Does Prov Sacred HRT Med Ctr & Childs Hosp. have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Prov Sacred HRT Med Ctr & Childs Hosp.. In a medical emergency, call 911.

Where is Prov Sacred HRT Med Ctr & Childs Hosp.?

101 West 8th Avenue, Spokane, WA 99220, in Spokane County, Washington.

What is the phone number of Prov Sacred HRT Med Ctr & Childs Hosp.?

(509) 474-3131, as listed by Medicare (CMS).

What is the Medicare star rating of Prov Sacred HRT Med Ctr & Childs Hosp.?

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

Prov Sacred HRT Med Ctr & Childs Hosp.

Quick answers

Does Prov Sacred HRT Med Ctr & Childs Hosp. have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Prov Sacred HRT Med Ctr & Childs Hosp.. In a medical emergency, call 911.
Where is Prov Sacred HRT Med Ctr & Childs Hosp.?: 101 West 8th Avenue, Spokane, WA 99220, in Spokane County, Washington.
What is the phone number of Prov Sacred HRT Med Ctr & Childs Hosp.?: (509) 474-3131, as listed by Medicare (CMS).
What is the Medicare star rating of Prov Sacred HRT Med Ctr & Childs Hosp.?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[3][6][7][8][15][16][17]}

Birth and Maternity
Emergency and Trauma
Stroke Program
Women's Services
Transplant
Cancer
Orthopedics
Pediatric emergency care
Neurosurgery
Neurology
Interventional neuroradiology
Obstetrics
Neonatal intensive care
Cardiac intensive care
Endoscopy
Laboratory
Radiation therapy
Total joint program
Outpatient infusion

Conditions treated^{[7][8][10][11][15]}

Angina
Appendicitis
Broken bones (ankle, collarbone, foot, hand, hip, leg, nose, rib, wrist)
Chest pain
Concussion
Headaches
Heart attack
Spinal cord injury
Traumatic brain injury
Aneurysm
Arteriovenous malformation
Carotid artery disease
Cerebral vasospasm
Hemorrhagic stroke
Ischemic stroke
Transient ischemic attack
Arthritis
Balance disorders
Parkinson's disease
Multiple sclerosis
Amyotrophic lateral sclerosis
Breast cancer
Urinary incontinence
Gestational diabetes
Placenta accreta
Placenta previa
Postpartum depression
Pregnancy-related hypertension
Premature birth

Treatments^{[6][7][8][11][15][17]}

Joint replacement
Hip replacement
Flap reconstruction
Blood transfusion
IV catheter placement
CT scan
MRI
Ultrasound
X-ray imaging
Thrombolytic (clot-busting) therapy
Mechanical thrombectomy
Carotid artery surgery
Stereotactic radiosurgery
Hormone replacement therapy
Infertility services
Labor induction
C-section
Chemotherapy
Iron infusions
IV antibiotics

Procedures^[3][8][15]

Joint replacement
Aneurysm clipping
Stereotactic radiosurgery for AVM
Endovascular stenting
Amniotomy
Gentle C-section

Programs and centers^{[3][7][11][13][15]}

Orthopedic Trauma Program
Stroke Program
Emergency and trauma services
Birth Place (labor and delivery)
Women's Health Center
Support groups (cancer, cardiac, caregiver)

Emergency care (hospital website)^[3][6][7][9]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II Pediatric
Stroke designation	Joint Commission Comprehensive Stroke Center

Visiting and practical information

Visiting	Limit of two visitors per patient in the ER treatment area; check the visitor policy page^[7][12]
Parking	Park in nearby garages; valet service at the ER 24 hours a day^[7]
Interpreters and languages	Certified interpreters by phone or video; translated documents in Russian, Spanish, Vietnamese^[5]

Recognition^{[4][6][9][14]}

U.S. News & World Report: Spokane Metro Best Regional Hospital in 16 Types 2026
U.S. News & World Report: High Performing in Ear, Nose and Throat 2026
U.S. News & World Report: High Performing in Leukemia, Lymphoma, & Myeloma 2026
U.S. News & World Report: High Performing in Stroke 2026
U.S. News & World Report: High Performing in Hip Replacement 2026
U.S. News & World Report: High Performing in Hip Fracture 2026
Joint Commission Certified Comprehensive Stroke Center
AHA Get With The Guidelines - Stroke Gold Plus Quality Achievement Award 2026
AHA Target: Stroke Honor Roll Elite Plus 2026

Doctors and clinicians (1,118)

1,118 doctors and other clinicians list Prov Sacred HRT Med Ctr & Childs Hosp. 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

Nurse Practitioner150
Internal Medicine132
Physician Assistant125
Certified Registered Nurse Anesthetist (CRNA)104
Diagnostic Radiology102
Family Practice96
Anesthesiology49
Emergency Medicine35
Pathology25
Obstetrics/Gynecology23
Hospitalist21
General Surgery17

Doctors with a page on this site (1,118)

Aaron D. Hall, CNACertified Registered Nurse Anesthetist (CRNA)
Aaron M. Reinke, MDEmergency Medicine
Aaron R. Canfield, DOInternal Medicine
Aaron Wille, MDEmergency Medicine
Abby Cleminson, CNACertified Registered Nurse Anesthetist (CRNA)
Abigail Ruley, NPNurse Practitioner
Adam H. Juviler, MDColorectal Surgery (Proctology)
Adam M. Larsen, DOPediatric Medicine
Adam M. Noyes, MDCardiovascular Disease (Cardiology)
Adam M. Sanborn, MDFamily Practice
Adam P. Skibinski, MDDiagnostic Radiology
Adnan Rizvi, MDVascular Surgery
Aixa D. Espinosa-Morales, MDNeurology
Alcia D. Edwards-Richards, MDPediatric Medicine
Aleksandr Lyakhov, CNACertified Registered Nurse Anesthetist (CRNA)
Alessandro Dellai, MDEmergency Medicine
Alex C. Crist, DOInternal Medicine
Alexander Hutchinson, MDInterventional Cardiology
Alexander J. Doud, MDNeuropsychiatry
Alexander J. Igoe, CNACertified Registered Nurse Anesthetist (CRNA)
Alexander J. Kurdi, MDDiagnostic Radiology
Alexander K. Reichard, MDOrthopedic Surgery
Alexander L. Telis, MDOrthopedic Surgery
Alexander W. Scott, MDAnesthesiology

And 1,094 more: the button below opens the full list.

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 Prov Sacred HRT Med Ctr & Childs Hosp. 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	3 of 5 stars
Would recommend the hospital	4 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	3 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	75%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	76%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	65%National average: 74%
Area around the room “always” quiet at night	44%National average: 60%
Completed surveys	363Response rate: 23%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.439Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.697No different from the national benchmark
Surgical site infections after colon surgery	1.758Worse than the national benchmark
Surgical site infections after abdominal hysterectomy	1.629No different from the national benchmark
MRSA bloodstream infections	0.232Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.242Better 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	11.8%
Deaths within 30 days: heart failure patients	18.1%
Deaths within 30 days: pneumonia patients	16.5%
Deaths within 30 days: COPD patients	9.8%
Deaths within 30 days: stroke patients	10%
Deaths within 30 days: coronary bypass surgery (CABG)	1.3%
Serious complications (patient safety indicator PSI-90)	0.88No different from the national rate
Complications after hip or knee replacement	4.4%

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	12.3%
Readmitted within 30 days: heart failure	20.4%
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	20.4%
Readmitted within 30 days: coronary bypass surgery	8.5%
Readmitted within 30 days: hip or knee replacement	5.1%

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)	216 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	6%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	79%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 Spokane Best hospitals in Spokane

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 80 common services exactly as Prov Sacred HRT Med Ctr & Childs Hosp. 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)
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CRISIS PHONE 99213 LACTATION EDUCATION ESTAB PT VISIT CDM	$492	$344.40	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CRISIS PHONE 99214 LACTATION EDUCATION ESTAB PT VISIT CDM	$549	$384.30	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$304.19 – $1,009.15
Emergency room visit (moderate): 10 of 19 insurance plan rates Aetna — Medicare Managed Care - Hmo: $313.32 Aetna — Medicare Managed Care - Ppo: $316.36 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $547.54 Blue Cross — Premera All Commercial Plans: $740.60 Blue Cross — Premera Heritage Signature Exchange: $573.13 Blue Shield — Asuris All Commercial Plans: $752.73 Blue Shield — Asuris Medicare Managed Care Plan: $328.53 Cigna — Medicare Managed Care Plan: $365.03 Community Health Plan — Medicare Managed Care Plan: $334.61 Coordinated Care — Exchange: $562.75
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED OB FAC E&M VISIT LEVEL 3 CDM	$813	$569.10	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 3 CDM	$856	$599.20	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$464.97 – $1,542.55
Emergency room visit (moderately high): 10 of 19 insurance plan rates Aetna — Medicare Managed Care - Hmo: $478.92 Aetna — Medicare Managed Care - Ppo: $483.57 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $836.95 Blue Cross — Premera All Commercial Plans: $1,149.64 Blue Cross — Premera Heritage Signature Exchange: $889.67 Blue Shield — Asuris All Commercial Plans: $1,168.48 Blue Shield — Asuris Medicare Managed Care Plan: $502.17 Cigna — Medicare Managed Care Plan: $557.97 Community Health Plan — Medicare Managed Care Plan: $511.47 Coordinated Care — Exchange: $860.20
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED OB FAC E&M VISIT LEVEL 4 CDM	$1,464	$1,024.80	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED SEXUAL ASSAULT EXAM CDM	$1,541	$1,078.70	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$663.63 – $2,201.58
Emergency room visit (high): 10 of 19 insurance plan rates Aetna — Medicare Managed Care - Hmo: $683.54 Aetna — Medicare Managed Care - Ppo: $690.17 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $1,194.53 Blue Cross — Premera All Commercial Plans: $1,667.21 Blue Cross — Premera Heritage Signature Exchange: $1,290.20 Blue Shield — Asuris All Commercial Plans: $1,694.54 Blue Shield — Asuris Medicare Managed Care Plan: $716.72 Cigna — Medicare Managed Care Plan: $796.35 Community Health Plan — Medicare Managed Care Plan: $729.99 Coordinated Care — Exchange: $1,227.71
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED OB FAC E&M VISIT LEVEL 5 CDM	$3,175	$2,222.50	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM	$3,342	$2,339.40	Not listed in the file

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: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.46 – $49.85
Basic metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $49.85 Aetna — Medicare Managed Care - Hmo: $8.71 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $15.23 Blue Cross — Premera Medicare Managed Care Plan: $8.80 Blue Shield — Asuris Medicare Managed Care Plan: $9.14 Cigna — All Commercial Plans: $18.15 Community Health Plan — Medicare Managed Care Plan: $9.31 Coordinated Care — Exchange: $15.65 First Choice — All Commercial Plans: $30.46 Kaiser — All Commercial Plans: $21.33
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$148	$103.60	Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$29	$20.30	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56 – $62.26
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $62.26 Aetna — Medicare Managed Care - Hmo: $10.88 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $19.01 Blue Cross — Premera Medicare Managed Care Plan: $10.98 Blue Shield — Asuris Medicare Managed Care Plan: $11.40 Cigna — All Commercial Plans: $22.64 Community Health Plan — Medicare Managed Care Plan: $11.62 Coordinated Care — Exchange: $19.54 First Choice — All Commercial Plans: $38.02 Kaiser — All Commercial Plans: $26.62
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$259	$181.30	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$39	$27.30	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$47.81 – $281.77
Obstetric blood test panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $281.77 Aetna — Medicare Managed Care - Hmo: $49.24 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $86.06 Blue Cross — Premera Medicare Managed Care Plan: $49.72 Blue Shield — Asuris Medicare Managed Care Plan: $51.63 Cigna — All Commercial Plans: $102.56 Community Health Plan — Medicare Managed Care Plan: $52.59 Coordinated Care — Exchange: $88.45 First Choice — All Commercial Plans: $172.12 Kaiser — All Commercial Plans: $120.53
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.39 – $78.94
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $78.94 Aetna — Medicare Managed Care - Hmo: $13.79 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $24.10 Blue Cross — Premera Medicare Managed Care Plan: $13.93 Blue Shield — Asuris Medicare Managed Care Plan: $14.46 Cigna — All Commercial Plans: $28.71 Community Health Plan — Medicare Managed Care Plan: $14.73 Coordinated Care — Exchange: $24.77 First Choice — All Commercial Plans: $25.44 Kaiser — All Commercial Plans: $33.76
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PROFILE	$73	$51.10	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE	$61	$42.70	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.68 – $51.16
Kidney function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $51.16 Aetna — Medicare Managed Care - Hmo: $8.94 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $15.62 Blue Cross — Premera Medicare Managed Care Plan: $9.03 Blue Shield — Asuris Medicare Managed Care Plan: $9.37 Cigna — All Commercial Plans: $18.61 Community Health Plan — Medicare Managed Care Plan: $9.55 Coordinated Care — Exchange: $16.06 First Choice — All Commercial Plans: $31.25 Kaiser — All Commercial Plans: $21.88
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$185	$129.50	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$29	$20.30	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.17 – $48.15
Liver function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $48.15 Aetna — Medicare Managed Care - Hmo: $8.42 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $14.71 Blue Cross — Premera Medicare Managed Care Plan: $8.50 Blue Shield — Asuris Medicare Managed Care Plan: $8.82 Cigna — All Commercial Plans: $17.52 Community Health Plan — Medicare Managed Care Plan: $8.99 Coordinated Care — Exchange: $15.11 First Choice — All Commercial Plans: $29.41 Kaiser — All Commercial Plans: $20.60
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$111	$77.70	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$29	$20.30	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.17 – $18.68
Urine test (automated, with microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $18.68 Aetna — Medicare Managed Care - Hmo: $3.27 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $5.71 Blue Cross — Premera Medicare Managed Care Plan: $3.30 Blue Shield — Asuris Medicare Managed Care Plan: $3.42 Cigna — All Commercial Plans: $6.80 Community Health Plan — Medicare Managed Care Plan: $3.49 Coordinated Care — Exchange: $5.86 First Choice — All Commercial Plans: $11.41 Kaiser — All Commercial Plans: $7.99
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$118	$82.60	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$23	$16.10	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.48 – $20.50
Urine test (manual, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $20.50 Aetna — Medicare Managed Care - Hmo: $3.58 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $6.26 Blue Cross — Premera Medicare Managed Care Plan: $3.62 Blue Shield — Asuris Medicare Managed Care Plan: $3.76 Cigna — All Commercial Plans: $7.46 Community Health Plan — Medicare Managed Care Plan: $3.83 Coordinated Care — Exchange: $6.44 First Choice — All Commercial Plans: $12.53 Kaiser — All Commercial Plans: $8.77
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$66	$46.20	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$18	$12.60	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.25 – $13.29
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $13.29 Aetna — Medicare Managed Care - Hmo: $2.32 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $4.05 Blue Cross — Premera Medicare Managed Care Plan: $2.34 Blue Shield — Asuris Medicare Managed Care Plan: $2.43 Cigna — All Commercial Plans: $4.82 Community Health Plan — Medicare Managed Care Plan: $2.48 Coordinated Care — Exchange: $4.16 First Choice — All Commercial Plans: $8.10 Kaiser — All Commercial Plans: $5.67
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PH URINE QUALITATIVE	$33	$23.10	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC GLUCOSE QUALITATIVE URINE	$43	$30.10	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.39 – $108.41
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $108.41 Aetna — Medicare Managed Care - Hmo: $18.94 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $33.10 Blue Cross — Premera Medicare Managed Care Plan: $19.13 Blue Shield — Asuris Medicare Managed Care Plan: $19.86 Cigna — All Commercial Plans: $39.44 Community Health Plan — Medicare Managed Care Plan: $20.23 Coordinated Care — Exchange: $34.02 First Choice — All Commercial Plans: $66.20 Kaiser — All Commercial Plans: $46.36
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$280	$196	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$155	$108.50	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$16.80 – $99
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $99 Aetna — Medicare Managed Care - Hmo: $17.30 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $30.24 Blue Cross — Premera Medicare Managed Care Plan: $17.47 Blue Shield — Asuris Medicare Managed Care Plan: $18.14 Cigna — All Commercial Plans: $36.04 Community Health Plan — Medicare Managed Care Plan: $18.48 Coordinated Care — Exchange: $31.08 First Choice — All Commercial Plans: $60.48 Kaiser — All Commercial Plans: $42.35
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH)	$161	$112.70	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE (TSH)	$136	$95.20	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.77 – $45.77
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $45.77 Aetna — Medicare Managed Care - Hmo: $8 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $13.99 Blue Cross — Premera Medicare Managed Care Plan: $8.08 Blue Shield — Asuris Medicare Managed Care Plan: $8.39 Cigna — All Commercial Plans: $16.67 Community Health Plan — Medicare Managed Care Plan: $8.55 Coordinated Care — Exchange: $14.37 First Choice — All Commercial Plans: $27.97 Kaiser — All Commercial Plans: $19.59
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$138	$96.60	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$51	$35.70	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.47 – $38.12
Complete blood count (CBC), automated: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $38.12 Aetna — Medicare Managed Care - Hmo: $6.66 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $11.65 Blue Cross — Premera Medicare Managed Care Plan: $6.73 Blue Shield — Asuris Medicare Managed Care Plan: $6.99 Cigna — All Commercial Plans: $13.89 Community Health Plan — Medicare Managed Care Plan: $7.12 Coordinated Care — Exchange: $11.97 First Choice — All Commercial Plans: $23.29 Kaiser — All Commercial Plans: $16.31
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$135	$94.50	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$42	$29.40	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.29 – $25.27
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $25.27 Aetna — Medicare Managed Care - Hmo: $4.42 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $7.72 Blue Cross — Premera Medicare Managed Care Plan: $4.46 Blue Shield — Asuris Medicare Managed Care Plan: $4.63 Cigna — All Commercial Plans: $9.21 Community Health Plan — Medicare Managed Care Plan: $4.72 Coordinated Care — Exchange: $7.94 First Choice — All Commercial Plans: $15.44 Kaiser — All Commercial Plans: $10.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME 85610	$99	$69.30	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME 85610	$26	$18.20	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.01 – $35.43
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $35.43 Aetna — Medicare Managed Care - Hmo: $6.19 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $10.82 Blue Cross — Premera Medicare Managed Care Plan: $6.25 Blue Shield — Asuris Medicare Managed Care Plan: $6.49 Cigna — All Commercial Plans: $12.90 Community Health Plan — Medicare Managed Care Plan: $6.61 Coordinated Care — Exchange: $11.12 First Choice — All Commercial Plans: $21.64 Kaiser — All Commercial Plans: $15.15
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PTT POST 60 MIN INCUBATION	$135	$94.50	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$174	$121.80	Not listed in the file

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	Not listed in the file	Not listed in the file	$116.50 – $788.93
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $788.93 Aetna — Medicare Managed Care - Hmo: $119.99 Aetna — Medicare Managed Care - Ppo: $121.16 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $209.70 Blue Cross — Premera All Commercial Plans: $285.37 Blue Cross — Premera Heritage Signature Exchange: $220.84 Blue Shield — Asuris All Commercial Plans: $290.04 Blue Shield — Asuris Medicare Managed Care Plan: $125.82 Cigna — All Commercial Plans: $376.53 Cigna — Medicare Managed Care Plan: $139.80
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST	$1,645	$1,151.50	Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST	$538	$376.60	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$388.77 – $2,653.66
MRI of the brain, before and after contrast: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $2,653.66 Aetna — Medicare Managed Care - Hmo: $400.43 Aetna — Medicare Managed Care - Ppo: $404.32 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $699.78 Blue Cross — Premera All Commercial Plans: $998.22 Blue Cross — Premera Heritage Signature Exchange: $772.49 Blue Shield — Asuris All Commercial Plans: $1,014.58 Blue Shield — Asuris Medicare Managed Care Plan: $419.87 Cigna — All Commercial Plans: $1,317.13 Cigna — Medicare Managed Care Plan: $466.52
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE	$6,035	$4,224.50	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE	$3,591	$2,513.70	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$96.98 – $321.72
Chest X-ray, 2 views: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $247.23 Aetna — Medicare Managed Care - Hmo: $99.89 Aetna — Medicare Managed Care - Ppo: $100.85 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $174.56 Blue Cross — Premera All Commercial Plans: $235.86 Blue Cross — Premera Heritage Signature Exchange: $182.53 Blue Shield — Asuris All Commercial Plans: $239.73 Blue Shield — Asuris Medicare Managed Care Plan: $104.73 Cigna — All Commercial Plans: $311.22 Cigna — Medicare Managed Care Plan: $116.37
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$650	$455	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$115	$80.50	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$116.50 – $410.48
X-ray of the lower spine, at least 4 views: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $410.48 Aetna — Medicare Managed Care - Hmo: $119.99 Aetna — Medicare Managed Care - Ppo: $121.16 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $209.70 Blue Cross — Premera All Commercial Plans: $285.37 Blue Cross — Premera Heritage Signature Exchange: $220.84 Blue Shield — Asuris All Commercial Plans: $290.04 Blue Shield — Asuris Medicare Managed Care Plan: $125.82 Cigna — All Commercial Plans: $376.53 Cigna — Medicare Managed Care Plan: $139.80
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS	$1,310	$917	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS	$149	$104.30	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$265.88 – $1,523.47
MRI of the lower back (lumbar spine), without contrast: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $1,523.47 Aetna — Medicare Managed Care - Hmo: $273.86 Aetna — Medicare Managed Care - Ppo: $276.52 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $478.59 Blue Cross — Premera All Commercial Plans: $636.02 Blue Cross — Premera Heritage Signature Exchange: $492.20 Blue Shield — Asuris All Commercial Plans: $646.46 Blue Shield — Asuris Medicare Managed Care Plan: $287.16 Cigna — All Commercial Plans: $839.22 Cigna — Medicare Managed Care Plan: $319.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE	$4,241	$2,968.70	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE	$1,780	$1,246	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$195.46 – $1,898.16
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $1,898.16 Aetna — Medicare Managed Care - Hmo: $201.32 Aetna — Medicare Managed Care - Ppo: $203.28 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $351.82 Blue Cross — Premera All Commercial Plans: $476.91 Blue Cross — Premera Heritage Signature Exchange: $369.07 Blue Shield — Asuris All Commercial Plans: $484.72 Blue Shield — Asuris Medicare Managed Care Plan: $211.09 Cigna — All Commercial Plans: $629.28 Cigna — Medicare Managed Care Plan: $234.55
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$2,542	$1,779.40	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$1,049	$734.30	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$265.88 – $1,715.10
MRI of a leg joint (such as the knee), without contrast: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $1,715.10 Aetna — Medicare Managed Care - Hmo: $273.86 Aetna — Medicare Managed Care - Ppo: $276.52 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $478.59 Blue Cross — Premera All Commercial Plans: $636.02 Blue Cross — Premera Heritage Signature Exchange: $492.20 Blue Shield — Asuris All Commercial Plans: $646.46 Blue Shield — Asuris Medicare Managed Care Plan: $287.16 Cigna — All Commercial Plans: $839.22 Cigna — Medicare Managed Care Plan: $319.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$3,834	$2,683.80	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$1,780	$1,246	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$388.77 – $2,649.99
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $2,649.99 Aetna — Medicare Managed Care - Hmo: $400.43 Aetna — Medicare Managed Care - Ppo: $404.32 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $699.78 Blue Cross — Premera All Commercial Plans: $998.22 Blue Cross — Premera Heritage Signature Exchange: $772.49 Blue Shield — Asuris All Commercial Plans: $1,014.58 Blue Shield — Asuris Medicare Managed Care Plan: $419.87 Cigna — All Commercial Plans: $1,317.13 Cigna — Medicare Managed Care Plan: $466.52
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST	$4,934	$3,453.80	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST	$1,644	$1,150.80	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$116.50 – $900.24
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $900.24 Aetna — Medicare Managed Care - Hmo: $119.99 Aetna — Medicare Managed Care - Ppo: $121.16 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $209.70 Blue Cross — Premera All Commercial Plans: $285.37 Blue Cross — Premera Heritage Signature Exchange: $220.84 Blue Shield — Asuris All Commercial Plans: $290.04 Blue Shield — Asuris Medicare Managed Care Plan: $125.82 Cigna — All Commercial Plans: $376.53 Cigna — Medicare Managed Care Plan: $139.80
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$2,334	$1,633.80	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$293	$205.10	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$116.50 – $1,000.37
Pregnancy ultrasound (after the first trimester): 10 of 21 insurance plan rates Aetna — All Commercial Plans: $1,000.37 Aetna — Medicare Managed Care - Hmo: $119.99 Aetna — Medicare Managed Care - Ppo: $121.16 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $209.70 Blue Cross — Premera All Commercial Plans: $285.37 Blue Cross — Premera Heritage Signature Exchange: $220.84 Blue Shield — Asuris All Commercial Plans: $290.04 Blue Shield — Asuris Medicare Managed Care Plan: $125.82 Cigna — All Commercial Plans: $376.53 Cigna — Medicare Managed Care Plan: $139.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$2,199	$1,539.30	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$293	$205.10	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$116.50 – $985.53
Transvaginal ultrasound: 10 of 21 insurance plan rates Aetna — All Commercial Plans: $985.53 Aetna — Medicare Managed Care - Hmo: $119.99 Aetna — Medicare Managed Care - Ppo: $121.16 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $209.70 Blue Cross — Premera All Commercial Plans: $285.37 Blue Cross — Premera Heritage Signature Exchange: $220.84 Blue Shield — Asuris All Commercial Plans: $290.04 Blue Shield — Asuris Medicare Managed Care Plan: $125.82 Cigna — All Commercial Plans: $376.53 Cigna — Medicare Managed Care Plan: $139.80
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$1,556	$1,089.20	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$293	$205.10	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$179.65 – $970.69
Diagnostic mammogram, one breast: rates for 3 insurance plans Aetna — All Commercial Plans: $970.69 Cigna — All Commercial Plans: $350.72 First Choice — All Commercial Plans: $179.65
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$90.64 – $300.70
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Medicare Managed Care - Hmo: $93.36 Aetna — Medicare Managed Care - Ppo: $94.27 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $163.15 Blue Shield — Asuris Medicare Managed Care Plan: $97.89 Cigna — Medicare Managed Care Plan: $108.77 Coordinated Care — Exchange: $167.68 Kaiser — All Commercial Plans: $228.50 Molina — Exchange: $153.18 Providence Health Plan — All Commercial Plans: $230.68 Unitedhealthcare — Aco Tiered Other Commercial Plan: $99.70
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$229.02 – $1,241.49
Diagnostic mammogram, both breasts: rates for 3 insurance plans Aetna — All Commercial Plans: $1,241.49 Cigna — All Commercial Plans: $449.49 First Choice — All Commercial Plans: $229.02
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD	$829	$580.30	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD	$229	$160.30	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$189.94 – $1,026.30
Screening mammogram, both breasts: rates for 3 insurance plans Aetna — All Commercial Plans: $1,026.30 Cigna — All Commercial Plans: $370.82 First Choice — All Commercial Plans: $189.94
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD	$465	$325.50	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN UNIL/BIL W CAD	$465	$325.50	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$208.39
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan Aetna — All Commercial Plans: $208.39
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,612.63 – $35,803
Left heart catheterization (diagnostic): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $35,803 Aetna — Medicare Managed Care - Hmo: $3,721.01 Aetna — Medicare Managed Care - Ppo: $3,757.13 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $6,502.73 Blue Cross — Premera All Commercial Plans: $8,458.04 Blue Cross — Premera Heritage Signature Exchange: $6,545.43 Blue Shield — Asuris All Commercial Plans: $8,596.69 Blue Shield — Asuris Medicare Managed Care Plan: $3,901.64 Cigna — Medicare Managed Care Plan: $4,335.15 Community Health Plan — Medicare Managed Care Plan: $3,973.89
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$13,333	$9,333.10	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$8,701	$6,090.70	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$8,691.51 – $35,803
Heart rhythm study (electrophysiology evaluation): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $35,803 Aetna — Medicare Managed Care - Hmo: $8,952.26 Aetna — Medicare Managed Care - Ppo: $9,039.17 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $15,644.72 Blue Cross — Premera All Commercial Plans: $19,384.70 Blue Cross — Premera Heritage Signature Exchange: $15,001.26 Blue Shield — Asuris All Commercial Plans: $19,702.44 Blue Shield — Asuris Medicare Managed Care Plan: $9,386.83 Cigna — Medicare Managed Care Plan: $10,429.81 Community Health Plan — Medicare Managed Care Plan: $9,560.66
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$20,730	$14,511	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$10,211	$7,147.70	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$29,126.58 – $96,627.22
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $35,803 Aetna — Medicare Managed Care - Hmo: $30,000.37 Aetna — Medicare Managed Care - Ppo: $30,291.64 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $52,427.84 Blue Cross — Premera All Commercial Plans: $61,647.48 Blue Cross — Premera Heritage Signature Exchange: $47,707.20 Blue Shield — Asuris Medicare Managed Care Plan: $31,456.70 Cigna — Medicare Managed Care Plan: $34,951.89 Community Health Plan — Medicare Managed Care Plan: $32,039.23 Coordinated Care — Exchange: $53,884.17
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION	$49,094	$34,365.80	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$956.93 – $3,272.22
Sleep study (overnight, in a sleep lab): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $1,089.39 Aetna — Medicare Managed Care - Hmo: $985.64 Aetna — Medicare Managed Care - Ppo: $995.21 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $1,722.48 Blue Cross — Premera All Commercial Plans: $2,713.84 Blue Cross — Premera Heritage Signature Exchange: $2,100.16 Blue Shield — Asuris All Commercial Plans: $2,758.32 Blue Shield — Asuris Medicare Managed Care Plan: $1,033.49 Cigna — Medicare Managed Care Plan: $1,148.32 Community Health Plan — Medicare Managed Care Plan: $1,052.63

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	Not listed in the file	Not listed in the file	$29.90 – $161.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $161.60 Aetna — Medicare Managed Care - Hmo: $30.80 Aetna — Medicare Managed Care - Ppo: $31.10 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $53.82 Blue Cross — Premera All Commercial Plans: $58.80 Blue Cross — Premera Heritage Signature Exchange: $46.16 Blue Shield — Asuris Medicare Managed Care Plan: $32.29 Cigna — Medicare Managed Care Plan: $35.88 Coordinated Care — Exchange: $55.32 First Choice — All Commercial Plans: $59.66
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$153	$107.10	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$70	$49	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$110.84 – $542.84
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $542.84 Aetna — Medicare Managed Care - Hmo: $114.17 Aetna — Medicare Managed Care - Ppo: $115.27 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $199.51 Blue Cross — Premera All Commercial Plans: $201.06 Blue Cross — Premera Heritage Signature Exchange: $157.83 Blue Shield — Asuris Medicare Managed Care Plan: $119.71 Cigna — Medicare Managed Care Plan: $133.01 Coordinated Care — Exchange: $205.05 First Choice — All Commercial Plans: $166.63
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM	$642	$449.40	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$100.90 – $542.84
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $542.84 Aetna — Medicare Managed Care - Hmo: $103.93 Aetna — Medicare Managed Care - Ppo: $104.94 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $181.62 Blue Cross — Premera All Commercial Plans: $201.06 Blue Cross — Premera Heritage Signature Exchange: $157.83 Blue Shield — Asuris Medicare Managed Care Plan: $108.97 Cigna — Medicare Managed Care Plan: $121.08 Coordinated Care — Exchange: $186.67 First Choice — All Commercial Plans: $166.63
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM	$673	$471.10	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$110.84 – $542.84
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $542.84 Aetna — Medicare Managed Care - Hmo: $114.17 Aetna — Medicare Managed Care - Ppo: $115.27 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $199.51 Blue Cross — Premera All Commercial Plans: $201.06 Blue Cross — Premera Heritage Signature Exchange: $157.83 Blue Shield — Asuris Medicare Managed Care Plan: $119.71 Cigna — Medicare Managed Care Plan: $133.01 Coordinated Care — Exchange: $205.05 First Choice — All Commercial Plans: $166.63
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX	$707	$494.90	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes	Not listed in the file	Not listed in the file	$197.79 – $656.17
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates Aetna — Medicare Managed Care - Hmo: $203.72 Aetna — Medicare Managed Care - Ppo: $205.70 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $356.02 Blue Cross — Premera All Commercial Plans: $413.85 Blue Cross — Premera Heritage Signature Exchange: $320.27 Blue Shield — Asuris All Commercial Plans: $420.62 Blue Shield — Asuris Medicare Managed Care Plan: $213.61 Cigna — Medicare Managed Care Plan: $237.35 Community Health Plan — Medicare Managed Care Plan: $217.57 Coordinated Care — Exchange: $365.91
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90832 PSYTX W PT 30 MIN RHC	$161	$112.70	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PT 30 MIN CDM	$185	$129.50	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes	Not listed in the file	Not listed in the file	$197.79 – $656.17
Psychotherapy, 45 minutes: 10 of 19 insurance plan rates Aetna — Medicare Managed Care - Hmo: $203.72 Aetna — Medicare Managed Care - Ppo: $205.70 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $356.02 Blue Cross — Premera All Commercial Plans: $413.85 Blue Cross — Premera Heritage Signature Exchange: $320.27 Blue Shield — Asuris All Commercial Plans: $420.62 Blue Shield — Asuris Medicare Managed Care Plan: $213.61 Cigna — Medicare Managed Care Plan: $237.35 Community Health Plan — Medicare Managed Care Plan: $217.57 Coordinated Care — Exchange: $365.91
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90834 PSYTX W PT 45 MIN RHC	$241	$168.70	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PT 45 MIN CDM	$277	$193.90	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes	Not listed in the file	Not listed in the file	$197.79 – $656.17
Psychotherapy, 60 minutes: 10 of 19 insurance plan rates Aetna — Medicare Managed Care - Hmo: $203.72 Aetna — Medicare Managed Care - Ppo: $205.70 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $356.02 Blue Cross — Premera All Commercial Plans: $413.85 Blue Cross — Premera Heritage Signature Exchange: $320.27 Blue Shield — Asuris All Commercial Plans: $420.62 Blue Shield — Asuris Medicare Managed Care Plan: $213.61 Cigna — Medicare Managed Care Plan: $237.35 Community Health Plan — Medicare Managed Care Plan: $217.57 Coordinated Care — Exchange: $365.91
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90837 PSYTX W PT 60 MIN RHC	$321	$224.70	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PT 60 MIN CDM	$369	$258.30	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min	Not listed in the file	Not listed in the file	$197.79 – $656.17
Family psychotherapy, without the patient: 10 of 19 insurance plan rates Aetna — Medicare Managed Care - Hmo: $203.72 Aetna — Medicare Managed Care - Ppo: $205.70 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $356.02 Blue Cross — Premera All Commercial Plans: $413.85 Blue Cross — Premera Heritage Signature Exchange: $320.27 Blue Shield — Asuris All Commercial Plans: $420.62 Blue Shield — Asuris Medicare Managed Care Plan: $213.61 Cigna — Medicare Managed Care Plan: $237.35 Community Health Plan — Medicare Managed Care Plan: $217.57 Coordinated Care — Exchange: $365.91
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC FAMILY PSYTX W/O PATIENT 30 MIN	$267	$186.90	Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC FAMILY PSYTX W/O PATIENT 60 MIN	$365	$255.50	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min	Not listed in the file	Not listed in the file	$197.79 – $656.17
Family psychotherapy, with the patient: 10 of 19 insurance plan rates Aetna — Medicare Managed Care - Hmo: $203.72 Aetna — Medicare Managed Care - Ppo: $205.70 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $356.02 Blue Cross — Premera All Commercial Plans: $413.85 Blue Cross — Premera Heritage Signature Exchange: $320.27 Blue Shield — Asuris All Commercial Plans: $420.62 Blue Shield — Asuris Medicare Managed Care Plan: $213.61 Cigna — Medicare Managed Care Plan: $237.35 Community Health Plan — Medicare Managed Care Plan: $217.57 Coordinated Care — Exchange: $365.91
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY FAMILY W PT 50 MINS CDM	$369	$258.30	Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC FAMILY PSYTX W/PATIENT 60 MIN	$369	$258.30	Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy	Not listed in the file	Not listed in the file	$113.21 – $375.56
Group psychotherapy: 10 of 19 insurance plan rates Aetna — Medicare Managed Care - Hmo: $116.60 Aetna — Medicare Managed Care - Ppo: $117.73 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $203.77 Blue Cross — Premera All Commercial Plans: $231.36 Blue Cross — Premera Heritage Signature Exchange: $179.04 Blue Shield — Asuris All Commercial Plans: $235.16 Blue Shield — Asuris Medicare Managed Care Plan: $122.26 Cigna — Medicare Managed Care Plan: $135.85 Community Health Plan — Medicare Managed Care Plan: $124.53 Coordinated Care — Exchange: $209.43
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY 60 MIN	$369	$258.30	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY 75 MIN	$411	$287.70	Not listed in the file

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 In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$4,363.14 – $18,229
Removal of breast growth (open surgery): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $18,229 Aetna — Medicare Managed Care - Hmo: $4,494.04 Aetna — Medicare Managed Care - Ppo: $4,537.67 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $7,853.66 Blue Cross — Premera All Commercial Plans: $9,893.88 Blue Cross — Premera Heritage Signature Exchange: $7,656.59 Blue Shield — Asuris Medicare Managed Care Plan: $4,712.19 Cigna — All Commercial Plans: $9,231 Cigna — Medicare Managed Care Plan: $5,235.77 Community Health Plan — Medicare Managed Care Plan: $4,799.46
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$5,419 – $47,462.42
Total hip replacement: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $27,036 Aetna — Medicare Managed Care - Hmo: $14,735.91 Aetna — Medicare Managed Care - Ppo: $14,878.98 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $25,752.08 Blue Cross — Premera All Commercial Plans: $34,161.56 Blue Cross — Premera Heritage Signature Exchange: $26,436.64 Blue Shield — Asuris Medicare Managed Care Plan: $15,451.25 Cigna — All Commercial Plans: $5,419 Cigna — Medicare Managed Care Plan: $17,168.05 Community Health Plan — Medicare Managed Care Plan: $15,737.38
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$5,419 – $47,462.42
Total knee replacement: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $27,036 Aetna — Medicare Managed Care - Hmo: $14,735.91 Aetna — Medicare Managed Care - Ppo: $14,878.98 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $25,752.08 Blue Cross — Premera All Commercial Plans: $34,161.56 Blue Cross — Premera Heritage Signature Exchange: $26,436.64 Blue Shield — Asuris Medicare Managed Care Plan: $15,451.25 Cigna — All Commercial Plans: $5,419 Cigna — Medicare Managed Care Plan: $17,168.05 Community Health Plan — Medicare Managed Care Plan: $15,737.38
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$9,231 – $18,229
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans Aetna — All Commercial Plans: $18,229 Cigna — All Commercial Plans: $9,231
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,646.14 – $20,964
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $20,964 Aetna — Medicare Managed Care - Hmo: $3,755.52 Aetna — Medicare Managed Care - Ppo: $3,791.98 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $6,563.04 Blue Cross — Premera All Commercial Plans: $8,401.67 Blue Cross — Premera Heritage Signature Exchange: $6,501.81 Blue Shield — Asuris Medicare Managed Care Plan: $3,937.83 Cigna — All Commercial Plans: $11,397 Cigna — Medicare Managed Care Plan: $4,375.36 Community Health Plan — Medicare Managed Care Plan: $4,010.75
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$6,596.73 – $21,884.60
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $18,229 Aetna — Medicare Managed Care - Hmo: $6,794.63 Aetna — Medicare Managed Care - Ppo: $6,860.60 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $11,874.11 Blue Cross — Premera All Commercial Plans: $15,200.49 Blue Cross — Premera Heritage Signature Exchange: $11,763.22 Blue Shield — Asuris Medicare Managed Care Plan: $7,124.47 Cigna — All Commercial Plans: $9,231 Cigna — Medicare Managed Care Plan: $7,916.07 Community Health Plan — Medicare Managed Care Plan: $7,256.40
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$1,010.69 – $13,212
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $13,212 Aetna — Medicare Managed Care - Hmo: $1,041.01 Aetna — Medicare Managed Care - Ppo: $1,051.12 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $1,819.25 Blue Cross — Premera All Commercial Plans: $2,352.91 Blue Cross — Premera Heritage Signature Exchange: $1,820.85 Blue Shield — Asuris Medicare Managed Care Plan: $1,091.55 Cigna — All Commercial Plans: $6,022 Cigna — Medicare Managed Care Plan: $1,212.83 Community Health Plan — Medicare Managed Care Plan: $1,111.76
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$2,262	$1,583.40	Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$1,010.69 – $16,508
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $16,508 Aetna — Medicare Managed Care - Hmo: $1,041.01 Aetna — Medicare Managed Care - Ppo: $1,051.12 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $1,819.25 Blue Cross — Premera All Commercial Plans: $2,352.91 Blue Cross — Premera Heritage Signature Exchange: $1,820.85 Blue Shield — Asuris Medicare Managed Care Plan: $1,091.55 Cigna — All Commercial Plans: $8,066 Cigna — Medicare Managed Care Plan: $1,212.83 Community Health Plan — Medicare Managed Care Plan: $1,111.76
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$2,939	$2,057.30	Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$1,036.29 – $16,508
Colonoscopy (diagnostic): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $16,508 Aetna — Medicare Managed Care - Hmo: $1,067.38 Aetna — Medicare Managed Care - Ppo: $1,077.74 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $1,865.33 Blue Cross — Premera All Commercial Plans: $2,372.31 Blue Cross — Premera Heritage Signature Exchange: $1,835.86 Blue Shield — Asuris Medicare Managed Care Plan: $1,119.20 Cigna — All Commercial Plans: $8,066 Cigna — Medicare Managed Care Plan: $1,243.55 Community Health Plan — Medicare Managed Care Plan: $1,139.92
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$2,322	$1,625.40	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,333.47 – $16,508
Colonoscopy with biopsy: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $16,508 Aetna — Medicare Managed Care - Hmo: $1,373.47 Aetna — Medicare Managed Care - Ppo: $1,386.81 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $2,400.25 Blue Cross — Premera All Commercial Plans: $3,063.04 Blue Cross — Premera Heritage Signature Exchange: $2,370.40 Blue Shield — Asuris Medicare Managed Care Plan: $1,440.15 Cigna — All Commercial Plans: $8,066 Cigna — Medicare Managed Care Plan: $1,600.16 Community Health Plan — Medicare Managed Care Plan: $1,466.82
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,333.47 – $16,508
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $16,508 Aetna — Medicare Managed Care - Hmo: $1,373.47 Aetna — Medicare Managed Care - Ppo: $1,386.81 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $2,400.25 Blue Cross — Premera All Commercial Plans: $3,063.04 Blue Cross — Premera Heritage Signature Exchange: $2,370.40 Blue Shield — Asuris Medicare Managed Care Plan: $1,440.15 Cigna — All Commercial Plans: $8,066 Cigna — Medicare Managed Care Plan: $1,600.16 Community Health Plan — Medicare Managed Care Plan: $1,466.82
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,333.47 – $16,508
Ultrasound of the lower bowel by endoscope: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $16,508 Aetna — Medicare Managed Care - Hmo: $1,373.47 Aetna — Medicare Managed Care - Ppo: $1,386.81 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $2,400.25 Blue Cross — Premera All Commercial Plans: $3,063.04 Blue Cross — Premera Heritage Signature Exchange: $2,370.40 Blue Shield — Asuris Medicare Managed Care Plan: $1,440.15 Cigna — All Commercial Plans: $8,066 Cigna — Medicare Managed Care Plan: $1,600.16 Community Health Plan — Medicare Managed Care Plan: $1,466.82
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$1,036.29 – $16,508
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $16,508 Aetna — Medicare Managed Care - Hmo: $1,067.38 Aetna — Medicare Managed Care - Ppo: $1,077.74 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $1,865.33 Blue Cross — Premera All Commercial Plans: $2,372.31 Blue Cross — Premera Heritage Signature Exchange: $1,835.86 Blue Shield — Asuris Medicare Managed Care Plan: $1,119.20 Cigna — All Commercial Plans: $8,066 Cigna — Medicare Managed Care Plan: $1,243.55 Community Health Plan — Medicare Managed Care Plan: $1,139.92
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$6,736.80 – $28,086
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $24,498 Aetna — Medicare Managed Care - Hmo: $6,938.90 Aetna — Medicare Managed Care - Ppo: $7,006.27 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $12,126.24 Blue Cross — Premera All Commercial Plans: $14,976.77 Blue Cross — Premera Heritage Signature Exchange: $11,590.09 Blue Shield — Asuris Medicare Managed Care Plan: $7,275.74 Cigna — All Commercial Plans: $28,086 Cigna — Medicare Managed Care Plan: $8,084.16 Community Health Plan — Medicare Managed Care Plan: $7,410.48
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,989.80 – $20,964
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $20,964 Aetna — Medicare Managed Care - Hmo: $4,109.49 Aetna — Medicare Managed Care - Ppo: $4,149.39 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $7,181.64 Blue Cross — Premera All Commercial Plans: $8,980.03 Blue Cross — Premera Heritage Signature Exchange: $6,949.39 Blue Shield — Asuris Medicare Managed Care Plan: $4,308.98 Cigna — All Commercial Plans: $11,397 Cigna — Medicare Managed Care Plan: $4,787.76 Community Health Plan — Medicare Managed Care Plan: $4,388.78
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$11,979	$8,385.30	Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$4,091.32 – $16,508
Prostate biopsy: rates for 5 insurance plans Aetna — All Commercial Plans: $16,508 Blue Cross — Premera All Commercial Plans: $5,286.83 Blue Cross — Premera Heritage Signature Exchange: $4,091.32 Cigna — All Commercial Plans: $8,066 First Choice — All Commercial Plans: $5,491.81
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE	$5,336	$3,735.20	Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE	$4,409	$3,086.30	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$5,419 – $39,296.69
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $24,498 Aetna — Medicare Managed Care - Hmo: $12,200.65 Aetna — Medicare Managed Care - Ppo: $12,319.11 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $21,321.53 Blue Cross — Premera All Commercial Plans: $26,718.76 Blue Cross — Premera Heritage Signature Exchange: $20,676.87 Blue Shield — Asuris Medicare Managed Care Plan: $12,792.92 Cigna — All Commercial Plans: $5,419 Cigna — Medicare Managed Care Plan: $14,214.35 Community Health Plan — Medicare Managed Care Plan: $13,029.83
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,607.27 – $18,229
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $18,229 Aetna — Medicare Managed Care - Hmo: $3,715.49 Aetna — Medicare Managed Care - Ppo: $3,751.56 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $6,493.09 Blue Cross — Premera All Commercial Plans: $8,114.91 Blue Cross — Premera Heritage Signature Exchange: $6,279.89 Blue Shield — Asuris Medicare Managed Care Plan: $3,895.85 Cigna — All Commercial Plans: $9,231 Cigna — Medicare Managed Care Plan: $4,328.73 Community Health Plan — Medicare Managed Care Plan: $3,968
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$786.59 – $13,212
Spinal injection, lower back (epidural), with imaging guidance: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $13,212 Aetna — Medicare Managed Care - Hmo: $810.19 Aetna — Medicare Managed Care - Ppo: $818.06 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $1,415.87 Blue Cross — Premera All Commercial Plans: $1,794.99 Blue Cross — Premera Heritage Signature Exchange: $1,389.09 Blue Shield — Asuris Medicare Managed Care Plan: $849.52 Cigna — All Commercial Plans: $6,022 Cigna — Medicare Managed Care Plan: $943.91 Community Health Plan — Medicare Managed Care Plan: $865.25
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG	$2,365	$1,655.50	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$2,365	$1,655.50	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$985.61 – $13,212
Nerve root injection, lower back, with imaging guidance: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $13,212 Aetna — Medicare Managed Care - Hmo: $1,015.18 Aetna — Medicare Managed Care - Ppo: $1,025.03 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $1,774.09 Blue Cross — Premera All Commercial Plans: $2,365.86 Blue Cross — Premera Heritage Signature Exchange: $1,830.87 Blue Shield — Asuris Medicare Managed Care Plan: $1,064.46 Cigna — All Commercial Plans: $6,022 Cigna — Medicare Managed Care Plan: $1,182.73 Community Health Plan — Medicare Managed Care Plan: $1,084.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ FORAMEN EPIDURAL L/S	$2,977	$2,083.90	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$2,176.01 – $16,508
Carpal tunnel release: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $16,508 Aetna — Medicare Managed Care - Hmo: $2,241.29 Aetna — Medicare Managed Care - Ppo: $2,263.05 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $3,916.81 Blue Cross — Premera All Commercial Plans: $5,011.60 Blue Cross — Premera Heritage Signature Exchange: $3,878.33 Blue Shield — Asuris Medicare Managed Care Plan: $2,350.09 Cigna — All Commercial Plans: $8,066 Cigna — Medicare Managed Care Plan: $2,611.21 Community Health Plan — Medicare Managed Care Plan: $2,393.61
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$6,079	$4,255.30	Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$612.89 – $16,508
Laser treatment of clouding after cataract surgery: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $16,508 Aetna — Medicare Managed Care - Hmo: $631.27 Aetna — Medicare Managed Care - Ppo: $637.40 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $1,103.20 Blue Cross — Premera All Commercial Plans: $1,508.76 Blue Cross — Premera Heritage Signature Exchange: $1,167.59 Blue Shield — Asuris Medicare Managed Care Plan: $661.92 Cigna — All Commercial Plans: $8,066 Cigna — Medicare Managed Care Plan: $735.46 Community Health Plan — Medicare Managed Care Plan: $674.18
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,571.71 – $24,498
Cataract removal with lens implant: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $24,498 Aetna — Medicare Managed Care - Hmo: $2,648.86 Aetna — Medicare Managed Care - Ppo: $2,674.58 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $4,629.08 Blue Cross — Premera All Commercial Plans: $6,048.78 Blue Cross — Premera Heritage Signature Exchange: $4,680.97 Blue Shield — Asuris Medicare Managed Care Plan: $2,777.45 Cigna — All Commercial Plans: $17,588 Cigna — Medicare Managed Care Plan: $3,086.05 Community Health Plan — Medicare Managed Care Plan: $2,828.88

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$33,603
Vaginal delivery, with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $33,603
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$33,603
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $33,603
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$33,603
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $33,603

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 And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$80,220 – $260,387.09
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 27 insurance plan rates Aetna — All Commercial Plans: $255,668.05 Aetna — Medicare Managed Care - Hmo: $91,045.83 Aetna — Medicare Managed Care - Ppo: $91,929.77 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $159,109.22 Blue Cross — Premera All Commercial Plans: $218,446.89 Blue Cross — Premera Heritage Signature Exchange: $164,427.19 Blue Cross — Premera Medicare Managed Care Plan: $91,929.77 Blue Shield — Asuris All Commercial Plans: $258,568.60 Blue Shield — Asuris Medicare Managed Care Plan: $95,465.53 Cigna — All Commercial Plans: $260,387.09
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$38,076 – $97,453.77
Spinal fusion (not neck), without major complications: rates for 6 insurance plans Blue Cross — Premera All Commercial Plans: $82,332.01 Blue Cross — Premera Heritage Signature Exchange: $61,972.14 Blue Shield — Asuris All Commercial Plans: $97,453.77 First Choice — All Commercial Plans: $87,751.57 Kaiser — All Commercial Plans: $38,076 Pacificsource — Navigator All Commercial Plans: 80% (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 Mcc	Not listed in the file	Not listed in the file	$17,881.20 – $50,874.56
Hip or knee replacement (major joint of the leg), without major complications: 10 of 27 insurance plan rates Aetna — All Commercial Plans: $49,952.55 Aetna — Medicare Managed Care - Hmo: $18,417.64 Aetna — Medicare Managed Care - Ppo: $18,596.45 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $32,186.16 Blue Cross — Premera All Commercial Plans: $42,353.30 Blue Cross — Premera Heritage Signature Exchange: $31,879.76 Blue Cross — Premera Medicare Managed Care Plan: $18,596.45 Blue Shield — Asuris All Commercial Plans: $50,132.25 Blue Shield — Asuris Medicare Managed Care Plan: $19,311.70 Cigna — All Commercial Plans: $50,874.56
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$22,481.56 – $65,555.31
Neck (cervical) spinal fusion, without complications: 10 of 27 insurance plan rates Aetna — All Commercial Plans: $62,714.23 Aetna — Medicare Managed Care - Hmo: $23,156.01 Aetna — Medicare Managed Care - Ppo: $23,380.82 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $40,466.81 Blue Cross — Premera All Commercial Plans: $55,383.18 Blue Cross — Premera Heritage Signature Exchange: $41,687.49 Blue Cross — Premera Medicare Managed Care Plan: $23,380.82 Blue Shield — Asuris All Commercial Plans: $65,555.31 Blue Shield — Asuris Medicare Managed Care Plan: $24,280.08 Cigna — All Commercial Plans: $63,871.79
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$11,702.49 – $32,340.63
Uterus and ovary surgery (not for cancer), without complications: 10 of 26 insurance plan rates Aetna — All Commercial Plans: $31,754.51 Aetna — Medicare Managed Care - Hmo: $12,053.56 Aetna — Medicare Managed Care - Ppo: $12,170.59 Blue Cross — Premera - Lifewise Health Plan Of Washington Affordable Care: $21,064.48 Blue Cross — Premera All Commercial Plans: $26,154.30 Blue Cross — Premera Heritage Signature Exchange: $19,686.60 Blue Cross — Premera Medicare Managed Care Plan: $12,170.59 Blue Shield — Asuris All Commercial Plans: $30,958 Blue Shield — Asuris Medicare Managed Care Plan: $12,638.69 Cigna — All Commercial Plans: $32,340.63

Source: Prov Sacred HRT Med Ctr & Childs Hosp.’s standard charges file (pricetransparency.providence.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	101 West 8th Avenue, Spokane, WA 99220
County	Spokane County
State	Washington
Phone	(509) 474‑3131
Emergency services	Yes
Ownership	Voluntary non-profit - Church
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	500054
Name in Medicare records	PROV SACRED HRT MED CTR & CHILDS HOSP.
Profile level	Medicare data + hospital website
Name on the hospital’s website	Providence Sacred Heart Medical Center & Children's Hospital
Official website	providence.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

From the hospital’s website

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

Providence Sacred Heart Medical Center & Children's Hospital in Spokane, Washington — providence.org
Sacred Heart Medical Center | Spokane, WA | Providence — providence.org
Interpreter Services and Special Needs | Sacred Heart Medical Center | Providence — providence.org
Orthopedic Trauma Program | Sacred Heart Medical Center | Spokane, WA | Providence — providence.org
Emergency and Trauma Services | Sacred Heart Medical Center | Providence — providence.org
Spokane Thrombectomy-Capable Stroke Program | Sacred Heart Medical Center | Providence — providence.org
Recognition for Stroke Program at Sacred Heart Medical Center | Providence — providence.org
Therapy and Rehabilitation Services | Sacred Heart Medical Center | Providence — providence.org
Providence Women’s Services | Sacred Heart Medical Center | Providence — providence.org
Patients and Visitors | Sacred Heart Medical Center | Providence — providence.org
Support Groups | Sacred Heart Medical Center | Providence — providence.org
Recognition at Sacred Heart Medical Center | Providence — providence.org
The Birth Place | Sacred Heart Medical Center | Providence — providence.org
Departments | Sacred Heart Medical Center | Providence — providence.org
Outpatient Infusion Center | Sacred Heart Medical Center | Providence — providence.org

Prov Sacred HRT Med Ctr & Childs Hosp.

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^{[3][6][7][8][15][16][17]}

Conditions treated^{[7][8][10][11][15]}

Treatments^{[6][7][8][11][15][17]}

Procedures^[3][8][15]

Programs and centers^{[3][7][11][13][15]}

Emergency care (hospital website)^[3][6][7][9]

Visiting and practical information

Recognition^{[4][6][9][14]}

Doctors and clinicians (1,118)

Main specialties

Doctors with a page on this site (1,118)

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Prov Sacred HRT Med Ctr & Childs Hosp.

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[3][6][7][8][15][16][17]

Conditions treated[7][8][10][11][15]

Treatments[6][7][8][11][15][17]

Procedures[3][8][15]

Programs and centers[3][7][11][13][15]

Emergency care (hospital website)[3][6][7][9]

Visiting and practical information

Recognition[4][6][9][14]

Doctors and clinicians (1,118)

Main specialties

Doctors with a page on this site (1,118)

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^{[3][6][7][8][15][16][17]}

Conditions treated^{[7][8][10][11][15]}

Treatments^{[6][7][8][11][15][17]}

Procedures^[3][8][15]

Programs and centers^{[3][7][11][13][15]}

Emergency care (hospital website)^[3][6][7][9]

Recognition^{[4][6][9][14]}