,977 $3,488.50 Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $7,297 – $53,553.20
Total hip replacement: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $39,248.78
  • Aetna — Medicare Managed Care Plan: $15,356.03
  • Blue Cross — Premera - Heritage All Commercial Plans: $38,944.32
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $35,533.29
  • Blue Cross — Premera Medicare Managed Care Plan: $14,908.77
  • Blue Shield — Regence All Commercial Plans: $36,884.63
  • Blue Shield — Regence Real Value Exchange: $33,196.17
  • Blue Shield — Regence Ump Other Commercial Plan: $29,739.44
  • Cigna — Localplus Other Commercial Plan: $7,297
  • Cigna — Oap Other Commercial Plan: $8,461
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 $7,297 – $53,553.20
Total knee replacement: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $39,248.78
  • Aetna — Medicare Managed Care Plan: $15,356.03
  • Blue Cross — Premera - Heritage All Commercial Plans: $38,944.32
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $35,533.29
  • Blue Cross — Premera Medicare Managed Care Plan: $14,908.77
  • Blue Shield — Regence All Commercial Plans: $36,884.63
  • Blue Shield — Regence Real Value Exchange: $33,196.17
  • Blue Shield — Regence Ump Other Commercial Plan: $29,739.44
  • Cigna — Localplus Other Commercial Plan: $7,297
  • Cigna — Oap Other Commercial Plan: $8,461
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $3,980 – $4,736
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
  • Cigna — Ppo: $4,736
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $3,799.57 – $12,318.53
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $9,897.32
  • Aetna — Medicare Managed Care Plan: $3,913.56
  • Blue Cross — Premera - Heritage All Commercial Plans: $9,820.54
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $8,106.22
  • Blue Cross — Premera Medicare Managed Care Plan: $3,799.57
  • Blue Shield — Regence All Commercial Plans: $9,071.37
  • Blue Shield — Regence Real Value Exchange: $8,164.23
  • Blue Shield — Regence Ump Other Commercial Plan: $7,314.09
  • Cigna — Localplus Other Commercial Plan: $8,624
  • Cigna — Oap Other Commercial Plan: $9,999
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 $3,980 – $21,827.39
Removal of tonsils and adenoids (under age 12): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $18,045.05
  • Aetna — Medicare Managed Care Plan: $7,080.56
  • Blue Cross — Premera - Heritage All Commercial Plans: $17,905.07
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $14,541.31
  • Blue Cross — Premera Medicare Managed Care Plan: $6,874.33
  • Blue Shield — Regence All Commercial Plans: $16,412.16
  • Blue Shield — Regence Real Value Exchange: $14,770.94
  • Blue Shield — Regence Ump Other Commercial Plan: $13,232.84
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $1,053.23 – $7,497.68
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $2,859.92
  • Aetna — Medicare Managed Care Plan: $1,084.82
  • Blue Cross — Premera - Heritage All Commercial Plans: $2,837.73
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $2,552.79
  • Blue Cross — Premera Medicare Managed Care Plan: $1,053.23
  • Blue Shield — Regence All Commercial Plans: $2,540.46
  • Blue Shield — Regence Real Value Exchange: $2,286.41
  • Blue Shield — Regence Ump Other Commercial Plan: $2,048.33
  • Cigna — Localplus Other Commercial Plan: $2,654
  • Cigna — Oap Other Commercial Plan: $3,076
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc 43235 Egd Diag/Brushing $3,652 $1,826 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $1,053.23 – $7,497.68
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $2,859.92
  • Aetna — Medicare Managed Care Plan: $1,084.82
  • Blue Cross — Premera - Heritage All Commercial Plans: $2,837.73
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $2,552.79
  • Blue Cross — Premera Medicare Managed Care Plan: $1,053.23
  • Blue Shield — Regence All Commercial Plans: $2,540.46
  • Blue Shield — Regence Real Value Exchange: $2,286.41
  • Blue Shield — Regence Ump Other Commercial Plan: $2,048.33
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc 43239 Egd Biopsy $3,830 $1,915 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $1,079.90 – $7,287.42
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $2,781.06
  • Aetna — Medicare Managed Care Plan: $1,112.30
  • Blue Cross — Premera - Heritage All Commercial Plans: $2,759.49
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $2,482.41
  • Blue Cross — Premera Medicare Managed Care Plan: $1,079.90
  • Blue Shield — Regence All Commercial Plans: $2,561.40
  • Blue Shield — Regence Real Value Exchange: $2,305.26
  • Blue Shield — Regence Ump Other Commercial Plan: $2,065.21
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc 45378 Colon Diag/Brushing $2,846 $1,423 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,389.59 – $9,580.26
Colonoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $3,596.66
  • Aetna — Medicare Managed Care Plan: $1,431.27
  • Blue Cross — Premera - Heritage All Commercial Plans: $3,568.76
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $3,210.41
  • Blue Cross — Premera Medicare Managed Care Plan: $1,389.59
  • Blue Shield — Regence All Commercial Plans: $3,307.19
  • Blue Shield — Regence Real Value Exchange: $2,976.47
  • Blue Shield — Regence Ump Other Commercial Plan: $2,666.53
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc 45380 Colon Biopsy $2,777 $1,388.50 Not listed in the file
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,389.59 – $9,580.26
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $3,596.66
  • Aetna — Medicare Managed Care Plan: $1,431.27
  • Blue Cross — Premera - Heritage All Commercial Plans: $3,568.76
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $3,210.41
  • Blue Cross — Premera Medicare Managed Care Plan: $1,389.59
  • Blue Shield — Regence All Commercial Plans: $3,307.19
  • Blue Shield — Regence Real Value Exchange: $2,976.47
  • Blue Shield — Regence Ump Other Commercial Plan: $2,666.53
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc 45385 Colon Snare $3,036 $1,518 Not listed in the file
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,389.59 – $9,580.26
Ultrasound of the lower bowel by endoscope: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $3,596.66
  • Aetna — Medicare Managed Care Plan: $1,431.27
  • Blue Cross — Premera - Heritage All Commercial Plans: $3,568.76
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $3,210.41
  • Blue Cross — Premera Medicare Managed Care Plan: $1,389.59
  • Blue Shield — Regence All Commercial Plans: $3,307.19
  • Blue Shield — Regence Real Value Exchange: $2,976.47
  • Blue Shield — Regence Ump Other Commercial Plan: $2,666.53
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc 45391 Colon Eus Exam Only $2,333 $1,166.50 Not listed in the file
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $1,079.90 – $7,287.42
Screening colonoscopy (not high risk): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $2,781.06
  • Aetna — Medicare Managed Care Plan: $1,112.30
  • Blue Cross — Premera - Heritage All Commercial Plans: $2,759.49
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $2,482.41
  • Blue Cross — Premera Medicare Managed Care Plan: $1,079.90
  • Blue Shield — Regence All Commercial Plans: $2,561.40
  • Blue Shield — Regence Real Value Exchange: $2,305.26
  • Blue Shield — Regence Ump Other Commercial Plan: $2,065.21
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc G0121 Screen Colonoscopy Not Hi Risk $1,997 $998.50 Not listed in the file
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $7,020.30 – $21,751.70
Gallbladder removal by laparoscope: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $17,797.07
  • Aetna — Medicare Managed Care Plan: $7,230.91
  • Blue Cross — Premera - Heritage All Commercial Plans: $17,659.01
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $14,194.03
  • Blue Cross — Premera Medicare Managed Care Plan: $7,020.30
  • Blue Shield — Regence All Commercial Plans: $16,170.61
  • Blue Shield — Regence Real Value Exchange: $14,553.55
  • Blue Shield — Regence Ump Other Commercial Plan: $13,038.08
  • Cigna — Localplus Other Commercial Plan: $8,624
  • Cigna — Oap Other Commercial Plan: $9,999
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 $4,157.70 – $13,992.03
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $10,765
  • Aetna — Medicare Managed Care Plan: $4,282.43
  • Blue Cross — Premera - Heritage All Commercial Plans: $10,681.49
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $9,645.58
  • Blue Cross — Premera Medicare Managed Care Plan: $4,157.70
  • Blue Shield — Regence All Commercial Plans: $9,695.85
  • Blue Shield — Regence Real Value Exchange: $8,726.27
  • Blue Shield — Regence Ump Other Commercial Plan: $7,817.60
  • Cigna — Localplus Other Commercial Plan: $8,624
  • Cigna — Oap Other Commercial Plan: $9,999
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 $2,657.33 – $7,971.98
Prostate biopsy: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $6,248.74
  • Blue Cross — Premera - Heritage All Commercial Plans: $6,200.26
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $5,051.30
  • Blue Shield — Regence All Commercial Plans: $5,708.26
  • Blue Shield — Regence Real Value Exchange: $5,137.43
  • Blue Shield — Regence Ump Other Commercial Plan: $4,602.47
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
  • Cigna — Ppo: $4,736
  • First Choice — Evergreen Employee Other Commercial Plan: $5,314.65
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 $7,297 – $37,859
Prostate removal by laparoscope (radical prostatectomy): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $31,758.26
  • Aetna — Medicare Managed Care Plan: $12,714.09
  • Blue Cross — Premera - Heritage All Commercial Plans: $31,511.90
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $24,747.07
  • Blue Cross — Premera Medicare Managed Care Plan: $12,343.77
  • Blue Shield — Regence All Commercial Plans: $28,848.55
  • Blue Shield — Regence Real Value Exchange: $25,963.70
  • Blue Shield — Regence Ump Other Commercial Plan: $23,260.08
  • Cigna — Localplus Other Commercial Plan: $7,297
  • Cigna — Oap Other Commercial Plan: $8,461
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,747.15 – $11,241.45
Hysteroscopy with biopsy of the uterus lining: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $9,698.79
  • Aetna — Medicare Managed Care Plan: $3,871.85
  • Blue Cross — Premera - Heritage All Commercial Plans: $9,623.55
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $7,699.84
  • Blue Cross — Premera Medicare Managed Care Plan: $3,759.08
  • Blue Shield — Regence All Commercial Plans: $8,761.75
  • Blue Shield — Regence Real Value Exchange: $7,885.58
  • Blue Shield — Regence Ump Other Commercial Plan: $7,064.45
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $819.70 – $5,962.98
Spinal injection, lower back (epidural), with imaging guidance: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $2,112.46
  • Aetna — Medicare Managed Care Plan: $844.29
  • Blue Cross — Premera - Heritage All Commercial Plans: $2,096.07
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $1,885.60
  • Blue Cross — Premera Medicare Managed Care Plan: $819.70
  • Blue Shield — Regence All Commercial Plans: $1,938.09
  • Blue Shield — Regence Real Value Exchange: $1,744.28
  • Blue Shield — Regence Ump Other Commercial Plan: $1,562.65
  • Cigna — Localplus Other Commercial Plan: $2,654
  • Cigna — Oap Other Commercial Plan: $3,076
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc 62323 Inj Interlaminar Lumb/Sac W/ Imaging $5,504 $2,752 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $1,027.08 – $7,746.96
Nerve root injection, lower back, with imaging guidance: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $2,715.73
  • Aetna — Medicare Managed Care Plan: $1,057.90
  • Blue Cross — Premera - Heritage All Commercial Plans: $2,694.66
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $2,424.09
  • Blue Cross — Premera Medicare Managed Care Plan: $1,027.08
  • Blue Shield — Regence All Commercial Plans: $2,554.46
  • Blue Shield — Regence Real Value Exchange: $2,299.01
  • Blue Shield — Regence Ump Other Commercial Plan: $2,059.62
  • Cigna — Localplus Other Commercial Plan: $2,654
  • Cigna — Oap Other Commercial Plan: $3,076
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Hc 64483 Transforam Esi Lum 1Lvl Inc Gde $3,450 $1,725 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $2,267.58 – $7,737.08
Carpal tunnel release: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $5,956.72
  • Aetna — Medicare Managed Care Plan: $2,335.61
  • Blue Cross — Premera - Heritage All Commercial Plans: $5,910.51
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $4,895.12
  • Blue Cross — Premera Medicare Managed Care Plan: $2,267.58
  • Blue Shield — Regence All Commercial Plans: $5,411.09
  • Blue Shield — Regence Real Value Exchange: $4,869.98
  • Blue Shield — Regence Ump Other Commercial Plan: $4,362.87
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $638.68 – $4,836.11
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $1,673.45
  • Aetna — Medicare Managed Care Plan: $657.84
  • Blue Cross — Premera - Heritage All Commercial Plans: $1,660.47
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $1,493.74
  • Blue Cross — Premera Medicare Managed Care Plan: $638.68
  • Blue Shield — Regence All Commercial Plans: $1,629.04
  • Blue Shield — Regence Real Value Exchange: $1,466.14
  • Blue Shield — Regence Ump Other Commercial Plan: $1,313.46
  • Cigna — Localplus Other Commercial Plan: $3,980
  • Cigna — Oap Other Commercial Plan: $4,614
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $2,679.93 – $9,098.37
Cataract removal with lens implant: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $6,957.11
  • Aetna — Medicare Managed Care Plan: $2,760.33
  • Blue Cross — Premera - Heritage All Commercial Plans: $6,903.14
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $5,880.71
  • Blue Cross — Premera Medicare Managed Care Plan: $2,679.93
  • Blue Shield — Regence All Commercial Plans: $6,530.94
  • Blue Shield — Regence Real Value Exchange: $5,877.85
  • Blue Shield — Regence Ump Other Commercial Plan: $5,265.78
  • Cigna — Localplus Other Commercial Plan: $6,633
  • Cigna — Oap Other Commercial Plan: $7,690

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $8,021.56
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $8,021.56
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $8,869.30
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $8,869.30
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $8,358.55
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $8,358.55

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 $83,572.57 – $263,157.32
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $174,133.84
  • Aetna — Medicare Managed Care Plan: $86,079.75
  • Blue Cross — Premera - Heritage All Commercial Plans: $182,309.28
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $163,952.89
  • Blue Cross — Premera Medicare Managed Care Plan: $83,572.57
  • Blue Shield — Regence All Commercial Plans: $203,758.55
  • Blue Shield — Regence Medicare Managed Care Plan: $86,079.75
  • Blue Shield — Regence Real Value Exchange: $183,382.69
  • Blue Shield — Regence Ump Other Commercial Plan: $197,929.70
  • Cigna — Localplus Other Commercial Plan: $182,674.22
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 $75,320 – $94,097.28
Spinal fusion (not neck), without major complications: rates for 5 insurance plans
  • First Choice — Evergreen Employee Other Commercial Plan: $94,097.28
  • First Choice — Health Administrators Tpa Other Commercial Plan: $94,097.28
  • First Choice — Ppo: $94,097.28
  • First Choice — Virginia Mason Hvn Other Commercial Plan: $94,097.28
  • Kaiser — All Commercial Plans: $75,320
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 $16,954.63 – $51,887.41
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $34,334.42
  • Aetna — Medicare Managed Care Plan: $17,463.27
  • Blue Cross — Premera - Heritage All Commercial Plans: $35,617.10
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $32,030.87
  • Blue Cross — Premera Medicare Managed Care Plan: $16,954.63
  • Blue Shield — Regence All Commercial Plans: $39,810.45
  • Blue Shield — Regence Medicare Managed Care Plan: $17,463.27
  • Blue Shield — Regence Real Value Exchange: $35,829.40
  • Blue Shield — Regence Ump Other Commercial Plan: $38,671.61
  • Cigna — Localplus Other Commercial Plan: $36,018.35
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 $21,300.88 – $65,670.97
Neck (cervical) spinal fusion, without complications: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $43,455.14
  • Aetna — Medicare Managed Care Plan: $21,939.91
  • Blue Cross — Premera - Heritage All Commercial Plans: $44,720.19
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $40,217.39
  • Blue Cross — Premera Medicare Managed Care Plan: $21,300.88
  • Blue Shield — Regence All Commercial Plans: $49,981.06
  • Blue Shield — Regence Medicare Managed Care Plan: $21,939.91
  • Blue Shield — Regence Real Value Exchange: $44,982.95
  • Blue Shield — Regence Ump Other Commercial Plan: $48,551.27
  • Cigna — Localplus Other Commercial Plan: $45,586.39
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 $11,117.21 – $33,374.83
Uterus and ovary surgery (not for cancer), without complications: 10 of 25 insurance plan rates
  • Aetna — All Commercial Plans: $22,084.46
  • Aetna — Medicare Managed Care Plan: $11,450.73
  • Blue Cross — Premera - Heritage All Commercial Plans: $22,643.44
  • Blue Cross — Premera Heritage Prime Other Commercial Plan: $20,363.52
  • Blue Cross — Premera Medicare Managed Care Plan: $11,117.21
  • Blue Shield — Regence All Commercial Plans: $25,307.24
  • Blue Shield — Regence Medicare Managed Care Plan: $11,450.73
  • Blue Shield — Regence Real Value Exchange: $22,776.52
  • Blue Shield — Regence Ump Other Commercial Plan: $24,583.29
  • Cigna — Localplus Other Commercial Plan: $23,167.59

Source: Overlake Hospital Medical Center & Clinics’s standard charges file (hospitalpricedisclosure.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1035-116TH Ave NE, Bellevue, WA 98004
CountyKing County
StateWashington
Phone(425) 688‑5000
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number500051
Name in Medicare recordsOVERLAKE HOSPITAL MEDICAL CENTER & CLINICS
Profile levelMedicare data + hospital website
Name on the hospital’s websiteOverlake Medical Center & Clinics
Official websiteoverlakehospital.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. Services and specialties - Overlake Medical Center & Clinics — overlakehospital.org
  2. Overlake Medical Center & Clinics: Seattle Area Hospital — overlakehospital.org
  3. Overlake Childbirth Center | Overlake Medical Center — overlakehospital.org
  4. Interpreter & Deaf Services | Overlake Medical Center & Clinics — overlakehospital.org
  5. Cancer Care Services & Oncologists | Overlake Cancer Center — overlakehospital.org
  6. Surgical Oncology (Cancer Removal) | Overlake Cancer Center — overlakehospital.org
  7. Heart & Vascular Care | Overlake Medical Center & Clinics — overlakehospital.org
  8. Cardiothoracic Surgery Program | Overlake Medical Center & Clinics — overlakehospital.org
  9. Ozaki Procedure |Overlake Medical Center — overlakehospital.org
  10. Interventional Cardiology | Overlake Medical Center & Clinics — overlakehospital.org
  11. Vascular Surgery Program | Overlake Medical Center & Clinics — overlakehospital.org
  12. Cardiac Catheterization Lab | Overlake Medical Center — overlakehospital.org
  13. Heart Failure Management Program | Overlake Medical Center & Clinics — overlakehospital.org
  14. Complex Coronary Therapeutics Program | Overlake Medical Center — overlakehospital.org
  15. Diagnostic & Interventional Procedures | Overlake Medical Center — overlakehospital.org
  16. Cardiovascular Imaging & Diagnostics | Overlake Medical Center & Clinics — overlakehospital.org
  17. Cardiac MRI | Overlake Medical Center — overlakehospital.org
  18. Coronary Artery Calcium Score Test | Overlake Medical Center — overlakehospital.org