Does PeaceHealth St Joseph Medical Center have an emergency room?

Yes. The hospital’s official website lists an emergency room at PeaceHealth St Joseph Medical Center. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is PeaceHealth St Joseph Medical Center?

2901 Squalicum Parkway, Bellingham, WA 98225, in Whatcom County, Washington.

What is the phone number of PeaceHealth St Joseph Medical Center?

(360) 734-5400, as listed by Medicare (CMS).

What is the Medicare star rating of PeaceHealth St Joseph Medical Center?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

PeaceHealth St Joseph Medical Center

Quick answers

Does PeaceHealth St Joseph Medical Center have an emergency room?: Yes. The hospital’s official website lists an emergency room at PeaceHealth St Joseph Medical Center. Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is PeaceHealth St Joseph Medical Center?: 2901 Squalicum Parkway, Bellingham, WA 98225, in Whatcom County, Washington.
What is the phone number of PeaceHealth St Joseph Medical Center?: (360) 734-5400, as listed by Medicare (CMS).
What is the Medicare star rating of PeaceHealth St Joseph 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]

Cardiovascular Center
Childbirth Center
General Surgery
Inpatient Behavioral Health
Cancer Center
Palliative Care

Treatments^[4]

Cardiac rehabilitation
Wound healing

Procedures^[4]

Joint replacement
Imaging

Programs and centers^[4]

Stroke Program

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

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (639)

639 doctors and other clinicians list PeaceHealth St Joseph 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

And 615 more: the button below opens the full list.

Other emergency rooms nearby

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

Island Hospital20 mi · Anacortes, WA · Acute Care Hospital
PeaceHealth United General Medical Center21 mi · Sedro Woolley, WA · Critical Access Hospital
Skagit Valley Hospital25 mi · Mount Vernon, WA · Acute Care Hospital
PeaceHealth Peace Island Medical Center32 mi · Friday Harbor, WA · Critical Access Hospital
Whidbeyhealth Medical Center40 mi · Coupeville, WA · Critical Access Hospital

Other hospitals nearby

Cascade Valley Hospital43 mi · Arlington, WA · Acute Care Hospital

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

Avalon Healthcare Bellingham0.2 mi · Bellingham, WA · 5 of 5 stars
Alderwood Park Health and Rehab of Cascadia1.3 mi · Bellingham, WA · 5 of 5 stars
Rock Hill Health & Rehabilitation1.6 mi · Bellingham, WA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Whatcom Hospice1.7 mi · Bellingham, WA · 4 of 5 stars
Eden Hospice2.6 mi · Bellingham, WA

All hospice providers in the state →

Home health agencies

PeaceHealth Home Health of Whatcom County1.7 mi · Bellingham, WA
Eden Home Health2.6 mi · Bellingham, WA · 4 of 5 stars
Signature Healthcare at Home2.6 mi · Bellingham, WA

All home health agencies in the state →

Dialysis facilities

DaVita Mount Baker Kidney at Home1.7 mi · Bellingham, WA · 3 of 5 stars
DaVita Ferndale Dialysis9.3 mi · Ferndale, WA · 2 of 5 stars
DaVita Cascade Dialysis20 mi · Burlington, WA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Cascade Outpatient Spine Center1.7 mi · Bellingham, WA
Pacific Northwest Urology Specialists PLLC1.7 mi · Bellingham, WA
Parkway Surgical Center1.7 mi · Bellingham, WA

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

Sea Mar CHC - Options High School1.0 mi · Bellingham, WA · Community health center
UCNW 220 Unity1.3 mi · Bellingham, WA · Community health center
UCNW Portable Clinical Care1.3 mi · Bellingham, WA · Community health center

Clinics and urgent care

Family Care Network Ferndale Family Medical Center9.3 mi · Ferndale, WA · Rural health clinic
Family Care Network Lynden Family Medicine12 mi · Lynden, WA · Rural health clinic
Family Care Network Birch Bay Family Medicine16 mi · Blaine, WA · Rural health clinic

Pharmacies

1918 Winter Street Operating Co LLC1.7 mi · Bellingham, WA · Community/retail pharmacy
1918 Winter Street Operating Co LLC1.7 mi · Bellingham, WA · Community/retail pharmacy
Safeway Inc1.7 mi · Bellingham, WA · Community/retail pharmacy

Assisted living nearby

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

Birchwood ALF1.7 mi · Bellingham, WA
Brookdale Fairhaven1.7 mi · Bellingham, WA
Chuckanut Ridge Assisted Living1.7 mi · Bellingham, WA
Columbia Place1.7 mi · Bellingham, WA

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 Joseph 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 hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	1 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	76%National average: 80%
Staff “always” explained medicines before giving them	54%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	62%National average: 74%
Area around the room “always” quiet at night	33%National average: 60%
Completed surveys	436Response rate: 26%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.487No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	0.64No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.516Better 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 patients	12.4%
Deaths within 30 days: heart failure patients	11.1%
Deaths within 30 days: pneumonia patients	11.9%
Deaths within 30 days: COPD patients	10.8%
Deaths within 30 days: stroke patients	9.6%
Deaths within 30 days: coronary bypass surgery (CABG)	2.6%
Serious complications (patient safety indicator PSI-90)	0.77No different from the national rate
Complications after hip or knee replacement	2.6%

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 attack	15.1%
Readmitted within 30 days: heart failure	21.9%
Readmitted within 30 days: pneumonia	16.2%
Readmitted within 30 days: COPD	20.1%
Readmitted within 30 days: coronary bypass surgery	11.5%
Readmitted within 30 days: hip or knee replacement	4.6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	210 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	58%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Washington Best hospitals in Washington

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 66 common services exactly as PeaceHealth St Joseph 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES	$278	$180.70	$71.57 – $435.68
New patient office visit (about 30–44 minutes): 10 of 23 insurance plan rates Devoted — Medicare Advantage: $75.15 Humana Health Plan — Medicare HMO/PPO: $78.73 Kaiser WA — Medicare Advantage: $78.73 Molina Healthcare of WA — Medicare Advantage: $75.15 Regence Blue Shield — Medicare Advantage HMO: $73.72 Regence Blue Shield — Medicare Advantage PPO: $73.72 United Healthcare — All Payer Appendix: $435.68 United Healthcare — Doctors Plan: $383.18 United Healthcare — Medicare Payer Appendix: $78.73 Wellcare — Medicare Advantage: $71.57
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	$326	$211.90	$117.28 – $713.94
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates Devoted — Medicare Advantage: $123.14 Humana Health Plan — Medicare HMO/PPO: $129.01 Kaiser WA — Medicare Advantage: $129.01 Molina Healthcare of WA — Medicare Advantage: $123.14 Regence Blue Shield — Medicare Advantage HMO: $120.80 Regence Blue Shield — Medicare Advantage PPO: $120.80 United Healthcare — All Payer Appendix: $713.94 United Healthcare — Doctors Plan: $627.91 United Healthcare — Medicare Payer Appendix: $129.01 Wellcare — Medicare Advantage: $117.28
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	$415	$269.75	$160.63 – $977.84
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates Devoted — Medicare Advantage: $168.66 Humana Health Plan — Medicare HMO/PPO: $176.69 Kaiser WA — Medicare Advantage: $176.69 Molina Healthcare of WA — Medicare Advantage: $168.66 Regence Blue Shield — Medicare Advantage HMO: $165.45 Regence Blue Shield — Medicare Advantage PPO: $165.45 United Healthcare — All Payer Appendix: $977.84 United Healthcare — Doctors Plan: $860 United Healthcare — Medicare Payer Appendix: $176.69 Wellcare — Medicare Advantage: $160.63
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	$334	$217.10	$57.88 – $352.34
Established patient office visit (about 20–29 minutes): 10 of 23 insurance plan rates Devoted — Medicare Advantage: $60.77 Humana Health Plan — Medicare HMO/PPO: $63.67 Kaiser WA — Medicare Advantage: $63.67 Molina Healthcare of WA — Medicare Advantage: $60.77 Regence Blue Shield — Medicare Advantage HMO: $59.62 Regence Blue Shield — Medicare Advantage PPO: $59.62 United Healthcare — All Payer Appendix: $352.34 United Healthcare — Doctors Plan: $309.88 United Healthcare — Medicare Payer Appendix: $63.67 Wellcare — Medicare Advantage: $57.88
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	$288	$187.20	$85.05 – $517.74
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates Devoted — Medicare Advantage: $89.30 Humana Health Plan — Medicare HMO/PPO: $93.56 Kaiser WA — Medicare Advantage: $93.56 Molina Healthcare of WA — Medicare Advantage: $89.30 Regence Blue Shield — Medicare Advantage HMO: $87.60 Regence Blue Shield — Medicare Advantage PPO: $87.60 United Healthcare — All Payer Appendix: $517.74 United Healthcare — Doctors Plan: $455.35 United Healthcare — Medicare Payer Appendix: $93.56 Wellcare — Medicare Advantage: $85.05
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$1,467	$953.55	$324.19 – $2,657
Emergency room visit (moderate): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $340.40 Humana Health Plan — Medicare HMO/PPO: $356.61 Kaiser WA — Medicare Advantage: $356.61 Molina Healthcare of WA — Medicare Advantage: $340.40 Regence Blue Shield — Commercial: $2,657 Regence Blue Shield — Medicare Advantage HMO: $333.92 Regence Blue Shield — Medicare Advantage PPO: $333.92 Regence Blue Shield — UMP: $625.27 United Healthcare — All Payer Appendix: $1,973.51 United Healthcare — Doctors Plan: $1,735.68
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$1,467	$953.55	$324.19 – $2,657
Emergency room visit (moderate): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $340.40 Humana Health Plan — Medicare HMO/PPO: $356.61 Kaiser WA — Medicare Advantage: $356.61 Molina Healthcare of WA — Medicare Advantage: $340.40 Regence Blue Shield — Commercial: $2,657 Regence Blue Shield — Medicare Advantage HMO: $333.92 Regence Blue Shield — Medicare Advantage PPO: $333.92 Regence Blue Shield — UMP: $625.27 United Healthcare — All Payer Appendix: $1,973.51 United Healthcare — Doctors Plan: $1,735.68
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_27 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$1,467	$953.55	$324.19 – $2,657
Emergency room visit (moderate): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $340.40 Humana Health Plan — Medicare HMO/PPO: $356.61 Kaiser WA — Medicare Advantage: $356.61 Molina Healthcare of WA — Medicare Advantage: $340.40 Regence Blue Shield — Commercial: $2,657 Regence Blue Shield — Medicare Advantage HMO: $333.92 Regence Blue Shield — Medicare Advantage PPO: $333.92 Regence Blue Shield — UMP: $625.27 United Healthcare — All Payer Appendix: $1,973.51 United Healthcare — Doctors Plan: $1,735.68
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	$2,517	$1,636.05	$495.55 – $3,016.66
Emergency room visit (moderately high): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $520.33 Humana Health Plan — Medicare HMO/PPO: $545.10 Kaiser WA — Medicare Advantage: $545.10 Molina Healthcare of WA — Medicare Advantage: $520.33 Regence Blue Shield — Commercial: $2,657 Regence Blue Shield — Medicare Advantage HMO: $510.42 Regence Blue Shield — Medicare Advantage PPO: $510.42 Regence Blue Shield — UMP: $955.77 United Healthcare — All Payer Appendix: $3,016.66 United Healthcare — Doctors Plan: $2,653.13
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	$2,517	$1,636.05	$495.55 – $3,016.66
Emergency room visit (moderately high): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $520.33 Humana Health Plan — Medicare HMO/PPO: $545.10 Kaiser WA — Medicare Advantage: $545.10 Molina Healthcare of WA — Medicare Advantage: $520.33 Regence Blue Shield — Commercial: $2,657 Regence Blue Shield — Medicare Advantage HMO: $510.42 Regence Blue Shield — Medicare Advantage PPO: $510.42 Regence Blue Shield — UMP: $955.77 United Healthcare — All Payer Appendix: $3,016.66 United Healthcare — Doctors Plan: $2,653.13
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$2,517	$1,636.05	$495.55 – $3,016.66
Emergency room visit (moderately high): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $520.33 Humana Health Plan — Medicare HMO/PPO: $545.10 Kaiser WA — Medicare Advantage: $545.10 Molina Healthcare of WA — Medicare Advantage: $520.33 Regence Blue Shield — Commercial: $2,657 Regence Blue Shield — Medicare Advantage HMO: $510.42 Regence Blue Shield — Medicare Advantage PPO: $510.42 Regence Blue Shield — UMP: $955.77 United Healthcare — All Payer Appendix: $3,016.66 United Healthcare — Doctors Plan: $2,653.13
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	$4,473	$2,907.45	$707.27 – $4,305.51
Emergency room visit (high): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $742.63 Humana Health Plan — Medicare HMO/PPO: $778 Kaiser WA — Medicare Advantage: $778 Molina Healthcare of WA — Medicare Advantage: $742.63 Regence Blue Shield — Commercial: $2,657 Regence Blue Shield — Medicare Advantage HMO: $728.49 Regence Blue Shield — Medicare Advantage PPO: $728.49 Regence Blue Shield — UMP: $1,364.11 United Healthcare — All Payer Appendix: $4,305.51 United Healthcare — Doctors Plan: $3,786.65
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	$8,879	$5,771.35	$707.27 – $4,305.51
Emergency room visit (high): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $742.63 Humana Health Plan — Medicare HMO/PPO: $778 Kaiser WA — Medicare Advantage: $778 Molina Healthcare of WA — Medicare Advantage: $742.63 Regence Blue Shield — Commercial: $2,657 Regence Blue Shield — Medicare Advantage HMO: $728.49 Regence Blue Shield — Medicare Advantage PPO: $728.49 Regence Blue Shield — UMP: $1,364.11 United Healthcare — All Payer Appendix: $4,305.51 United Healthcare — Doctors Plan: $3,786.65
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ET In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$4,473	$2,907.45	$707.27 – $4,305.51
Emergency room visit (high): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $742.63 Humana Health Plan — Medicare HMO/PPO: $778 Kaiser WA — Medicare Advantage: $778 Molina Healthcare of WA — Medicare Advantage: $742.63 Regence Blue Shield — Commercial: $2,657 Regence Blue Shield — Medicare Advantage HMO: $728.49 Regence Blue Shield — Medicare Advantage PPO: $728.49 Regence Blue Shield — UMP: $1,364.11 United Healthcare — All Payer Appendix: $4,305.51 United Healthcare — Doctors Plan: $3,786.65

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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)	$166	$107.90	$8.46 – $51.50
Basic metabolic panel (blood test): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $8.88 Humana Health Plan — Medicare HMO/PPO: $9.31 Kaiser WA — Medicare Advantage: $9.31 Molina Healthcare of WA — Medicare Advantage: $8.88 Regence Blue Shield — Medicare Advantage HMO: $8.71 Regence Blue Shield — Medicare Advantage PPO: $8.71 Regence Blue Shield — UMP: $16.32 United Healthcare — All Payer Appendix: $51.50 United Healthcare — Doctors Plan: $45.29 United Healthcare — Medicare Payer Appendix: $9.31
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	$174	$113.10	$8.46 – $51.50
Basic metabolic panel (blood test): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $8.88 Humana Health Plan — Medicare HMO/PPO: $9.31 Kaiser WA — Medicare Advantage: $9.31 Molina Healthcare of WA — Medicare Advantage: $8.88 Regence Blue Shield — Medicare Advantage HMO: $8.71 Regence Blue Shield — Medicare Advantage PPO: $8.71 Regence Blue Shield — UMP: $16.32 United Healthcare — All Payer Appendix: $51.50 United Healthcare — Doctors Plan: $45.29 United Healthcare — Medicare Payer Appendix: $9.31
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)	$166	$107.90	$8.46 – $51.50
Basic metabolic panel (blood test): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $8.88 Humana Health Plan — Medicare HMO/PPO: $9.31 Kaiser WA — Medicare Advantage: $9.31 Molina Healthcare of WA — Medicare Advantage: $8.88 Regence Blue Shield — Medicare Advantage HMO: $8.71 Regence Blue Shield — Medicare Advantage PPO: $8.71 Regence Blue Shield — UMP: $16.32 United Healthcare — All Payer Appendix: $51.50 United Healthcare — Doctors Plan: $45.29 United Healthcare — Medicare Payer Appendix: $9.31
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	$238	$154.70	$10.56 – $64.28
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $11.09 Humana Health Plan — Medicare HMO/PPO: $11.62 Kaiser WA — Medicare Advantage: $11.62 Molina Healthcare of WA — Medicare Advantage: $11.09 Regence Blue Shield — Medicare Advantage HMO: $10.88 Regence Blue Shield — Medicare Advantage PPO: $10.88 Regence Blue Shield — UMP: $20.37 United Healthcare — All Payer Appendix: $64.28 United Healthcare — Doctors Plan: $56.54 United Healthcare — Medicare Payer Appendix: $11.62
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$454	$295.10	$10.56 – $64.28
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $11.09 Humana Health Plan — Medicare HMO/PPO: $11.62 Kaiser WA — Medicare Advantage: $11.62 Molina Healthcare of WA — Medicare Advantage: $11.09 Regence Blue Shield — Medicare Advantage HMO: $10.88 Regence Blue Shield — Medicare Advantage PPO: $10.88 Regence Blue Shield — UMP: $20.37 United Healthcare — All Payer Appendix: $64.28 United Healthcare — Doctors Plan: $56.54 United Healthcare — Medicare Payer Appendix: $11.62
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 95 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$227	$147.55	$10.56 – $64.28
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $11.09 Humana Health Plan — Medicare HMO/PPO: $11.62 Kaiser WA — Medicare Advantage: $11.62 Molina Healthcare of WA — Medicare Advantage: $11.09 Regence Blue Shield — Medicare Advantage HMO: $10.88 Regence Blue Shield — Medicare Advantage PPO: $10.88 Regence Blue Shield — UMP: $20.37 United Healthcare — All Payer Appendix: $64.28 United Healthcare — Doctors Plan: $56.54 United Healthcare — Medicare Payer Appendix: $11.62
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$192	$124.80	$13.39 – $81.51
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $14.06 Humana Health Plan — Medicare HMO/PPO: $14.73 Kaiser WA — Medicare Advantage: $14.73 Molina Healthcare of WA — Medicare Advantage: $14.06 Regence Blue Shield — Medicare Advantage HMO: $13.79 Regence Blue Shield — Medicare Advantage PPO: $13.79 Regence Blue Shield — UMP: $25.83 United Healthcare — All Payer Appendix: $81.51 United Healthcare — Doctors Plan: $71.69 United Healthcare — Medicare Payer Appendix: $14.73
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$202	$131.30	$13.39 – $81.51
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $14.06 Humana Health Plan — Medicare HMO/PPO: $14.73 Kaiser WA — Medicare Advantage: $14.73 Molina Healthcare of WA — Medicare Advantage: $14.06 Regence Blue Shield — Medicare Advantage HMO: $13.79 Regence Blue Shield — Medicare Advantage PPO: $13.79 Regence Blue Shield — UMP: $25.83 United Healthcare — All Payer Appendix: $81.51 United Healthcare — Doctors Plan: $71.69 United Healthcare — Medicare Payer Appendix: $14.73
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$192	$124.80	$13.39 – $81.51
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $14.06 Humana Health Plan — Medicare HMO/PPO: $14.73 Kaiser WA — Medicare Advantage: $14.73 Molina Healthcare of WA — Medicare Advantage: $14.06 Regence Blue Shield — Medicare Advantage HMO: $13.79 Regence Blue Shield — Medicare Advantage PPO: $13.79 Regence Blue Shield — UMP: $25.83 United Healthcare — All Payer Appendix: $81.51 United Healthcare — Doctors Plan: $71.69 United Healthcare — Medicare Payer Appendix: $14.73
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL	$127	$82.55	$8.68 – $52.84
Kidney function panel: 10 of 26 insurance plan rates Devoted — Medicare Advantage: $9.11 Humana Health Plan — Medicare HMO/PPO: $9.55 Kaiser WA — Medicare Advantage: $9.55 Molina Healthcare of WA — Medicare Advantage: $9.11 Regence Blue Shield — Medicare Advantage HMO: $8.94 Regence Blue Shield — Medicare Advantage PPO: $8.94 Regence Blue Shield — UMP: $16.74 United Healthcare — All Payer Appendix: $52.84 United Healthcare — Doctors Plan: $46.47 United Healthcare — Medicare Payer Appendix: $9.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$133	$86.45	$8.68 – $52.84
Kidney function panel: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $9.11 Humana Health Plan — Medicare HMO/PPO: $9.55 Kaiser WA — Medicare Advantage: $9.55 Molina Healthcare of WA — Medicare Advantage: $9.11 Regence Blue Shield — Medicare Advantage HMO: $8.94 Regence Blue Shield — Medicare Advantage PPO: $8.94 Regence Blue Shield — UMP: $16.74 United Healthcare — All Payer Appendix: $52.84 United Healthcare — Doctors Plan: $46.47 United Healthcare — Medicare Payer Appendix: $9.55
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL	$104	$67.60	$8.17 – $49.73
Liver function panel: 10 of 26 insurance plan rates Devoted — Medicare Advantage: $8.58 Humana Health Plan — Medicare HMO/PPO: $8.99 Kaiser WA — Medicare Advantage: $8.99 Molina Healthcare of WA — Medicare Advantage: $8.58 Regence Blue Shield — Medicare Advantage HMO: $8.42 Regence Blue Shield — Medicare Advantage PPO: $8.42 Regence Blue Shield — UMP: $15.76 United Healthcare — All Payer Appendix: $49.73 United Healthcare — Doctors Plan: $43.74 United Healthcare — Medicare Payer Appendix: $8.99
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$109	$70.85	$8.17 – $49.73
Liver function panel: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $8.58 Humana Health Plan — Medicare HMO/PPO: $8.99 Kaiser WA — Medicare Advantage: $8.99 Molina Healthcare of WA — Medicare Advantage: $8.58 Regence Blue Shield — Medicare Advantage HMO: $8.42 Regence Blue Shield — Medicare Advantage PPO: $8.42 Regence Blue Shield — UMP: $15.76 United Healthcare — All Payer Appendix: $49.73 United Healthcare — Doctors Plan: $43.74 United Healthcare — Medicare Payer Appendix: $8.99
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	$144	$93.60	$3.17 – $19.30
Urine test (automated, with microscope): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $3.33 Humana Health Plan — Medicare HMO/PPO: $3.49 Kaiser WA — Medicare Advantage: $3.49 Molina Healthcare of WA — Medicare Advantage: $3.33 Regence Blue Shield — Medicare Advantage HMO: $3.27 Regence Blue Shield — Medicare Advantage PPO: $3.27 Regence Blue Shield — UMP: $6.11 United Healthcare — All Payer Appendix: $19.30 United Healthcare — Doctors Plan: $16.97 United Healthcare — Medicare Payer Appendix: $3.49
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$76	$49.40	$3.17 – $19.30
Urine test (automated, with microscope): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $3.33 Humana Health Plan — Medicare HMO/PPO: $3.49 Kaiser WA — Medicare Advantage: $3.49 Molina Healthcare of WA — Medicare Advantage: $3.33 Regence Blue Shield — Medicare Advantage HMO: $3.27 Regence Blue Shield — Medicare Advantage PPO: $3.27 Regence Blue Shield — UMP: $6.11 United Healthcare — All Payer Appendix: $19.30 United Healthcare — Doctors Plan: $16.97 United Healthcare — Medicare Payer Appendix: $3.49
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier Q1 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$72	$46.80	$3.17 – $19.30
Urine test (automated, with microscope): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $3.33 Humana Health Plan — Medicare HMO/PPO: $3.49 Kaiser WA — Medicare Advantage: $3.49 Molina Healthcare of WA — Medicare Advantage: $3.33 Regence Blue Shield — Medicare Advantage HMO: $3.27 Regence Blue Shield — Medicare Advantage PPO: $3.27 Regence Blue Shield — UMP: $6.11 United Healthcare — All Payer Appendix: $19.30 United Healthcare — Doctors Plan: $16.97 United Healthcare — Medicare Payer Appendix: $3.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$72	$46.80	$3.48 – $21.18
Urine test (manual, without microscope): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $3.65 Humana Health Plan — Medicare HMO/PPO: $3.83 Kaiser WA — Medicare Advantage: $3.83 Molina Healthcare of WA — Medicare Advantage: $3.65 Regence Blue Shield — Medicare Advantage HMO: $3.58 Regence Blue Shield — Medicare Advantage PPO: $3.58 Regence Blue Shield — UMP: $6.71 United Healthcare — All Payer Appendix: $21.18 United Healthcare — Doctors Plan: $18.63 United Healthcare — Medicare Payer Appendix: $3.83
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE	$74	$48.10	$2.25 – $13.70
Urine test (automated, without microscope): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $2.36 Humana Health Plan — Medicare HMO/PPO: $2.47 Kaiser WA — Medicare Advantage: $2.47 Molina Healthcare of WA — Medicare Advantage: $2.36 Regence Blue Shield — Medicare Advantage HMO: $2.32 Regence Blue Shield — Medicare Advantage PPO: $2.32 Regence Blue Shield — UMP: $4.34 United Healthcare — All Payer Appendix: $13.70 United Healthcare — Doctors Plan: $12.05 United Healthcare — Medicare Payer Appendix: $2.47
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST	$70	$45.50	$2.25 – $13.70
Urine test (automated, without microscope): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $2.36 Humana Health Plan — Medicare HMO/PPO: $2.48 Kaiser WA — Medicare Advantage: $2.48 Molina Healthcare of WA — Medicare Advantage: $2.36 Regence Blue Shield — Medicare Advantage HMO: $2.32 Regence Blue Shield — Medicare Advantage PPO: $2.32 Regence Blue Shield — UMP: $4.34 United Healthcare — All Payer Appendix: $13.70 United Healthcare — Doctors Plan: $12.05 United Healthcare — Medicare Payer Appendix: $2.48
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	$2.25 – $13.70
Urine test (automated, without microscope): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $2.36 Humana Health Plan — Medicare HMO/PPO: $2.48 Kaiser WA — Medicare Advantage: $2.48 Molina Healthcare of WA — Medicare Advantage: $2.36 Regence Blue Shield — Medicare Advantage HMO: $2.32 Regence Blue Shield — Medicare Advantage PPO: $2.32 Regence Blue Shield — UMP: $4.34 United Healthcare — All Payer Appendix: $13.70 United Healthcare — Doctors Plan: $12.05 United Healthcare — Medicare Payer Appendix: $2.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$177	$115.05	$18.39 – $111.95
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates Devoted — Medicare Advantage: $19.31 Humana Health Plan — Medicare HMO/PPO: $20.23 Kaiser WA — Medicare Advantage: $20.23 Molina Healthcare of WA — Medicare Advantage: $19.31 Regence Blue Shield — Medicare Advantage HMO: $18.94 Regence Blue Shield — Medicare Advantage PPO: $18.94 Regence Blue Shield — UMP: $35.47 United Healthcare — All Payer Appendix: $111.95 United Healthcare — Doctors Plan: $98.46 United Healthcare — Medicare Payer Appendix: $20.23
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	$186	$120.90	$18.39 – $111.95
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $19.31 Humana Health Plan — Medicare HMO/PPO: $20.23 Kaiser WA — Medicare Advantage: $20.23 Molina Healthcare of WA — Medicare Advantage: $19.31 Regence Blue Shield — Medicare Advantage HMO: $18.94 Regence Blue Shield — Medicare Advantage PPO: $18.94 Regence Blue Shield — UMP: $35.47 United Healthcare — All Payer Appendix: $111.95 United Healthcare — Doctors Plan: $98.46 United Healthcare — Medicare Payer Appendix: $20.23
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL	$177	$115.05	$18.39 – $111.95
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $19.31 Humana Health Plan — Medicare HMO/PPO: $20.23 Kaiser WA — Medicare Advantage: $20.23 Molina Healthcare of WA — Medicare Advantage: $19.31 Regence Blue Shield — Medicare Advantage HMO: $18.94 Regence Blue Shield — Medicare Advantage PPO: $18.94 Regence Blue Shield — UMP: $35.47 United Healthcare — All Payer Appendix: $111.95 United Healthcare — Doctors Plan: $98.46 United Healthcare — Medicare Payer Appendix: $20.23
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$210	$136.50	$16.80 – $102.27
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates Devoted — Medicare Advantage: $17.64 Humana Health Plan — Medicare HMO/PPO: $18.48 Kaiser WA — Medicare Advantage: $18.48 Molina Healthcare of WA — Medicare Advantage: $17.64 Regence Blue Shield — Medicare Advantage HMO: $17.30 Regence Blue Shield — Medicare Advantage PPO: $17.30 Regence Blue Shield — UMP: $32.40 United Healthcare — All Payer Appendix: $102.27 United Healthcare — Doctors Plan: $89.95 United Healthcare — Medicare Payer Appendix: $18.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$221	$143.65	$16.80 – $102.27
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $17.64 Humana Health Plan — Medicare HMO/PPO: $18.48 Kaiser WA — Medicare Advantage: $18.48 Molina Healthcare of WA — Medicare Advantage: $17.64 Regence Blue Shield — Medicare Advantage HMO: $17.30 Regence Blue Shield — Medicare Advantage PPO: $17.30 Regence Blue Shield — UMP: $32.40 United Healthcare — All Payer Appendix: $102.27 United Healthcare — Doctors Plan: $89.95 United Healthcare — Medicare Payer Appendix: $18.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 95 In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$210	$136.50	$16.80 – $102.27
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $17.64 Humana Health Plan — Medicare HMO/PPO: $18.48 Kaiser WA — Medicare Advantage: $18.48 Molina Healthcare of WA — Medicare Advantage: $17.64 Regence Blue Shield — Medicare Advantage HMO: $17.30 Regence Blue Shield — Medicare Advantage PPO: $17.30 Regence Blue Shield — UMP: $32.40 United Healthcare — All Payer Appendix: $102.27 United Healthcare — Doctors Plan: $89.95 United Healthcare — Medicare Payer Appendix: $18.48
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	$234	$152.10	$7.77 – $47.30
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates Devoted — Medicare Advantage: $8.16 Humana Health Plan — Medicare HMO/PPO: $8.55 Kaiser WA — Medicare Advantage: $8.55 Molina Healthcare of WA — Medicare Advantage: $8.16 Regence Blue Shield — Medicare Advantage HMO: $8 Regence Blue Shield — Medicare Advantage PPO: $8 Regence Blue Shield — UMP: $14.99 United Healthcare — All Payer Appendix: $47.30 United Healthcare — Doctors Plan: $41.60 United Healthcare — Medicare Payer Appendix: $8.55
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$123	$79.95	$7.77 – $47.30
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $8.16 Humana Health Plan — Medicare HMO/PPO: $8.55 Kaiser WA — Medicare Advantage: $8.55 Molina Healthcare of WA — Medicare Advantage: $8.16 Regence Blue Shield — Medicare Advantage HMO: $8 Regence Blue Shield — Medicare Advantage PPO: $8 Regence Blue Shield — UMP: $14.99 United Healthcare — All Payer Appendix: $47.30 United Healthcare — Doctors Plan: $41.60 United Healthcare — Medicare Payer Appendix: $8.55
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	$117	$76.05	$7.77 – $47.30
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $8.16 Humana Health Plan — Medicare HMO/PPO: $8.55 Kaiser WA — Medicare Advantage: $8.55 Molina Healthcare of WA — Medicare Advantage: $8.16 Regence Blue Shield — Medicare Advantage HMO: $8 Regence Blue Shield — Medicare Advantage PPO: $8 Regence Blue Shield — UMP: $14.99 United Healthcare — All Payer Appendix: $47.30 United Healthcare — Doctors Plan: $41.60 United Healthcare — Medicare Payer Appendix: $8.55
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	$83	$53.95	$6.47 – $39.39
Complete blood count (CBC), automated: 10 of 26 insurance plan rates Devoted — Medicare Advantage: $6.79 Humana Health Plan — Medicare HMO/PPO: $7.12 Kaiser WA — Medicare Advantage: $7.12 Molina Healthcare of WA — Medicare Advantage: $6.79 Regence Blue Shield — Medicare Advantage HMO: $6.66 Regence Blue Shield — Medicare Advantage PPO: $6.66 Regence Blue Shield — UMP: $12.48 United Healthcare — All Payer Appendix: $39.39 United Healthcare — Doctors Plan: $34.64 United Healthcare — Medicare Payer Appendix: $7.12
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$87	$56.55	$6.47 – $39.39
Complete blood count (CBC), automated: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $6.79 Humana Health Plan — Medicare HMO/PPO: $7.12 Kaiser WA — Medicare Advantage: $7.12 Molina Healthcare of WA — Medicare Advantage: $6.79 Regence Blue Shield — Medicare Advantage HMO: $6.66 Regence Blue Shield — Medicare Advantage PPO: $6.66 Regence Blue Shield — UMP: $12.48 United Healthcare — All Payer Appendix: $39.39 United Healthcare — Doctors Plan: $34.64 United Healthcare — Medicare Payer Appendix: $7.12
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$166	$107.90	$6.47 – $39.39
Complete blood count (CBC), automated: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $6.79 Humana Health Plan — Medicare HMO/PPO: $7.12 Kaiser WA — Medicare Advantage: $7.12 Molina Healthcare of WA — Medicare Advantage: $6.79 Regence Blue Shield — Medicare Advantage HMO: $6.66 Regence Blue Shield — Medicare Advantage PPO: $6.66 Regence Blue Shield — UMP: $12.48 United Healthcare — All Payer Appendix: $39.39 United Healthcare — Doctors Plan: $34.64 United Healthcare — Medicare Payer Appendix: $7.12
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME	$184	$119.60	$4.29 – $26.12
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $4.50 Humana Health Plan — Medicare HMO/PPO: $4.72 Kaiser WA — Medicare Advantage: $4.72 Molina Healthcare of WA — Medicare Advantage: $4.50 Regence Blue Shield — Medicare Advantage HMO: $4.42 Regence Blue Shield — Medicare Advantage PPO: $4.42 Regence Blue Shield — UMP: $8.27 United Healthcare — All Payer Appendix: $26.12 United Healthcare — Doctors Plan: $22.97 United Healthcare — Medicare Payer Appendix: $4.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$97	$63.05	$4.29 – $26.12
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4.50 Humana Health Plan — Medicare HMO/PPO: $4.72 Kaiser WA — Medicare Advantage: $4.72 Molina Healthcare of WA — Medicare Advantage: $4.50 Regence Blue Shield — Medicare Advantage HMO: $4.42 Regence Blue Shield — Medicare Advantage PPO: $4.42 Regence Blue Shield — UMP: $8.27 United Healthcare — All Payer Appendix: $26.12 United Healthcare — Doctors Plan: $22.97 United Healthcare — Medicare Payer Appendix: $4.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; CLOTTING TIME	$92	$59.80	$4.29 – $26.12
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4.50 Humana Health Plan — Medicare HMO/PPO: $4.72 Kaiser WA — Medicare Advantage: $4.72 Molina Healthcare of WA — Medicare Advantage: $4.50 Regence Blue Shield — Medicare Advantage HMO: $4.42 Regence Blue Shield — Medicare Advantage PPO: $4.42 Regence Blue Shield — UMP: $8.27 United Healthcare — All Payer Appendix: $26.12 United Healthcare — Doctors Plan: $22.97 United Healthcare — Medicare Payer Appendix: $4.72
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$127	$82.55	$6.01 – $36.59
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $6.31 Humana Health Plan — Medicare HMO/PPO: $6.61 Kaiser WA — Medicare Advantage: $6.61 Molina Healthcare of WA — Medicare Advantage: $6.31 Regence Blue Shield — Medicare Advantage HMO: $6.19 Regence Blue Shield — Medicare Advantage PPO: $6.19 Regence Blue Shield — UMP: $11.59 United Healthcare — All Payer Appendix: $36.59 United Healthcare — Doctors Plan: $32.18 United Healthcare — Medicare Payer Appendix: $6.61
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	$121	$78.65	$6.01 – $36.59
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates Devoted — Medicare Advantage: $6.31 Humana Health Plan — Medicare HMO/PPO: $6.61 Kaiser WA — Medicare Advantage: $6.61 Molina Healthcare of WA — Medicare Advantage: $6.31 Regence Blue Shield — Medicare Advantage HMO: $6.19 Regence Blue Shield — Medicare Advantage PPO: $6.19 Regence Blue Shield — UMP: $11.59 United Healthcare — All Payer Appendix: $36.59 United Healthcare — Doctors Plan: $32.18 United Healthcare — Medicare Payer Appendix: $6.61
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	$121	$78.65	$6.01 – $36.59
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $6.31 Humana Health Plan — Medicare HMO/PPO: $6.61 Kaiser WA — Medicare Advantage: $6.61 Molina Healthcare of WA — Medicare Advantage: $6.31 Regence Blue Shield — Medicare Advantage HMO: $6.19 Regence Blue Shield — Medicare Advantage PPO: $6.19 Regence Blue Shield — UMP: $11.59 United Healthcare — All Payer Appendix: $36.59 United Healthcare — Doctors Plan: $32.18 United Healthcare — Medicare Payer Appendix: $6.61

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

Service	Hospital charge	Cash price	Insurance 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	$2,248	$1,461.20	$124.16 – $816.70
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
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	$2,141	$1,391.65	$124.16 – $816.70
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
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	$2,141	$1,391.65	$124.16 – $816.70
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
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	$6,008	$3,905.20	$414.33 – $2,725.38
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $435.05 Humana Health Plan — Medicare HMO/PPO: $455.76 Kaiser WA — Medicare Advantage: $455.76 Molina Healthcare of WA — Medicare Advantage: $435.05 Regence Blue Shield — Commercial: $2,725.38 Regence Blue Shield — Medicare Advantage HMO: $426.76 Regence Blue Shield — Medicare Advantage PPO: $426.76 Regence Blue Shield — UMP: $799.12 United Healthcare — All Payer Appendix: $2,522.23 United Healthcare — Doctors Plan: $2,218.28
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	$5,722	$3,719.30	$414.33 – $2,725.38
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $435.05 Humana Health Plan — Medicare HMO/PPO: $455.76 Kaiser WA — Medicare Advantage: $455.76 Molina Healthcare of WA — Medicare Advantage: $435.05 Regence Blue Shield — Commercial: $2,725.38 Regence Blue Shield — Medicare Advantage HMO: $426.76 Regence Blue Shield — Medicare Advantage PPO: $426.76 Regence Blue Shield — UMP: $799.12 United Healthcare — All Payer Appendix: $2,522.23 United Healthcare — Doctors Plan: $2,218.28
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$5,722	$3,719.30	$414.33 – $2,725.38
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $435.05 Humana Health Plan — Medicare HMO/PPO: $455.76 Kaiser WA — Medicare Advantage: $455.76 Molina Healthcare of WA — Medicare Advantage: $435.05 Regence Blue Shield — Commercial: $2,725.38 Regence Blue Shield — Medicare Advantage HMO: $426.76 Regence Blue Shield — Medicare Advantage PPO: $426.76 Regence Blue Shield — UMP: $799.12 United Healthcare — All Payer Appendix: $2,522.23 United Healthcare — Doctors Plan: $2,218.28
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS	$436	$283.40	$103.35 – $679.82
Chest X-ray, 2 views: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $108.52 Humana Health Plan — Medicare HMO/PPO: $113.68 Kaiser WA — Medicare Advantage: $113.68 Molina Healthcare of WA — Medicare Advantage: $108.52 Regence Blue Shield — Commercial: $679.82 Regence Blue Shield — Medicare Advantage HMO: $106.45 Regence Blue Shield — Medicare Advantage PPO: $106.45 Regence Blue Shield — UMP: $199.33 United Healthcare — All Payer Appendix: $629.14 United Healthcare — Doctors Plan: $553.33
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	$445	$289.25	$103.35 – $679.82
Chest X-ray, 2 views: 10 of 24 insurance plan rates Devoted — Medicare Advantage: $108.52 Humana Health Plan — Medicare HMO/PPO: $113.68 Kaiser WA — Medicare Advantage: $113.68 Molina Healthcare of WA — Medicare Advantage: $108.52 Regence Blue Shield — Commercial: $679.82 Regence Blue Shield — Medicare Advantage HMO: $106.45 Regence Blue Shield — Medicare Advantage PPO: $106.45 Regence Blue Shield — UMP: $199.33 United Healthcare — All Payer Appendix: $629.14 United Healthcare — Doctors Plan: $553.33
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	$436	$283.40	$103.35 – $679.82
Chest X-ray, 2 views: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $108.52 Humana Health Plan — Medicare HMO/PPO: $113.68 Kaiser WA — Medicare Advantage: $113.68 Molina Healthcare of WA — Medicare Advantage: $108.52 Regence Blue Shield — Commercial: $679.82 Regence Blue Shield — Medicare Advantage HMO: $106.45 Regence Blue Shield — Medicare Advantage PPO: $106.45 Regence Blue Shield — UMP: $199.33 United Healthcare — All Payer Appendix: $629.14 United Healthcare — Doctors Plan: $553.33
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	$691	$449.15	$124.16 – $816.70
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
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	$726	$471.90	$124.16 – $816.70
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
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	$3,543	$2,302.95	$283.37 – $1,863.95
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $297.54 Humana Health Plan — Medicare HMO/PPO: $311.71 Kaiser WA — Medicare Advantage: $311.71 Molina Healthcare of WA — Medicare Advantage: $297.54 Regence Blue Shield — Commercial: $1,863.95 Regence Blue Shield — Medicare Advantage HMO: $291.87 Regence Blue Shield — Medicare Advantage PPO: $291.87 Regence Blue Shield — UMP: $546.54 United Healthcare — All Payer Appendix: $1,725.01 United Healthcare — Doctors Plan: $1,517.13
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	$3,720	$2,418	$283.37 – $1,863.95
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates Devoted — Medicare Advantage: $297.54 Humana Health Plan — Medicare HMO/PPO: $311.71 Kaiser WA — Medicare Advantage: $311.71 Molina Healthcare of WA — Medicare Advantage: $297.54 Regence Blue Shield — Commercial: $1,863.95 Regence Blue Shield — Medicare Advantage HMO: $291.87 Regence Blue Shield — Medicare Advantage PPO: $291.87 Regence Blue Shield — UMP: $546.54 United Healthcare — All Payer Appendix: $1,725.01 United Healthcare — Doctors Plan: $1,517.13
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	$3,543	$2,302.95	$283.37 – $1,863.95
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $297.54 Humana Health Plan — Medicare HMO/PPO: $311.71 Kaiser WA — Medicare Advantage: $311.71 Molina Healthcare of WA — Medicare Advantage: $297.54 Regence Blue Shield — Commercial: $1,863.95 Regence Blue Shield — Medicare Advantage HMO: $291.87 Regence Blue Shield — Medicare Advantage PPO: $291.87 Regence Blue Shield — UMP: $546.54 United Healthcare — All Payer Appendix: $1,725.01 United Healthcare — Doctors Plan: $1,517.13
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE	$3,698	$2,403.70	$208.30 – $1,370.16
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $218.72 Humana Health Plan — Medicare HMO/PPO: $229.13 Kaiser WA — Medicare Advantage: $229.13 Molina Healthcare of WA — Medicare Advantage: $218.72 Regence Blue Shield — Commercial: $1,370.16 Regence Blue Shield — Medicare Advantage HMO: $214.55 Regence Blue Shield — Medicare Advantage PPO: $214.55 Regence Blue Shield — UMP: $401.75 United Healthcare — All Payer Appendix: $1,268.03 United Healthcare — Doctors Plan: $1,115.22
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	$3,522	$2,289.30	$208.30 – $1,370.16
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $218.72 Humana Health Plan — Medicare HMO/PPO: $229.13 Kaiser WA — Medicare Advantage: $229.13 Molina Healthcare of WA — Medicare Advantage: $218.72 Regence Blue Shield — Commercial: $1,370.16 Regence Blue Shield — Medicare Advantage HMO: $214.55 Regence Blue Shield — Medicare Advantage PPO: $214.55 Regence Blue Shield — UMP: $401.75 United Healthcare — All Payer Appendix: $1,268.03 United Healthcare — Doctors Plan: $1,115.22
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	$3,522	$2,289.30	$208.30 – $1,370.16
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $218.72 Humana Health Plan — Medicare HMO/PPO: $229.13 Kaiser WA — Medicare Advantage: $229.13 Molina Healthcare of WA — Medicare Advantage: $218.72 Regence Blue Shield — Commercial: $1,370.16 Regence Blue Shield — Medicare Advantage HMO: $214.55 Regence Blue Shield — Medicare Advantage PPO: $214.55 Regence Blue Shield — UMP: $401.75 United Healthcare — All Payer Appendix: $1,268.03 United Healthcare — Doctors Plan: $1,115.22
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	$3,326	$2,161.90	$283.37 – $1,863.95
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates Devoted — Medicare Advantage: $297.54 Humana Health Plan — Medicare HMO/PPO: $311.71 Kaiser WA — Medicare Advantage: $311.71 Molina Healthcare of WA — Medicare Advantage: $297.54 Regence Blue Shield — Commercial: $1,863.95 Regence Blue Shield — Medicare Advantage HMO: $291.87 Regence Blue Shield — Medicare Advantage PPO: $291.87 Regence Blue Shield — UMP: $546.54 United Healthcare — All Payer Appendix: $1,725.01 United Healthcare — Doctors Plan: $1,517.13
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50_TC In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$6,336	$4,118.40	$625.22 – $4,112.57
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $656.48 Humana Health Plan — Medicare HMO/PPO: $687.74 Kaiser WA — Medicare Advantage: $687.74 Molina Healthcare of WA — Medicare Advantage: $656.48 Regence Blue Shield — Commercial: $4,112.57 Regence Blue Shield — Medicare Advantage HMO: $643.98 Regence Blue Shield — Medicare Advantage PPO: $643.98 Regence Blue Shield — UMP: $1,205.86 United Healthcare — All Payer Appendix: $3,806.03 United Healthcare — Doctors Plan: $3,347.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$3,168	$2,059.20	$283.37 – $1,863.95
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $297.54 Humana Health Plan — Medicare HMO/PPO: $311.71 Kaiser WA — Medicare Advantage: $311.71 Molina Healthcare of WA — Medicare Advantage: $297.54 Regence Blue Shield — Commercial: $1,863.95 Regence Blue Shield — Medicare Advantage HMO: $291.87 Regence Blue Shield — Medicare Advantage PPO: $291.87 Regence Blue Shield — UMP: $546.54 United Healthcare — All Payer Appendix: $1,725.01 United Healthcare — Doctors Plan: $1,517.13
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	$3,953	$2,569.45	$414.33 – $2,725.38
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $435.05 Humana Health Plan — Medicare HMO/PPO: $455.76 Kaiser WA — Medicare Advantage: $455.76 Molina Healthcare of WA — Medicare Advantage: $435.05 Regence Blue Shield — Commercial: $2,725.38 Regence Blue Shield — Medicare Advantage HMO: $426.76 Regence Blue Shield — Medicare Advantage PPO: $426.76 Regence Blue Shield — UMP: $799.12 United Healthcare — All Payer Appendix: $2,522.23 United Healthcare — Doctors Plan: $2,218.28
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	$3,765	$2,447.25	$414.33 – $2,725.38
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $435.05 Humana Health Plan — Medicare HMO/PPO: $455.76 Kaiser WA — Medicare Advantage: $455.76 Molina Healthcare of WA — Medicare Advantage: $435.05 Regence Blue Shield — Commercial: $2,725.38 Regence Blue Shield — Medicare Advantage HMO: $426.76 Regence Blue Shield — Medicare Advantage PPO: $426.76 Regence Blue Shield — UMP: $799.12 United Healthcare — All Payer Appendix: $2,522.23 United Healthcare — Doctors Plan: $2,218.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$3,765	$2,447.25	$414.33 – $2,725.38
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $435.05 Humana Health Plan — Medicare HMO/PPO: $455.76 Kaiser WA — Medicare Advantage: $455.76 Molina Healthcare of WA — Medicare Advantage: $435.05 Regence Blue Shield — Commercial: $2,725.38 Regence Blue Shield — Medicare Advantage HMO: $426.76 Regence Blue Shield — Medicare Advantage PPO: $426.76 Regence Blue Shield — UMP: $799.12 United Healthcare — All Payer Appendix: $2,522.23 United Healthcare — Doctors Plan: $2,218.28
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN	$1,099	$714.35	$124.16 – $816.70
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$1,154	$750.10	$124.16 – $816.70
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN	$1,099	$714.35	$124.16 – $816.70
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
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	$1,110	$721.50	$124.16 – $816.70
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS	$1,166	$757.90	$124.16 – $816.70
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
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	$768	$499.20	$124.16 – $816.70
Transvaginal ultrasound: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	$806	$523.90	$124.16 – $816.70
Transvaginal ultrasound: 10 of 24 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74
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	$768	$499.20	$124.16 – $816.70
Transvaginal ultrasound: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $130.37 Humana Health Plan — Medicare HMO/PPO: $136.58 Kaiser WA — Medicare Advantage: $136.58 Molina Healthcare of WA — Medicare Advantage: $130.37 Regence Blue Shield — Commercial: $816.70 Regence Blue Shield — Medicare Advantage HMO: $127.88 Regence Blue Shield — Medicare Advantage PPO: $127.88 Regence Blue Shield — UMP: $239.47 United Healthcare — All Payer Appendix: $755.82 United Healthcare — Doctors Plan: $664.74

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	$12,981	$8,437.65	$3,850.16 – $23,437.85
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates Devoted — Medicare Advantage: $4,042.67 Humana Health Plan — Medicare HMO/PPO: $4,235.18 Kaiser WA — Medicare Advantage: $4,235.18 Molina Healthcare of WA — Medicare Advantage: $4,042.67 Regence Blue Shield — Medicare Advantage HMO: $3,965.66 Regence Blue Shield — Medicare Advantage PPO: $3,965.66 United Healthcare — All Payer Appendix: $23,437.85 United Healthcare — Doctors Plan: $20,613.37 United Healthcare — Medicare Payer Appendix: $4,235.18 Wellcare — Medicare Advantage: $3,850.16
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	$12,363	$8,035.95	$3,850.16 – $23,437.85
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates Devoted — Medicare Advantage: $4,042.67 Humana Health Plan — Medicare HMO/PPO: $4,235.18 Kaiser WA — Medicare Advantage: $4,235.18 Molina Healthcare of WA — Medicare Advantage: $4,042.67 Regence Blue Shield — Medicare Advantage HMO: $3,965.66 Regence Blue Shield — Medicare Advantage PPO: $3,965.66 United Healthcare — All Payer Appendix: $23,437.85 United Healthcare — Doctors Plan: $20,613.37 United Healthcare — Medicare Payer Appendix: $4,235.18 Wellcare — Medicare Advantage: $3,850.16
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	$20,756	$13,491.40	$9,263 – $56,388.51
Heart rhythm study (electrophysiology evaluation): 10 of 22 insurance plan rates Devoted — Medicare Advantage: $9,726.15 Humana Health Plan — Medicare HMO/PPO: $10,189.30 Kaiser WA — Medicare Advantage: $10,189.30 Molina Healthcare of WA — Medicare Advantage: $9,726.15 Regence Blue Shield — Medicare Advantage HMO: $9,540.89 Regence Blue Shield — Medicare Advantage PPO: $9,540.89 United Healthcare — All Payer Appendix: $56,388.51 United Healthcare — Doctors Plan: $49,593.18 United Healthcare — Medicare Payer Appendix: $10,189.30 Wellcare — Medicare Advantage: $9,263
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION	$91,176	$59,264.40	$31,041.71 – $188,966.41
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $32,593.80 Humana Health Plan — Medicare HMO/PPO: $34,145.88 Kaiser WA — Medicare Advantage: $34,145.88 Molina Healthcare of WA — Medicare Advantage: $32,593.80 Regence Blue Shield — Medicare Advantage HMO: $31,972.96 Regence Blue Shield — Medicare Advantage PPO: $31,972.96 Regence Blue Shield — UMP: $59,870.15 United Healthcare — All Payer Appendix: $188,966.41 United Healthcare — Doctors Plan: $166,194.21 United Healthcare — Medicare Payer Appendix: $34,145.88
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	$93,911	$61,042.15	$31,041.71 – $188,966.41
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates Devoted — Medicare Advantage: $32,593.80 Humana Health Plan — Medicare HMO/PPO: $34,145.88 Kaiser WA — Medicare Advantage: $34,145.88 Molina Healthcare of WA — Medicare Advantage: $32,593.80 Regence Blue Shield — Medicare Advantage HMO: $31,972.96 Regence Blue Shield — Medicare Advantage PPO: $31,972.96 United Healthcare — All Payer Appendix: $188,966.41 United Healthcare — Doctors Plan: $166,194.21 United Healthcare — Medicare Payer Appendix: $34,145.88 Wellcare — Medicare Advantage: $31,041.71
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION	$91,176	$59,264.40	$31,041.71 – $188,966.41
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $32,593.80 Humana Health Plan — Medicare HMO/PPO: $34,145.88 Kaiser WA — Medicare Advantage: $34,145.88 Molina Healthcare of WA — Medicare Advantage: $32,593.80 Regence Blue Shield — Medicare Advantage HMO: $31,972.96 Regence Blue Shield — Medicare Advantage PPO: $31,972.96 Regence Blue Shield — UMP: $59,870.15 United Healthcare — All Payer Appendix: $188,966.41 United Healthcare — Doctors Plan: $166,194.21 United Healthcare — Medicare Payer Appendix: $34,145.88

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$144	$93.60	$29.90 – $182.02
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $31.40 Humana Health Plan — Medicare HMO/PPO: $32.89 Kaiser WA — Medicare Advantage: $32.89 Molina Healthcare of WA — Medicare Advantage: $31.40 Regence Blue Shield — Commercial: $85.19 Regence Blue Shield — Medicare Advantage HMO: $30.80 Regence Blue Shield — Medicare Advantage PPO: $30.80 Regence Blue Shield — UMP: $44.84
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	$137	$89.05	$29.90 – $182.02
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $31.40 Humana Health Plan — Medicare HMO/PPO: $32.89 Kaiser WA — Medicare Advantage: $32.89 Molina Healthcare of WA — Medicare Advantage: $31.40 Regence Blue Shield — Medicare Advantage HMO: $30.80 Regence Blue Shield — Medicare Advantage PPO: $30.80 Regence Blue Shield — UMP: $57.67 United Healthcare — All Payer Appendix: $182.02
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES	$157	$102.05	$29.90 – $182.02
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $31.40 Humana Health Plan — Medicare HMO/PPO: $32.89 Kaiser WA — Medicare Advantage: $32.89 Molina Healthcare of WA — Medicare Advantage: $31.40 Regence Blue Shield — Medicare Advantage HMO: $30.80 Regence Blue Shield — Medicare Advantage PPO: $30.80 Regence Blue Shield — UMP: $57.67 United Healthcare — All Payer Appendix: $182.02
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$354	$230.10	$100.89 – $614.17
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $105.93 Humana Health Plan — Medicare HMO/PPO: $110.98 Kaiser WA — Medicare Advantage: $110.98 Molina Healthcare of WA — Medicare Advantage: $105.93 Regence Blue Shield — Commercial: $291.26 Regence Blue Shield — Medicare Advantage HMO: $103.92 Regence Blue Shield — Medicare Advantage PPO: $103.92 Regence Blue Shield — UMP: $153.29
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	$344	$223.60	$100.89 – $614.17
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $105.93 Humana Health Plan — Medicare HMO/PPO: $110.98 Kaiser WA — Medicare Advantage: $110.98 Molina Healthcare of WA — Medicare Advantage: $105.93 Regence Blue Shield — Medicare Advantage HMO: $103.92 Regence Blue Shield — Medicare Advantage PPO: $103.92 Regence Blue Shield — UMP: $194.59 United Healthcare — All Payer Appendix: $614.17
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GN In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES	$354	$230.10	$100.89 – $614.17
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $105.93 Humana Health Plan — Medicare HMO/PPO: $110.98 Kaiser WA — Medicare Advantage: $110.98 Molina Healthcare of WA — Medicare Advantage: $105.93 Regence Blue Shield — Medicare Advantage HMO: $103.92 Regence Blue Shield — Medicare Advantage PPO: $103.92 Regence Blue Shield — UMP: $194.59 United Healthcare — All Payer Appendix: $614.17
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$381	$247.65	$100.89 – $614.17
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $105.93 Humana Health Plan — Medicare HMO/PPO: $110.98 Kaiser WA — Medicare Advantage: $110.98 Molina Healthcare of WA — Medicare Advantage: $105.93 Regence Blue Shield — Commercial: $291.26 Regence Blue Shield — Medicare Advantage HMO: $103.92 Regence Blue Shield — Medicare Advantage PPO: $103.92 Regence Blue Shield — UMP: $153.29
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$370	$240.50	$100.89 – $614.17
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $105.93 Humana Health Plan — Medicare HMO/PPO: $110.98 Kaiser WA — Medicare Advantage: $110.98 Molina Healthcare of WA — Medicare Advantage: $105.93 Regence Blue Shield — Medicare Advantage HMO: $103.92 Regence Blue Shield — Medicare Advantage PPO: $103.92 Regence Blue Shield — UMP: $194.59 United Healthcare — All Payer Appendix: $614.17
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES	$370	$240.50	$100.89 – $614.17
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $105.93 Humana Health Plan — Medicare HMO/PPO: $110.98 Kaiser WA — Medicare Advantage: $110.98 Molina Healthcare of WA — Medicare Advantage: $105.93 Regence Blue Shield — Medicare Advantage HMO: $103.92 Regence Blue Shield — Medicare Advantage PPO: $103.92 Regence Blue Shield — UMP: $194.59 United Healthcare — All Payer Appendix: $614.17
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$414	$269.10	$100.89 – $614.17
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $105.93 Humana Health Plan — Medicare HMO/PPO: $110.98 Kaiser WA — Medicare Advantage: $110.98 Molina Healthcare of WA — Medicare Advantage: $105.93 Regence Blue Shield — Commercial: $291.26 Regence Blue Shield — Medicare Advantage HMO: $103.92 Regence Blue Shield — Medicare Advantage PPO: $103.92 Regence Blue Shield — UMP: $153.29
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	$402	$261.30	$100.89 – $614.17
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $105.93 Humana Health Plan — Medicare HMO/PPO: $110.98 Kaiser WA — Medicare Advantage: $110.98 Molina Healthcare of WA — Medicare Advantage: $105.93 Regence Blue Shield — Medicare Advantage HMO: $103.92 Regence Blue Shield — Medicare Advantage PPO: $103.92 Regence Blue Shield — UMP: $194.59 United Healthcare — All Payer Appendix: $614.17
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_KX In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES	$414	$269.10	$100.89 – $614.17
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates Cigna Health — Commercial: $117.47 Cigna Health — Local Plus: $107.48 Devoted — Medicare Advantage: $105.93 Humana Health Plan — Medicare HMO/PPO: $110.98 Kaiser WA — Medicare Advantage: $110.98 Molina Healthcare of WA — Medicare Advantage: $105.93 Regence Blue Shield — Medicare Advantage HMO: $103.92 Regence Blue Shield — Medicare Advantage PPO: $103.92 Regence Blue Shield — UMP: $194.59 United Healthcare — All Payer Appendix: $614.17

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$32,275	$20,978.75	$4,650.03 – $28,307.06
Removal of breast growth (open surgery): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4,882.53 Humana Health Plan — Medicare HMO/PPO: $5,115.03 Kaiser WA — Medicare Advantage: $5,115.03 Molina Healthcare of WA — Medicare Advantage: $4,882.53 Regence Blue Shield — Medicare Advantage HMO: $4,789.53 Regence Blue Shield — Medicare Advantage PPO: $4,789.53 Regence Blue Shield — UMP: $8,968.51 United Healthcare — All Payer Appendix: $28,307.06 United Healthcare — Doctors Plan: $24,895.80 United Healthcare — Medicare Payer Appendix: $5,115.03
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE	$12,207	$7,934.55	$4,650.03 – $28,307.06
Removal of breast growth (open surgery): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4,882.53 Humana Health Plan — Medicare HMO/PPO: $5,115.03 Kaiser WA — Medicare Advantage: $5,115.03 Molina Healthcare of WA — Medicare Advantage: $4,882.53 Regence Blue Shield — Medicare Advantage HMO: $4,789.53 Regence Blue Shield — Medicare Advantage PPO: $4,789.53 Regence Blue Shield — UMP: $8,968.51 United Healthcare — All Payer Appendix: $28,307.06 United Healthcare — Doctors Plan: $24,895.80 United Healthcare — Medicare Payer Appendix: $5,115.03
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	$24,840	$16,146	$4,650.03 – $28,307.06
Removal of breast growth (open surgery): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4,882.53 Humana Health Plan — Medicare HMO/PPO: $5,115.03 Kaiser WA — Medicare Advantage: $5,115.03 Molina Healthcare of WA — Medicare Advantage: $4,882.53 Regence Blue Shield — Medicare Advantage HMO: $4,789.53 Regence Blue Shield — Medicare Advantage PPO: $4,789.53 Regence Blue Shield — UMP: $8,968.51 United Healthcare — All Payer Appendix: $28,307.06 United Healthcare — Doctors Plan: $24,895.80 United Healthcare — Medicare Payer Appendix: $5,115.03
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$60,514	$39,334.10	$15,247.41 – $92,818.61
Total hip replacement: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $16,009.78 Humana Health Plan — Medicare HMO/PPO: $16,772.15 Kaiser WA — Medicare Advantage: $16,772.15 Molina Healthcare of WA — Medicare Advantage: $16,009.78 Regence Blue Shield — Medicare Advantage HMO: $15,704.83 Regence Blue Shield — Medicare Advantage PPO: $15,704.83 Regence Blue Shield — UMP: $29,407.68 United Healthcare — All Payer Appendix: $92,818.61 United Healthcare — Doctors Plan: $81,633.11 United Healthcare — Medicare Payer Appendix: $16,772.15
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS	$85,098	$55,313.70	$15,247.41 – $92,818.61
Total hip replacement: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $16,009.78 Humana Health Plan — Medicare HMO/PPO: $16,772.15 Kaiser WA — Medicare Advantage: $16,772.15 Molina Healthcare of WA — Medicare Advantage: $16,009.78 Regence Blue Shield — Medicare Advantage HMO: $15,704.83 Regence Blue Shield — Medicare Advantage PPO: $15,704.83 Regence Blue Shield — UMP: $29,407.68 United Healthcare — All Payer Appendix: $92,818.61 United Healthcare — Doctors Plan: $81,633.11 United Healthcare — Medicare Payer Appendix: $16,772.15
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	$39,725	$25,821.25	$15,247.41 – $92,818.61
Total hip replacement: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $16,009.78 Humana Health Plan — Medicare HMO/PPO: $16,772.15 Kaiser WA — Medicare Advantage: $16,772.15 Molina Healthcare of WA — Medicare Advantage: $16,009.78 Regence Blue Shield — Medicare Advantage HMO: $15,704.83 Regence Blue Shield — Medicare Advantage PPO: $15,704.83 Regence Blue Shield — UMP: $29,407.68 United Healthcare — All Payer Appendix: $92,818.61 United Healthcare — Doctors Plan: $81,633.11 United Healthcare — Medicare Payer Appendix: $16,772.15
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE	$56,266	$36,572.90	$15,247.41 – $92,818.61
Total knee replacement: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $16,009.78 Humana Health Plan — Medicare HMO/PPO: $16,772.15 Kaiser WA — Medicare Advantage: $16,772.15 Molina Healthcare of WA — Medicare Advantage: $16,009.78 Regence Blue Shield — Medicare Advantage HMO: $15,704.83 Regence Blue Shield — Medicare Advantage PPO: $15,704.83 Regence Blue Shield — UMP: $29,407.68 United Healthcare — All Payer Appendix: $92,818.61 United Healthcare — Doctors Plan: $81,633.11 United Healthcare — Medicare Payer Appendix: $16,772.15
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	$50,722	$32,969.30	$15,247.41 – $92,818.61
Total knee replacement: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $16,009.78 Humana Health Plan — Medicare HMO/PPO: $16,772.15 Kaiser WA — Medicare Advantage: $16,772.15 Molina Healthcare of WA — Medicare Advantage: $16,009.78 Regence Blue Shield — Medicare Advantage HMO: $15,704.83 Regence Blue Shield — Medicare Advantage PPO: $15,704.83 Regence Blue Shield — UMP: $29,407.68 United Healthcare — All Payer Appendix: $92,818.61 United Healthcare — Doctors Plan: $81,633.11 United Healthcare — Medicare Payer Appendix: $16,772.15
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	$53,186	$34,570.90	$15,247.41 – $92,818.61
Total knee replacement: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $16,009.78 Humana Health Plan — Medicare HMO/PPO: $16,772.15 Kaiser WA — Medicare Advantage: $16,772.15 Molina Healthcare of WA — Medicare Advantage: $16,009.78 Regence Blue Shield — Medicare Advantage HMO: $15,704.83 Regence Blue Shield — Medicare Advantage PPO: $15,704.83 Regence Blue Shield — UMP: $29,407.68 United Healthcare — All Payer Appendix: $92,818.61 United Healthcare — Doctors Plan: $81,633.11 United Healthcare — Medicare Payer Appendix: $16,772.15
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	$2,893.16	$1,880.55	$145.88 – $888.04
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $153.17 Humana Health Plan — Medicare HMO/PPO: $160.47 Kaiser WA — Medicare Advantage: $160.47 Molina Healthcare of WA — Medicare Advantage: $153.17 Regence Blue Shield — Medicare Advantage HMO: $150.26 Regence Blue Shield — Medicare Advantage PPO: $150.26 Regence Blue Shield — UMP: $281.36 United Healthcare — All Payer Appendix: $888.04 United Healthcare — Doctors Plan: $781.03 United Healthcare — Medicare Payer Appendix: $160.47
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	$4,389.66	$2,853.28	$145.88 – $888.04
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $153.17 Humana Health Plan — Medicare HMO/PPO: $160.47 Kaiser WA — Medicare Advantage: $160.47 Molina Healthcare of WA — Medicare Advantage: $153.17 Regence Blue Shield — Medicare Advantage HMO: $150.26 Regence Blue Shield — Medicare Advantage PPO: $150.26 Regence Blue Shield — UMP: $281.36 United Healthcare — All Payer Appendix: $888.04 United Healthcare — Doctors Plan: $781.03 United Healthcare — Medicare Payer Appendix: $160.47
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT_XU In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE	$4,890.16	$3,178.60	$145.88 – $888.04
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $153.17 Humana Health Plan — Medicare HMO/PPO: $160.47 Kaiser WA — Medicare Advantage: $160.47 Molina Healthcare of WA — Medicare Advantage: $153.17 Regence Blue Shield — Medicare Advantage HMO: $150.26 Regence Blue Shield — Medicare Advantage PPO: $150.26 Regence Blue Shield — UMP: $281.36 United Healthcare — All Payer Appendix: $888.04 United Healthcare — Doctors Plan: $781.03 United Healthcare — Medicare Payer Appendix: $160.47
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	$11,659	$7,578.35	$3,885.88 – $23,655.29
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4,080.17 Humana Health Plan — Medicare HMO/PPO: $4,274.47 Kaiser WA — Medicare Advantage: $4,274.47 Molina Healthcare of WA — Medicare Advantage: $4,080.17 Regence Blue Shield — Medicare Advantage HMO: $4,002.46 Regence Blue Shield — Medicare Advantage PPO: $4,002.46 Regence Blue Shield — UMP: $7,494.70 United Healthcare — All Payer Appendix: $23,655.29 United Healthcare — Doctors Plan: $20,804.61 United Healthcare — Medicare Payer Appendix: $4,274.47
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_XU In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$18,490.01	$12,018.51	$3,885.88 – $23,655.29
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4,080.17 Humana Health Plan — Medicare HMO/PPO: $4,274.47 Kaiser WA — Medicare Advantage: $4,274.47 Molina Healthcare of WA — Medicare Advantage: $4,080.17 Regence Blue Shield — Medicare Advantage HMO: $4,002.46 Regence Blue Shield — Medicare Advantage PPO: $4,002.46 Regence Blue Shield — UMP: $7,494.70 United Healthcare — All Payer Appendix: $23,655.29 United Healthcare — Doctors Plan: $20,804.61 United Healthcare — Medicare Payer Appendix: $4,274.47
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	$12,559	$8,163.35	$3,885.88 – $23,655.29
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4,080.17 Humana Health Plan — Medicare HMO/PPO: $4,274.47 Kaiser WA — Medicare Advantage: $4,274.47 Molina Healthcare of WA — Medicare Advantage: $4,080.17 Regence Blue Shield — Medicare Advantage HMO: $4,002.46 Regence Blue Shield — Medicare Advantage PPO: $4,002.46 Regence Blue Shield — UMP: $7,494.70 United Healthcare — All Payer Appendix: $23,655.29 United Healthcare — Doctors Plan: $20,804.61 United Healthcare — Medicare Payer Appendix: $4,274.47
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)	$11,190	$7,273.50	$7,030.48 – $42,798.05
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $7,382 Humana Health Plan — Medicare HMO/PPO: $7,733.53 Kaiser WA — Medicare Advantage: $7,733.53 Molina Healthcare of WA — Medicare Advantage: $7,382 Regence Blue Shield — Medicare Advantage HMO: $7,241.39 Regence Blue Shield — Medicare Advantage PPO: $7,241.39 Regence Blue Shield — UMP: $13,559.69 United Healthcare — All Payer Appendix: $42,798.05 United Healthcare — Doctors Plan: $37,640.49 United Healthcare — Medicare Payer Appendix: $7,733.53
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	$2,428.66	$1,578.63	$1,077.15 – $6,557.15
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,131.01 Humana Health Plan — Medicare HMO/PPO: $1,184.87 Kaiser WA — Medicare Advantage: $1,184.87 Molina Healthcare of WA — Medicare Advantage: $1,131.01 Regence Blue Shield — Medicare Advantage HMO: $1,109.46 Regence Blue Shield — Medicare Advantage PPO: $1,109.46 Regence Blue Shield — UMP: $2,077.50 United Healthcare — All Payer Appendix: $6,557.15 United Healthcare — Doctors Plan: $5,766.95 United Healthcare — Medicare Payer Appendix: $1,184.87
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	$4,057	$2,637.05	$1,077.15 – $6,557.15
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates Devoted — Medicare Advantage: $1,131.01 Humana Health Plan — Medicare HMO/PPO: $1,184.87 Kaiser WA — Medicare Advantage: $1,184.87 Molina Healthcare of WA — Medicare Advantage: $1,131.01 Regence Blue Shield — Medicare Advantage HMO: $1,109.46 Regence Blue Shield — Medicare Advantage PPO: $1,109.46 Regence Blue Shield — UMP: $2,077.50 United Healthcare — All Payer Appendix: $6,557.15 United Healthcare — Doctors Plan: $5,766.95 United Healthcare — Medicare Payer Appendix: $1,184.87
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	$6,021	$3,913.65	$1,077.15 – $6,557.15
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,131.01 Humana Health Plan — Medicare HMO/PPO: $1,184.87 Kaiser WA — Medicare Advantage: $1,184.87 Molina Healthcare of WA — Medicare Advantage: $1,131.01 Regence Blue Shield — Medicare Advantage HMO: $1,109.46 Regence Blue Shield — Medicare Advantage PPO: $1,109.46 Regence Blue Shield — UMP: $2,077.50 United Healthcare — All Payer Appendix: $6,557.15 United Healthcare — Doctors Plan: $5,766.95 United Healthcare — Medicare Payer Appendix: $1,184.87
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	$2,977	$1,935.05	$1,077.15 – $6,557.15
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,131.01 Humana Health Plan — Medicare HMO/PPO: $1,184.87 Kaiser WA — Medicare Advantage: $1,184.87 Molina Healthcare of WA — Medicare Advantage: $1,131.01 Regence Blue Shield — Medicare Advantage HMO: $1,109.46 Regence Blue Shield — Medicare Advantage PPO: $1,109.46 Regence Blue Shield — UMP: $2,077.50 United Healthcare — All Payer Appendix: $6,557.15 United Healthcare — Doctors Plan: $5,766.95 United Healthcare — Medicare Payer Appendix: $1,184.87
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$3,126	$2,031.90	$1,077.15 – $6,557.15
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,131.01 Humana Health Plan — Medicare HMO/PPO: $1,184.87 Kaiser WA — Medicare Advantage: $1,184.87 Molina Healthcare of WA — Medicare Advantage: $1,131.01 Regence Blue Shield — Medicare Advantage HMO: $1,109.46 Regence Blue Shield — Medicare Advantage PPO: $1,109.46 Regence Blue Shield — UMP: $2,077.50 United Healthcare — All Payer Appendix: $6,557.15 United Healthcare — Doctors Plan: $5,766.95 United Healthcare — Medicare Payer Appendix: $1,184.87
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XS In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$550.75	$357.99	$1,077.15 – $6,557.15
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,131.01 Humana Health Plan — Medicare HMO/PPO: $1,184.87 Kaiser WA — Medicare Advantage: $1,184.87 Molina Healthcare of WA — Medicare Advantage: $1,131.01 Regence Blue Shield — Medicare Advantage HMO: $1,109.46 Regence Blue Shield — Medicare Advantage PPO: $1,109.46 Regence Blue Shield — UMP: $2,077.50 United Healthcare — All Payer Appendix: $6,557.15 United Healthcare — Doctors Plan: $5,766.95 United Healthcare — Medicare Payer Appendix: $1,184.87
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$4,857.34	$3,157.27	$1,104.43 – $6,723.22
Colonoscopy (diagnostic): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,159.65 Humana Health Plan — Medicare HMO/PPO: $1,214.87 Kaiser WA — Medicare Advantage: $1,214.87 Molina Healthcare of WA — Medicare Advantage: $1,159.65 Regence Blue Shield — Medicare Advantage HMO: $1,137.56 Regence Blue Shield — Medicare Advantage PPO: $1,137.56 Regence Blue Shield — UMP: $2,130.11 United Healthcare — All Payer Appendix: $6,723.22 United Healthcare — Doctors Plan: $5,913.01 United Healthcare — Medicare Payer Appendix: $1,214.87
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33_74 In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$7,381	$4,797.65	$1,104.43 – $6,723.22
Colonoscopy (diagnostic): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,159.65 Humana Health Plan — Medicare HMO/PPO: $1,214.87 Kaiser WA — Medicare Advantage: $1,214.87 Molina Healthcare of WA — Medicare Advantage: $1,159.65 Regence Blue Shield — Medicare Advantage HMO: $1,137.56 Regence Blue Shield — Medicare Advantage PPO: $1,137.56 Regence Blue Shield — UMP: $2,130.11 United Healthcare — All Payer Appendix: $6,723.22 United Healthcare — Doctors Plan: $5,913.01 United Healthcare — Medicare Payer Appendix: $1,214.87
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$4,857.34	$3,157.27	$1,104.43 – $6,723.22
Colonoscopy (diagnostic): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,159.65 Humana Health Plan — Medicare HMO/PPO: $1,214.87 Kaiser WA — Medicare Advantage: $1,214.87 Molina Healthcare of WA — Medicare Advantage: $1,159.65 Regence Blue Shield — Medicare Advantage HMO: $1,137.56 Regence Blue Shield — Medicare Advantage PPO: $1,137.56 Regence Blue Shield — UMP: $2,130.11 United Healthcare — All Payer Appendix: $6,723.22 United Healthcare — Doctors Plan: $5,913.01 United Healthcare — Medicare Payer Appendix: $1,214.87
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$7,289.34	$4,738.07	$1,421.15 – $8,651.25
Colonoscopy with biopsy: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,492.21 Humana Health Plan — Medicare HMO/PPO: $1,563.27 Kaiser WA — Medicare Advantage: $1,563.27 Molina Healthcare of WA — Medicare Advantage: $1,492.21 Regence Blue Shield — Medicare Advantage HMO: $1,463.78 Regence Blue Shield — Medicare Advantage PPO: $1,463.78 Regence Blue Shield — UMP: $2,740.97 United Healthcare — All Payer Appendix: $8,651.25 United Healthcare — Doctors Plan: $7,608.69 United Healthcare — Medicare Payer Appendix: $1,563.27
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33_XS In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$1,604.50	$1,042.93	$1,421.15 – $8,651.25
Colonoscopy with biopsy: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,492.21 Humana Health Plan — Medicare HMO/PPO: $1,563.26 Kaiser WA — Medicare Advantage: $1,563.26 Molina Healthcare of WA — Medicare Advantage: $1,492.21 Regence Blue Shield — Medicare Advantage HMO: $1,463.78 Regence Blue Shield — Medicare Advantage PPO: $1,463.78 Regence Blue Shield — UMP: $2,740.97 United Healthcare — All Payer Appendix: $8,651.25 United Healthcare — Doctors Plan: $7,608.69 United Healthcare — Medicare Payer Appendix: $1,563.26
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 73 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,428.66	$1,578.63	$710.57 – $4,325.59
Colonoscopy with biopsy: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $746.10 Humana Health Plan — Medicare HMO/PPO: $781.63 Kaiser WA — Medicare Advantage: $781.63 Molina Healthcare of WA — Medicare Advantage: $746.10 Regence Blue Shield — Medicare Advantage HMO: $731.89 Regence Blue Shield — Medicare Advantage PPO: $731.89 Regence Blue Shield — UMP: $1,370.48 United Healthcare — All Payer Appendix: $4,325.59 United Healthcare — Doctors Plan: $3,804.32 United Healthcare — Medicare Payer Appendix: $781.63
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	$6,418	$4,171.70	$1,421.15 – $8,651.25
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,492.21 Humana Health Plan — Medicare HMO/PPO: $1,563.26 Kaiser WA — Medicare Advantage: $1,563.26 Molina Healthcare of WA — Medicare Advantage: $1,492.21 Regence Blue Shield — Medicare Advantage HMO: $1,463.78 Regence Blue Shield — Medicare Advantage PPO: $1,463.78 Regence Blue Shield — UMP: $2,740.97 United Healthcare — All Payer Appendix: $8,651.25 United Healthcare — Doctors Plan: $7,608.69 United Healthcare — Medicare Payer Appendix: $1,563.26
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74_PT In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE	$6,418	$4,171.70	$1,421.15 – $8,651.25
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,492.21 Humana Health Plan — Medicare HMO/PPO: $1,563.26 Kaiser WA — Medicare Advantage: $1,563.26 Molina Healthcare of WA — Medicare Advantage: $1,492.21 Regence Blue Shield — Medicare Advantage HMO: $1,463.78 Regence Blue Shield — Medicare Advantage PPO: $1,463.78 Regence Blue Shield — UMP: $2,740.97 United Healthcare — All Payer Appendix: $8,651.25 United Healthcare — Doctors Plan: $7,608.69 United Healthcare — Medicare Payer Appendix: $1,563.26
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	$1,821.50	$1,183.98	$1,421.15 – $8,651.25
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,492.21 Humana Health Plan — Medicare HMO/PPO: $1,563.26 Kaiser WA — Medicare Advantage: $1,563.26 Molina Healthcare of WA — Medicare Advantage: $1,492.21 Regence Blue Shield — Medicare Advantage HMO: $1,463.78 Regence Blue Shield — Medicare Advantage PPO: $1,463.78 Regence Blue Shield — UMP: $2,740.97 United Healthcare — All Payer Appendix: $8,651.25 United Healthcare — Doctors Plan: $7,608.69 United Healthcare — Medicare Payer Appendix: $1,563.26
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	$1,655.75	$1,076.24	$1,104.43 – $6,723.22
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates Devoted — Medicare Advantage: $1,159.65 Humana Health Plan — Medicare HMO/PPO: $1,214.87 Kaiser WA — Medicare Advantage: $1,214.87 Molina Healthcare of WA — Medicare Advantage: $1,159.65 Regence Blue Shield — Medicare Advantage HMO: $1,137.56 Regence Blue Shield — Medicare Advantage PPO: $1,137.56 Regence Blue Shield — UMP: $2,130.11 United Healthcare — All Payer Appendix: $6,723.22 United Healthcare — Doctors Plan: $5,913.01 United Healthcare — Medicare Payer Appendix: $1,214.87
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$6,418	$4,171.70	$1,104.43 – $6,723.22
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates Devoted — Medicare Advantage: $1,159.65 Humana Health Plan — Medicare HMO/PPO: $1,214.87 Kaiser WA — Medicare Advantage: $1,214.87 Molina Healthcare of WA — Medicare Advantage: $1,159.65 Regence Blue Shield — Medicare Advantage HMO: $1,137.56 Regence Blue Shield — Medicare Advantage PPO: $1,137.56 Regence Blue Shield — UMP: $2,130.11 United Healthcare — All Payer Appendix: $6,723.22 United Healthcare — Doctors Plan: $5,913.01 United Healthcare — Medicare Payer Appendix: $1,214.87
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE	$71,378	$46,395.70	$7,179.76 – $43,706.79
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $7,538.75 Humana Health Plan — Medicare HMO/PPO: $7,897.74 Kaiser WA — Medicare Advantage: $7,897.74 Molina Healthcare of WA — Medicare Advantage: $7,538.75 Regence Blue Shield — Medicare Advantage HMO: $7,395.15 Regence Blue Shield — Medicare Advantage PPO: $7,395.15 Regence Blue Shield — UMP: $13,847.60 United Healthcare — All Payer Appendix: $43,706.79 United Healthcare — Doctors Plan: $38,439.72 United Healthcare — Medicare Payer Appendix: $7,897.74
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)	$11,490	$7,468.50	$4,252.13 – $25,884.84
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4,464.74 Humana Health Plan — Medicare HMO/PPO: $4,677.34 Kaiser WA — Medicare Advantage: $4,677.34 Molina Healthcare of WA — Medicare Advantage: $4,464.74 Regence Blue Shield — Medicare Advantage HMO: $4,379.69 Regence Blue Shield — Medicare Advantage PPO: $4,379.69 Regence Blue Shield — UMP: $8,201.08 United Healthcare — All Payer Appendix: $25,884.84 United Healthcare — Doctors Plan: $22,765.48 United Healthcare — Medicare Payer Appendix: $4,677.34
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)	$13,260	$8,619	$7,209.89 – $43,890.21
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $7,570.38 Humana Health Plan — Medicare HMO/PPO: $7,930.88 Kaiser WA — Medicare Advantage: $7,930.88 Molina Healthcare of WA — Medicare Advantage: $7,570.38 Regence Blue Shield — Medicare Advantage HMO: $7,426.19 Regence Blue Shield — Medicare Advantage PPO: $7,426.19 Regence Blue Shield — UMP: $13,905.71 United Healthcare — All Payer Appendix: $43,890.21 United Healthcare — Doctors Plan: $38,601.03 United Healthcare — Medicare Payer Appendix: $7,930.88
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)	$21,390	$13,903.50	$4,252.13 – $25,884.84
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4,464.74 Humana Health Plan — Medicare HMO/PPO: $4,677.34 Kaiser WA — Medicare Advantage: $4,677.34 Molina Healthcare of WA — Medicare Advantage: $4,464.74 Regence Blue Shield — Medicare Advantage HMO: $4,379.69 Regence Blue Shield — Medicare Advantage PPO: $4,379.69 Regence Blue Shield — UMP: $8,201.08 United Healthcare — All Payer Appendix: $25,884.84 United Healthcare — Doctors Plan: $22,765.48 United Healthcare — Medicare Payer Appendix: $4,677.34
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	$8,254	$5,365.10	Not listed in the file
Prostate biopsy: 10 of 11 insurance plan rates Aetna Health — Commercial: 77.68% (a percentage in the contract, not a dollar amount) Ambetter — Commercial: 65% (a percentage in the contract, not a dollar amount) 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: 50% (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: 50% (a percentage in the contract, not a dollar amount) Kaiser WA — Individual and Family LOB: 63.14% (a percentage in the contract, not a dollar amount) Moda Health Plan — Connexus/Synergy: 50% (a percentage in the contract, not a dollar amount) Regence Blue Shield — Commercial: 70% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE	$81,392	$52,904.80	$12,624.15 – $76,849.51
Prostate removal by laparoscope (radical prostatectomy): 10 of 25 insurance plan rates Devoted — Medicare Advantage: $13,255.36 Humana Health Plan — Medicare HMO/PPO: $13,886.56 Kaiser WA — Medicare Advantage: $13,886.56 Molina Healthcare of WA — Medicare Advantage: $13,255.36 Regence Blue Shield — Medicare Advantage HMO: $13,002.87 Regence Blue Shield — Medicare Advantage PPO: $13,002.87 Regence Blue Shield — UMP: $24,348.20 United Healthcare — All Payer Appendix: $76,849.51 United Healthcare — Doctors Plan: $67,588.44 United Healthcare — Medicare Payer Appendix: $13,886.56
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	$10,759	$6,993.35	$3,844.45 – $23,403.09
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $4,036.67 Humana Health Plan — Medicare HMO/PPO: $4,228.90 Kaiser WA — Medicare Advantage: $4,228.90 Molina Healthcare of WA — Medicare Advantage: $4,036.67 Regence Blue Shield — Medicare Advantage HMO: $3,959.78 Regence Blue Shield — Medicare Advantage PPO: $3,959.78 Regence Blue Shield — UMP: $7,414.79 United Healthcare — All Payer Appendix: $23,403.09 United Healthcare — Doctors Plan: $20,582.80 United Healthcare — Medicare Payer Appendix: $4,228.90
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	$2,364	$1,536.60	$838.31 – $5,103.21
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $880.23 Humana Health Plan — Medicare HMO/PPO: $922.14 Kaiser WA — Medicare Advantage: $922.14 Molina Healthcare of WA — Medicare Advantage: $880.23 Regence Blue Shield — Medicare Advantage HMO: $863.46 Regence Blue Shield — Medicare Advantage PPO: $863.46 Regence Blue Shield — UMP: $1,616.85 United Healthcare — All Payer Appendix: $5,103.21 United Healthcare — Doctors Plan: $4,488.23 United Healthcare — Medicare Payer Appendix: $922.14
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$2,482	$1,613.30	$838.31 – $5,103.21
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates Devoted — Medicare Advantage: $880.23 Humana Health Plan — Medicare HMO/PPO: $922.14 Kaiser WA — Medicare Advantage: $922.14 Molina Healthcare of WA — Medicare Advantage: $880.23 Regence Blue Shield — Medicare Advantage HMO: $863.46 Regence Blue Shield — Medicare Advantage PPO: $863.46 Regence Blue Shield — UMP: $1,616.85 United Healthcare — All Payer Appendix: $5,103.21 United Healthcare — Doctors Plan: $4,488.23 United Healthcare — Medicare Payer Appendix: $922.14
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE	$2,482	$1,613.30	$838.31 – $5,103.21
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $880.23 Humana Health Plan — Medicare HMO/PPO: $922.14 Kaiser WA — Medicare Advantage: $922.14 Molina Healthcare of WA — Medicare Advantage: $880.23 Regence Blue Shield — Medicare Advantage HMO: $863.46 Regence Blue Shield — Medicare Advantage PPO: $863.46 Regence Blue Shield — UMP: $1,616.85 United Healthcare — All Payer Appendix: $5,103.21 United Healthcare — Doctors Plan: $4,488.23 United Healthcare — Medicare Payer Appendix: $922.14
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	$3,024	$1,965.60	$1,050.42 – $6,394.43
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,102.94 Humana Health Plan — Medicare HMO/PPO: $1,155.46 Kaiser WA — Medicare Advantage: $1,155.46 Molina Healthcare of WA — Medicare Advantage: $1,102.94 Regence Blue Shield — Medicare Advantage HMO: $1,081.93 Regence Blue Shield — Medicare Advantage PPO: $1,081.93 Regence Blue Shield — UMP: $2,025.95 United Healthcare — All Payer Appendix: $6,394.43 United Healthcare — Doctors Plan: $5,623.84 United Healthcare — Medicare Payer Appendix: $1,155.46
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	$3,175	$2,063.75	$1,050.42 – $6,394.43
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,102.94 Humana Health Plan — Medicare HMO/PPO: $1,155.46 Kaiser WA — Medicare Advantage: $1,155.46 Molina Healthcare of WA — Medicare Advantage: $1,102.94 Regence Blue Shield — Medicare Advantage HMO: $1,081.93 Regence Blue Shield — Medicare Advantage PPO: $1,081.93 Regence Blue Shield — UMP: $2,025.95 United Healthcare — All Payer Appendix: $6,394.43 United Healthcare — Doctors Plan: $5,623.84 United Healthcare — Medicare Payer Appendix: $1,155.46
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL	$3,024	$1,965.60	$1,050.42 – $6,394.43
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $1,102.94 Humana Health Plan — Medicare HMO/PPO: $1,155.46 Kaiser WA — Medicare Advantage: $1,155.46 Molina Healthcare of WA — Medicare Advantage: $1,102.94 Regence Blue Shield — Medicare Advantage HMO: $1,081.93 Regence Blue Shield — Medicare Advantage PPO: $1,081.93 Regence Blue Shield — UMP: $2,025.95 United Healthcare — All Payer Appendix: $6,394.43 United Healthcare — Doctors Plan: $5,623.84 United Healthcare — Medicare Payer Appendix: $1,155.46
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: RELEASE AND/OR RELOCATION OF HAND NERVE	$15,240	$9,906	$2,319.09 – $14,117.46
Carpal tunnel release: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $2,435.04 Humana Health Plan — Medicare HMO/PPO: $2,551 Kaiser WA — Medicare Advantage: $2,551 Molina Healthcare of WA — Medicare Advantage: $2,435.04 Regence Blue Shield — Medicare Advantage HMO: $2,388.66 Regence Blue Shield — Medicare Advantage PPO: $2,388.66 Regence Blue Shield — UMP: $4,472.83 United Healthcare — All Payer Appendix: $14,117.46 United Healthcare — Doctors Plan: $12,416.18 United Healthcare — Medicare Payer Appendix: $2,551
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE	$4,974	$3,233.10	$2,319.09 – $14,117.46
Carpal tunnel release: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $2,435.04 Humana Health Plan — Medicare HMO/PPO: $2,551 Kaiser WA — Medicare Advantage: $2,551 Molina Healthcare of WA — Medicare Advantage: $2,435.04 Regence Blue Shield — Medicare Advantage HMO: $2,388.66 Regence Blue Shield — Medicare Advantage PPO: $2,388.66 Regence Blue Shield — UMP: $4,472.83 United Healthcare — All Payer Appendix: $14,117.46 United Healthcare — Doctors Plan: $12,416.18 United Healthcare — Medicare Payer Appendix: $2,551
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE	$9,090	$5,908.50	$2,319.09 – $14,117.46
Carpal tunnel release: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $2,435.04 Humana Health Plan — Medicare HMO/PPO: $2,551 Kaiser WA — Medicare Advantage: $2,551 Molina Healthcare of WA — Medicare Advantage: $2,435.04 Regence Blue Shield — Medicare Advantage HMO: $2,388.66 Regence Blue Shield — Medicare Advantage PPO: $2,388.66 Regence Blue Shield — UMP: $4,472.83 United Healthcare — All Payer Appendix: $14,117.46 United Healthcare — Doctors Plan: $12,416.18 United Healthcare — Medicare Payer Appendix: $2,551
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	$16,484.66	$10,715.03	$2,740.80 – $16,684.62
Cataract removal with lens implant: 10 of 25 insurance plan rates Devoted — Medicare Advantage: $2,877.84 Humana Health Plan — Medicare HMO/PPO: $3,014.88 Kaiser WA — Medicare Advantage: $3,014.88 Molina Healthcare of WA — Medicare Advantage: $2,877.84 Regence Blue Shield — Medicare Advantage HMO: $2,823.02 Regence Blue Shield — Medicare Advantage PPO: $2,823.02 Regence Blue Shield — UMP: $5,286.18 United Healthcare — All Payer Appendix: $16,684.62 United Healthcare — Doctors Plan: $14,673.97 United Healthcare — Medicare Payer Appendix: $3,014.88

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance 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 & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY	Not listed in the file	Not listed in the file	$99,224.17 – $192,668.30
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 18 insurance plan rates Ambetter — Commercial: $192,668.30 Devoted — Medicare Advantage: $101,150.86 Humana Health Plan — Medicare HMO/PPO: $105,967.56 Kaiser WA — Medicare Advantage: $105,967.56 Molina Healthcare of WA — Medicare Advantage: $101,150.86 Regence Blue Shield — Medicare Advantage HMO: $99,224.17 Regence Blue Shield — Medicare Advantage PPO: $99,224.17 United Healthcare — Medicare Payer Appendix: $105,967.56 Wellcare — Medicare Advantage: $105,967.56 Wellpoint — Managed Medicaid: $101,150.86
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 8 insurance plans Aetna Health — Commercial: 77.68% (a percentage in the contract, not a dollar amount) 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: 50% (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: 50% (a percentage in the contract, not a dollar amount) Moda Health Plan — Connexus/Synergy: 50% (a percentage in the contract, not a dollar amount) United Healthcare – PH Employees — United Healthcare – PH Employees: 56% (a percentage in the contract, not a dollar amount)
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	$19,564.30 – $37,988.94
Hip or knee replacement (major joint of the leg), without major complications: 10 of 18 insurance plan rates Ambetter — Commercial: $37,988.94 Devoted — Medicare Advantage: $19,944.19 Humana Health Plan — Medicare HMO/PPO: $20,893.92 Kaiser WA — Medicare Advantage: $20,893.92 Molina Healthcare of WA — Medicare Advantage: $19,944.19 Regence Blue Shield — Medicare Advantage HMO: $19,564.30 Regence Blue Shield — Medicare Advantage PPO: $19,564.30 United Healthcare — Medicare Payer Appendix: $20,893.92 Wellcare — Medicare Advantage: $20,893.92 Wellpoint — Managed Medicaid: $19,944.19
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY	Not listed in the file	Not listed in the file	$24,761.41 – $48,080.40
Neck (cervical) spinal fusion, without complications: 10 of 18 insurance plan rates Ambetter — Commercial: $48,080.40 Devoted — Medicare Advantage: $25,242.21 Humana Health Plan — Medicare HMO/PPO: $26,444.22 Kaiser WA — Medicare Advantage: $26,444.22 Molina Healthcare of WA — Medicare Advantage: $25,242.21 Regence Blue Shield — Medicare Advantage HMO: $24,761.41 Regence Blue Shield — Medicare Advantage PPO: $24,761.41 United Healthcare — Medicare Payer Appendix: $26,444.22 Wellcare — Medicare Advantage: $26,444.22 Wellpoint — Managed Medicaid: $25,242.21
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY	Not listed in the file	Not listed in the file	$12,584.08 – $24,435.10
Uterus and ovary surgery (not for cancer), without complications: 10 of 18 insurance plan rates Ambetter — Commercial: $24,435.10 Devoted — Medicare Advantage: $12,828.43 Humana Health Plan — Medicare HMO/PPO: $13,439.30 Kaiser WA — Medicare Advantage: $13,439.30 Molina Healthcare of WA — Medicare Advantage: $12,828.43 Regence Blue Shield — Medicare Advantage HMO: $12,584.08 Regence Blue Shield — Medicare Advantage PPO: $12,584.08 United Healthcare — Medicare Payer Appendix: $13,439.30 Wellcare — Medicare Advantage: $13,439.30 Wellpoint — Managed Medicaid: $12,828.43

Source: PeaceHealth St Joseph 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 type	Acute Care Hospital
Address	2901 Squalicum Parkway, Bellingham, WA 98225
County	Whatcom County
State	Washington
Phone	(360) 734‑5400
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	500030
Name in Medicare records	PEACEHEALTH ST JOSEPH MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	peacehealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

PeaceHealth St. Joseph Medical Center services — peacehealth.org
Emergency Medicine in Bellingham, WA — peacehealth.org