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Acute Care Hospital

PeaceHealth St John Medical Center

Longview, Washington · Cowlitz County · Emergency services listed

Summary

PeaceHealth St John Medical Center is an acute care hospital in Longview, Washington. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 22 services, specialties and programs. Medicare lists 399 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

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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
22Services listed

Quick answers

Does PeaceHealth St John Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at PeaceHealth St John Medical Center. In a medical emergency, call 911.
Where is PeaceHealth St John Medical Center?
1615 Delaware Street, Longview, WA 98632, in Cowlitz County, Washington.
What is the phone number of PeaceHealth St John Medical Center?
(360) 414-2000, as listed by Medicare (CMS).
What is the Medicare star rating of PeaceHealth St John Medical Center?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Treatments[4]

  • Anticoagulation
  • Cardiopulmonary rehabilitation
  • Speech therapy
  • Nutrition and diabetes education

Procedures[4]

Programs and centers[4]

  • Pharmacy Residency Program

Emergency care (hospital website)[4]

Emergency roomYes

Visiting and practical information

VisitingVisiting hours daily 6:30 a.m. to 8 p.m[4]

Doctors and clinicians (399)

399 doctors and other clinicians list PeaceHealth St John Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (399)

And 375 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 →

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 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 1070%National average: 72%
Would definitely recommend the hospital63%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well79%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean70%National average: 74%
Area around the room “always” quiet at night52%National average: 60%
Completed surveys429Response rate: 23%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)1.17No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.491No different from the national benchmark
Surgical site infections after colon surgery1.74No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.667No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.097Better 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 patients11.7%
Deaths within 30 days: heart failure patients13.3%
Deaths within 30 days: pneumonia patients14.8%
Deaths within 30 days: COPD patients8.6%
Deaths within 30 days: stroke patients11.9%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.93No different from the national rate
Complications after hip or knee replacement3.5%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack13.3%
Readmitted within 30 days: heart failure19.7%
Readmitted within 30 days: pneumonia15.8%
Readmitted within 30 days: COPD18.1%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5%

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)214 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)50%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 63 common services exactly as PeaceHealth St John Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

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 O/P NEW LOW 30 MIN $361 $234.65 $28.63 – $509.29
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $78.73
  • CareOregon — Medicare Advantage: $55.82
  • CareOregon — Medicare Advantage COA Star: $73
  • CareOregon — OHP/Medicaid: $55.82
  • Devoted — Medicare Advantage: $75.15
  • Health Net Health Plan — Medicare Advantage: $78.73
  • Humana Health Plan — Medicare HMO/PPO: $78.73
  • Kaiser Northwest — Medicare Advantage: $75.15
  • Moda Health Plan — Medicare Advantage: $71.57
  • Molina Healthcare of WA — Commercial: $28.63
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN $345 $224.25 $23.15 – $411.87
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $63.67
  • CareOregon — Medicare Advantage: $45.15
  • CareOregon — Medicare Advantage COA Star: $59.04
  • CareOregon — OHP/Medicaid: $45.15
  • Devoted — Medicare Advantage: $60.77
  • Health Net Health Plan — Medicare Advantage: $63.67
  • Humana Health Plan — Medicare HMO/PPO: $63.67
  • Kaiser Northwest — Medicare Advantage: $60.77
  • Moda Health Plan — Medicare Advantage: $57.88
  • Molina Healthcare of WA — Commercial: $23.15
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $345 $224.25 $660
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Pacific Source — Coordinated Care (Ind and NonInd): $660
  • First Choice Health — Administrators: 90% (a percentage in the contract, not a dollar amount)
  • First Choice Health — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Health Net/Centene Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Humana Health Plan — Commercial: 97% (a percentage in the contract, not a dollar amount)
  • Kaiser Northwest — Commercial: 70.08% (a percentage in the contract, not a dollar amount)
  • Kaiser WA — All Other LOB: 76.12% (a percentage in the contract, not a dollar amount)
  • Moda Health Plan — Connexus/Synergy: 73.8% (a percentage in the contract, not a dollar amount)
  • Pacific Source — Commercial PSN/Voyager: 82.44% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 90.5% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN $345 $224.25 $34.02 – $605.22
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $93.56
  • CareOregon — Medicare Advantage: $66.34
  • CareOregon — Medicare Advantage COA Star: $86.75
  • CareOregon — OHP/Medicaid: $66.34
  • Devoted — Medicare Advantage: $89.30
  • Health Net Health Plan — Medicare Advantage: $93.56
  • Humana Health Plan — Medicare HMO/PPO: $93.56
  • Kaiser Northwest — Medicare Advantage: $89.30
  • Moda Health Plan — Medicare Advantage: $85.05
  • Molina Healthcare of WA — Commercial: $34.02
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $303 $196.95 $660
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Pacific Source — Coordinated Care (Ind and NonInd): $660
  • First Choice Health — Administrators: 90% (a percentage in the contract, not a dollar amount)
  • First Choice Health — Commercial: 95% (a percentage in the contract, not a dollar amount)
  • Health Net/Centene Health Plan — Commercial: 85% (a percentage in the contract, not a dollar amount)
  • Humana Health Plan — Commercial: 97% (a percentage in the contract, not a dollar amount)
  • Kaiser Northwest — Commercial: 70.08% (a percentage in the contract, not a dollar amount)
  • Kaiser WA — All Other LOB: 76.12% (a percentage in the contract, not a dollar amount)
  • Moda Health Plan — Connexus/Synergy: 73.8% (a percentage in the contract, not a dollar amount)
  • Pacific Source — Commercial PSN/Voyager: 82.44% (a percentage in the contract, not a dollar amount)
  • Providence Health Plan — Commercial: 90.5% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $1,437 $934.05 $129.83 – $2,309.71
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $357.04
  • CareOregon — Medicare Advantage: $253.17
  • CareOregon — Medicare Advantage COA Star: $331.07
  • CareOregon — OHP/Medicaid: $253.17
  • Devoted — Medicare Advantage: $340.81
  • Health Net Health Plan — Medicare Advantage: $357.04
  • Humana Health Plan — Medicare HMO/PPO: $357.04
  • Kaiser Northwest — Medicare Advantage: $340.81
  • Moda Health Plan — Medicare Advantage: $324.58
  • Molina Healthcare of WA — Commercial: $129.83
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_ET In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $1,437 $934.05 $129.83 – $2,309.71
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $357.04
  • CareOregon — Medicare Advantage: $253.17
  • CareOregon — Medicare Advantage COA Star: $331.07
  • CareOregon — OHP/Medicaid: $253.17
  • Devoted — Medicare Advantage: $340.81
  • Health Net Health Plan — Medicare Advantage: $357.04
  • Humana Health Plan — Medicare HMO/PPO: $357.04
  • Kaiser Northwest — Medicare Advantage: $340.81
  • Moda Health Plan — Medicare Advantage: $324.58
  • Molina Healthcare of WA — Commercial: $129.83
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 27 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $1,437 $934.05 $129.83 – $2,309.71
Emergency room visit (moderate): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $357.04
  • CareOregon — Medicare Advantage: $253.17
  • CareOregon — Medicare Advantage COA Star: $331.07
  • CareOregon — OHP/Medicaid: $253.17
  • Devoted — Medicare Advantage: $340.81
  • Health Net Health Plan — Medicare Advantage: $357.04
  • Humana Health Plan — Medicare HMO/PPO: $357.04
  • Kaiser Northwest — Medicare Advantage: $340.81
  • Moda Health Plan — Medicare Advantage: $324.58
  • Molina Healthcare of WA — Commercial: $129.83
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,514 $1,634.10 $198.46 – $3,530.60
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $545.76
  • CareOregon — Medicare Advantage: $387
  • CareOregon — Medicare Advantage COA Star: $506.07
  • CareOregon — OHP/Medicaid: $387
  • Devoted — Medicare Advantage: $520.96
  • Health Net Health Plan — Medicare Advantage: $545.76
  • Humana Health Plan — Medicare HMO/PPO: $545.76
  • Kaiser Northwest — Medicare Advantage: $520.96
  • Moda Health Plan — Medicare Advantage: $496.15
  • Molina Healthcare of WA — Commercial: $198.46
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_ET In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,514 $1,634.10 $198.46 – $3,530.60
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $545.76
  • CareOregon — Medicare Advantage: $387
  • CareOregon — Medicare Advantage COA Star: $506.07
  • CareOregon — OHP/Medicaid: $387
  • Devoted — Medicare Advantage: $520.96
  • Health Net Health Plan — Medicare Advantage: $545.76
  • Humana Health Plan — Medicare HMO/PPO: $545.76
  • Kaiser Northwest — Medicare Advantage: $520.96
  • Moda Health Plan — Medicare Advantage: $496.15
  • Molina Healthcare of WA — Commercial: $198.46
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 27 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,514 $1,634.10 $198.46 – $3,530.60
Emergency room visit (moderately high): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $545.76
  • CareOregon — Medicare Advantage: $387
  • CareOregon — Medicare Advantage COA Star: $506.07
  • CareOregon — OHP/Medicaid: $387
  • Devoted — Medicare Advantage: $520.96
  • Health Net Health Plan — Medicare Advantage: $545.76
  • Humana Health Plan — Medicare HMO/PPO: $545.76
  • Kaiser Northwest — Medicare Advantage: $520.96
  • Moda Health Plan — Medicare Advantage: $496.15
  • Molina Healthcare of WA — Commercial: $198.46
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $4,562 $2,965.30 $283.25 – $5,038.98
Emergency room visit (high): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $778.93
  • CareOregon — Medicare Advantage: $552.33
  • CareOregon — Medicare Advantage COA Star: $722.28
  • CareOregon — OHP/Medicaid: $552.33
  • Devoted — Medicare Advantage: $743.53
  • Health Net Health Plan — Medicare Advantage: $778.93
  • Humana Health Plan — Medicare HMO/PPO: $778.93
  • Kaiser Northwest — Medicare Advantage: $743.53
  • Moda Health Plan — Medicare Advantage: $708.12
  • Molina Healthcare of WA — Commercial: $283.25
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM $5,049 $3,281.85 $283.25 – $5,038.98
Emergency room visit (high): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $778.93
  • CareOregon — Medicare Advantage: $552.33
  • CareOregon — Medicare Advantage COA Star: $722.28
  • CareOregon — OHP/Medicaid: $552.33
  • Devoted — Medicare Advantage: $743.53
  • Health Net Health Plan — Medicare Advantage: $778.93
  • Humana Health Plan — Medicare HMO/PPO: $778.93
  • Kaiser Northwest — Medicare Advantage: $743.53
  • Moda Health Plan — Medicare Advantage: $708.12
  • Molina Healthcare of WA — Commercial: $283.25
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 27 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $4,562 $2,965.30 $283.25 – $5,038.98
Emergency room visit (high): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $778.93
  • CareOregon — Medicare Advantage: $552.33
  • CareOregon — Medicare Advantage COA Star: $722.28
  • CareOregon — OHP/Medicaid: $552.33
  • Devoted — Medicare Advantage: $743.53
  • Health Net Health Plan — Medicare Advantage: $778.93
  • Humana Health Plan — Medicare HMO/PPO: $778.93
  • Kaiser Northwest — Medicare Advantage: $743.53
  • Moda Health Plan — Medicare Advantage: $708.12
  • Molina Healthcare of WA — Commercial: $283.25

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $164 $106.60 $3.38 – $60.20
Basic metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $9.31
  • CareOregon — Medicare Advantage: $6.60
  • CareOregon — Medicare Advantage COA Star: $8.63
  • CareOregon — OHP/Medicaid: $6.60
  • Devoted — Medicare Advantage: $8.88
  • Health Net Health Plan — Medicare Advantage: $9.31
  • Humana Health Plan — Medicare HMO/PPO: $9.31
  • Kaiser Northwest — Medicare Advantage: $8.88
  • Moda Health Plan — Medicare Advantage: $8.46
  • Molina Healthcare of WA — Commercial: $3.38
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $156 $101.40 $3.38 – $60.20
Basic metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $9.31
  • CareOregon — Medicare Advantage: $6.60
  • CareOregon — Medicare Advantage COA Star: $8.63
  • CareOregon — OHP/Medicaid: $6.60
  • Devoted — Medicare Advantage: $8.88
  • Health Net Health Plan — Medicare Advantage: $9.31
  • Humana Health Plan — Medicare HMO/PPO: $9.31
  • Kaiser Northwest — Medicare Advantage: $8.88
  • Moda Health Plan — Medicare Advantage: $8.46
  • Molina Healthcare of WA — Commercial: $3.38
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $164 $106.60 $3.38 – $60.20
Basic metabolic panel (blood test): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $9.31
  • CareOregon — Medicare Advantage: $6.60
  • CareOregon — Medicare Advantage COA Star: $8.63
  • CareOregon — OHP/Medicaid: $6.60
  • Devoted — Medicare Advantage: $8.88
  • Health Net Health Plan — Medicare Advantage: $9.31
  • Humana Health Plan — Medicare HMO/PPO: $9.31
  • Kaiser Northwest — Medicare Advantage: $8.88
  • Moda Health Plan — Medicare Advantage: $8.46
  • Molina Healthcare of WA — Commercial: $3.38
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $99 $64.35 $4.22 – $75.14
Comprehensive metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $11.62
  • CareOregon — Medicare Advantage: $8.24
  • CareOregon — Medicare Advantage COA Star: $10.77
  • CareOregon — OHP/Medicaid: $8.24
  • Devoted — Medicare Advantage: $11.09
  • Health Net Health Plan — Medicare Advantage: $11.62
  • Humana Health Plan — Medicare HMO/PPO: $11.62
  • Kaiser Northwest — Medicare Advantage: $11.09
  • Moda Health Plan — Medicare Advantage: $10.56
  • Molina Healthcare of WA — Commercial: $4.22
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $188 $122.20 $4.22 – $75.14
Comprehensive metabolic panel (blood test): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $11.62
  • CareOregon — Medicare Advantage: $8.24
  • CareOregon — Medicare Advantage COA Star: $10.77
  • CareOregon — OHP/Medicaid: $8.24
  • Devoted — Medicare Advantage: $11.09
  • Health Net Health Plan — Medicare Advantage: $11.62
  • Humana Health Plan — Medicare HMO/PPO: $11.62
  • Kaiser Northwest — Medicare Advantage: $11.09
  • Moda Health Plan — Medicare Advantage: $10.56
  • Molina Healthcare of WA — Commercial: $4.22
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $166 $107.90 $5.36 – $95.28
Cholesterol panel (lipid panel): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $14.73
  • CareOregon — Medicare Advantage: $10.44
  • CareOregon — Medicare Advantage COA Star: $13.66
  • CareOregon — OHP/Medicaid: $10.44
  • Devoted — Medicare Advantage: $14.06
  • Health Net Health Plan — Medicare Advantage: $14.73
  • Humana Health Plan — Medicare HMO/PPO: $14.73
  • Kaiser Northwest — Medicare Advantage: $14.06
  • Moda Health Plan — Medicare Advantage: $13.39
  • Molina Healthcare of WA — Commercial: $5.36
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $158 $102.70 $5.36 – $95.28
Cholesterol panel (lipid panel): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $14.73
  • CareOregon — Medicare Advantage: $10.44
  • CareOregon — Medicare Advantage COA Star: $13.66
  • CareOregon — OHP/Medicaid: $10.44
  • Devoted — Medicare Advantage: $14.06
  • Health Net Health Plan — Medicare Advantage: $14.73
  • Humana Health Plan — Medicare HMO/PPO: $14.73
  • Kaiser Northwest — Medicare Advantage: $14.06
  • Moda Health Plan — Medicare Advantage: $13.39
  • Molina Healthcare of WA — Commercial: $5.36
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $163 $105.95 $3.47 – $61.77
Kidney function panel: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $9.55
  • CareOregon — Medicare Advantage: $6.77
  • CareOregon — Medicare Advantage COA Star: $8.85
  • CareOregon — OHP/Medicaid: $6.77
  • Devoted — Medicare Advantage: $9.11
  • Health Net Health Plan — Medicare Advantage: $9.55
  • Humana Health Plan — Medicare HMO/PPO: $9.55
  • Kaiser Northwest — Medicare Advantage: $9.11
  • Moda Health Plan — Medicare Advantage: $8.68
  • Molina Healthcare of WA — Commercial: $3.47
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL $155 $100.75 $3.47 – $61.77
Kidney function panel: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $9.55
  • CareOregon — Medicare Advantage: $6.77
  • CareOregon — Medicare Advantage COA Star: $8.85
  • CareOregon — OHP/Medicaid: $6.77
  • Devoted — Medicare Advantage: $9.11
  • Health Net Health Plan — Medicare Advantage: $9.55
  • Humana Health Plan — Medicare HMO/PPO: $9.55
  • Kaiser Northwest — Medicare Advantage: $9.11
  • Moda Health Plan — Medicare Advantage: $8.68
  • Molina Healthcare of WA — Commercial: $3.47
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $128 $83.20 $3.27 – $58.14
Liver function panel: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $8.99
  • CareOregon — Medicare Advantage: $6.37
  • CareOregon — Medicare Advantage COA Star: $8.33
  • CareOregon — OHP/Medicaid: $6.37
  • Devoted — Medicare Advantage: $8.58
  • Health Net Health Plan — Medicare Advantage: $8.99
  • Humana Health Plan — Medicare HMO/PPO: $8.99
  • Kaiser Northwest — Medicare Advantage: $8.58
  • Moda Health Plan — Medicare Advantage: $8.17
  • Molina Healthcare of WA — Commercial: $3.27
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL $122 $79.30 $3.27 – $58.14
Liver function panel: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $8.99
  • CareOregon — Medicare Advantage: $6.37
  • CareOregon — Medicare Advantage COA Star: $8.33
  • CareOregon — OHP/Medicaid: $6.37
  • Devoted — Medicare Advantage: $8.58
  • Health Net Health Plan — Medicare Advantage: $8.99
  • Humana Health Plan — Medicare HMO/PPO: $8.99
  • Kaiser Northwest — Medicare Advantage: $8.58
  • Moda Health Plan — Medicare Advantage: $8.17
  • Molina Healthcare of WA — Commercial: $3.27
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $114 $74.10 $1.27 – $22.56
Urine test (automated, with microscope): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $3.49
  • CareOregon — Medicare Advantage: $2.47
  • CareOregon — Medicare Advantage COA Star: $3.23
  • CareOregon — OHP/Medicaid: $2.47
  • Devoted — Medicare Advantage: $3.33
  • Health Net Health Plan — Medicare Advantage: $3.49
  • Humana Health Plan — Medicare HMO/PPO: $3.49
  • Kaiser Northwest — Medicare Advantage: $3.33
  • Moda Health Plan — Medicare Advantage: $3.17
  • Molina Healthcare of WA — Commercial: $1.27
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $109 $70.85 $1.27 – $22.56
Urine test (automated, with microscope): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $3.49
  • CareOregon — Medicare Advantage: $2.47
  • CareOregon — Medicare Advantage COA Star: $3.23
  • CareOregon — OHP/Medicaid: $2.47
  • Devoted — Medicare Advantage: $3.33
  • Health Net Health Plan — Medicare Advantage: $3.49
  • Humana Health Plan — Medicare HMO/PPO: $3.49
  • Kaiser Northwest — Medicare Advantage: $3.33
  • Moda Health Plan — Medicare Advantage: $3.17
  • Molina Healthcare of WA — Commercial: $1.27
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $114 $74.10 $1.27 – $22.56
Urine test (automated, with microscope): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $3.49
  • CareOregon — Medicare Advantage: $2.47
  • CareOregon — Medicare Advantage COA Star: $3.23
  • CareOregon — OHP/Medicaid: $2.47
  • Devoted — Medicare Advantage: $3.33
  • Health Net Health Plan — Medicare Advantage: $3.49
  • Humana Health Plan — Medicare HMO/PPO: $3.49
  • Kaiser Northwest — Medicare Advantage: $3.33
  • Moda Health Plan — Medicare Advantage: $3.17
  • Molina Healthcare of WA — Commercial: $1.27
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $34 $22.10 $1.39 – $24.76
Urine test (manual, without microscope): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $3.83
  • CareOregon — Medicare Advantage: $2.71
  • CareOregon — Medicare Advantage COA Star: $3.55
  • CareOregon — OHP/Medicaid: $2.71
  • Devoted — Medicare Advantage: $3.65
  • Health Net Health Plan — Medicare Advantage: $3.83
  • Humana Health Plan — Medicare HMO/PPO: $3.83
  • Kaiser Northwest — Medicare Advantage: $3.65
  • Moda Health Plan — Medicare Advantage: $3.48
  • Molina Healthcare of WA — Commercial: $1.39
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST $32 $20.80 $1.39 – $24.76
Urine test (manual, without microscope): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $3.83
  • CareOregon — Medicare Advantage: $2.71
  • CareOregon — Medicare Advantage COA Star: $3.55
  • CareOregon — OHP/Medicaid: $2.71
  • Devoted — Medicare Advantage: $3.65
  • Health Net Health Plan — Medicare Advantage: $3.83
  • Humana Health Plan — Medicare HMO/PPO: $3.83
  • Kaiser Northwest — Medicare Advantage: $3.65
  • Moda Health Plan — Medicare Advantage: $3.48
  • Molina Healthcare of WA — Commercial: $1.39
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $80 $52 $0.90 – $16.01
Urine test (automated, without microscope): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $2.48
  • CareOregon — Medicare Advantage: $1.75
  • CareOregon — Medicare Advantage COA Star: $2.30
  • CareOregon — OHP/Medicaid: $1.75
  • Devoted — Medicare Advantage: $2.36
  • Health Net Health Plan — Medicare Advantage: $2.48
  • Humana Health Plan — Medicare HMO/PPO: $2.48
  • Kaiser Northwest — Medicare Advantage: $2.36
  • Moda Health Plan — Medicare Advantage: $2.25
  • Molina Healthcare of WA — Commercial: $0.90
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST $152 $98.80 $0.90 – $16.01
Urine test (automated, without microscope): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $2.48
  • CareOregon — Medicare Advantage: $1.76
  • CareOregon — Medicare Advantage COA Star: $2.30
  • CareOregon — OHP/Medicaid: $1.76
  • Devoted — Medicare Advantage: $2.36
  • Health Net Health Plan — Medicare Advantage: $2.48
  • Humana Health Plan — Medicare HMO/PPO: $2.48
  • Kaiser Northwest — Medicare Advantage: $2.36
  • Moda Health Plan — Medicare Advantage: $2.25
  • Molina Healthcare of WA — Commercial: $0.90
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: AUTOMATED URINALYSIS TEST $25 $16.25 $0.90 – $16.01
Urine test (automated, without microscope): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $2.48
  • CareOregon — Medicare Advantage: $1.76
  • CareOregon — Medicare Advantage COA Star: $2.30
  • CareOregon — OHP/Medicaid: $1.76
  • Devoted — Medicare Advantage: $2.36
  • Health Net Health Plan — Medicare Advantage: $2.48
  • Humana Health Plan — Medicare HMO/PPO: $2.48
  • Kaiser Northwest — Medicare Advantage: $2.36
  • Moda Health Plan — Medicare Advantage: $2.25
  • Molina Healthcare of WA — Commercial: $0.90
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $135 $87.75 $7.36 – $130.86
PSA (prostate specific antigen) blood test: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $20.23
  • CareOregon — Medicare Advantage: $14.34
  • CareOregon — Medicare Advantage COA Star: $18.76
  • CareOregon — OHP/Medicaid: $14.34
  • Devoted — Medicare Advantage: $19.31
  • Health Net Health Plan — Medicare Advantage: $20.23
  • Humana Health Plan — Medicare HMO/PPO: $20.23
  • Kaiser Northwest — Medicare Advantage: $19.31
  • Moda Health Plan — Medicare Advantage: $18.39
  • Molina Healthcare of WA — Commercial: $7.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $142 $92.30 $7.36 – $130.86
PSA (prostate specific antigen) blood test: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $20.23
  • CareOregon — Medicare Advantage: $14.34
  • CareOregon — Medicare Advantage COA Star: $18.76
  • CareOregon — OHP/Medicaid: $14.34
  • Devoted — Medicare Advantage: $19.31
  • Health Net Health Plan — Medicare Advantage: $20.23
  • Humana Health Plan — Medicare HMO/PPO: $20.23
  • Kaiser Northwest — Medicare Advantage: $19.31
  • Moda Health Plan — Medicare Advantage: $18.39
  • Molina Healthcare of WA — Commercial: $7.36
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $193 $125.45 $6.72 – $119.55
Thyroid stimulating hormone (TSH) test: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $18.48
  • CareOregon — Medicare Advantage: $13.10
  • CareOregon — Medicare Advantage COA Star: $17.14
  • CareOregon — OHP/Medicaid: $13.10
  • Devoted — Medicare Advantage: $17.64
  • Health Net Health Plan — Medicare Advantage: $18.48
  • Humana Health Plan — Medicare HMO/PPO: $18.48
  • Kaiser Northwest — Medicare Advantage: $17.64
  • Moda Health Plan — Medicare Advantage: $16.80
  • Molina Healthcare of WA — Commercial: $6.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $184 $119.60 $6.72 – $119.55
Thyroid stimulating hormone (TSH) test: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $18.48
  • CareOregon — Medicare Advantage: $13.10
  • CareOregon — Medicare Advantage COA Star: $17.14
  • CareOregon — OHP/Medicaid: $13.10
  • Devoted — Medicare Advantage: $17.64
  • Health Net Health Plan — Medicare Advantage: $18.48
  • Humana Health Plan — Medicare HMO/PPO: $18.48
  • Kaiser Northwest — Medicare Advantage: $17.64
  • Moda Health Plan — Medicare Advantage: $16.80
  • Molina Healthcare of WA — Commercial: $6.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $184 $119.60 $6.72 – $119.55
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $18.48
  • CareOregon — Medicare Advantage: $13.10
  • CareOregon — Medicare Advantage COA Star: $17.14
  • CareOregon — OHP/Medicaid: $13.10
  • Devoted — Medicare Advantage: $17.64
  • Health Net Health Plan — Medicare Advantage: $18.48
  • Humana Health Plan — Medicare HMO/PPO: $18.48
  • Kaiser Northwest — Medicare Advantage: $17.64
  • Moda Health Plan — Medicare Advantage: $16.80
  • Molina Healthcare of WA — Commercial: $6.72
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $155 $100.75 $3.11 – $55.29
Complete blood count (CBC) with differential: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $8.55
  • CareOregon — Medicare Advantage: $6.06
  • CareOregon — Medicare Advantage COA Star: $7.93
  • CareOregon — OHP/Medicaid: $6.06
  • Devoted — Medicare Advantage: $8.16
  • Health Net Health Plan — Medicare Advantage: $8.55
  • Humana Health Plan — Medicare HMO/PPO: $8.55
  • Kaiser Northwest — Medicare Advantage: $8.16
  • Moda Health Plan — Medicare Advantage: $7.77
  • Molina Healthcare of WA — Commercial: $3.11
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $296 $192.40 $3.11 – $55.29
Complete blood count (CBC) with differential: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $8.55
  • CareOregon — Medicare Advantage: $6.06
  • CareOregon — Medicare Advantage COA Star: $7.93
  • CareOregon — OHP/Medicaid: $6.06
  • Devoted — Medicare Advantage: $8.16
  • Health Net Health Plan — Medicare Advantage: $8.55
  • Humana Health Plan — Medicare HMO/PPO: $8.55
  • Kaiser Northwest — Medicare Advantage: $8.16
  • Moda Health Plan — Medicare Advantage: $7.77
  • Molina Healthcare of WA — Commercial: $3.11
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $148 $96.20 $3.11 – $55.29
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $8.55
  • CareOregon — Medicare Advantage: $6.06
  • CareOregon — Medicare Advantage COA Star: $7.93
  • CareOregon — OHP/Medicaid: $6.06
  • Devoted — Medicare Advantage: $8.16
  • Health Net Health Plan — Medicare Advantage: $8.55
  • Humana Health Plan — Medicare HMO/PPO: $8.55
  • Kaiser Northwest — Medicare Advantage: $8.16
  • Moda Health Plan — Medicare Advantage: $7.77
  • Molina Healthcare of WA — Commercial: $3.11
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $100 $65 $2.59 – $46.04
Complete blood count (CBC), automated: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $7.12
  • CareOregon — Medicare Advantage: $5.05
  • CareOregon — Medicare Advantage COA Star: $6.60
  • CareOregon — OHP/Medicaid: $5.05
  • Devoted — Medicare Advantage: $6.79
  • Health Net Health Plan — Medicare Advantage: $7.12
  • Humana Health Plan — Medicare HMO/PPO: $7.12
  • Kaiser Northwest — Medicare Advantage: $6.79
  • Moda Health Plan — Medicare Advantage: $6.47
  • Molina Healthcare of WA — Commercial: $2.59
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $95 $61.75 $2.59 – $46.04
Complete blood count (CBC), automated: 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $7.12
  • CareOregon — Medicare Advantage: $5.05
  • CareOregon — Medicare Advantage COA Star: $6.60
  • CareOregon — OHP/Medicaid: $5.05
  • Devoted — Medicare Advantage: $6.79
  • Health Net Health Plan — Medicare Advantage: $7.12
  • Humana Health Plan — Medicare HMO/PPO: $7.12
  • Kaiser Northwest — Medicare Advantage: $6.79
  • Moda Health Plan — Medicare Advantage: $6.47
  • Molina Healthcare of WA — Commercial: $2.59
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $95 $61.75 $2.59 – $46.04
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $7.12
  • CareOregon — Medicare Advantage: $5.05
  • CareOregon — Medicare Advantage COA Star: $6.60
  • CareOregon — OHP/Medicaid: $5.05
  • Devoted — Medicare Advantage: $6.79
  • Health Net Health Plan — Medicare Advantage: $7.12
  • Humana Health Plan — Medicare HMO/PPO: $7.12
  • Kaiser Northwest — Medicare Advantage: $6.79
  • Moda Health Plan — Medicare Advantage: $6.47
  • Molina Healthcare of WA — Commercial: $2.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $106 $68.90 $1.72 – $30.53
Blood clotting time test (prothrombin time, PT): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $4.72
  • CareOregon — Medicare Advantage: $3.35
  • CareOregon — Medicare Advantage COA Star: $4.38
  • CareOregon — OHP/Medicaid: $3.35
  • Devoted — Medicare Advantage: $4.50
  • Health Net Health Plan — Medicare Advantage: $4.72
  • Humana Health Plan — Medicare HMO/PPO: $4.72
  • Kaiser Northwest — Medicare Advantage: $4.50
  • Moda Health Plan — Medicare Advantage: $4.29
  • Molina Healthcare of WA — Commercial: $1.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME $202 $131.30 $1.72 – $30.53
Blood clotting time test (prothrombin time, PT): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $4.72
  • CareOregon — Medicare Advantage: $3.35
  • CareOregon — Medicare Advantage COA Star: $4.38
  • CareOregon — OHP/Medicaid: $3.35
  • Devoted — Medicare Advantage: $4.50
  • Health Net Health Plan — Medicare Advantage: $4.72
  • Humana Health Plan — Medicare HMO/PPO: $4.72
  • Kaiser Northwest — Medicare Advantage: $4.50
  • Moda Health Plan — Medicare Advantage: $4.29
  • Molina Healthcare of WA — Commercial: $1.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ_QW In the file: BLOOD TEST; CLOTTING TIME $11.01 $7.16 $1.72 – $30.53
Blood clotting time test (prothrombin time, PT): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $4.72
  • CareOregon — Medicare Advantage: $3.35
  • CareOregon — Medicare Advantage COA Star: $4.38
  • CareOregon — OHP/Medicaid: $3.35
  • Devoted — Medicare Advantage: $4.50
  • Health Net Health Plan — Medicare Advantage: $4.72
  • Humana Health Plan — Medicare HMO/PPO: $4.72
  • Kaiser Northwest — Medicare Advantage: $4.50
  • Moda Health Plan — Medicare Advantage: $4.29
  • Molina Healthcare of WA — Commercial: $1.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $124 $80.60 $2.40 – $42.77
Blood clotting test (partial thromboplastin time, PTT): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $6.61
  • CareOregon — Medicare Advantage: $4.69
  • CareOregon — Medicare Advantage COA Star: $6.13
  • CareOregon — OHP/Medicaid: $4.69
  • Devoted — Medicare Advantage: $6.31
  • Health Net Health Plan — Medicare Advantage: $6.61
  • Humana Health Plan — Medicare HMO/PPO: $6.61
  • Kaiser Northwest — Medicare Advantage: $6.31
  • Moda Health Plan — Medicare Advantage: $6.01
  • Molina Healthcare of WA — Commercial: $2.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $118 $76.70 $2.40 – $42.77
Blood clotting test (partial thromboplastin time, PTT): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $6.61
  • CareOregon — Medicare Advantage: $4.69
  • CareOregon — Medicare Advantage COA Star: $6.13
  • CareOregon — OHP/Medicaid: $4.69
  • Devoted — Medicare Advantage: $6.31
  • Health Net Health Plan — Medicare Advantage: $6.61
  • Humana Health Plan — Medicare HMO/PPO: $6.61
  • Kaiser Northwest — Medicare Advantage: $6.31
  • Moda Health Plan — Medicare Advantage: $6.01
  • Molina Healthcare of WA — Commercial: $2.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $118 $76.70 $2.40 – $42.77
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $6.61
  • CareOregon — Medicare Advantage: $4.69
  • CareOregon — Medicare Advantage COA Star: $6.13
  • CareOregon — OHP/Medicaid: $4.69
  • Devoted — Medicare Advantage: $6.31
  • Health Net Health Plan — Medicare Advantage: $6.61
  • Humana Health Plan — Medicare HMO/PPO: $6.61
  • Kaiser Northwest — Medicare Advantage: $6.31
  • Moda Health Plan — Medicare Advantage: $6.01
  • Molina Healthcare of WA — Commercial: $2.40

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 $1,925 $1,251.25 $49.72 – $884.59
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $1,833 $1,191.45 $49.72 – $884.59
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $1,833 $1,191.45 $49.72 – $884.59
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
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 $7,846 $5,099.90 $165.94 – $2,952
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $456.32
  • CareOregon — Medicare Advantage: $323.58
  • CareOregon — Medicare Advantage COA Star: $423.14
  • CareOregon — OHP/Medicaid: $323.58
  • Devoted — Medicare Advantage: $435.58
  • Health Net Health Plan — Medicare Advantage: $456.32
  • Humana Health Plan — Medicare HMO/PPO: $456.32
  • Kaiser Northwest — Medicare Advantage: $435.58
  • Moda Health Plan — Medicare Advantage: $414.84
  • Molina Healthcare of WA — Commercial: $165.94
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $7,472 $4,856.80 $165.94 – $2,952
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $456.32
  • CareOregon — Medicare Advantage: $323.58
  • CareOregon — Medicare Advantage COA Star: $423.14
  • CareOregon — OHP/Medicaid: $323.58
  • Devoted — Medicare Advantage: $435.58
  • Health Net Health Plan — Medicare Advantage: $456.32
  • Humana Health Plan — Medicare HMO/PPO: $456.32
  • Kaiser Northwest — Medicare Advantage: $435.58
  • Moda Health Plan — Medicare Advantage: $414.84
  • Molina Healthcare of WA — Commercial: $165.94
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $7,472 $4,856.80 $165.94 – $2,952
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $456.32
  • CareOregon — Medicare Advantage: $323.58
  • CareOregon — Medicare Advantage COA Star: $423.14
  • CareOregon — OHP/Medicaid: $323.58
  • Devoted — Medicare Advantage: $435.58
  • Health Net Health Plan — Medicare Advantage: $456.32
  • Humana Health Plan — Medicare HMO/PPO: $456.32
  • Kaiser Northwest — Medicare Advantage: $435.58
  • Moda Health Plan — Medicare Advantage: $414.84
  • Molina Healthcare of WA — Commercial: $165.94
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $466 $302.90 $41.39 – $736.29
Chest X-ray, 2 views: 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $113.82
  • CareOregon — Medicare Advantage: $80.71
  • CareOregon — Medicare Advantage COA Star: $105.54
  • CareOregon — OHP/Medicaid: $80.71
  • Devoted — Medicare Advantage: $108.64
  • Health Net Health Plan — Medicare Advantage: $113.82
  • Humana Health Plan — Medicare HMO/PPO: $113.82
  • Kaiser Northwest — Medicare Advantage: $108.64
  • Moda Health Plan — Medicare Advantage: $103.47
  • Molina Healthcare of WA — Commercial: $41.39
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS $457 $297.05 $41.39 – $736.29
Chest X-ray, 2 views: 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $113.82
  • CareOregon — Medicare Advantage: $80.71
  • CareOregon — Medicare Advantage COA Star: $105.54
  • CareOregon — OHP/Medicaid: $80.71
  • Devoted — Medicare Advantage: $108.64
  • Health Net Health Plan — Medicare Advantage: $113.82
  • Humana Health Plan — Medicare HMO/PPO: $113.82
  • Kaiser Northwest — Medicare Advantage: $108.64
  • Moda Health Plan — Medicare Advantage: $103.47
  • Molina Healthcare of WA — Commercial: $41.39
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: X-RAY OF CHEST; 2 VIEWS $457 $297.05 $41.39 – $736.29
Chest X-ray, 2 views: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $113.82
  • CareOregon — Medicare Advantage: $80.71
  • CareOregon — Medicare Advantage COA Star: $105.54
  • CareOregon — OHP/Medicaid: $80.71
  • Devoted — Medicare Advantage: $108.64
  • Health Net Health Plan — Medicare Advantage: $113.82
  • Humana Health Plan — Medicare HMO/PPO: $113.82
  • Kaiser Northwest — Medicare Advantage: $108.64
  • Moda Health Plan — Medicare Advantage: $103.47
  • Molina Healthcare of WA — Commercial: $41.39
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 $944 $613.60 $49.72 – $884.59
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $899 $584.35 $49.72 – $884.59
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $899 $584.35 $49.72 – $884.59
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
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 $4,076 $2,649.40 $113.48 – $2,018.88
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $312.08
  • CareOregon — Medicare Advantage: $221.29
  • CareOregon — Medicare Advantage COA Star: $289.38
  • CareOregon — OHP/Medicaid: $221.29
  • Devoted — Medicare Advantage: $297.90
  • Health Net Health Plan — Medicare Advantage: $312.08
  • Humana Health Plan — Medicare HMO/PPO: $312.08
  • Kaiser Northwest — Medicare Advantage: $297.90
  • Moda Health Plan — Medicare Advantage: $283.71
  • Molina Healthcare of WA — Commercial: $113.48
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $3,882 $2,523.30 $113.48 – $2,018.88
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $312.08
  • CareOregon — Medicare Advantage: $221.29
  • CareOregon — Medicare Advantage COA Star: $289.38
  • CareOregon — OHP/Medicaid: $221.29
  • Devoted — Medicare Advantage: $297.90
  • Health Net Health Plan — Medicare Advantage: $312.08
  • Humana Health Plan — Medicare HMO/PPO: $312.08
  • Kaiser Northwest — Medicare Advantage: $297.90
  • Moda Health Plan — Medicare Advantage: $283.71
  • Molina Healthcare of WA — Commercial: $113.48
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $3,882 $2,523.30 $113.48 – $2,018.88
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $312.08
  • CareOregon — Medicare Advantage: $221.29
  • CareOregon — Medicare Advantage COA Star: $289.38
  • CareOregon — OHP/Medicaid: $221.29
  • Devoted — Medicare Advantage: $297.90
  • Health Net Health Plan — Medicare Advantage: $312.08
  • Humana Health Plan — Medicare HMO/PPO: $312.08
  • Kaiser Northwest — Medicare Advantage: $297.90
  • Moda Health Plan — Medicare Advantage: $283.71
  • Molina Healthcare of WA — Commercial: $113.48
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $3,348 $2,176.20 $83.42 – $1,484.04
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $229.40
  • CareOregon — Medicare Advantage: $162.67
  • CareOregon — Medicare Advantage COA Star: $212.72
  • CareOregon — OHP/Medicaid: $162.67
  • Devoted — Medicare Advantage: $218.98
  • Health Net Health Plan — Medicare Advantage: $229.40
  • Humana Health Plan — Medicare HMO/PPO: $229.40
  • Kaiser Northwest — Medicare Advantage: $218.98
  • Moda Health Plan — Medicare Advantage: $208.55
  • Molina Healthcare of WA — Commercial: $83.42
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST $3,189 $2,072.85 $83.42 – $1,484.04
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $229.41
  • CareOregon — Medicare Advantage: $162.67
  • CareOregon — Medicare Advantage COA Star: $212.72
  • CareOregon — OHP/Medicaid: $162.67
  • Devoted — Medicare Advantage: $218.98
  • Health Net Health Plan — Medicare Advantage: $229.41
  • Humana Health Plan — Medicare HMO/PPO: $229.41
  • Kaiser Northwest — Medicare Advantage: $218.98
  • Moda Health Plan — Medicare Advantage: $208.55
  • Molina Healthcare of WA — Commercial: $83.42
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT SCAN OF PELVIS WITH CONTRAST $3,189 $2,072.85 $83.42 – $1,484.04
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $229.41
  • CareOregon — Medicare Advantage: $162.67
  • CareOregon — Medicare Advantage COA Star: $212.72
  • CareOregon — OHP/Medicaid: $162.67
  • Devoted — Medicare Advantage: $218.98
  • Health Net Health Plan — Medicare Advantage: $229.41
  • Humana Health Plan — Medicare HMO/PPO: $229.41
  • Kaiser Northwest — Medicare Advantage: $218.98
  • Moda Health Plan — Medicare Advantage: $208.55
  • Molina Healthcare of WA — Commercial: $83.42
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 $4,076 $2,649.40 $113.48 – $2,018.88
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $312.08
  • CareOregon — Medicare Advantage: $221.29
  • CareOregon — Medicare Advantage COA Star: $289.38
  • CareOregon — OHP/Medicaid: $221.29
  • Devoted — Medicare Advantage: $297.90
  • Health Net Health Plan — Medicare Advantage: $312.08
  • Humana Health Plan — Medicare HMO/PPO: $312.08
  • Kaiser Northwest — Medicare Advantage: $297.90
  • Moda Health Plan — Medicare Advantage: $283.71
  • Molina Healthcare of WA — Commercial: $113.48
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $3,882 $2,523.30 $113.48 – $2,018.88
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $312.08
  • CareOregon — Medicare Advantage: $221.29
  • CareOregon — Medicare Advantage COA Star: $289.38
  • CareOregon — OHP/Medicaid: $221.29
  • Devoted — Medicare Advantage: $297.90
  • Health Net Health Plan — Medicare Advantage: $312.08
  • Humana Health Plan — Medicare HMO/PPO: $312.08
  • Kaiser Northwest — Medicare Advantage: $297.90
  • Moda Health Plan — Medicare Advantage: $283.71
  • Molina Healthcare of WA — Commercial: $113.48
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT_TC In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $3,882 $2,523.30 $113.48 – $2,018.88
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $312.08
  • CareOregon — Medicare Advantage: $221.29
  • CareOregon — Medicare Advantage COA Star: $289.38
  • CareOregon — OHP/Medicaid: $221.29
  • Devoted — Medicare Advantage: $297.90
  • Health Net Health Plan — Medicare Advantage: $312.08
  • Humana Health Plan — Medicare HMO/PPO: $312.08
  • Kaiser Northwest — Medicare Advantage: $297.90
  • Moda Health Plan — Medicare Advantage: $283.71
  • Molina Healthcare of WA — Commercial: $113.48
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST $3,835 $2,492.75 $165.94 – $2,952
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $456.32
  • CareOregon — Medicare Advantage: $323.58
  • CareOregon — Medicare Advantage COA Star: $423.14
  • CareOregon — OHP/Medicaid: $323.58
  • Devoted — Medicare Advantage: $435.58
  • Health Net Health Plan — Medicare Advantage: $456.32
  • Humana Health Plan — Medicare HMO/PPO: $456.32
  • Kaiser Northwest — Medicare Advantage: $435.58
  • Moda Health Plan — Medicare Advantage: $414.84
  • Molina Healthcare of WA — Commercial: $165.94
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $3,652 $2,373.80 $165.94 – $2,952
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $456.32
  • CareOregon — Medicare Advantage: $323.58
  • CareOregon — Medicare Advantage COA Star: $423.14
  • CareOregon — OHP/Medicaid: $323.58
  • Devoted — Medicare Advantage: $435.58
  • Health Net Health Plan — Medicare Advantage: $456.32
  • Humana Health Plan — Medicare HMO/PPO: $456.32
  • Kaiser Northwest — Medicare Advantage: $435.58
  • Moda Health Plan — Medicare Advantage: $414.84
  • Molina Healthcare of WA — Commercial: $165.94
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier Q1 In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $3,835 $2,492.75 $165.94 – $2,952
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $456.32
  • CareOregon — Medicare Advantage: $323.58
  • CareOregon — Medicare Advantage COA Star: $423.14
  • CareOregon — OHP/Medicaid: $323.58
  • Devoted — Medicare Advantage: $435.58
  • Health Net Health Plan — Medicare Advantage: $456.32
  • Humana Health Plan — Medicare HMO/PPO: $456.32
  • Kaiser Northwest — Medicare Advantage: $435.58
  • Moda Health Plan — Medicare Advantage: $414.84
  • Molina Healthcare of WA — Commercial: $165.94
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $957 $622.05 $49.72 – $884.59
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $911 $592.15 $49.72 – $884.59
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $911 $592.15 $49.72 – $884.59
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $1,139 $740.35 $49.72 – $884.59
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $1,085 $705.25 $49.72 – $884.59
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $1,085 $705.25 $49.72 – $884.59
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB $957 $622.05 $49.72 – $884.59
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $911 $592.15 $49.72 – $884.59
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $911 $592.15 $49.72 – $884.59
Transvaginal ultrasound: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $136.74
  • CareOregon — Medicare Advantage: $96.96
  • CareOregon — Medicare Advantage COA Star: $126.80
  • CareOregon — OHP/Medicaid: $96.96
  • Devoted — Medicare Advantage: $130.53
  • Health Net Health Plan — Medicare Advantage: $136.74
  • Humana Health Plan — Medicare HMO/PPO: $136.74
  • Kaiser Northwest — Medicare Advantage: $130.53
  • Moda Health Plan — Medicare Advantage: $124.31
  • Molina Healthcare of WA — Commercial: $49.72
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $779 $506.35 $15.28 – $271.83
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $42.02
  • CareOregon — Medicare Advantage: $29.80
  • CareOregon — Medicare Advantage COA Star: $38.96
  • CareOregon — OHP/Medicaid: $29.80
  • Devoted — Medicare Advantage: $40.11
  • Health Net Health Plan — Medicare Advantage: $42.02
  • Humana Health Plan — Medicare HMO/PPO: $42.02
  • Kaiser Northwest — Medicare Advantage: $40.11
  • Moda Health Plan — Medicare Advantage: $38.20
  • Molina Healthcare of WA — Commercial: $15.28
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $742 $482.30 $15.28 – $271.83
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $42.02
  • CareOregon — Medicare Advantage: $29.80
  • CareOregon — Medicare Advantage COA Star: $38.96
  • CareOregon — OHP/Medicaid: $29.80
  • Devoted — Medicare Advantage: $40.11
  • Health Net Health Plan — Medicare Advantage: $42.02
  • Humana Health Plan — Medicare HMO/PPO: $42.02
  • Kaiser Northwest — Medicare Advantage: $40.11
  • Moda Health Plan — Medicare Advantage: $38.20
  • Molina Healthcare of WA — Commercial: $15.28
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GA In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $742 $482.30 $15.28 – $271.83
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $42.02
  • CareOregon — Medicare Advantage: $29.80
  • CareOregon — Medicare Advantage COA Star: $38.96
  • CareOregon — OHP/Medicaid: $29.80
  • Devoted — Medicare Advantage: $40.11
  • Health Net Health Plan — Medicare Advantage: $42.02
  • Humana Health Plan — Medicare HMO/PPO: $42.02
  • Kaiser Northwest — Medicare Advantage: $40.11
  • Moda Health Plan — Medicare Advantage: $38.20
  • Molina Healthcare of WA — Commercial: $15.28
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $998 $648.70 $18.80 – $334.45
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $51.70
  • CareOregon — Medicare Advantage: $36.66
  • CareOregon — Medicare Advantage COA Star: $47.94
  • CareOregon — OHP/Medicaid: $36.66
  • Devoted — Medicare Advantage: $49.35
  • Health Net Health Plan — Medicare Advantage: $51.70
  • Humana Health Plan — Medicare HMO/PPO: $51.70
  • Kaiser Northwest — Medicare Advantage: $49.35
  • Moda Health Plan — Medicare Advantage: $47
  • Molina Healthcare of WA — Commercial: $18.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $950 $617.50 $18.80 – $334.45
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $51.70
  • CareOregon — Medicare Advantage: $36.66
  • CareOregon — Medicare Advantage COA Star: $47.94
  • CareOregon — OHP/Medicaid: $36.66
  • Devoted — Medicare Advantage: $49.35
  • Health Net Health Plan — Medicare Advantage: $51.70
  • Humana Health Plan — Medicare HMO/PPO: $51.70
  • Kaiser Northwest — Medicare Advantage: $49.35
  • Moda Health Plan — Medicare Advantage: $47
  • Molina Healthcare of WA — Commercial: $18.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $950 $617.50 $18.80 – $334.45
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $51.70
  • CareOregon — Medicare Advantage: $36.66
  • CareOregon — Medicare Advantage COA Star: $47.94
  • CareOregon — OHP/Medicaid: $36.66
  • Devoted — Medicare Advantage: $49.35
  • Health Net Health Plan — Medicare Advantage: $51.70
  • Humana Health Plan — Medicare HMO/PPO: $51.70
  • Kaiser Northwest — Medicare Advantage: $49.35
  • Moda Health Plan — Medicare Advantage: $47
  • Molina Healthcare of WA — Commercial: $18.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $823 $534.95 $14.22 – $252.97
Screening mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $39.10
  • CareOregon — Medicare Advantage: $27.73
  • CareOregon — Medicare Advantage COA Star: $36.26
  • CareOregon — OHP/Medicaid: $27.73
  • Devoted — Medicare Advantage: $37.33
  • Health Net Health Plan — Medicare Advantage: $39.10
  • Humana Health Plan — Medicare HMO/PPO: $39.10
  • Kaiser Northwest — Medicare Advantage: $37.33
  • Moda Health Plan — Medicare Advantage: $35.55
  • Molina Healthcare of WA — Commercial: $14.22
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY $784 $509.60 $14.22 – $252.97
Screening mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $39.10
  • CareOregon — Medicare Advantage: $27.73
  • CareOregon — Medicare Advantage COA Star: $36.26
  • CareOregon — OHP/Medicaid: $27.73
  • Devoted — Medicare Advantage: $37.33
  • Health Net Health Plan — Medicare Advantage: $39.10
  • Humana Health Plan — Medicare HMO/PPO: $39.10
  • Kaiser Northwest — Medicare Advantage: $37.33
  • Moda Health Plan — Medicare Advantage: $35.55
  • Molina Healthcare of WA — Commercial: $14.22
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_RT_TC In the file: SCREENING MAMMOGRAPHY $784 $509.60 $14.22 – $252.97
Screening mammogram, both breasts: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $39.10
  • CareOregon — Medicare Advantage: $27.73
  • CareOregon — Medicare Advantage COA Star: $36.26
  • CareOregon — OHP/Medicaid: $27.73
  • Devoted — Medicare Advantage: $37.33
  • Health Net Health Plan — Medicare Advantage: $39.10
  • Humana Health Plan — Medicare HMO/PPO: $39.10
  • Kaiser Northwest — Medicare Advantage: $37.33
  • Moda Health Plan — Medicare Advantage: $35.55
  • Molina Healthcare of WA — Commercial: $14.22

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $18,475 $12,008.75 $1,541.93 – $27,430.90
Left heart catheterization (diagnostic): 10 of 33 insurance plan rates
  • Aetna Health — Medicare Advantage: $4,240.30
  • CareOregon — Medicare Advantage: $3,006.76
  • CareOregon — Medicare Advantage COA Star: $3,931.92
  • CareOregon — OHP/Medicaid: $3,006.76
  • Devoted — Medicare Advantage: $4,047.56
  • Health Net Health Plan — Medicare Advantage: $4,240.30
  • Humana Health Plan — Medicare HMO/PPO: $4,240.30
  • Kaiser Northwest — Medicare Advantage: $4,047.56
  • Moda Health Plan — Medicare Advantage: $3,854.82
  • Molina Healthcare of WA — Commercial: $1,541.93
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: INSERTION OF TUBE IN LEFT HEART CHAMBERS FOR DIAGNOSIS WITH REVIEW BY RADIOLOGIST $17,595 $11,436.75 $1,541.93 – $27,430.90
Left heart catheterization (diagnostic): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $4,240.30
  • CareOregon — Medicare Advantage: $3,006.76
  • CareOregon — Medicare Advantage COA Star: $3,931.92
  • CareOregon — OHP/Medicaid: $3,006.76
  • Devoted — Medicare Advantage: $4,047.56
  • Health Net Health Plan — Medicare Advantage: $4,240.30
  • Humana Health Plan — Medicare HMO/PPO: $4,240.30
  • Kaiser Northwest — Medicare Advantage: $4,047.56
  • Moda Health Plan — Medicare Advantage: $3,854.82
  • Molina Healthcare of WA — Commercial: $1,541.93
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $6,132 $3,985.80 $408.43 – $7,266.01
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,123.19
  • CareOregon — Medicare Advantage: $796.44
  • CareOregon — Medicare Advantage COA Star: $1,041.50
  • CareOregon — OHP/Medicaid: $796.44
  • Devoted — Medicare Advantage: $1,072.13
  • Health Net Health Plan — Medicare Advantage: $1,123.19
  • Humana Health Plan — Medicare HMO/PPO: $1,123.19
  • Kaiser Northwest — Medicare Advantage: $1,072.13
  • Moda Health Plan — Medicare Advantage: $1,021.08
  • Molina Healthcare of WA — Commercial: $408.43
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) $5,840 $3,796 $408.43 – $7,266.01
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,123.19
  • CareOregon — Medicare Advantage: $796.44
  • CareOregon — Medicare Advantage COA Star: $1,041.50
  • CareOregon — OHP/Medicaid: $796.44
  • Devoted — Medicare Advantage: $1,072.13
  • Health Net Health Plan — Medicare Advantage: $1,123.19
  • Humana Health Plan — Medicare HMO/PPO: $1,123.19
  • Kaiser Northwest — Medicare Advantage: $1,072.13
  • Moda Health Plan — Medicare Advantage: $1,021.08
  • Molina Healthcare of WA — Commercial: $408.43

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 $150 $97.50 $11.96 – $212.77
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $32.89
  • CareOregon — Medicare Advantage: $23.32
  • CareOregon — Medicare Advantage COA Star: $30.50
  • CareOregon — OHP/Medicaid: $23.32
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $31.40
  • Health Net Health Plan — Medicare Advantage: $32.89
  • Humana Health Plan — Medicare HMO/PPO: $32.89
  • Kaiser Northwest — Medicare Advantage: $31.40
  • Moda Health Plan — Medicare Advantage: $29.90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GO In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $286 $185.90 $11.96 – $212.77
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $32.89
  • CareOregon — Medicare Advantage: $23.32
  • CareOregon — Medicare Advantage COA Star: $30.50
  • CareOregon — OHP/Medicaid: $23.32
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $31.40
  • Health Net Health Plan — Medicare Advantage: $32.89
  • Humana Health Plan — Medicare HMO/PPO: $32.89
  • Kaiser Northwest — Medicare Advantage: $31.40
  • Moda Health Plan — Medicare Advantage: $29.90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CQ_GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $286 $185.90 $11.96 – $212.77
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $32.89
  • CareOregon — Medicare Advantage: $23.32
  • CareOregon — Medicare Advantage COA Star: $30.50
  • CareOregon — OHP/Medicaid: $23.32
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $31.40
  • Health Net Health Plan — Medicare Advantage: $32.89
  • Humana Health Plan — Medicare HMO/PPO: $32.89
  • Kaiser Northwest — Medicare Advantage: $31.40
  • Moda Health Plan — Medicare Advantage: $29.90
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN $397 $258.05 $40.36 – $717.93
Physical therapy evaluation (low complexity): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $110.98
  • CareOregon — Medicare Advantage: $78.69
  • CareOregon — Medicare Advantage COA Star: $102.91
  • CareOregon — OHP/Medicaid: $78.69
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $105.93
  • Health Net Health Plan — Medicare Advantage: $110.98
  • Humana Health Plan — Medicare HMO/PPO: $110.98
  • Kaiser Northwest — Medicare Advantage: $105.93
  • Moda Health Plan — Medicare Advantage: $100.89
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $350 $227.50 $40.36 – $717.93
Physical therapy evaluation (low complexity): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $110.98
  • CareOregon — Medicare Advantage: $78.69
  • CareOregon — Medicare Advantage COA Star: $102.91
  • CareOregon — OHP/Medicaid: $78.69
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $105.93
  • Health Net Health Plan — Medicare Advantage: $110.98
  • Humana Health Plan — Medicare HMO/PPO: $110.98
  • Kaiser Northwest — Medicare Advantage: $105.93
  • Moda Health Plan — Medicare Advantage: $100.89
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN $455 $295.75 $40.36 – $717.93
Physical therapy evaluation (moderate complexity): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $110.98
  • CareOregon — Medicare Advantage: $78.69
  • CareOregon — Medicare Advantage COA Star: $102.91
  • CareOregon — OHP/Medicaid: $78.69
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $105.93
  • Health Net Health Plan — Medicare Advantage: $110.98
  • Humana Health Plan — Medicare HMO/PPO: $110.98
  • Kaiser Northwest — Medicare Advantage: $105.93
  • Moda Health Plan — Medicare Advantage: $100.89
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $440 $286 $40.36 – $717.93
Physical therapy evaluation (moderate complexity): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $110.98
  • CareOregon — Medicare Advantage: $78.69
  • CareOregon — Medicare Advantage COA Star: $102.91
  • CareOregon — OHP/Medicaid: $78.69
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $105.93
  • Health Net Health Plan — Medicare Advantage: $110.98
  • Humana Health Plan — Medicare HMO/PPO: $110.98
  • Kaiser Northwest — Medicare Advantage: $105.93
  • Moda Health Plan — Medicare Advantage: $100.89
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $440 $286 $40.36 – $717.93
Physical therapy evaluation (moderate complexity): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $110.98
  • CareOregon — Medicare Advantage: $78.69
  • CareOregon — Medicare Advantage COA Star: $102.91
  • CareOregon — OHP/Medicaid: $78.69
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $105.93
  • Health Net Health Plan — Medicare Advantage: $110.98
  • Humana Health Plan — Medicare HMO/PPO: $110.98
  • Kaiser Northwest — Medicare Advantage: $105.93
  • Moda Health Plan — Medicare Advantage: $100.89
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN $582 $378.30 $40.36 – $717.93
Physical therapy evaluation (high complexity): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $110.98
  • CareOregon — Medicare Advantage: $78.69
  • CareOregon — Medicare Advantage COA Star: $102.91
  • CareOregon — OHP/Medicaid: $78.69
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $105.93
  • Health Net Health Plan — Medicare Advantage: $110.98
  • Humana Health Plan — Medicare HMO/PPO: $110.98
  • Kaiser Northwest — Medicare Advantage: $105.93
  • Moda Health Plan — Medicare Advantage: $100.89
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES $582 $378.30 $40.36 – $717.93
Physical therapy evaluation (high complexity): 10 of 36 insurance plan rates
  • Aetna Health — Medicare Advantage: $110.98
  • CareOregon — Medicare Advantage: $78.69
  • CareOregon — Medicare Advantage COA Star: $102.91
  • CareOregon — OHP/Medicaid: $78.69
  • Cigna Health — Commercial: $117.47
  • Devoted — Medicare Advantage: $105.93
  • Health Net Health Plan — Medicare Advantage: $110.98
  • Humana Health Plan — Medicare HMO/PPO: $110.98
  • Kaiser Northwest — Medicare Advantage: $105.93
  • Moda Health Plan — Medicare Advantage: $100.89

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE $16,916 $10,995.40 $1,862.26 – $33,129.61
Removal of breast growth (open surgery): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $5,121.21
  • CareOregon — Medicare Advantage: $3,631.41
  • CareOregon — Medicare Advantage COA Star: $4,748.76
  • CareOregon — OHP/Medicaid: $3,631.41
  • Devoted — Medicare Advantage: $4,888.43
  • Health Net Health Plan — Medicare Advantage: $5,121.21
  • Humana Health Plan — Medicare HMO/PPO: $5,121.21
  • Kaiser Northwest — Medicare Advantage: $4,888.43
  • Moda Health Plan — Medicare Advantage: $4,655.65
  • Molina Healthcare of WA — Commercial: $1,862.26
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $55,184 $35,869.60 $6,106.34 – $108,631.86
Total hip replacement: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $16,792.45
  • CareOregon — Medicare Advantage: $11,907.37
  • CareOregon — Medicare Advantage COA Star: $15,571.18
  • CareOregon — OHP/Medicaid: $11,907.37
  • Devoted — Medicare Advantage: $16,029.15
  • Health Net Health Plan — Medicare Advantage: $16,792.45
  • Humana Health Plan — Medicare HMO/PPO: $16,792.45
  • Kaiser Northwest — Medicare Advantage: $16,029.15
  • Moda Health Plan — Medicare Advantage: $15,265.86
  • Molina Healthcare of WA — Commercial: $6,106.34
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $137,818 $89,581.70 $6,106.34 – $108,631.86
Total hip replacement: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $16,792.45
  • CareOregon — Medicare Advantage: $11,907.37
  • CareOregon — Medicare Advantage COA Star: $15,571.18
  • CareOregon — OHP/Medicaid: $11,907.37
  • Devoted — Medicare Advantage: $16,029.15
  • Health Net Health Plan — Medicare Advantage: $16,792.45
  • Humana Health Plan — Medicare HMO/PPO: $16,792.45
  • Kaiser Northwest — Medicare Advantage: $16,029.15
  • Moda Health Plan — Medicare Advantage: $15,265.86
  • Molina Healthcare of WA — Commercial: $6,106.34
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $71,262.67 $46,320.74 $6,106.34 – $108,631.86
Total hip replacement: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $16,792.45
  • CareOregon — Medicare Advantage: $11,907.37
  • CareOregon — Medicare Advantage COA Star: $15,571.18
  • CareOregon — OHP/Medicaid: $11,907.37
  • Devoted — Medicare Advantage: $16,029.15
  • Health Net Health Plan — Medicare Advantage: $16,792.45
  • Humana Health Plan — Medicare HMO/PPO: $16,792.45
  • Kaiser Northwest — Medicare Advantage: $16,029.15
  • Moda Health Plan — Medicare Advantage: $15,265.86
  • Molina Healthcare of WA — Commercial: $6,106.34
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $75,730 $49,224.50 $6,106.34 – $108,631.86
Total knee replacement: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $16,792.45
  • CareOregon — Medicare Advantage: $11,907.37
  • CareOregon — Medicare Advantage COA Star: $15,571.18
  • CareOregon — OHP/Medicaid: $11,907.37
  • Devoted — Medicare Advantage: $16,029.15
  • Health Net Health Plan — Medicare Advantage: $16,792.45
  • Humana Health Plan — Medicare HMO/PPO: $16,792.45
  • Kaiser Northwest — Medicare Advantage: $16,029.15
  • Moda Health Plan — Medicare Advantage: $15,265.86
  • Molina Healthcare of WA — Commercial: $6,106.34
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $50,486.67 $32,816.34 $6,106.34 – $108,631.86
Total knee replacement: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $16,792.45
  • CareOregon — Medicare Advantage: $11,907.37
  • CareOregon — Medicare Advantage COA Star: $15,571.18
  • CareOregon — OHP/Medicaid: $11,907.37
  • Devoted — Medicare Advantage: $16,029.15
  • Health Net Health Plan — Medicare Advantage: $16,792.45
  • Humana Health Plan — Medicare HMO/PPO: $16,792.45
  • Kaiser Northwest — Medicare Advantage: $16,029.15
  • Moda Health Plan — Medicare Advantage: $15,265.86
  • Molina Healthcare of WA — Commercial: $6,106.34
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $4,402.66 $2,861.73 $58.35 – $1,038.08
Shoulder arthroscopy: shaving of shoulder bone: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $160.47
  • CareOregon — Medicare Advantage: $113.79
  • CareOregon — Medicare Advantage COA Star: $148.80
  • CareOregon — OHP/Medicaid: $113.79
  • Devoted — Medicare Advantage: $153.17
  • Health Net Health Plan — Medicare Advantage: $160.47
  • Humana Health Plan — Medicare HMO/PPO: $160.47
  • Kaiser Northwest — Medicare Advantage: $153.17
  • Moda Health Plan — Medicare Advantage: $145.88
  • Molina Healthcare of WA — Commercial: $58.35
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $13,685 $8,895.25 $58.35 – $1,038.08
Shoulder arthroscopy: shaving of shoulder bone: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $160.47
  • CareOregon — Medicare Advantage: $113.79
  • CareOregon — Medicare Advantage COA Star: $148.80
  • CareOregon — OHP/Medicaid: $113.79
  • Devoted — Medicare Advantage: $153.17
  • Health Net Health Plan — Medicare Advantage: $160.47
  • Humana Health Plan — Medicare HMO/PPO: $160.47
  • Kaiser Northwest — Medicare Advantage: $153.17
  • Moda Health Plan — Medicare Advantage: $145.88
  • Molina Healthcare of WA — Commercial: $58.35
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $15,241 $9,906.65 $1,556.23 – $27,685.30
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $4,279.63
  • CareOregon — Medicare Advantage: $3,034.64
  • CareOregon — Medicare Advantage COA Star: $3,968.38
  • CareOregon — OHP/Medicaid: $3,034.64
  • Devoted — Medicare Advantage: $4,085.10
  • Health Net Health Plan — Medicare Advantage: $4,279.63
  • Humana Health Plan — Medicare HMO/PPO: $4,279.63
  • Kaiser Northwest — Medicare Advantage: $4,085.10
  • Moda Health Plan — Medicare Advantage: $3,890.57
  • Molina Healthcare of WA — Commercial: $1,556.23
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $12,106 $7,868.90 $1,556.23 – $27,685.30
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $4,279.63
  • CareOregon — Medicare Advantage: $3,034.64
  • CareOregon — Medicare Advantage COA Star: $3,968.38
  • CareOregon — OHP/Medicaid: $3,034.64
  • Devoted — Medicare Advantage: $4,085.10
  • Health Net Health Plan — Medicare Advantage: $4,279.63
  • Humana Health Plan — Medicare HMO/PPO: $4,279.63
  • Kaiser Northwest — Medicare Advantage: $4,085.10
  • Moda Health Plan — Medicare Advantage: $3,890.57
  • Molina Healthcare of WA — Commercial: $1,556.23
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) $8,171 $5,311.15 $2,815.60 – $50,089.45
Removal of tonsils and adenoids (under age 12): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $7,742.89
  • CareOregon — Medicare Advantage: $5,490.41
  • CareOregon — Medicare Advantage COA Star: $7,179.77
  • CareOregon — OHP/Medicaid: $5,490.41
  • Devoted — Medicare Advantage: $7,390.94
  • Health Net Health Plan — Medicare Advantage: $7,742.89
  • Humana Health Plan — Medicare HMO/PPO: $7,742.89
  • Kaiser Northwest — Medicare Advantage: $7,390.94
  • Moda Health Plan — Medicare Advantage: $7,038.99
  • Molina Healthcare of WA — Commercial: $2,815.60
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH $4,028 $2,618.20 $431.38 – $7,674.25
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,186.30
  • CareOregon — Medicare Advantage: $841.19
  • CareOregon — Medicare Advantage COA Star: $1,100.02
  • CareOregon — OHP/Medicaid: $841.19
  • Devoted — Medicare Advantage: $1,132.37
  • Health Net Health Plan — Medicare Advantage: $1,186.30
  • Humana Health Plan — Medicare HMO/PPO: $1,186.30
  • Kaiser Northwest — Medicare Advantage: $1,132.37
  • Moda Health Plan — Medicare Advantage: $1,078.45
  • Molina Healthcare of WA — Commercial: $431.38
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $6,725 $4,371.25 $431.38 – $7,674.25
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,186.30
  • CareOregon — Medicare Advantage: $841.19
  • CareOregon — Medicare Advantage COA Star: $1,100.02
  • CareOregon — OHP/Medicaid: $841.19
  • Devoted — Medicare Advantage: $1,132.37
  • Health Net Health Plan — Medicare Advantage: $1,186.30
  • Humana Health Plan — Medicare HMO/PPO: $1,186.30
  • Kaiser Northwest — Medicare Advantage: $1,132.37
  • Moda Health Plan — Medicare Advantage: $1,078.45
  • Molina Healthcare of WA — Commercial: $431.38
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $6,725 $4,371.25 $431.38 – $7,674.25
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,186.30
  • CareOregon — Medicare Advantage: $841.19
  • CareOregon — Medicare Advantage COA Star: $1,100.02
  • CareOregon — OHP/Medicaid: $841.19
  • Devoted — Medicare Advantage: $1,132.37
  • Health Net Health Plan — Medicare Advantage: $1,186.30
  • Humana Health Plan — Medicare HMO/PPO: $1,186.30
  • Kaiser Northwest — Medicare Advantage: $1,132.37
  • Moda Health Plan — Medicare Advantage: $1,078.45
  • Molina Healthcare of WA — Commercial: $431.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $3,032 $1,970.80 $431.38 – $7,674.25
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,186.30
  • CareOregon — Medicare Advantage: $841.19
  • CareOregon — Medicare Advantage COA Star: $1,100.02
  • CareOregon — OHP/Medicaid: $841.19
  • Devoted — Medicare Advantage: $1,132.37
  • Health Net Health Plan — Medicare Advantage: $1,186.30
  • Humana Health Plan — Medicare HMO/PPO: $1,186.30
  • Kaiser Northwest — Medicare Advantage: $1,132.37
  • Moda Health Plan — Medicare Advantage: $1,078.45
  • Molina Healthcare of WA — Commercial: $431.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $6,725 $4,371.25 $431.38 – $7,674.25
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,186.30
  • CareOregon — Medicare Advantage: $841.19
  • CareOregon — Medicare Advantage COA Star: $1,100.02
  • CareOregon — OHP/Medicaid: $841.19
  • Devoted — Medicare Advantage: $1,132.37
  • Health Net Health Plan — Medicare Advantage: $1,186.30
  • Humana Health Plan — Medicare HMO/PPO: $1,186.30
  • Kaiser Northwest — Medicare Advantage: $1,132.37
  • Moda Health Plan — Medicare Advantage: $1,078.45
  • Molina Healthcare of WA — Commercial: $431.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $4,483.34 $2,914.17 $431.38 – $7,674.25
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,186.30
  • CareOregon — Medicare Advantage: $841.19
  • CareOregon — Medicare Advantage COA Star: $1,100.02
  • CareOregon — OHP/Medicaid: $841.19
  • Devoted — Medicare Advantage: $1,132.37
  • Health Net Health Plan — Medicare Advantage: $1,186.30
  • Humana Health Plan — Medicare HMO/PPO: $1,186.30
  • Kaiser Northwest — Medicare Advantage: $1,132.37
  • Moda Health Plan — Medicare Advantage: $1,078.45
  • Molina Healthcare of WA — Commercial: $431.38
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $4,301 $2,795.65 $442.31 – $7,868.73
Colonoscopy (diagnostic): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,216.36
  • CareOregon — Medicare Advantage: $862.51
  • CareOregon — Medicare Advantage COA Star: $1,127.90
  • CareOregon — OHP/Medicaid: $862.51
  • Devoted — Medicare Advantage: $1,161.07
  • Health Net Health Plan — Medicare Advantage: $1,216.36
  • Humana Health Plan — Medicare HMO/PPO: $1,216.36
  • Kaiser Northwest — Medicare Advantage: $1,161.07
  • Moda Health Plan — Medicare Advantage: $1,105.78
  • Molina Healthcare of WA — Commercial: $442.31
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,733 $1,776.45 $442.31 – $7,868.73
Colonoscopy (diagnostic): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,216.36
  • CareOregon — Medicare Advantage: $862.51
  • CareOregon — Medicare Advantage COA Star: $1,127.90
  • CareOregon — OHP/Medicaid: $862.51
  • Devoted — Medicare Advantage: $1,161.07
  • Health Net Health Plan — Medicare Advantage: $1,216.36
  • Humana Health Plan — Medicare HMO/PPO: $1,216.36
  • Kaiser Northwest — Medicare Advantage: $1,161.07
  • Moda Health Plan — Medicare Advantage: $1,105.78
  • Molina Healthcare of WA — Commercial: $442.31
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,733 $1,776.45 $442.31 – $7,868.73
Colonoscopy (diagnostic): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,216.36
  • CareOregon — Medicare Advantage: $862.51
  • CareOregon — Medicare Advantage COA Star: $1,127.90
  • CareOregon — OHP/Medicaid: $862.51
  • Devoted — Medicare Advantage: $1,161.07
  • Health Net Health Plan — Medicare Advantage: $1,216.36
  • Humana Health Plan — Medicare HMO/PPO: $1,216.36
  • Kaiser Northwest — Medicare Advantage: $1,161.07
  • Moda Health Plan — Medicare Advantage: $1,105.78
  • Molina Healthcare of WA — Commercial: $442.31
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $3,909.34 $2,541.07 $569.14 – $10,125.07
Colonoscopy with biopsy: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,565.15
  • CareOregon — Medicare Advantage: $1,109.83
  • CareOregon — Medicare Advantage COA Star: $1,451.32
  • CareOregon — OHP/Medicaid: $1,109.83
  • Devoted — Medicare Advantage: $1,494
  • Health Net Health Plan — Medicare Advantage: $1,565.15
  • Humana Health Plan — Medicare HMO/PPO: $1,565.15
  • Kaiser Northwest — Medicare Advantage: $1,494
  • Moda Health Plan — Medicare Advantage: $1,422.86
  • Molina Healthcare of WA — Commercial: $569.14
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $5,864 $3,811.60 $569.14 – $10,125.07
Colonoscopy with biopsy: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,565.15
  • CareOregon — Medicare Advantage: $1,109.83
  • CareOregon — Medicare Advantage COA Star: $1,451.32
  • CareOregon — OHP/Medicaid: $1,109.83
  • Devoted — Medicare Advantage: $1,494
  • Health Net Health Plan — Medicare Advantage: $1,565.15
  • Humana Health Plan — Medicare HMO/PPO: $1,565.15
  • Kaiser Northwest — Medicare Advantage: $1,494
  • Moda Health Plan — Medicare Advantage: $1,422.86
  • Molina Healthcare of WA — Commercial: $569.14
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $5,864 $3,811.60 $569.14 – $10,125.07
Colonoscopy with biopsy: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,565.15
  • CareOregon — Medicare Advantage: $1,109.83
  • CareOregon — Medicare Advantage COA Star: $1,451.32
  • CareOregon — OHP/Medicaid: $1,109.83
  • Devoted — Medicare Advantage: $1,494
  • Health Net Health Plan — Medicare Advantage: $1,565.15
  • Humana Health Plan — Medicare HMO/PPO: $1,565.15
  • Kaiser Northwest — Medicare Advantage: $1,494
  • Moda Health Plan — Medicare Advantage: $1,422.86
  • Molina Healthcare of WA — Commercial: $569.14
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $2,932 $1,905.80 $569.14 – $10,125.07
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,565.15
  • CareOregon — Medicare Advantage: $1,109.83
  • CareOregon — Medicare Advantage COA Star: $1,451.32
  • CareOregon — OHP/Medicaid: $1,109.83
  • Devoted — Medicare Advantage: $1,494
  • Health Net Health Plan — Medicare Advantage: $1,565.15
  • Humana Health Plan — Medicare HMO/PPO: $1,565.15
  • Kaiser Northwest — Medicare Advantage: $1,494
  • Moda Health Plan — Medicare Advantage: $1,422.86
  • Molina Healthcare of WA — Commercial: $569.14
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XS In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $1,954.66 $1,270.53 $569.14 – $10,125.07
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,565.15
  • CareOregon — Medicare Advantage: $1,109.83
  • CareOregon — Medicare Advantage COA Star: $1,451.32
  • CareOregon — OHP/Medicaid: $1,109.83
  • Devoted — Medicare Advantage: $1,494
  • Health Net Health Plan — Medicare Advantage: $1,565.15
  • Humana Health Plan — Medicare HMO/PPO: $1,565.15
  • Kaiser Northwest — Medicare Advantage: $1,494
  • Moda Health Plan — Medicare Advantage: $1,422.86
  • Molina Healthcare of WA — Commercial: $569.14
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $5,864 $3,811.60 $569.14 – $10,125.07
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,565.15
  • CareOregon — Medicare Advantage: $1,109.83
  • CareOregon — Medicare Advantage COA Star: $1,451.32
  • CareOregon — OHP/Medicaid: $1,109.83
  • Devoted — Medicare Advantage: $1,494
  • Health Net Health Plan — Medicare Advantage: $1,565.15
  • Humana Health Plan — Medicare HMO/PPO: $1,565.15
  • Kaiser Northwest — Medicare Advantage: $1,494
  • Moda Health Plan — Medicare Advantage: $1,422.86
  • Molina Healthcare of WA — Commercial: $569.14
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $2,733 $1,776.45 $442.31 – $7,868.73
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,216.36
  • CareOregon — Medicare Advantage: $862.51
  • CareOregon — Medicare Advantage COA Star: $1,127.90
  • CareOregon — OHP/Medicaid: $862.51
  • Devoted — Medicare Advantage: $1,161.07
  • Health Net Health Plan — Medicare Advantage: $1,216.36
  • Humana Health Plan — Medicare HMO/PPO: $1,216.36
  • Kaiser Northwest — Medicare Advantage: $1,161.07
  • Moda Health Plan — Medicare Advantage: $1,105.78
  • Molina Healthcare of WA — Commercial: $442.31
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier KX In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $2,733 $1,776.45 $442.31 – $7,868.73
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,216.36
  • CareOregon — Medicare Advantage: $862.51
  • CareOregon — Medicare Advantage COA Star: $1,127.90
  • CareOregon — OHP/Medicaid: $862.51
  • Devoted — Medicare Advantage: $1,161.07
  • Health Net Health Plan — Medicare Advantage: $1,216.36
  • Humana Health Plan — Medicare HMO/PPO: $1,216.36
  • Kaiser Northwest — Medicare Advantage: $1,161.07
  • Moda Health Plan — Medicare Advantage: $1,105.78
  • Molina Healthcare of WA — Commercial: $442.31
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $77,471 $50,356.15 $2,875.38 – $51,152.94
Gallbladder removal by laparoscope: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $7,907.28
  • CareOregon — Medicare Advantage: $5,606.98
  • CareOregon — Medicare Advantage COA Star: $7,332.21
  • CareOregon — OHP/Medicaid: $5,606.98
  • Devoted — Medicare Advantage: $7,547.86
  • Health Net Health Plan — Medicare Advantage: $7,907.28
  • Humana Health Plan — Medicare HMO/PPO: $7,907.28
  • Kaiser Northwest — Medicare Advantage: $7,547.86
  • Moda Health Plan — Medicare Advantage: $7,188.44
  • Molina Healthcare of WA — Commercial: $2,875.38
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $11,807.34 $7,674.77 $2,887.44 – $51,367.63
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $7,940.47
  • CareOregon — Medicare Advantage: $5,630.52
  • CareOregon — Medicare Advantage COA Star: $7,362.98
  • CareOregon — OHP/Medicaid: $5,630.52
  • Devoted — Medicare Advantage: $7,579.54
  • Health Net Health Plan — Medicare Advantage: $7,940.47
  • Humana Health Plan — Medicare HMO/PPO: $7,940.47
  • Kaiser Northwest — Medicare Advantage: $7,579.54
  • Moda Health Plan — Medicare Advantage: $7,218.61
  • Molina Healthcare of WA — Commercial: $2,887.44
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $15,644 $10,168.60 $1,702.91 – $30,294.80
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $4,683.01
  • CareOregon — Medicare Advantage: $3,320.68
  • CareOregon — Medicare Advantage COA Star: $4,342.43
  • CareOregon — OHP/Medicaid: $3,320.68
  • Devoted — Medicare Advantage: $4,470.14
  • Health Net Health Plan — Medicare Advantage: $4,683.01
  • Humana Health Plan — Medicare HMO/PPO: $4,683.01
  • Kaiser Northwest — Medicare Advantage: $4,470.14
  • Moda Health Plan — Medicare Advantage: $4,257.28
  • Molina Healthcare of WA — Commercial: $1,702.91
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $12,941 $8,411.65 $1,702.91 – $30,294.80
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $4,683.01
  • CareOregon — Medicare Advantage: $3,320.68
  • CareOregon — Medicare Advantage COA Star: $4,342.43
  • CareOregon — OHP/Medicaid: $3,320.68
  • Devoted — Medicare Advantage: $4,470.14
  • Health Net Health Plan — Medicare Advantage: $4,683.01
  • Humana Health Plan — Medicare HMO/PPO: $4,683.01
  • Kaiser Northwest — Medicare Advantage: $4,470.14
  • Moda Health Plan — Medicare Advantage: $4,257.28
  • Molina Healthcare of WA — Commercial: $1,702.91
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $14,809 $9,625.85 $1,539.64 – $27,390.27
Hysteroscopy with biopsy of the uterus lining: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $4,234.02
  • CareOregon — Medicare Advantage: $3,002.31
  • CareOregon — Medicare Advantage COA Star: $3,926.09
  • CareOregon — OHP/Medicaid: $3,002.31
  • Devoted — Medicare Advantage: $4,041.57
  • Health Net Health Plan — Medicare Advantage: $4,234.02
  • Humana Health Plan — Medicare HMO/PPO: $4,234.02
  • Kaiser Northwest — Medicare Advantage: $4,041.57
  • Moda Health Plan — Medicare Advantage: $3,849.11
  • Molina Healthcare of WA — Commercial: $1,539.64
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 73 In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $5,655.50 $3,676.08 $769.82 – $13,695.10
Hysteroscopy with biopsy of the uterus lining: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $2,117
  • CareOregon — Medicare Advantage: $1,501.15
  • CareOregon — Medicare Advantage COA Star: $1,963.04
  • CareOregon — OHP/Medicaid: $1,501.15
  • Devoted — Medicare Advantage: $2,020.78
  • Health Net Health Plan — Medicare Advantage: $2,117
  • Humana Health Plan — Medicare HMO/PPO: $2,117
  • Kaiser Northwest — Medicare Advantage: $2,020.78
  • Moda Health Plan — Medicare Advantage: $1,924.55
  • Molina Healthcare of WA — Commercial: $769.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $2,350 $1,527.50 $335.73 – $5,972.67
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $923.26
  • CareOregon — Medicare Advantage: $654.68
  • CareOregon — Medicare Advantage COA Star: $856.12
  • CareOregon — OHP/Medicaid: $654.68
  • Devoted — Medicare Advantage: $881.30
  • Health Net Health Plan — Medicare Advantage: $923.26
  • Humana Health Plan — Medicare HMO/PPO: $923.26
  • Kaiser Northwest — Medicare Advantage: $881.30
  • Moda Health Plan — Medicare Advantage: $839.33
  • Molina Healthcare of WA — Commercial: $335.73
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE $4,196 $2,727.40 $335.73 – $5,972.67
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $923.26
  • CareOregon — Medicare Advantage: $654.68
  • CareOregon — Medicare Advantage COA Star: $856.12
  • CareOregon — OHP/Medicaid: $654.68
  • Devoted — Medicare Advantage: $881.30
  • Health Net Health Plan — Medicare Advantage: $923.26
  • Humana Health Plan — Medicare HMO/PPO: $923.26
  • Kaiser Northwest — Medicare Advantage: $881.30
  • Moda Health Plan — Medicare Advantage: $839.33
  • Molina Healthcare of WA — Commercial: $335.73
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 $3,856 $2,506.40 $420.68 – $7,483.83
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,156.86
  • CareOregon — Medicare Advantage: $820.32
  • CareOregon — Medicare Advantage COA Star: $1,072.72
  • CareOregon — OHP/Medicaid: $820.32
  • Devoted — Medicare Advantage: $1,104.27
  • Health Net Health Plan — Medicare Advantage: $1,156.86
  • Humana Health Plan — Medicare HMO/PPO: $1,156.86
  • Kaiser Northwest — Medicare Advantage: $1,104.27
  • Moda Health Plan — Medicare Advantage: $1,051.69
  • Molina Healthcare of WA — Commercial: $420.68
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL $5,867 $3,813.55 $420.68 – $7,483.83
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,156.86
  • CareOregon — Medicare Advantage: $820.32
  • CareOregon — Medicare Advantage COA Star: $1,072.72
  • CareOregon — OHP/Medicaid: $820.32
  • Devoted — Medicare Advantage: $1,104.27
  • Health Net Health Plan — Medicare Advantage: $1,156.86
  • Humana Health Plan — Medicare HMO/PPO: $1,156.86
  • Kaiser Northwest — Medicare Advantage: $1,104.27
  • Moda Health Plan — Medicare Advantage: $1,051.69
  • Molina Healthcare of WA — Commercial: $420.68
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL $4,196 $2,727.40 $631.01 – $11,225.70
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $1,735.28
  • CareOregon — Medicare Advantage: $1,230.47
  • CareOregon — Medicare Advantage COA Star: $1,609.08
  • CareOregon — OHP/Medicaid: $1,230.47
  • Devoted — Medicare Advantage: $1,656.41
  • Health Net Health Plan — Medicare Advantage: $1,735.28
  • Humana Health Plan — Medicare HMO/PPO: $1,735.28
  • Kaiser Northwest — Medicare Advantage: $1,656.41
  • Moda Health Plan — Medicare Advantage: $1,577.53
  • Molina Healthcare of WA — Commercial: $631.01
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $5,212.75 $3,388.29 $928.76 – $16,522.64
Carpal tunnel release: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $2,554.09
  • CareOregon — Medicare Advantage: $1,811.08
  • CareOregon — Medicare Advantage COA Star: $2,368.34
  • CareOregon — OHP/Medicaid: $1,811.08
  • Devoted — Medicare Advantage: $2,438
  • Health Net Health Plan — Medicare Advantage: $2,554.09
  • Humana Health Plan — Medicare HMO/PPO: $2,554.09
  • Kaiser Northwest — Medicare Advantage: $2,438
  • Moda Health Plan — Medicare Advantage: $2,321.90
  • Molina Healthcare of WA — Commercial: $928.76
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $19,730.67 $12,824.94 $928.76 – $16,522.64
Carpal tunnel release: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $2,554.09
  • CareOregon — Medicare Advantage: $1,811.08
  • CareOregon — Medicare Advantage COA Star: $2,368.34
  • CareOregon — OHP/Medicaid: $1,811.08
  • Devoted — Medicare Advantage: $2,438
  • Health Net Health Plan — Medicare Advantage: $2,554.09
  • Humana Health Plan — Medicare HMO/PPO: $2,554.09
  • Kaiser Northwest — Medicare Advantage: $2,438
  • Moda Health Plan — Medicare Advantage: $2,321.90
  • Molina Healthcare of WA — Commercial: $928.76
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $5,156 $3,351.40 $1,097.65 – $19,527.16
Cataract removal with lens implant: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $3,018.53
  • CareOregon — Medicare Advantage: $2,140.41
  • CareOregon — Medicare Advantage COA Star: $2,799
  • CareOregon — OHP/Medicaid: $2,140.41
  • Devoted — Medicare Advantage: $2,881.33
  • Health Net Health Plan — Medicare Advantage: $3,018.53
  • Humana Health Plan — Medicare HMO/PPO: $3,018.53
  • Kaiser Northwest — Medicare Advantage: $2,881.33
  • Moda Health Plan — Medicare Advantage: $2,744.12
  • Molina Healthcare of WA — Commercial: $1,097.65
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $5,156 $3,351.40 $1,097.65 – $19,527.16
Cataract removal with lens implant: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $3,018.53
  • CareOregon — Medicare Advantage: $2,140.41
  • CareOregon — Medicare Advantage COA Star: $2,799
  • CareOregon — OHP/Medicaid: $2,140.41
  • Devoted — Medicare Advantage: $2,881.33
  • Health Net Health Plan — Medicare Advantage: $3,018.53
  • Humana Health Plan — Medicare HMO/PPO: $3,018.53
  • Kaiser Northwest — Medicare Advantage: $2,881.33
  • Moda Health Plan — Medicare Advantage: $2,744.12
  • Molina Healthcare of WA — Commercial: $1,097.65
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $5,878 $3,820.70 $1,097.65 – $19,527.16
Cataract removal with lens implant: 10 of 35 insurance plan rates
  • Aetna Health — Medicare Advantage: $3,018.53
  • CareOregon — Medicare Advantage: $2,140.41
  • CareOregon — Medicare Advantage COA Star: $2,799
  • CareOregon — OHP/Medicaid: $2,140.41
  • Devoted — Medicare Advantage: $2,881.33
  • Health Net Health Plan — Medicare Advantage: $3,018.53
  • Humana Health Plan — Medicare HMO/PPO: $3,018.53
  • Kaiser Northwest — Medicare Advantage: $2,881.33
  • Moda Health Plan — Medicare Advantage: $2,744.12
  • Molina Healthcare of WA — Commercial: $1,097.65

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 $660 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $168,504.60
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 30 insurance plan rates
  • Aetna Health — Medicare Advantage: $92,677.53
  • Ambetter — Commercial: $168,504.60
  • CareOregon — Medicare Advantage: $65,716.79
  • CareOregon — Medicare Advantage COA Star: $85,937.35
  • CareOregon — OHP/Medicaid: $65,716.79
  • Devoted — Medicare Advantage: $88,464.92
  • Health Net Health Plan — Medicare Advantage: $92,677.53
  • Humana Health Plan — Medicare HMO/PPO: $92,677.53
  • Kaiser Northwest — Medicare Advantage: $88,464.92
  • Moda Health Plan — Medicare Advantage: $84,252.30
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 COMORBITY Not listed in the file Not listed in the file $660 – $35,446.76
Hip or knee replacement (major joint of the leg), without major complications: 10 of 29 insurance plan rates
  • Aetna Health — Medicare Advantage: $19,495.72
  • Ambetter — Commercial: $35,446.76
  • CareOregon — Medicare Advantage: $13,824.24
  • CareOregon — Medicare Advantage COA Star: $18,077.85
  • CareOregon — OHP/Medicaid: $13,824.24
  • Devoted — Medicare Advantage: $18,609.55
  • Health Net Health Plan — Medicare Advantage: $19,495.72
  • Humana Health Plan — Medicare HMO/PPO: $19,495.72
  • Kaiser Northwest — Medicare Advantage: $18,609.55
  • Moda Health Plan — Medicare Advantage: $17,723.38
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 $660 – $44,127.64
Neck (cervical) spinal fusion, without complications: 10 of 29 insurance plan rates
  • Aetna Health — Medicare Advantage: $24,270.20
  • Ambetter — Commercial: $44,127.64
  • CareOregon — Medicare Advantage: $17,209.78
  • CareOregon — Medicare Advantage COA Star: $22,505.10
  • CareOregon — OHP/Medicaid: $17,209.78
  • Devoted — Medicare Advantage: $23,167.01
  • Health Net Health Plan — Medicare Advantage: $24,270.20
  • Humana Health Plan — Medicare HMO/PPO: $24,270.20
  • Kaiser Northwest — Medicare Advantage: $23,167.01
  • Moda Health Plan — Medicare Advantage: $22,063.82
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 $660 – $23,787.52
Uterus and ovary surgery (not for cancer), without complications: 10 of 30 insurance plan rates
  • Aetna Health — Medicare Advantage: $13,083.14
  • Ambetter — Commercial: $23,787.52
  • CareOregon — Medicare Advantage: $9,277.13
  • CareOregon — Medicare Advantage COA Star: $12,131.64
  • CareOregon — OHP/Medicaid: $9,277.13
  • Devoted — Medicare Advantage: $12,488.45
  • Health Net Health Plan — Medicare Advantage: $13,083.14
  • Humana Health Plan — Medicare HMO/PPO: $13,083.14
  • Kaiser Northwest — Medicare Advantage: $12,488.45
  • Moda Health Plan — Medicare Advantage: $11,893.76

Source: PeaceHealth St John Medical Center’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 21, 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
Address1615 Delaware Street, Longview, WA 98632
CountyCowlitz County
StateWashington
Phone(360) 414‑2000
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number500041
Name in Medicare recordsPEACEHEALTH ST JOHN MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitepeacehealth.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. PeaceHealth St. John Medical Center — peacehealth.org