Does Providence St Peter Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Providence St Peter Hospital. In a medical emergency, call 911.

Where is Providence St Peter Hospital?

413 Lilly Road NE, Olympia, WA 98506, in Thurston County, Washington.

What is the phone number of Providence St Peter Hospital?

(360) 493-7179, as listed by Medicare (CMS).

What is the Medicare star rating of Providence St Peter Hospital?

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

Providence St Peter Hospital — Olympia, WA

Quick answers

Does Providence St Peter Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Providence St Peter Hospital. In a medical emergency, call 911.
Where is Providence St Peter Hospital?: 413 Lilly Road NE, Olympia, WA 98506, in Thurston County, Washington.
What is the phone number of Providence St Peter Hospital?: (360) 493-7179, as listed by Medicare (CMS).
What is the Medicare star rating of Providence St Peter Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][8][9][12][14]}

Behavioral Health and Recovery
Heart and Vascular Services
Orthopedic Care
Sleep Medicine
Surgical Services
Vascular Surgery
Inpatient Pediatrics
Imaging
Cardiology
Cardiac surgery
Neurosurgery
Obstetrics and gynecology
Thoracic surgery
Urology
Pediatric surgery
Breast surgery
Palliative care

Conditions treated^[8][14]

Adult congenital heart disease
Angina
Aortic aneurysm
Arrhythmia
Cardiomyopathy
Congestive heart failure
Coronary artery disease
Heart attack
Heart infection
Heart murmurs
Heart valve disease
Structural heart disease
Asthma
Bronchiolitis
Croup
Pneumonia
Respiratory syncytial virus (RSV)
Diabetic ketoacidosis
Sepsis
Urinary tract infections
Cellulitis
Seizures
Migraines
Jaundice
Dehydration

Treatments^[5][8][9]

Transcatheter aortic valve replacement (TAVR)
Ion robotic-assisted bronchoscopy
Robot-assisted spine surgery (ExcelsiusGPS)

Procedures^{[4][5][9][13][14]}

Low-dose CT lung screening
Robotic-assisted bronchoscopy
da Vinci robotic surgery
ENT procedures
Weight loss surgery
Makoplasty partial knee surgery
Foregut surgery
Hernia surgery
Cesarean section
Appendectomy
Tonsillectomy
Adenoidectomy
Low-dose CT lung cancer screening

Programs and centers^{[4][8][12][13][14]}

Lung Nodule program
Family Birth Center
Family Medicine Residency Program
Pharmacy Residencies
St. Peter Regional Heart Center
Level II Neonatal Intensive Care Unit (13-bed)
Inpatient Pediatrics Unit (with Seattle Children's)

Emergency care (hospital website)^[4][7]

Emergency room	Yes

Visiting and practical information

Interpreters and languages	Interpretive Services page is linked from the hospital page^[4]

Recognition^[4][11]

U.S. News & World Report Olympic Peninsula Best Regional in 14 Types of Care (2026-27)
U.S. News & World Report High Performing Hospital in Leukemia, Lymphoma & Myeloma (2026-27)
U.S. News & World Report High Performing Hospital in Abdominal Aortic Aneurysm Repair (2026-27)
U.S. News & World Report: High Performing Hospital in Aortic Valve Surgery 2026
U.S. News & World Report: High Performing Hospital in Colon Cancer Surgery 2026
U.S. News & World Report: High Performing Hospital in Gynecological Cancer Surgery 2026
U.S. News & World Report: High Performing Hospital in Heart Arrhythmia 2026
U.S. News & World Report: High Performing Hospital in Heart Attack 2026
U.S. News & World Report: High Performing Hospital in Heart Bypass Surgery 2026
U.S. News & World Report: High Performing Hospital in Hip Fracture 2026
U.S. News & World Report: High Performing Hospital in Lung Cancer Surgery 2026
U.S. News & World Report: High Performing Hospital in Pacemaker Implantation 2026
U.S. News & World Report: High Performing Hospital in Stroke 2026

Doctors and clinicians (726)

726 doctors and other clinicians list Providence St Peter Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 702 more: the button below opens the full list.

Other emergency rooms nearby

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

Capital Medical Center5.1 mi · Olympia, WA · Acute Care Hospital
Madigan AMC (FT Lewis)14 mi · Joint Base Lewis-Mcchord, WA · Military Hospital (Department of Defense)
St Clare Hospital17 mi · Lakewood, WA · Acute Care Hospital
Mason General Hospital & Family of Clinics18 mi · Shelton, WA · Critical Access Hospital
St Joseph Medical Center23 mi · Tacoma, WA · Acute Care Hospital

Other hospitals nearby

South Sound Behavioral Hospital1.1 mi · Lacey, WA · Psychiatric Hospital
CHI Franciscan Rehabilitation Hospital21 mi · Tacoma, WA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Olympia Transitional Care and Rehabilitation0.2 mi · Olympia, WA · 3 of 5 stars
Woodard Creek Health & Rehabilitation0.2 mi · Olympia, WA · 1 of 5 stars
Panorama City Conv & Rehab Ctr1.6 mi · Lacey, WA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Providence at Home With Compassus, Puget Sound South3.1 mi · Lacey, WA · 4 of 5 stars
Puget Sound Hospice5.3 mi · Tumwater, WA · 3 of 5 stars
Franciscan Hospice19 mi · University Place, WA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Providence at Home With Compassus, Puget Sound South3.1 mi · Lacey, WA · 3 of 5 stars
Puget Sound Home Health of Thurston County5.3 mi · Tumwater, WA
Careage Home Health9.4 mi · Dupont, WA

All home health agencies in the state →

Dialysis facilities

DaVita Lacey Dialysis3.1 mi · Lacey, WA · 4 of 5 stars
FMC Lacey4.0 mi · Olympia, WA · 3 of 5 stars
FMC Thurston County Dialysis Center4.2 mi · Lacey, WA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Laser & Surgery Center LLC3.1 mi · Lacey, WA
Gastroenterology Associates Endoscopy Center4.0 mi · Olympia, WA
Olympia Surgery Center4.0 mi · Olympia, WA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Sea Mar CHC - Olympia Ensign Rd NE0.1 mi · Olympia, WA · Community health center
Valley View Health Center - Community Care Center Olympia0.4 mi · Olympia, WA · Community health center
Valley View Health Center - Olympia0.4 mi · Olympia, WA · Community health center

Clinics and urgent care

Mason General Hospital Family Health19 mi · Shelton, WA · Rural health clinic
Mason General Hospital Olympic Physicians19 mi · Shelton, WA · Rural health clinic
Mason General Hospital Olympic Physicians19 mi · Shelton, WA · Rural health clinic

Pharmacies

1918 Winter Street Operating Co LLC3.1 mi · Lacey, WA · Community/retail pharmacy
Fred Meyer Stores Inc3.1 mi · Lacey, WA · Community/retail pharmacy
Panorama Pharmacy Inc3.1 mi · Lacey, WA · Community/retail pharmacy

Assisted living nearby

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

Bonaventure of Lacey3.1 mi · Lacey, WA
Memory Care at the Lodges3.1 mi · Lacey, WA
Panorama City3.1 mi · Lacey, WA
Woodland Retirement & Assisted Living Community3.1 mi · Lacey, WA

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	69%National average: 72%
Would definitely recommend the hospital	76%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	76%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	73%National average: 74%
Area around the room “always” quiet at night	51%National average: 60%
Completed surveys	446Response rate: 25%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.576No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.776No different from the national benchmark
Surgical site infections after colon surgery	2.796Worse than the national benchmark
Surgical site infections after abdominal hysterectomy	1.739No different from the national benchmark
MRSA bloodstream infections	0.418No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.494Better 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	13.2%
Deaths within 30 days: heart failure patients	10.8%
Deaths within 30 days: pneumonia patients	17.4%
Deaths within 30 days: COPD patients	10.6%
Deaths within 30 days: stroke patients	9.9%
Deaths within 30 days: coronary bypass surgery (CABG)	2.2%
Serious complications (patient safety indicator PSI-90)	1.36Worse than the national rate
Complications after hip or knee replacement	3.8%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	15.6%
Readmitted within 30 days: heart failure	19.9%
Readmitted within 30 days: pneumonia	15.4%
Readmitted within 30 days: COPD	20.2%
Readmitted within 30 days: coronary bypass surgery	12.3%
Readmitted within 30 days: hip or knee replacement	6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	212 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	73%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 Olympia Best hospitals in Washington

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as Providence St Peter Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99203 NEW PT VISIT - LEVEL 3	$344	$178.88	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99204 NEW PT VISIT - LEVEL 4	$627	$326.04	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99205 NEW PT VISIT - LEVEL 5	$658	$342.16	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99213 ESTAB PT VISIT - LEVEL 3	$281	$146.12	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 PR 99214 ESTAB PT VISIT - LEVEL 4	$339	$176.28	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	$266.85 – $1,250.70
Emergency room visit (moderate): 10 of 20 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $323.36 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $326.50 Blue Cross — Premera All Commercial Plans: $893.97 Blue Cross — Premera Heritage Signature Other Commercial Plan: $874.53 Blue Cross — Premera Lifewise Exchange: $565.10 Blue Shield — Regence All Commercial Plans: $1,008.37 Blue Shield — Regence Medicare Managed Care Plan: $339.06 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $746.55 Community Health Plan — Medicare Managed Care Plan: $502.31 Coordinated Care — Ambetter Exchange: $580.80
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	$1,590	$826.80	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	$1,590	$826.80	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	$407.90 – $1,970.02
Emergency room visit (moderately high): 10 of 20 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $494.28 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $499.08 Blue Cross — Premera All Commercial Plans: $1,387.73 Blue Cross — Premera Heritage Signature Other Commercial Plan: $1,357.54 Blue Cross — Premera Lifewise Exchange: $863.79 Blue Shield — Regence All Commercial Plans: $1,565.32 Blue Shield — Regence Medicare Managed Care Plan: $518.28 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $1,158.90 Community Health Plan — Medicare Managed Care Plan: $767.82 Coordinated Care — Ambetter Exchange: $887.79
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	$2,681	$1,394.12	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 4 CDM	$2,681.38	$1,394.32	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	$582.17 – $2,825.26
Emergency room visit (high): 10 of 20 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $705.46 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $712.31 Blue Cross — Premera All Commercial Plans: $2,012.48 Blue Cross — Premera Heritage Signature Other Commercial Plan: $1,968.71 Blue Cross — Premera Lifewise Exchange: $1,232.84 Blue Shield — Regence All Commercial Plans: $2,270.05 Blue Shield — Regence Medicare Managed Care Plan: $739.70 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $1,680.65 Community Health Plan — Medicare Managed Care Plan: $1,095.86 Coordinated Care — Ambetter Exchange: $1,267.08
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	$5,403	$2,809.56	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	$5,403	$2,809.56	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	$7.19 – $47.38
Basic metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $43.80 Aetna — Gatekeeper Medicare Managed Care - Hmo: $8.71 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $8.80 Blue Cross — Premera Lifewise Exchange: $15.23 Blue Shield — Regence Medicare Managed Care Plan: $9.14 Cigna — All Commercial Plans: $19.25 Community Health Plan — Medicare Managed Care Plan: $13.54 Coordinated Care — Ambetter Exchange: $15.65 First Choice — All Commercial Plans: $47.38 Humana — Medicare Managed Care Plan: $9.31
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$138	$71.76	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	$8.98 – $59.14
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $54.71 Aetna — Gatekeeper Medicare Managed Care - Hmo: $10.88 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $10.98 Blue Cross — Premera Lifewise Exchange: $19.01 Blue Shield — Regence Medicare Managed Care Plan: $11.40 Cigna — All Commercial Plans: $24.01 Community Health Plan — Medicare Managed Care Plan: $16.90 Coordinated Care — Ambetter Exchange: $19.54 First Choice — All Commercial Plans: $59.14 Humana — Medicare Managed Care Plan: $11.62
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$181	$94.12	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	$40.64 – $267.74
Obstetric blood test panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $247.62 Aetna — Gatekeeper Medicare Managed Care - Hmo: $49.24 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $49.72 Blue Cross — Premera Lifewise Exchange: $86.06 Blue Shield — Regence Medicare Managed Care Plan: $51.63 Cigna — All Commercial Plans: $108.78 Community Health Plan — Medicare Managed Care Plan: $76.50 Coordinated Care — Ambetter Exchange: $88.45 First Choice — All Commercial Plans: $267.74 Humana — Medicare Managed Care Plan: $52.59
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	$11.38 – $69.37
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $69.37 Aetna — Gatekeeper Medicare Managed Care - Hmo: $13.79 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $13.93 Blue Cross — Premera Lifewise Exchange: $24.10 Blue Shield — Regence Medicare Managed Care Plan: $14.46 Cigna — All Commercial Plans: $30.45 Community Health Plan — Medicare Managed Care Plan: $21.42 Coordinated Care — Ambetter Exchange: $24.77 First Choice — All Commercial Plans: $41.51 Humana — Medicare Managed Care Plan: $14.73
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PROFILE	$282	$146.64	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PANEL LAB	$253	$131.56	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	$7.38 – $48.61
Kidney function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $44.96 Aetna — Gatekeeper Medicare Managed Care - Hmo: $8.94 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $9.03 Blue Cross — Premera Lifewise Exchange: $15.62 Blue Shield — Regence Medicare Managed Care Plan: $9.37 Cigna — All Commercial Plans: $19.74 Community Health Plan — Medicare Managed Care Plan: $13.89 Coordinated Care — Ambetter Exchange: $16.06 First Choice — All Commercial Plans: $48.61 Humana — Medicare Managed Care Plan: $9.55
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$160	$83.20	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	$6.94 – $45.75
Liver function panel: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $42.32 Aetna — Gatekeeper Medicare Managed Care - Hmo: $8.42 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $8.50 Blue Cross — Premera Lifewise Exchange: $14.71 Blue Shield — Regence Medicare Managed Care Plan: $8.82 Cigna — All Commercial Plans: $18.59 Community Health Plan — Medicare Managed Care Plan: $13.07 Coordinated Care — Ambetter Exchange: $15.11 First Choice — All Commercial Plans: $45.75 Humana — Medicare Managed Care Plan: $8.99
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$126	$65.52	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	$2.69 – $17.75
Urine test (automated, with microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $16.42 Aetna — Gatekeeper Medicare Managed Care - Hmo: $3.27 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $3.30 Blue Cross — Premera Lifewise Exchange: $5.71 Blue Shield — Regence Medicare Managed Care Plan: $3.42 Cigna — All Commercial Plans: $7.21 Community Health Plan — Medicare Managed Care Plan: $5.07 Coordinated Care — Ambetter Exchange: $5.86 First Choice — All Commercial Plans: $17.75 Humana — Medicare Managed Care Plan: $3.49
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	$100	$52	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$100	$52	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	$2.96 – $19.49
Urine test (manual, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $18.02 Aetna — Gatekeeper Medicare Managed Care - Hmo: $3.58 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $3.62 Blue Cross — Premera Lifewise Exchange: $6.26 Blue Shield — Regence Medicare Managed Care Plan: $3.76 Cigna — All Commercial Plans: $7.91 Community Health Plan — Medicare Managed Care Plan: $5.57 Coordinated Care — Ambetter Exchange: $6.44 First Choice — All Commercial Plans: $19.49 Humana — Medicare Managed Care Plan: $3.83
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	$53	$27.56	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	$1.91 – $12.60
Urine test (automated, without microscope): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $11.68 Aetna — Gatekeeper Medicare Managed Care - Hmo: $2.32 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $2.34 Blue Cross — Premera Lifewise Exchange: $4.05 Blue Shield — Regence Medicare Managed Care Plan: $2.43 Cigna — All Commercial Plans: $5.11 Community Health Plan — Medicare Managed Care Plan: $3.60 Coordinated Care — Ambetter Exchange: $4.16 First Choice — All Commercial Plans: $12.60 Humana — Medicare Managed Care Plan: $2.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$20	$10.40	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$66	$34.32	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	$15.63 – $102.98
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $95.27 Aetna — Gatekeeper Medicare Managed Care - Hmo: $18.94 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $19.13 Blue Cross — Premera Lifewise Exchange: $33.10 Blue Shield — Regence Medicare Managed Care Plan: $19.86 Cigna — All Commercial Plans: $41.83 Community Health Plan — Medicare Managed Care Plan: $29.42 Coordinated Care — Ambetter Exchange: $34.02 First Choice — All Commercial Plans: $102.98 Humana — Medicare Managed Care Plan: $20.23
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	$223	$115.96	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB	$213	$110.76	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	$14.28 – $94.08
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $87 Aetna — Gatekeeper Medicare Managed Care - Hmo: $17.30 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $17.47 Blue Cross — Premera Lifewise Exchange: $30.24 Blue Shield — Regence Medicare Managed Care Plan: $18.14 Cigna — All Commercial Plans: $38.22 Community Health Plan — Medicare Managed Care Plan: $26.88 Coordinated Care — Ambetter Exchange: $31.08 First Choice — All Commercial Plans: $94.08 Humana — Medicare Managed Care Plan: $18.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$341	$177.32	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC TSH	$341	$177.32	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	$6.60 – $43.51
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $40.22 Aetna — Gatekeeper Medicare Managed Care - Hmo: $8 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $8.08 Blue Cross — Premera Lifewise Exchange: $13.99 Blue Shield — Regence Medicare Managed Care Plan: $8.39 Cigna — All Commercial Plans: $17.68 Community Health Plan — Medicare Managed Care Plan: $12.43 Coordinated Care — Ambetter Exchange: $14.37 First Choice — All Commercial Plans: $43.51 Humana — Medicare Managed Care Plan: $8.55
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$163	$84.76	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$163	$84.76	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	$5.50 – $36.23
Complete blood count (CBC), automated: 10 of 17 insurance plan rates Aetna — All Commercial Plans: $33.50 Aetna — Gatekeeper Medicare Managed Care - Hmo: $6.66 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $6.73 Blue Cross — Premera Lifewise Exchange: $11.65 Blue Shield — Regence Medicare Managed Care Plan: $6.99 Cigna — All Commercial Plans: $14.74 Community Health Plan — Medicare Managed Care Plan: $10.35 Coordinated Care — Ambetter Exchange: $11.97 First Choice — All Commercial Plans: $36.23 Humana — Medicare Managed Care Plan: $7.12
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$66	$34.32	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED LAB	$66	$34.32	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	$3.65 – $24.02
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $22.21 Aetna — Gatekeeper Medicare Managed Care - Hmo: $4.42 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $4.46 Blue Cross — Premera Lifewise Exchange: $7.72 Blue Shield — Regence Medicare Managed Care Plan: $4.63 Cigna — All Commercial Plans: $9.77 Community Health Plan — Medicare Managed Care Plan: $6.86 Coordinated Care — Ambetter Exchange: $7.94 First Choice — All Commercial Plans: $24.02 Humana — Medicare Managed Care Plan: $4.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME 85610	$119	$61.88	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$46	$23.92	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$5.11 – $33.66
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates Aetna — All Commercial Plans: $31.13 Aetna — Gatekeeper Medicare Managed Care - Hmo: $6.19 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $6.25 Blue Cross — Premera Lifewise Exchange: $10.82 Blue Shield — Regence Medicare Managed Care Plan: $6.49 Cigna — All Commercial Plans: $13.69 Community Health Plan — Medicare Managed Care Plan: $9.62 Coordinated Care — Ambetter Exchange: $11.12 First Choice — All Commercial Plans: $33.66 Humana — Medicare Managed Care Plan: $6.61
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	$46	$23.92	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	$77	$40.04	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	$102.20 – $627.65
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $521.43 Aetna — Gatekeeper Medicare Managed Care - Hmo: $123.84 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $125.05 Blue Cross — Premera All Commercial Plans: $344.48 Blue Cross — Premera Heritage Signature Other Commercial Plan: $336.98 Blue Cross — Premera Lifewise Exchange: $216.42 Blue Shield — Regence All Commercial Plans: $388.55 Blue Shield — Regence Medicare Managed Care Plan: $129.85 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $287.66 Cigna — All Commercial Plans: $399.35
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	$1,552	$807.04	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	$341.05 – $2,138.36
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $1,753.91 Aetna — Gatekeeper Medicare Managed Care - Hmo: $413.27 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $417.28 Blue Cross — Premera All Commercial Plans: $1,204.94 Blue Cross — Premera Heritage Signature Other Commercial Plan: $1,178.74 Blue Cross — Premera Lifewise Exchange: $722.22 Blue Shield — Regence All Commercial Plans: $1,359.16 Blue Shield — Regence Medicare Managed Care Plan: $433.33 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $1,006.26 Cigna — All Commercial Plans: $1,396.96
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	$2,908	$1,512.16	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	$85.07 – $446.94
Chest X-ray, 2 views: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $163.41 Aetna — Gatekeeper Medicare Managed Care - Hmo: $103.09 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $104.09 Blue Cross — Premera All Commercial Plans: $284.71 Blue Cross — Premera Heritage Signature Other Commercial Plan: $278.51 Blue Cross — Premera Lifewise Exchange: $180.15 Blue Shield — Regence All Commercial Plans: $321.15 Blue Shield — Regence Medicare Managed Care Plan: $108.09 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $237.77 Cigna — All Commercial Plans: $330.09
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$455	$236.60	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	$102.20 – $627.65
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $271.31 Aetna — Gatekeeper Medicare Managed Care - Hmo: $123.84 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $125.05 Blue Cross — Premera All Commercial Plans: $344.48 Blue Cross — Premera Heritage Signature Other Commercial Plan: $336.98 Blue Cross — Premera Lifewise Exchange: $216.42 Blue Shield — Regence All Commercial Plans: $388.55 Blue Shield — Regence Medicare Managed Care Plan: $129.85 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $287.66 Cigna — All Commercial Plans: $399.35
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	$867	$450.84	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	$233.25 – $1,305.02
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $1,006.92 Aetna — Gatekeeper Medicare Managed Care - Hmo: $282.64 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $285.39 Blue Cross — Premera All Commercial Plans: $767.74 Blue Cross — Premera Heritage Signature Other Commercial Plan: $751.04 Blue Cross — Premera Lifewise Exchange: $493.94 Blue Shield — Regence All Commercial Plans: $866.01 Blue Shield — Regence Medicare Managed Care Plan: $296.36 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $641.16 Cigna — All Commercial Plans: $890.09
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	$2,084	$1,083.68	Not listed in the file
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 LIMITED	$2,084	$1,083.68	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	$171.47 – $1,254.57
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $1,254.57 Aetna — Gatekeeper Medicare Managed Care - Hmo: $207.78 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $209.79 Blue Cross — Premera All Commercial Plans: $575.68 Blue Cross — Premera Heritage Signature Other Commercial Plan: $563.16 Blue Cross — Premera Lifewise Exchange: $363.11 Blue Shield — Regence All Commercial Plans: $649.35 Blue Shield — Regence Medicare Managed Care Plan: $217.86 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $480.75 Cigna — All Commercial Plans: $667.42
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$3,266	$1,698.32	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	$233.25 – $1,305.02
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $1,133.57 Aetna — Gatekeeper Medicare Managed Care - Hmo: $282.64 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $285.39 Blue Cross — Premera All Commercial Plans: $767.74 Blue Cross — Premera Heritage Signature Other Commercial Plan: $751.04 Blue Cross — Premera Lifewise Exchange: $493.94 Blue Shield — Regence All Commercial Plans: $866.01 Blue Shield — Regence Medicare Managed Care Plan: $296.36 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $641.16 Cigna — All Commercial Plans: $890.09
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$2,084	$1,083.68	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	$341.05 – $2,138.36
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $1,751.48 Aetna — Gatekeeper Medicare Managed Care - Hmo: $413.27 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $417.28 Blue Cross — Premera All Commercial Plans: $1,204.94 Blue Cross — Premera Heritage Signature Other Commercial Plan: $1,178.74 Blue Cross — Premera Lifewise Exchange: $722.22 Blue Shield — Regence All Commercial Plans: $1,359.16 Blue Shield — Regence Medicare Managed Care Plan: $433.33 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $1,006.26 Cigna — All Commercial Plans: $1,396.96
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	$2,543	$1,322.36	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	$102.20 – $627.65
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $595 Aetna — Gatekeeper Medicare Managed Care - Hmo: $123.84 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $125.05 Blue Cross — Premera All Commercial Plans: $344.48 Blue Cross — Premera Heritage Signature Other Commercial Plan: $336.98 Blue Cross — Premera Lifewise Exchange: $216.42 Blue Shield — Regence All Commercial Plans: $388.55 Blue Shield — Regence Medicare Managed Care Plan: $129.85 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $287.66 Cigna — All Commercial Plans: $399.35
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$1,045	$543.40	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	$102.20 – $661.18
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Aetna — All Commercial Plans: $661.18 Aetna — Gatekeeper Medicare Managed Care - Hmo: $123.84 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $125.05 Blue Cross — Premera All Commercial Plans: $344.48 Blue Cross — Premera Heritage Signature Other Commercial Plan: $336.98 Blue Cross — Premera Lifewise Exchange: $216.42 Blue Shield — Regence All Commercial Plans: $388.55 Blue Shield — Regence Medicare Managed Care Plan: $129.85 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $287.66 Cigna — All Commercial Plans: $399.35
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	$1,045	$543.40	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	$102.20 – $651.38
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $651.38 Aetna — Gatekeeper Medicare Managed Care - Hmo: $123.84 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $125.05 Blue Cross — Premera All Commercial Plans: $344.48 Blue Cross — Premera Heritage Signature Other Commercial Plan: $336.98 Blue Cross — Premera Lifewise Exchange: $216.42 Blue Shield — Regence All Commercial Plans: $388.55 Blue Shield — Regence Medicare Managed Care Plan: $129.85 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $287.66 Cigna — All Commercial Plans: $399.35
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$1,045	$543.40	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	$293.12 – $641.57
Diagnostic mammogram, one breast: rates for 3 insurance plans Aetna — All Commercial Plans: $641.57 Cigna — All Commercial Plans: $371.98 First Choice — All Commercial Plans: $293.12
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	$72.51 – $295.94
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $93.36 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $94.27 Blue Cross — Premera Lifewise Exchange: $163.15 Blue Shield — Regence Medicare Managed Care Plan: $97.89 Community Health Plan — Medicare Managed Care Plan: $145.02 Coordinated Care — Ambetter Exchange: $167.68 Kaiser — All Commercial Plans: $288.42 Kaiser — Medicare Managed Care Plan: $90.64 Molina — Exchange: $153.18 Providence Health Plan — Signature/Choice Network Other Commercial Plan: $295.94
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	$373.67 – $820.55
Diagnostic mammogram, both breasts: rates for 3 insurance plans Aetna — All Commercial Plans: $820.55 Cigna — All Commercial Plans: $476.74 First Choice — All Commercial Plans: $373.67
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$92.98 – $379.46
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $119.71 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $120.87 Blue Cross — Premera Lifewise Exchange: $209.20 Blue Shield — Regence Medicare Managed Care Plan: $125.52 Community Health Plan — Medicare Managed Care Plan: $185.95 Coordinated Care — Ambetter Exchange: $215.01 Kaiser — All Commercial Plans: $369.81 Kaiser — Medicare Managed Care Plan: $116.22 Molina — Exchange: $196.41 Providence Health Plan — Signature/Choice Network Other Commercial Plan: $379.46
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	$309.90 – $678.32
Screening mammogram, both breasts: rates for 3 insurance plans Aetna — All Commercial Plans: $678.32 Cigna — All Commercial Plans: $393.30 First Choice — All Commercial Plans: $309.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$76.74 – $313.18
Screening mammogram, both breasts: 10 of 13 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $98.80 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $99.76 Blue Cross — Premera Lifewise Exchange: $172.66 Blue Shield — Regence Medicare Managed Care Plan: $103.59 Community Health Plan — Medicare Managed Care Plan: $153.47 Coordinated Care — Ambetter Exchange: $177.45 Kaiser — All Commercial Plans: $305.22 Kaiser — Medicare Managed Care Plan: $95.92 Molina — Exchange: $162.10 Providence Health Plan — Signature/Choice Network Other Commercial Plan: $313.18

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	$3,169.21 – $14,566.23
Left heart catheterization (diagnostic): 10 of 21 insurance plan rates Aetna — All Commercial Plans: $12,757.68 Aetna — Gatekeeper Medicare Managed Care - Hmo: $3,840.34 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $3,877.63 Blue Cross — Premera All Commercial Plans: $10,209.69 Blue Cross — Premera Heritage Signature Other Commercial Plan: $9,987.62 Blue Cross — Premera Lifewise Exchange: $6,711.28 Blue Shield — Regence All Commercial Plans: $11,113.38 Blue Shield — Regence Medicare Managed Care Plan: $4,026.77 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $7,243.65 Community Health Plan — Medicare Managed Care Plan: $5,965.58
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$8,100	$4,212	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	$7,624.72 – $35,044.44
Heart rhythm study (electrophysiology evaluation): 10 of 21 insurance plan rates Aetna — All Commercial Plans: $12,757.68 Aetna — Gatekeeper Medicare Managed Care - Hmo: $9,239.36 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $9,329.06 Blue Cross — Premera All Commercial Plans: $23,399.26 Blue Cross — Premera Heritage Signature Other Commercial Plan: $22,890.31 Blue Cross — Premera Lifewise Exchange: $16,146.46 Blue Shield — Regence All Commercial Plans: $25,470.36 Blue Shield — Regence Medicare Managed Care Plan: $9,687.87 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $16,601.45 Community Health Plan — Medicare Managed Care Plan: $14,352.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION	$30,352	$15,783.04	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	$12,757.68 – $117,439.23
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates Aetna — All Commercial Plans: $12,757.68 Aetna — Gatekeeper Medicare Managed Care - Hmo: $30,962.50 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $31,263.11 Blue Cross — Premera All Commercial Plans: $74,414.63 Blue Cross — Premera Heritage Signature Other Commercial Plan: $72,796.07 Blue Cross — Premera Lifewise Exchange: $54,109.23 Blue Shield — Regence Medicare Managed Care Plan: $32,465.54 Community Health Plan — Medicare Managed Care Plan: $48,097.09 Coordinated Care — Ambetter Exchange: $55,612.26 First Choice — All Commercial Plans: $96,045.77
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	$31,018	$16,129.36	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	$839.48 – $5,090.12
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates Aetna — All Commercial Plans: $4,543.54 Aetna — Gatekeeper Medicare Managed Care - Hmo: $1,017.25 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $1,027.13 Blue Cross — Premera All Commercial Plans: $3,275.88 Blue Cross — Premera Heritage Signature Other Commercial Plan: $3,204.62 Blue Cross — Premera Lifewise Exchange: $1,777.72 Blue Shield — Regence All Commercial Plans: $3,565.83 Blue Shield — Regence Medicare Managed Care Plan: $1,066.63 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $2,324.19 Community Health Plan — Medicare Managed Care Plan: $1,580.19
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4 OR MORE	$4,519	$2,349.88	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POLYSOMNOGRAM REDUCED SERVICE	$3,373	$1,753.96	Not listed in the file

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	$23.92 – $155.34
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $155.34 Aetna — Gatekeeper Medicare Managed Care - Hmo: $30.80 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $31.10 Blue Cross — Premera Lifewise Exchange: $53.82 Blue Shield — Regence Medicare Managed Care Plan: $32.29 Community Health Plan — Medicare Managed Care Plan: $47.84 Coordinated Care — Ambetter Exchange: $55.32 First Choice — All Commercial Plans: $97.33 Kaiser — All Commercial Plans: $95.14 Kaiser — Medicare Managed Care Plan: $29.90
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$129	$67.08	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	$88.67 – $521.81
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $521.81 Aetna — Gatekeeper Medicare Managed Care - Hmo: $114.17 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $115.27 Blue Cross — Premera Lifewise Exchange: $199.51 Blue Shield — Regence Medicare Managed Care Plan: $119.71 Community Health Plan — Medicare Managed Care Plan: $177.34 Coordinated Care — Ambetter Exchange: $205.05 First Choice — All Commercial Plans: $271.86 Kaiser — All Commercial Plans: $352.69 Kaiser — Medicare Managed Care Plan: $110.84
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM	$416	$216.32	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	$80.72 – $521.81
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $521.81 Aetna — Gatekeeper Medicare Managed Care - Hmo: $103.93 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $104.94 Blue Cross — Premera Lifewise Exchange: $181.62 Blue Shield — Regence Medicare Managed Care Plan: $108.97 Community Health Plan — Medicare Managed Care Plan: $161.44 Coordinated Care — Ambetter Exchange: $186.67 First Choice — All Commercial Plans: $271.86 Kaiser — All Commercial Plans: $321.06 Kaiser — Medicare Managed Care Plan: $100.90
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM	$432	$224.64	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	$88.67 – $521.81
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates Aetna — All Commercial Plans: $521.81 Aetna — Gatekeeper Medicare Managed Care - Hmo: $114.17 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $115.27 Blue Cross — Premera Lifewise Exchange: $199.51 Blue Shield — Regence Medicare Managed Care Plan: $119.71 Community Health Plan — Medicare Managed Care Plan: $177.34 Coordinated Care — Ambetter Exchange: $205.05 First Choice — All Commercial Plans: $271.86 Kaiser — All Commercial Plans: $352.69 Kaiser — Medicare Managed Care Plan: $110.84
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX	$624	$324.48	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	$173.51 – $797.50
Psychotherapy, 30 minutes: 10 of 20 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $210.26 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $212.30 Blue Cross — Premera All Commercial Plans: $499.56 Blue Cross — Premera Heritage Signature Other Commercial Plan: $488.69 Blue Cross — Premera Lifewise Exchange: $367.44 Blue Shield — Regence All Commercial Plans: $543.76 Blue Shield — Regence Medicare Managed Care Plan: $220.47 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $354.42 Community Health Plan — Medicare Managed Care Plan: $326.62 Coordinated Care — Ambetter Exchange: $377.65
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90832 PSYTX W PT 30 MIN RHC	$326	$169.52	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	$339	$176.28	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	$173.51 – $797.50
Psychotherapy, 45 minutes: 10 of 20 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $210.26 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $212.30 Blue Cross — Premera All Commercial Plans: $499.56 Blue Cross — Premera Heritage Signature Other Commercial Plan: $488.69 Blue Cross — Premera Lifewise Exchange: $367.44 Blue Shield — Regence All Commercial Plans: $543.76 Blue Shield — Regence Medicare Managed Care Plan: $220.47 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $354.42 Community Health Plan — Medicare Managed Care Plan: $326.62 Coordinated Care — Ambetter Exchange: $377.65
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90834 PSYTX W PT 45 MIN RHC	$585	$304.20	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	$608	$316.16	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	$173.51 – $797.50
Psychotherapy, 60 minutes: 10 of 20 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $210.26 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $212.30 Blue Cross — Premera All Commercial Plans: $499.56 Blue Cross — Premera Heritage Signature Other Commercial Plan: $488.69 Blue Cross — Premera Lifewise Exchange: $367.44 Blue Shield — Regence All Commercial Plans: $543.76 Blue Shield — Regence Medicare Managed Care Plan: $220.47 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $354.42 Community Health Plan — Medicare Managed Care Plan: $326.62 Coordinated Care — Ambetter Exchange: $377.65
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90837 PSYTX W PT 60 MIN RHC	$585	$304.20	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	$608	$316.16	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	$173.51 – $797.50
Family psychotherapy, without the patient: 10 of 20 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $210.26 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $212.30 Blue Cross — Premera All Commercial Plans: $499.56 Blue Cross — Premera Heritage Signature Other Commercial Plan: $488.69 Blue Cross — Premera Lifewise Exchange: $367.44 Blue Shield — Regence All Commercial Plans: $543.76 Blue Shield — Regence Medicare Managed Care Plan: $220.47 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $354.42 Community Health Plan — Medicare Managed Care Plan: $326.62 Coordinated Care — Ambetter Exchange: $377.65
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	$173.51 – $797.50
Family psychotherapy, with the patient: 10 of 20 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $210.26 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $212.30 Blue Cross — Premera All Commercial Plans: $499.56 Blue Cross — Premera Heritage Signature Other Commercial Plan: $488.69 Blue Cross — Premera Lifewise Exchange: $367.44 Blue Shield — Regence All Commercial Plans: $543.76 Blue Shield — Regence Medicare Managed Care Plan: $220.47 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $354.42 Community Health Plan — Medicare Managed Care Plan: $326.62 Coordinated Care — Ambetter Exchange: $377.65
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	$99.31 – $456.45
Group psychotherapy: 10 of 20 insurance plan rates Aetna — Gatekeeper Medicare Managed Care - Hmo: $120.34 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $121.51 Blue Cross — Premera All Commercial Plans: $279.28 Blue Cross — Premera Heritage Signature Other Commercial Plan: $273.20 Blue Cross — Premera Lifewise Exchange: $210.31 Blue Shield — Regence All Commercial Plans: $304.01 Blue Shield — Regence Medicare Managed Care Plan: $126.18 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $198.15 Community Health Plan — Medicare Managed Care Plan: $186.94 Coordinated Care — Ambetter Exchange: $216.15
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYCHOTHERAPY GROUP PER DISTINCT/SEPARATE SESSION CDM	$341	$177.32	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY IOP 30 MIN	$341	$177.32	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	$3,827.61 – $17,592.32
Removal of breast growth (open surgery): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $9,095.84 Aetna — Gatekeeper Medicare Managed Care - Hmo: $4,638.16 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $4,683.19 Blue Cross — Premera All Commercial Plans: $11,942.90 Blue Cross — Premera Heritage Signature Other Commercial Plan: $11,683.13 Blue Cross — Premera Lifewise Exchange: $8,105.53 Blue Shield — Regence Medicare Managed Care Plan: $4,863.32 Cigna — All Commercial Plans: $5,920 Community Health Plan — Medicare Managed Care Plan: $7,204.91 Coordinated Care — Ambetter Exchange: $8,330.68
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	$3,484 – $57,685.10
Total hip replacement: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $9,305.92 Aetna — Gatekeeper Medicare Managed Care - Hmo: $15,208.50 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $15,356.16 Blue Cross — Premera All Commercial Plans: $41,236.39 Blue Cross — Premera Heritage Signature Other Commercial Plan: $40,339.48 Blue Cross — Premera Lifewise Exchange: $26,577.97 Blue Shield — Regence Medicare Managed Care Plan: $15,946.78 Cigna — All Commercial Plans: $3,484 Community Health Plan — Medicare Managed Care Plan: $23,624.86 Coordinated Care — Ambetter Exchange: $27,316.24
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	$3,484 – $57,685.10
Total knee replacement: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $9,305.92 Aetna — Gatekeeper Medicare Managed Care - Hmo: $15,208.50 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $15,356.16 Blue Cross — Premera All Commercial Plans: $41,236.39 Blue Cross — Premera Heritage Signature Other Commercial Plan: $40,339.48 Blue Cross — Premera Lifewise Exchange: $26,577.97 Blue Shield — Regence Medicare Managed Care Plan: $15,946.78 Cigna — All Commercial Plans: $3,484 Community Health Plan — Medicare Managed Care Plan: $23,624.86 Coordinated Care — Ambetter Exchange: $27,316.24
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	$5,920 – $9,095.84
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans Aetna — All Commercial Plans: $9,095.84 Cigna — All Commercial Plans: $5,920
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	$3,198.61 – $14,701.33
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $9,350.64 Aetna — Gatekeeper Medicare Managed Care - Hmo: $3,875.96 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $3,913.59 Blue Cross — Premera All Commercial Plans: $10,141.64 Blue Cross — Premera Heritage Signature Other Commercial Plan: $9,921.06 Blue Cross — Premera Lifewise Exchange: $6,773.52 Blue Shield — Regence Medicare Managed Care Plan: $4,064.11 Cigna — All Commercial Plans: $7,307 Community Health Plan — Medicare Managed Care Plan: $6,020.91 Coordinated Care — Ambetter Exchange: $6,961.68
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	$5,787.05 – $26,598.21
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $9,095.84 Aetna — Gatekeeper Medicare Managed Care - Hmo: $7,012.54 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $7,080.62 Blue Cross — Premera All Commercial Plans: $18,348.50 Blue Cross — Premera Heritage Signature Other Commercial Plan: $17,949.42 Blue Cross — Premera Lifewise Exchange: $12,254.92 Blue Shield — Regence Medicare Managed Care Plan: $7,352.95 Cigna — All Commercial Plans: $5,920 Community Health Plan — Medicare Managed Care Plan: $10,893.26 Coordinated Care — Ambetter Exchange: $12,595.34
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	$886.64 – $4,075.15
Upper GI endoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $2,769.52 Aetna — Gatekeeper Medicare Managed Care - Hmo: $1,074.40 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $1,084.83 Blue Cross — Premera Lifewise Exchange: $1,877.59 Blue Shield — Regence Medicare Managed Care Plan: $1,126.56 Cigna — All Commercial Plans: $3,870 Community Health Plan — Medicare Managed Care Plan: $1,668.97 Coordinated Care — Ambetter Exchange: $1,929.75 First Choice — All Commercial Plans: $3,693.82 Humana — Medicare Managed Care Plan: $1,147.42
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$3,137	$1,631.24	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	$886.64 – $6,259.76
Upper GI endoscopy with biopsy: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,259.76 Aetna — Gatekeeper Medicare Managed Care - Hmo: $1,074.40 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $1,084.83 Blue Cross — Premera Lifewise Exchange: $1,877.59 Blue Shield — Regence Medicare Managed Care Plan: $1,126.56 Cigna — All Commercial Plans: $5,180 Community Health Plan — Medicare Managed Care Plan: $1,668.97 Coordinated Care — Ambetter Exchange: $1,929.75 First Choice — All Commercial Plans: $3,693.82 Humana — Medicare Managed Care Plan: $1,147.42
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$3,137	$1,631.24	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	$909.10 – $6,259.76
Colonoscopy (diagnostic): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,259.76 Aetna — Gatekeeper Medicare Managed Care - Hmo: $1,101.61 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $1,112.31 Blue Cross — Premera Lifewise Exchange: $1,925.15 Blue Shield — Regence Medicare Managed Care Plan: $1,155.09 Cigna — All Commercial Plans: $5,180 Community Health Plan — Medicare Managed Care Plan: $1,711.24 Coordinated Care — Ambetter Exchange: $1,978.63 First Choice — All Commercial Plans: $3,590.24 Humana — Medicare Managed Care Plan: $1,176.48
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$3,158	$1,642.16	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	$1,169.80 – $6,259.76
Colonoscopy with biopsy: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,259.76 Aetna — Gatekeeper Medicare Managed Care - Hmo: $1,417.52 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $1,431.29 Blue Cross — Premera Lifewise Exchange: $2,477.22 Blue Shield — Regence Medicare Managed Care Plan: $1,486.33 Cigna — All Commercial Plans: $5,180 Community Health Plan — Medicare Managed Care Plan: $2,201.98 Coordinated Care — Ambetter Exchange: $2,546.04 First Choice — All Commercial Plans: $4,719.83 Humana — Medicare Managed Care Plan: $1,513.86
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	$1,169.80 – $6,259.76
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,259.76 Aetna — Gatekeeper Medicare Managed Care - Hmo: $1,417.52 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $1,431.29 Blue Cross — Premera Lifewise Exchange: $2,477.22 Blue Shield — Regence Medicare Managed Care Plan: $1,486.33 Cigna — All Commercial Plans: $5,180 Community Health Plan — Medicare Managed Care Plan: $2,201.98 Coordinated Care — Ambetter Exchange: $2,546.04 First Choice — All Commercial Plans: $4,719.83 Humana — Medicare Managed Care Plan: $1,513.86
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	$1,169.80 – $6,259.76
Ultrasound of the lower bowel by endoscope: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,259.76 Aetna — Gatekeeper Medicare Managed Care - Hmo: $1,417.52 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $1,431.29 Blue Cross — Premera Lifewise Exchange: $2,477.22 Blue Shield — Regence Medicare Managed Care Plan: $1,486.33 Cigna — All Commercial Plans: $5,180 Community Health Plan — Medicare Managed Care Plan: $2,201.98 Coordinated Care — Ambetter Exchange: $2,546.04 First Choice — All Commercial Plans: $4,719.83 Humana — Medicare Managed Care Plan: $1,513.86
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	$909.10 – $6,259.76
Screening colonoscopy (not high risk): 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,259.76 Aetna — Gatekeeper Medicare Managed Care - Hmo: $1,101.61 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $1,112.31 Blue Cross — Premera Lifewise Exchange: $1,925.15 Blue Shield — Regence Medicare Managed Care Plan: $1,155.09 Cigna — All Commercial Plans: $5,180 Community Health Plan — Medicare Managed Care Plan: $1,711.24 Coordinated Care — Ambetter Exchange: $1,978.63 First Choice — All Commercial Plans: $3,590.24 Humana — Medicare Managed Care Plan: $1,176.48
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	$5,909.92 – $27,162.98
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $12,619.36 Aetna — Gatekeeper Medicare Managed Care - Hmo: $7,161.44 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $7,230.97 Blue Cross — Premera All Commercial Plans: $18,078.45 Blue Cross — Premera Heritage Signature Other Commercial Plan: $17,685.24 Blue Cross — Premera Lifewise Exchange: $12,515.13 Blue Shield — Regence Medicare Managed Care Plan: $7,509.08 Cigna — All Commercial Plans: $16,459 Community Health Plan — Medicare Managed Care Plan: $11,124.56 Coordinated Care — Ambetter Exchange: $12,862.78
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	$3,500.09 – $16,086.99
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $9,350.64 Aetna — Gatekeeper Medicare Managed Care - Hmo: $4,241.29 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $4,282.46 Blue Cross — Premera All Commercial Plans: $10,839.79 Blue Cross — Premera Heritage Signature Other Commercial Plan: $10,604.02 Blue Cross — Premera Lifewise Exchange: $7,411.96 Blue Shield — Regence Medicare Managed Care Plan: $4,447.17 Cigna — All Commercial Plans: $7,307 Community Health Plan — Medicare Managed Care Plan: $6,588.41 Coordinated Care — Ambetter Exchange: $7,617.85
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	$15,735	$8,182.20	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	$5,180 – $8,326.29
Prostate biopsy: rates for 5 insurance plans Aetna — All Commercial Plans: $6,259.76 Blue Cross — Premera All Commercial Plans: $6,381.73 Blue Cross — Premera Heritage Signature Other Commercial Plan: $6,242.92 Cigna — All Commercial Plans: $5,180 First Choice — All Commercial Plans: $8,326.29
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	$3,484 – $47,760.59
Prostate removal by laparoscope (radical prostatectomy): 10 of 20 insurance plan rates Aetna — All Commercial Plans: $12,619.36 Aetna — Gatekeeper Medicare Managed Care - Hmo: $12,591.94 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $12,714.19 Blue Cross — Premera All Commercial Plans: $32,252.19 Blue Cross — Premera Heritage Signature Other Commercial Plan: $31,550.69 Blue Cross — Premera Lifewise Exchange: $22,005.33 Blue Shield — Regence Medicare Managed Care Plan: $13,203.20 Cigna — All Commercial Plans: $3,484 Community Health Plan — Medicare Managed Care Plan: $19,560.29 Coordinated Care — Ambetter Exchange: $22,616.58
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	$3,164.52 – $14,544.63
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $9,095.84 Aetna — Gatekeeper Medicare Managed Care - Hmo: $3,834.65 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $3,871.88 Blue Cross — Premera All Commercial Plans: $9,795.50 Blue Cross — Premera Heritage Signature Other Commercial Plan: $9,582.45 Blue Cross — Premera Lifewise Exchange: $6,701.33 Blue Shield — Regence Medicare Managed Care Plan: $4,020.80 Cigna — All Commercial Plans: $5,920 Community Health Plan — Medicare Managed Care Plan: $5,956.74 Coordinated Care — Ambetter Exchange: $6,887.48
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	$690.05 – $3,870
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $2,769.52 Aetna — Gatekeeper Medicare Managed Care - Hmo: $836.18 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $844.29 Blue Cross — Premera Lifewise Exchange: $1,461.28 Blue Shield — Regence Medicare Managed Care Plan: $876.77 Cigna — All Commercial Plans: $3,870 Community Health Plan — Medicare Managed Care Plan: $1,298.91 Coordinated Care — Ambetter Exchange: $1,501.87 First Choice — All Commercial Plans: $2,937.74 Humana — Medicare Managed Care Plan: $893
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	$3,195	$1,661.40	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	$3,195	$1,661.40	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	$864.63 – $3,974
Nerve root injection, lower back, with imaging guidance: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $2,769.52 Aetna — Gatekeeper Medicare Managed Care - Hmo: $1,047.73 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $1,057.90 Blue Cross — Premera Lifewise Exchange: $1,830.99 Blue Shield — Regence Medicare Managed Care Plan: $1,098.59 Cigna — All Commercial Plans: $3,870 Community Health Plan — Medicare Managed Care Plan: $1,627.55 Coordinated Care — Ambetter Exchange: $1,881.85 First Choice — All Commercial Plans: $3,816.64 Humana — Medicare Managed Care Plan: $1,118.94
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	$3,568	$1,855.36	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	$1,908.92 – $8,773.73
Carpal tunnel release: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $6,259.76 Aetna — Gatekeeper Medicare Managed Care - Hmo: $2,313.17 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $2,335.63 Blue Cross — Premera All Commercial Plans: $6,049.49 Blue Cross — Premera Heritage Signature Other Commercial Plan: $5,917.91 Blue Cross — Premera Lifewise Exchange: $4,042.43 Blue Shield — Regence Medicare Managed Care Plan: $2,425.46 Cigna — All Commercial Plans: $5,180 Community Health Plan — Medicare Managed Care Plan: $3,593.27 Coordinated Care — Ambetter Exchange: $4,154.72
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$7,985	$4,152.20	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	$537.66 – $6,259.76
Laser treatment of clouding after cataract surgery: 10 of 18 insurance plan rates Aetna — All Commercial Plans: $6,259.76 Aetna — Gatekeeper Medicare Managed Care - Hmo: $651.52 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $657.84 Blue Cross — Premera Lifewise Exchange: $1,138.58 Blue Shield — Regence Medicare Managed Care Plan: $683.15 Cigna — All Commercial Plans: $5,180 Community Health Plan — Medicare Managed Care Plan: $1,012.07 Coordinated Care — Ambetter Exchange: $1,170.20 First Choice — All Commercial Plans: $2,382.57 Humana — Medicare Managed Care Plan: $695.80
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	$2,256.06 – $12,619.36
Cataract removal with lens implant: 10 of 20 insurance plan rates Aetna — All Commercial Plans: $12,619.36 Aetna — Gatekeeper Medicare Managed Care - Hmo: $2,733.81 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $2,760.35 Blue Cross — Premera All Commercial Plans: $7,301.48 Blue Cross — Premera Heritage Signature Other Commercial Plan: $7,142.67 Blue Cross — Premera Lifewise Exchange: $4,777.54 Blue Shield — Regence Medicare Managed Care Plan: $2,866.52 Cigna — All Commercial Plans: $11,292 Community Health Plan — Medicare Managed Care Plan: $4,246.70 Coordinated Care — Ambetter Exchange: $4,910.25

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	$27,982.24
Vaginal delivery, with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $27,982.24
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	$27,982.24
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $27,982.24
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	$27,982.24
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Aetna — All Commercial Plans: $27,982.24

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	$89,204.85 – $307,483.59
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 25 insurance plan rates Aetna — All Commercial Plans: $235,805.59 Aetna — Gatekeeper Medicare Managed Care - Hmo: $91,881 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $92,773.04 Blue Cross — Premera All Commercial Plans: $276,989.26 Blue Cross — Premera Heritage Signature Other Commercial Plan: $269,749.11 Blue Cross — Premera Lifewise Exchange: $160,568.73 Blue Cross — Premera Medicare Managed Care Plan: $92,773.04 Blue Shield — Regence All Commercial Plans: $286,490.75 Blue Shield — Regence Medicare Managed Care Plan: $96,341.24 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $237,216.94
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	$89,406.39 – $118,866.26
Spinal fusion (not neck), without major complications: rates for 6 insurance plans Blue Cross — Premera All Commercial Plans: $104,396.47 Blue Cross — Premera Heritage Signature Other Commercial Plan: $101,667.67 Blue Shield — Regence All Commercial Plans: $107,977.55 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $89,406.39 First Choice — All Commercial Plans: $118,866.26 First Health/Coventry — All Commercial Plans: 65% (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	$17,947.05 – $60,345.30
Hip or knee replacement (major joint of the leg), without major complications: 10 of 25 insurance plan rates Aetna — All Commercial Plans: $46,071.82 Aetna — Gatekeeper Medicare Managed Care - Hmo: $18,485.46 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $18,664.93 Blue Cross — Premera All Commercial Plans: $53,703.72 Blue Cross — Premera Heritage Signature Other Commercial Plan: $52,299.97 Blue Cross — Premera Lifewise Exchange: $32,304.69 Blue Cross — Premera Medicare Managed Care Plan: $18,664.93 Blue Shield — Regence All Commercial Plans: $55,545.90 Blue Shield — Regence Medicare Managed Care Plan: $19,382.81 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $45,992.51
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	$22,596.02 – $80,015.36
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates Aetna — All Commercial Plans: $57,842.06 Aetna — Gatekeeper Medicare Managed Care - Hmo: $23,273.90 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $23,499.86 Blue Cross — Premera All Commercial Plans: $70,225.52 Blue Cross — Premera Heritage Signature Other Commercial Plan: $68,389.92 Blue Cross — Premera Lifewise Exchange: $40,672.84 Blue Cross — Premera Medicare Managed Care Plan: $23,499.86 Blue Shield — Regence All Commercial Plans: $72,634.45 Blue Shield — Regence Medicare Managed Care Plan: $24,403.70 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $60,141.99
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	$11,703.07 – $36,947.65
Uterus and ovary surgery (not for cancer), without complications: 10 of 24 insurance plan rates Aetna — All Commercial Plans: $29,287.55 Aetna — Gatekeeper Medicare Managed Care - Hmo: $12,054.16 Aetna — Non-Gatekeeper Medicare Managed Care - Ppo: $12,171.19 Blue Cross — Premera All Commercial Plans: $33,163.48 Blue Cross — Premera Heritage Signature Other Commercial Plan: $32,296.63 Blue Cross — Premera Lifewise Exchange: $21,065.53 Blue Cross — Premera Medicare Managed Care Plan: $12,171.19 Blue Shield — Regence All Commercial Plans: $34,301.08 Blue Shield — Regence Medicare Managed Care Plan: $12,639.32 Blue Shield — Regence Uniform Medical Plan Other Commercial Plan: $28,401.60

Source: Providence St Peter Hospital’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	413 Lilly Road NE, Olympia, WA 98506
County	Thurston County
State	Washington
Phone	(360) 493‑7179
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	500024
Name in Medicare records	PROVIDENCE ST PETER HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(360) 491‑9480^[4]
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
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Providence St. Peter Hospital — providence.org
St. Peter Hospital | Providence — providence.org
Emergency Care | St. Peter Hospital | Providence — providence.org
Heart & Vascular Care | St. Peter Hospital | Providence — providence.org
Surgical Services | St. Peter Hospital | Providence — providence.org
Information for Patients | St. Peter Hospital | Providence — providence.org
Recognition for St. Peter Hospital | Providence — providence.org
Departments | St. Peter Hospital | Providence — providence.org
Family Birth Center | St. Peter Hospital | Providence — providence.org
Inpatient Pediatrics Unit | Olympia, WA | Providence — providence.org

Providence St Peter Hospital

Summary

Profile from official sources

At a glance