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Critical Access Hospital

Samaritan North Lincoln Hospital

Lincoln City, Oregon · Lincoln County · Emergency services listed

Summary

Samaritan North Lincoln Hospital is a critical access hospital in Lincoln City, Oregon. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 18 services, specialties and programs. Medicare lists 324 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Call(541) 994‑3661 Directions Website Medicare profile
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Exterior of Samaritan North Lincoln Hospital
Photo: Visitor7, CC BY-SA 3.0, via Wikimedia Commons · source · licence

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
324Doctors and clinicians
18Services listed

Quick answers

Does Samaritan North Lincoln Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Samaritan North Lincoln Hospital. In a medical emergency, call 911.
Where is Samaritan North Lincoln Hospital?
3043 NE 28th Street, Lincoln City, OR 97367, in Lincoln County, Oregon.
What is the phone number of Samaritan North Lincoln Hospital?
(541) 994-3661, as listed by Medicare (CMS).
What is the Medicare star rating of Samaritan North Lincoln Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Programs and centers[4]

  • Cancer Treatment Program

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

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingGeneral visiting hours: no restrictions; temporary restrictions apply in the birthing unit[4]
ParkingA central parking lot serves the hospital campus[4]

Recognition[4]

  • Critical Access Hospital (accredited)

Doctors and clinicians (324)

324 doctors and other clinicians list Samaritan North Lincoln 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

Doctors with a page on this site (324)

And 300 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Samaritan North Lincoln 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital75%National average: 71%
Nurses “always” communicated well86%National average: 80%
Doctors “always” communicated well83%National average: 80%
Staff “always” explained medicines before giving them70%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night66%National average: 60%
Completed surveys167Response 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)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patientsToo few cases to report
Deaths within 30 days: heart failure patients12.3%
Deaths within 30 days: pneumonia patients17.4%
Deaths within 30 days: COPD patients8.9%
Deaths within 30 days: stroke patients10.3%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementToo few cases to report

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 attackToo few cases to report
Readmitted within 30 days: heart failure20.1%
Readmitted within 30 days: pneumonia15.9%
Readmitted within 30 days: COPD20%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)157 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)68%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 OregonBest hospitals in Oregon

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 78 common services exactly as Samaritan North Lincoln 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC E&M NEW PT LOW LEVEL 30 MINS OR MORE $296 $236.80 $69.26 – $349.48
New patient office visit (about 30–44 minutes): 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $182.42
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $136.82
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $155.06
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $155.06
  • AETNA — FAC - PSYCHIATRIC NP: $182.42
  • AETNA — NONFAC - MD-DO: $248.23
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $186.17
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $210.99
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $210.99
  • AETNA — NONFAC - PSYCHIATRIC NP: $248.23
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M NEW PT LOW LEVEL 30 MINS OR MORE $68 $54.40 $24.48 – $66.30
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $64.60
  • CIGNA — ALL PRODUCTS: $65.96
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $28.15
  • HEALTHNET — ALL PRODUCTS: $65.96
  • HUMANA — ALL PRODUCTS: $66.30
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $64.60
  • PACIFICSOURCE — MEDICARE ADV.: $27.42
  • PROVIDENCE — EPO - NON PEBB/OEBB: $65.96
  • PROVIDENCE — EPO - PEBB/OEBB: $65.96
  • PROVIDENCE — INDIVIDUAL-STANDARD: $65.96
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC E&M NEW PT LOW LEVEL 30 MINS OR MORE W/ PROC $68 $54.40 $24.48 – $66.30
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $64.60
  • CIGNA — ALL PRODUCTS: $65.96
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $28.15
  • HEALTHNET — ALL PRODUCTS: $65.96
  • HUMANA — ALL PRODUCTS: $66.30
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $64.60
  • PACIFICSOURCE — MEDICARE ADV.: $27.42
  • PROVIDENCE — EPO - NON PEBB/OEBB: $65.96
  • PROVIDENCE — EPO - PEBB/OEBB: $65.96
  • PROVIDENCE — INDIVIDUAL-STANDARD: $65.96
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC E&M NEW PT MODERATE LEVEL 45 MINS OR MORE $441 $352.80 $112.76 – $518.45
New patient office visit (about 45–59 minutes): 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $294.70
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $221.03
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $250.50
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $250.50
  • AETNA — FAC - PSYCHIATRIC NP: $294.70
  • AETNA — NONFAC - MD-DO: $369.48
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $277.11
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $314.06
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $314.06
  • AETNA — NONFAC - PSYCHIATRIC NP: $369.48
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M NEW PT MODERATE LEVEL 45 MINS OR MORE $102 $81.60 $36.72 – $99.45
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $96.90
  • CIGNA — ALL PRODUCTS: $98.94
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $42.23
  • HEALTHNET — ALL PRODUCTS: $98.94
  • HUMANA — ALL PRODUCTS: $99.45
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $96.90
  • PACIFICSOURCE — MEDICARE ADV.: $41.13
  • PROVIDENCE — EPO - NON PEBB/OEBB: $98.94
  • PROVIDENCE — EPO - PEBB/OEBB: $98.94
  • PROVIDENCE — INDIVIDUAL-STANDARD: $98.94
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC E&M NEW PT MODERATE LEVEL 45 MINS OR MORE W/ PROC $350 $280 $126 – $341.25
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $332.50
  • CIGNA — ALL PRODUCTS: $339.50
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $144.90
  • HEALTHNET — ALL PRODUCTS: $339.50
  • HUMANA — ALL PRODUCTS: $341.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $332.50
  • PACIFICSOURCE — MEDICARE ADV.: $141.12
  • PROVIDENCE — EPO - NON PEBB/OEBB: $339.50
  • PROVIDENCE — EPO - PEBB/OEBB: $339.50
  • PROVIDENCE — INDIVIDUAL-STANDARD: $339.50
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC E&M NEW PT HIGH LEVEL 60 MINS OR MORE $583 $466.40 $153.12 – $684.27
New patient office visit (about 60–74 minutes): 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $400.16
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $300.12
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $340.13
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $340.13
  • AETNA — FAC - PSYCHIATRIC NP: $400.16
  • AETNA — NONFAC - MD-DO: $487.63
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $365.73
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $414.49
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $414.49
  • AETNA — NONFAC - PSYCHIATRIC NP: $487.63
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M NEW PT HIGH LEVEL 60 MINS OR MORE $134 $107.20 $48.24 – $130.65
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $127.30
  • CIGNA — ALL PRODUCTS: $129.98
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $55.48
  • HEALTHNET — ALL PRODUCTS: $129.98
  • HUMANA — ALL PRODUCTS: $130.65
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $127.30
  • PACIFICSOURCE — MEDICARE ADV.: $54.03
  • PROVIDENCE — EPO - NON PEBB/OEBB: $129.98
  • PROVIDENCE — EPO - PEBB/OEBB: $129.98
  • PROVIDENCE — INDIVIDUAL-STANDARD: $129.98
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC E&M NEW PT HIGH LEVEL 60 MINS OR MORE W/ PROC $420 $336 $151.20 – $409.50
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $399
  • CIGNA — ALL PRODUCTS: $407.40
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $173.88
  • HEALTHNET — ALL PRODUCTS: $407.40
  • HUMANA — ALL PRODUCTS: $409.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $399
  • PACIFICSOURCE — MEDICARE ADV.: $169.34
  • PROVIDENCE — EPO - NON PEBB/OEBB: $407.40
  • PROVIDENCE — EPO - PEBB/OEBB: $407.40
  • PROVIDENCE — INDIVIDUAL-STANDARD: $407.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC E&M EST PT LOW LEVEL 20 MINS OR MORE $240 $192 $55.81 – $281.27
Established patient office visit (about 20–29 minutes): 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $146.29
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $109.72
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $124.35
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $124.35
  • AETNA — FAC - PSYCHIATRIC NP: $146.29
  • AETNA — NONFAC - MD-DO: $200.88
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $150.66
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $170.75
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $170.75
  • AETNA — NONFAC - PSYCHIATRIC NP: $200.88
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M EST PT LOW LEVEL 20 MINS OR MORE $56 $44.80 $20.16 – $54.60
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $53.20
  • CIGNA — ALL PRODUCTS: $54.32
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $23.18
  • HEALTHNET — ALL PRODUCTS: $54.32
  • HUMANA — ALL PRODUCTS: $54.60
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $53.20
  • PACIFICSOURCE — MEDICARE ADV.: $22.58
  • PROVIDENCE — EPO - NON PEBB/OEBB: $54.32
  • PROVIDENCE — EPO - PEBB/OEBB: $54.32
  • PROVIDENCE — INDIVIDUAL-STANDARD: $54.32
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC E&M EST PT LOW LEVEL 20 MINS OR MORE W/ PROC $56 $44.80 $20.16 – $54.60
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $53.20
  • CIGNA — ALL PRODUCTS: $54.32
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $23.18
  • HEALTHNET — ALL PRODUCTS: $54.32
  • HUMANA — ALL PRODUCTS: $54.60
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $53.20
  • PACIFICSOURCE — MEDICARE ADV.: $22.58
  • PROVIDENCE — EPO - NON PEBB/OEBB: $54.32
  • PROVIDENCE — EPO - PEBB/OEBB: $54.32
  • PROVIDENCE — INDIVIDUAL-STANDARD: $54.32
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC E&M EST PT MODERATE LEVEL 30 MINS OR MORE $350 $280 $82.42 – $397.76
Established patient office visit (about 30–39 minutes): 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $216.29
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $162.22
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $183.85
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $183.85
  • AETNA — FAC - PSYCHIATRIC NP: $216.29
  • AETNA — NONFAC - MD-DO: $284.34
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $213.25
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $241.68
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $241.68
  • AETNA — NONFAC - PSYCHIATRIC NP: $284.34
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M EST PT MODERATE LEVEL 30 MINS OR MORE $78 $62.40 $28.08 – $76.05
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $74.10
  • CIGNA — ALL PRODUCTS: $75.66
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $32.29
  • HEALTHNET — ALL PRODUCTS: $75.66
  • HUMANA — ALL PRODUCTS: $76.05
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $74.10
  • PACIFICSOURCE — MEDICARE ADV.: $31.45
  • PROVIDENCE — EPO - NON PEBB/OEBB: $75.66
  • PROVIDENCE — EPO - PEBB/OEBB: $75.66
  • PROVIDENCE — INDIVIDUAL-STANDARD: $75.66
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC E&M EST PT MODERATE LEVEL 30 MINS OR MORE W/ PROC $78 $62.40 $28.08 – $76.05
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $74.10
  • CIGNA — ALL PRODUCTS: $75.66
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $32.29
  • HEALTHNET — ALL PRODUCTS: $75.66
  • HUMANA — ALL PRODUCTS: $76.05
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $74.10
  • PACIFICSOURCE — MEDICARE ADV.: $31.45
  • PROVIDENCE — EPO - NON PEBB/OEBB: $75.66
  • PROVIDENCE — EPO - PEBB/OEBB: $75.66
  • PROVIDENCE — INDIVIDUAL-STANDARD: $75.66
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC N/P PREVENTATIVE MEDICINE 18-39 $376 $300.80 $80.42 – $401.96
Preventive checkup, new patient, age 18–39: 10 of 104 insurance plan rates
  • CIGNA — FACILITY: $91.35
  • CIGNA — NONFACILITY: $125.67
  • DEVOTED HEALTH — MEDICARE ADVANTAGE - MIDLEVEL - FAC: $88.53
  • DEVOTED HEALTH — MEDICARE ADVANTAGE - MIDLEVEL - NONFAC: $123.31
  • DEVOTED HEALTH — Medicare Advantage-FAC: $102.04
  • DEVOTED HEALTH — Medicare Advantage-NONFAC: $142.38
  • FIRST CHOICE — FACILITY: $209.89
  • FIRST CHOICE — NONFACILITY: $289.17
  • HEALTHNET — FACILITY: $207.14
  • HEALTHNET — MEDICARE ADVANTAGE - FAC: $104.16
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC N/P PREVENTATIVE MED 18-39 YRS $76 $60.80 $27.36 – $74.10
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $72.20
  • CIGNA — ALL PRODUCTS: $73.72
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $31.46
  • HEALTHNET — ALL PRODUCTS: $73.72
  • HUMANA — ALL PRODUCTS: $74.10
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $72.20
  • PACIFICSOURCE — MEDICARE ADV.: $30.64
  • PROVIDENCE — EPO - NON PEBB/OEBB: $73.72
  • PROVIDENCE — EPO - PEBB/OEBB: $73.72
  • PROVIDENCE — INDIVIDUAL-STANDARD: $73.72
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC N/P PREVENTATIVE MEDICINE 40-64 $433 $346.40 $97.88 – $462.83
Preventive checkup, new patient, age 40–64: 10 of 104 insurance plan rates
  • CIGNA — FACILITY: $111.06
  • CIGNA — NONFACILITY: $145.04
  • DEVOTED HEALTH — MEDICARE ADVANTAGE - MIDLEVEL - FAC: $107.19
  • DEVOTED HEALTH — MEDICARE ADVANTAGE - MIDLEVEL - NONFAC: $141.97
  • DEVOTED HEALTH — Medicare Advantage-FAC: $123.64
  • DEVOTED HEALTH — Medicare Advantage-NONFAC: $163.98
  • FIRST CHOICE — FACILITY: $254.44
  • FIRST CHOICE — NONFACILITY: $332.96
  • HEALTHNET — FACILITY: $252.03
  • HEALTHNET — MEDICARE ADVANTAGE - FAC: $126.10
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC N/P PREVENTATIVE MED 40-64 YRS $86 $68.80 $30.96 – $83.85
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $81.70
  • CIGNA — ALL PRODUCTS: $83.42
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $35.60
  • HEALTHNET — ALL PRODUCTS: $83.42
  • HUMANA — ALL PRODUCTS: $83.85
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $81.70
  • PACIFICSOURCE — MEDICARE ADV.: $34.68
  • PROVIDENCE — EPO - NON PEBB/OEBB: $83.42
  • PROVIDENCE — EPO - PEBB/OEBB: $83.42
  • PROVIDENCE — INDIVIDUAL-STANDARD: $83.42
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC E / M ER DEPT MOD COMPLEXITY $270 $216 $59.82 – $223.54
Emergency room visit (moderate): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $158.21
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $118.66
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $134.48
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $134.48
  • AETNA — FAC - PSYCHIATRIC NP: $158.21
  • AETNA — NONFAC - MD-DO: $158.21
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $118.66
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $134.48
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $134.48
  • AETNA — NONFAC - PSYCHIATRIC NP: $158.21
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY RM III W/O PROCEDURE $1,200 $960 $432 – $1,170
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,140
  • CIGNA — ALL PRODUCTS: $1,164
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $496.80
  • HEALTHNET — ALL PRODUCTS: $1,164
  • HUMANA — ALL PRODUCTS: $1,170
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,140
  • PACIFICSOURCE — MEDICARE ADV.: $483.84
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,164
  • PROVIDENCE — EPO - PEBB/OEBB: $1,164
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,164
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC EMERGENCY RM III W/PROCEDURE $1,200 $960 $432 – $1,170
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,140
  • CIGNA — ALL PRODUCTS: $1,164
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $496.80
  • HEALTHNET — ALL PRODUCTS: $1,164
  • HUMANA — ALL PRODUCTS: $1,170
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,140
  • PACIFICSOURCE — MEDICARE ADV.: $483.84
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,164
  • PROVIDENCE — EPO - PEBB/OEBB: $1,164
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,164
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC E / M ER DEPT DETAILED - MOD COMPL $456 $364.80 $101.60 – $375.72
Emergency room visit (moderately high): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $267
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $200.25
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $226.95
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $226.95
  • AETNA — FAC - PSYCHIATRIC NP: $267
  • AETNA — NONFAC - MD-DO: $267
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $200.25
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $226.95
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $226.95
  • AETNA — NONFAC - PSYCHIATRIC NP: $267
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY RM IV W/O PROCEDURE $2,000 $1,600 $720 – $1,950
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,900
  • CIGNA — ALL PRODUCTS: $1,940
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $828
  • HEALTHNET — ALL PRODUCTS: $1,940
  • HUMANA — ALL PRODUCTS: $1,950
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,900
  • PACIFICSOURCE — MEDICARE ADV.: $806.40
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,940
  • PROVIDENCE — EPO - PEBB/OEBB: $1,940
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,940
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC EMERGENCY RM IV W/PROCEDURE $2,000 $1,600 $720 – $1,950
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,900
  • CIGNA — ALL PRODUCTS: $1,940
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $828
  • HEALTHNET — ALL PRODUCTS: $1,940
  • HUMANA — ALL PRODUCTS: $1,950
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,900
  • PACIFICSOURCE — MEDICARE ADV.: $806.40
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,940
  • PROVIDENCE — EPO - PEBB/OEBB: $1,940
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,940
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC E / M ER DEPT HIGH COMPLEXITY $663 $530.40 $148.25 – $546.79
Emergency room visit (high): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $387.80
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $290.85
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $329.63
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $329.63
  • AETNA — FAC - PSYCHIATRIC NP: $387.80
  • AETNA — NONFAC - MD-DO: $387.80
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $290.85
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $329.63
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $329.63
  • AETNA — NONFAC - PSYCHIATRIC NP: $387.80
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY RM V W/O PROCEDURE $2,700 $2,160 $972 – $2,632.50
Emergency room visit (high): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $2,565
  • CIGNA — ALL PRODUCTS: $2,619
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $1,117.80
  • HEALTHNET — ALL PRODUCTS: $2,619
  • HUMANA — ALL PRODUCTS: $2,632.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $2,565
  • PACIFICSOURCE — MEDICARE ADV.: $1,088.64
  • PROVIDENCE — EPO - NON PEBB/OEBB: $2,619
  • PROVIDENCE — EPO - PEBB/OEBB: $2,619
  • PROVIDENCE — INDIVIDUAL-STANDARD: $2,619
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC EMERGENCY RM V W/PROCEDURE $2,700 $2,160 $972 – $2,632.50
Emergency room visit (high): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $2,565
  • CIGNA — ALL PRODUCTS: $2,619
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $1,117.80
  • HEALTHNET — ALL PRODUCTS: $2,619
  • HUMANA — ALL PRODUCTS: $2,632.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $2,565
  • PACIFICSOURCE — MEDICARE ADV.: $1,088.64
  • PROVIDENCE — EPO - NON PEBB/OEBB: $2,619
  • PROVIDENCE — EPO - PEBB/OEBB: $2,619
  • PROVIDENCE — INDIVIDUAL-STANDARD: $2,619

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL PL $60 $48 $21.60 – $58.50
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $57
  • CIGNA — ALL PRODUCTS: $58.20
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $9.73
  • HEALTHNET — ALL PRODUCTS: $58.20
  • HUMANA — ALL PRODUCTS: $58.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $57
  • PACIFICSOURCE — MEDICARE ADV.: $24.19
  • PROVIDENCE — EPO - NON PEBB/OEBB: $58.20
  • PROVIDENCE — EPO - PEBB/OEBB: $58.20
  • PROVIDENCE — INDIVIDUAL-STANDARD: $58.20
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $60 $48 $21.60 – $58.50
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $57
  • CIGNA — ALL PRODUCTS: $58.20
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $9.73
  • HEALTHNET — ALL PRODUCTS: $58.20
  • HUMANA — ALL PRODUCTS: $58.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $57
  • PACIFICSOURCE — MEDICARE ADV.: $24.19
  • PROVIDENCE — EPO - NON PEBB/OEBB: $58.20
  • PROVIDENCE — EPO - PEBB/OEBB: $58.20
  • PROVIDENCE — INDIVIDUAL-STANDARD: $58.20
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $110 $88 $39.60 – $107.25
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $104.50
  • CIGNA — ALL PRODUCTS: $106.70
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $12.14
  • HEALTHNET — ALL PRODUCTS: $106.70
  • HUMANA — ALL PRODUCTS: $107.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $104.50
  • PACIFICSOURCE — MEDICARE ADV.: $44.35
  • PROVIDENCE — EPO - NON PEBB/OEBB: $106.70
  • PROVIDENCE — EPO - PEBB/OEBB: $106.70
  • PROVIDENCE — INDIVIDUAL-STANDARD: $106.70
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL PL $110 $88 $39.60 – $107.25
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $104.50
  • CIGNA — ALL PRODUCTS: $106.70
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $12.14
  • HEALTHNET — ALL PRODUCTS: $106.70
  • HUMANA — ALL PRODUCTS: $107.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $104.50
  • PACIFICSOURCE — MEDICARE ADV.: $44.35
  • PROVIDENCE — EPO - NON PEBB/OEBB: $106.70
  • PROVIDENCE — EPO - PEBB/OEBB: $106.70
  • PROVIDENCE — INDIVIDUAL-STANDARD: $106.70
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PRENATAL PANEL OBSTETRIC PANEL $200 $160 $72 – $195
Obstetric blood test panel: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $190
  • CIGNA — ALL PRODUCTS: $194
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $54.98
  • HEALTHNET — ALL PRODUCTS: $194
  • HUMANA — ALL PRODUCTS: $195
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $190
  • PACIFICSOURCE — MEDICARE ADV.: $80.64
  • PROVIDENCE — EPO - NON PEBB/OEBB: $194
  • PROVIDENCE — EPO - PEBB/OEBB: $194
  • PROVIDENCE — INDIVIDUAL-STANDARD: $194
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC LIPID PANEL $32 $25.60 $13.39 – $20.09
Cholesterol panel (lipid panel): 10 of 113 insurance plan rates
  • AETNA — FAC - MD-DO: $20.09
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $20.09
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $20.09
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $20.09
  • AETNA — FAC - PSYCHIATRIC NP: $20.09
  • AETNA — NONFAC - MD-DO: $20.09
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $20.09
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $20.09
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $20.09
  • AETNA — NONFAC - PSYCHIATRIC NP: $20.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $100 $80 $36 – $97.50
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $95
  • CIGNA — ALL PRODUCTS: $97
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $15.40
  • HEALTHNET — ALL PRODUCTS: $97
  • HUMANA — ALL PRODUCTS: $97.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $95
  • PACIFICSOURCE — MEDICARE ADV.: $40.32
  • PROVIDENCE — EPO - NON PEBB/OEBB: $97
  • PROVIDENCE — EPO - PEBB/OEBB: $97
  • PROVIDENCE — INDIVIDUAL-STANDARD: $97
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID CASCADE $100 $80 $36 – $97.50
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $95
  • CIGNA — ALL PRODUCTS: $97
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $15.40
  • HEALTHNET — ALL PRODUCTS: $97
  • HUMANA — ALL PRODUCTS: $97.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $95
  • PACIFICSOURCE — MEDICARE ADV.: $40.32
  • PROVIDENCE — EPO - NON PEBB/OEBB: $97
  • PROVIDENCE — EPO - PEBB/OEBB: $97
  • PROVIDENCE — INDIVIDUAL-STANDARD: $97
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $73 $58.40 $26.28 – $71.18
Kidney function panel: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $69.35
  • CIGNA — ALL PRODUCTS: $70.81
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $9.98
  • HEALTHNET — ALL PRODUCTS: $70.81
  • HUMANA — ALL PRODUCTS: $71.18
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $69.35
  • PACIFICSOURCE — MEDICARE ADV.: $29.43
  • PROVIDENCE — EPO - NON PEBB/OEBB: $70.81
  • PROVIDENCE — EPO - PEBB/OEBB: $70.81
  • PROVIDENCE — INDIVIDUAL-STANDARD: $70.81
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $52 $41.60 $18.72 – $50.70
Liver function panel: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $49.40
  • CIGNA — ALL PRODUCTS: $50.44
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $9.40
  • HEALTHNET — ALL PRODUCTS: $50.44
  • HUMANA — ALL PRODUCTS: $50.70
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $49.40
  • PACIFICSOURCE — MEDICARE ADV.: $20.97
  • PROVIDENCE — EPO - NON PEBB/OEBB: $50.44
  • PROVIDENCE — EPO - PEBB/OEBB: $50.44
  • PROVIDENCE — INDIVIDUAL-STANDARD: $50.44
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC URINALYSIS AUTOMATED W MICROSCOPY $8 $6.40 $3.17 – $4.76
Urine test (automated, with microscope): 10 of 113 insurance plan rates
  • AETNA — FAC - MD-DO: $4.76
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $4.76
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $4.76
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $4.76
  • AETNA — FAC - PSYCHIATRIC NP: $4.76
  • AETNA — NONFAC - MD-DO: $4.76
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $4.76
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $4.76
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $4.76
  • AETNA — NONFAC - PSYCHIATRIC NP: $4.76
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS WITH MICROSCOPIC $62 $49.60 $22.32 – $60.45
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $58.90
  • CIGNA — ALL PRODUCTS: $60.14
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $3.65
  • HEALTHNET — ALL PRODUCTS: $60.14
  • HUMANA — ALL PRODUCTS: $60.45
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $58.90
  • PACIFICSOURCE — MEDICARE ADV.: $25
  • PROVIDENCE — EPO - NON PEBB/OEBB: $60.14
  • PROVIDENCE — EPO - PEBB/OEBB: $60.14
  • PROVIDENCE — INDIVIDUAL-STANDARD: $60.14
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS WITH MICROSCOPIC PL $21 $16.80 $7.56 – $20.48
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $19.95
  • CIGNA — ALL PRODUCTS: $20.37
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $3.65
  • HEALTHNET — ALL PRODUCTS: $20.37
  • HUMANA — ALL PRODUCTS: $20.48
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $19.95
  • PACIFICSOURCE — MEDICARE ADV.: $8.47
  • PROVIDENCE — EPO - NON PEBB/OEBB: $20.37
  • PROVIDENCE — EPO - PEBB/OEBB: $20.37
  • PROVIDENCE — INDIVIDUAL-STANDARD: $20.37
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC URINALYSIS DIPSTICK NON-AUTOMATED W/O MICROSCOPY $8 $6.40 $3.48 – $5.22
Urine test (manual, without microscope): 10 of 113 insurance plan rates
  • AETNA — FAC - MD-DO: $5.22
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $5.22
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $5.22
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $5.22
  • AETNA — FAC - PSYCHIATRIC NP: $5.22
  • AETNA — NONFAC - MD-DO: $5.22
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $5.22
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $5.22
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $5.22
  • AETNA — NONFAC - PSYCHIATRIC NP: $5.22
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA DIP $30 $24 $10.80 – $29.25
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $28.50
  • CIGNA — ALL PRODUCTS: $29.10
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $4
  • HEALTHNET — ALL PRODUCTS: $29.10
  • HUMANA — ALL PRODUCTS: $29.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $28.50
  • PACIFICSOURCE — MEDICARE ADV.: $12.10
  • PROVIDENCE — EPO - NON PEBB/OEBB: $29.10
  • PROVIDENCE — EPO - PEBB/OEBB: $29.10
  • PROVIDENCE — INDIVIDUAL-STANDARD: $29.10
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS ROUTINE-NO MICRO $94 $75.20 $33.84 – $91.65
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $89.30
  • CIGNA — ALL PRODUCTS: $91.18
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $2.59
  • HEALTHNET — ALL PRODUCTS: $91.18
  • HUMANA — ALL PRODUCTS: $91.65
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $89.30
  • PACIFICSOURCE — MEDICARE ADV.: $37.90
  • PROVIDENCE — EPO - NON PEBB/OEBB: $91.18
  • PROVIDENCE — EPO - PEBB/OEBB: $91.18
  • PROVIDENCE — INDIVIDUAL-STANDARD: $91.18
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ROUTINE URINALYSIS $49 $39.20 $17.64 – $47.78
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $46.55
  • CIGNA — ALL PRODUCTS: $47.53
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $2.59
  • HEALTHNET — ALL PRODUCTS: $47.53
  • HUMANA — ALL PRODUCTS: $47.78
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $46.55
  • PACIFICSOURCE — MEDICARE ADV.: $19.76
  • PROVIDENCE — EPO - NON PEBB/OEBB: $47.53
  • PROVIDENCE — EPO - PEBB/OEBB: $47.53
  • PROVIDENCE — INDIVIDUAL-STANDARD: $47.53
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPECIFIC GRAVITY, URINE $22 $17.60 $7.92 – $21.45
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $20.90
  • CIGNA — ALL PRODUCTS: $21.34
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $2.59
  • HEALTHNET — ALL PRODUCTS: $21.34
  • HUMANA — ALL PRODUCTS: $21.45
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $20.90
  • PACIFICSOURCE — MEDICARE ADV.: $8.87
  • PROVIDENCE — EPO - NON PEBB/OEBB: $21.34
  • PROVIDENCE — EPO - PEBB/OEBB: $21.34
  • PROVIDENCE — INDIVIDUAL-STANDARD: $21.34
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN-DIAG $110 $88 $39.60 – $107.25
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $104.50
  • CIGNA — ALL PRODUCTS: $106.70
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $21.15
  • HEALTHNET — ALL PRODUCTS: $106.70
  • HUMANA — ALL PRODUCTS: $107.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $104.50
  • PACIFICSOURCE — MEDICARE ADV.: $44.35
  • PROVIDENCE — EPO - NON PEBB/OEBB: $106.70
  • PROVIDENCE — EPO - PEBB/OEBB: $106.70
  • PROVIDENCE — INDIVIDUAL-STANDARD: $106.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA DIAGNOSTIC $94 $75.20 $33.84 – $91.65
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $89.30
  • CIGNA — ALL PRODUCTS: $91.18
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $21.15
  • HEALTHNET — ALL PRODUCTS: $91.18
  • HUMANA — ALL PRODUCTS: $91.65
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $89.30
  • PACIFICSOURCE — MEDICARE ADV.: $37.90
  • PROVIDENCE — EPO - NON PEBB/OEBB: $91.18
  • PROVIDENCE — EPO - PEBB/OEBB: $91.18
  • PROVIDENCE — INDIVIDUAL-STANDARD: $91.18
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA TOTAL-PL $73 $58.40 $26.28 – $71.18
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $69.35
  • CIGNA — ALL PRODUCTS: $70.81
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $21.15
  • HEALTHNET — ALL PRODUCTS: $70.81
  • HUMANA — ALL PRODUCTS: $71.18
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $69.35
  • PACIFICSOURCE — MEDICARE ADV.: $29.43
  • PROVIDENCE — EPO - NON PEBB/OEBB: $70.81
  • PROVIDENCE — EPO - PEBB/OEBB: $70.81
  • PROVIDENCE — INDIVIDUAL-STANDARD: $70.81
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH $110 $88 $39.60 – $107.25
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $104.50
  • CIGNA — ALL PRODUCTS: $106.70
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $19.32
  • HEALTHNET — ALL PRODUCTS: $106.70
  • HUMANA — ALL PRODUCTS: $107.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $104.50
  • PACIFICSOURCE — MEDICARE ADV.: $44.35
  • PROVIDENCE — EPO - NON PEBB/OEBB: $106.70
  • PROVIDENCE — EPO - PEBB/OEBB: $106.70
  • PROVIDENCE — INDIVIDUAL-STANDARD: $106.70
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH PL $83 $66.40 $29.88 – $80.93
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $78.85
  • CIGNA — ALL PRODUCTS: $80.51
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $19.32
  • HEALTHNET — ALL PRODUCTS: $80.51
  • HUMANA — ALL PRODUCTS: $80.93
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $78.85
  • PACIFICSOURCE — MEDICARE ADV.: $33.47
  • PROVIDENCE — EPO - NON PEBB/OEBB: $80.51
  • PROVIDENCE — EPO - PEBB/OEBB: $80.51
  • PROVIDENCE — INDIVIDUAL-STANDARD: $80.51
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIMULATING HORMNE CHRONIC URTICARIA $120 $96 $43.20 – $117
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $114
  • CIGNA — ALL PRODUCTS: $116.40
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $19.32
  • HEALTHNET — ALL PRODUCTS: $116.40
  • HUMANA — ALL PRODUCTS: $117
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $114
  • PACIFICSOURCE — MEDICARE ADV.: $48.38
  • PROVIDENCE — EPO - NON PEBB/OEBB: $116.40
  • PROVIDENCE — EPO - PEBB/OEBB: $116.40
  • PROVIDENCE — INDIVIDUAL-STANDARD: $116.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC CBC WITH PLATELET CT WITH AUTO DIF $19 $15.20 $7.77 – $11.66
Complete blood count (CBC) with differential: 10 of 113 insurance plan rates
  • AETNA — FAC - MD-DO: $11.66
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $11.66
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $11.66
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $11.66
  • AETNA — FAC - PSYCHIATRIC NP: $11.66
  • AETNA — NONFAC - MD-DO: $11.66
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $11.66
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $11.66
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $11.66
  • AETNA — NONFAC - PSYCHIATRIC NP: $11.66
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W/AUTO DIFFERENTIAL $73 $58.40 $26.28 – $71.18
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $69.35
  • CIGNA — ALL PRODUCTS: $70.81
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $8.94
  • HEALTHNET — ALL PRODUCTS: $70.81
  • HUMANA — ALL PRODUCTS: $71.18
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $69.35
  • PACIFICSOURCE — MEDICARE ADV.: $29.43
  • PROVIDENCE — EPO - NON PEBB/OEBB: $70.81
  • PROVIDENCE — EPO - PEBB/OEBB: $70.81
  • PROVIDENCE — INDIVIDUAL-STANDARD: $70.81
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W/AUTO DIFFERENTIAL PL $100 $80 $36 – $97.50
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $95
  • CIGNA — ALL PRODUCTS: $97
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $8.94
  • HEALTHNET — ALL PRODUCTS: $97
  • HUMANA — ALL PRODUCTS: $97.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $95
  • PACIFICSOURCE — MEDICARE ADV.: $40.32
  • PROVIDENCE — EPO - NON PEBB/OEBB: $97
  • PROVIDENCE — EPO - PEBB/OEBB: $97
  • PROVIDENCE — INDIVIDUAL-STANDARD: $97
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC HEMOGRAM AND PLATELET CT AUTO $16 $12.80 $6.47 – $9.71
Complete blood count (CBC), automated: 10 of 113 insurance plan rates
  • AETNA — FAC - MD-DO: $9.71
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $9.71
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $9.71
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $9.71
  • AETNA — FAC - PSYCHIATRIC NP: $9.71
  • AETNA — NONFAC - MD-DO: $9.71
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $9.71
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $9.71
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $9.71
  • AETNA — NONFAC - PSYCHIATRIC NP: $9.71
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC NO DIFF $41 $32.80 $14.76 – $39.98
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $38.95
  • CIGNA — ALL PRODUCTS: $39.77
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $7.44
  • HEALTHNET — ALL PRODUCTS: $39.77
  • HUMANA — ALL PRODUCTS: $39.98
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $38.95
  • PACIFICSOURCE — MEDICARE ADV.: $16.53
  • PROVIDENCE — EPO - NON PEBB/OEBB: $39.77
  • PROVIDENCE — EPO - PEBB/OEBB: $39.77
  • PROVIDENCE — INDIVIDUAL-STANDARD: $39.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC NO DIFF(PNL) $33 $26.40 $11.88 – $32.18
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $31.35
  • CIGNA — ALL PRODUCTS: $32.01
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $7.44
  • HEALTHNET — ALL PRODUCTS: $32.01
  • HUMANA — ALL PRODUCTS: $32.18
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $31.35
  • PACIFICSOURCE — MEDICARE ADV.: $13.31
  • PROVIDENCE — EPO - NON PEBB/OEBB: $32.01
  • PROVIDENCE — EPO - PEBB/OEBB: $32.01
  • PROVIDENCE — INDIVIDUAL-STANDARD: $32.01
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC PROTIME $10 $8 $4.29 – $6.44
Blood clotting time test (prothrombin time, PT): 10 of 113 insurance plan rates
  • AETNA — FAC - MD-DO: $6.44
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $6.44
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $6.44
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $6.44
  • AETNA — FAC - PSYCHIATRIC NP: $6.44
  • AETNA — NONFAC - MD-DO: $6.44
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $6.44
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $6.44
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $6.44
  • AETNA — NONFAC - PSYCHIATRIC NP: $6.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $52 $41.60 $18.72 – $50.70
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $49.40
  • CIGNA — ALL PRODUCTS: $50.44
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $4.93
  • HEALTHNET — ALL PRODUCTS: $50.44
  • HUMANA — ALL PRODUCTS: $50.70
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $49.40
  • PACIFICSOURCE — MEDICARE ADV.: $20.97
  • PROVIDENCE — EPO - NON PEBB/OEBB: $50.44
  • PROVIDENCE — EPO - PEBB/OEBB: $50.44
  • PROVIDENCE — INDIVIDUAL-STANDARD: $50.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME-JUP PNL $15 $12 $5.40 – $14.63
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $14.25
  • CIGNA — ALL PRODUCTS: $14.55
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $4.93
  • HEALTHNET — ALL PRODUCTS: $14.55
  • HUMANA — ALL PRODUCTS: $14.63
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $14.25
  • PACIFICSOURCE — MEDICARE ADV.: $6.05
  • PROVIDENCE — EPO - NON PEBB/OEBB: $14.55
  • PROVIDENCE — EPO - PEBB/OEBB: $14.55
  • PROVIDENCE — INDIVIDUAL-STANDARD: $14.55
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT $83 $66.40 $29.88 – $80.93
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $78.85
  • CIGNA — ALL PRODUCTS: $80.51
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $6.91
  • HEALTHNET — ALL PRODUCTS: $80.51
  • HUMANA — ALL PRODUCTS: $80.93
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $78.85
  • PACIFICSOURCE — MEDICARE ADV.: $33.47
  • PROVIDENCE — EPO - NON PEBB/OEBB: $80.51
  • PROVIDENCE — EPO - PEBB/OEBB: $80.51
  • PROVIDENCE — INDIVIDUAL-STANDARD: $80.51
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT $27 $21.60 $9.72 – $26.33
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $25.65
  • CIGNA — ALL PRODUCTS: $26.19
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $6.91
  • HEALTHNET — ALL PRODUCTS: $26.19
  • HUMANA — ALL PRODUCTS: $26.33
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $25.65
  • PACIFICSOURCE — MEDICARE ADV.: $10.89
  • PROVIDENCE — EPO - NON PEBB/OEBB: $26.19
  • PROVIDENCE — EPO - PEBB/OEBB: $26.19
  • PROVIDENCE — INDIVIDUAL-STANDARD: $26.19
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC APTT (TRAP) $21 $16.80 $7.56 – $20.48
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $19.95
  • CIGNA — ALL PRODUCTS: $20.37
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $6.91
  • HEALTHNET — ALL PRODUCTS: $20.37
  • HUMANA — ALL PRODUCTS: $20.48
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $19.95
  • PACIFICSOURCE — MEDICARE ADV.: $8.47
  • PROVIDENCE — EPO - NON PEBB/OEBB: $20.37
  • PROVIDENCE — EPO - PEBB/OEBB: $20.37
  • PROVIDENCE — INDIVIDUAL-STANDARD: $20.37

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CRANIAL UNENHANCED $1,150 $920 $414 – $1,121.25
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,092.50
  • CIGNA — ALL PRODUCTS: $1,115.50
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $476.10
  • HEALTHNET — ALL PRODUCTS: $1,115.50
  • HUMANA — ALL PRODUCTS: $1,121.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,092.50
  • PACIFICSOURCE — MEDICARE ADV.: $463.68
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,115.50
  • PROVIDENCE — EPO - PEBB/OEBB: $1,115.50
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,115.50
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC CT HEAD/BRAIN W/O DYE $140 $112 $34.34 – $125.94
CT scan of the head or brain, without contrast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $90.79
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $68.09
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $77.17
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $77.17
  • AETNA — FAC - PSYCHIATRIC NP: $90.79
  • AETNA — NONFAC - MD-DO: $90.79
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $68.09
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $77.17
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $77.17
  • AETNA — NONFAC - PSYCHIATRIC NP: $90.79
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W&WO $3,340 $2,672 $1,202.40 – $3,256.50
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $3,173
  • CIGNA — ALL PRODUCTS: $3,239.80
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $1,382.76
  • HEALTHNET — ALL PRODUCTS: $3,239.80
  • HUMANA — ALL PRODUCTS: $3,256.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $3,173
  • PACIFICSOURCE — MEDICARE ADV.: $1,346.69
  • PROVIDENCE — EPO - NON PEBB/OEBB: $3,239.80
  • PROVIDENCE — EPO - PEBB/OEBB: $3,239.80
  • PROVIDENCE — INDIVIDUAL-STANDARD: $3,239.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC MRI BRAIN W & W/O CONTRAST $811 $648.80 $92.44 – $340.04
MRI of the brain, before and after contrast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $244.78
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $183.58
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $208.06
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $208.06
  • AETNA — FAC - PSYCHIATRIC NP: $244.78
  • AETNA — NONFAC - MD-DO: $244.78
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $183.58
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $208.06
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $208.06
  • AETNA — NONFAC - PSYCHIATRIC NP: $244.78
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier TC In the file: PC MRI BRAIN W & W/O CONTRAST $3,240 $2,592 $204.57 – $705.26
MRI of the brain, before and after contrast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $501.27
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $375.95
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $426.08
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $426.08
  • AETNA — FAC - PSYCHIATRIC NP: $501.27
  • AETNA — NONFAC - MD-DO: $501.27
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $375.95
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $426.08
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $426.08
  • AETNA — NONFAC - PSYCHIATRIC NP: $501.27
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC CHEST 2 VIEWS $103 $82.40 $28.05 – $106
Chest X-ray, 2 views: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $75.51
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $56.63
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $64.18
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $64.18
  • AETNA — FAC - PSYCHIATRIC NP: $75.51
  • AETNA — NONFAC - MD-DO: $75.51
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $56.63
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $64.18
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $64.18
  • AETNA — NONFAC - PSYCHIATRIC NP: $75.51
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEST XRAY 2 VIEWS $370 $296 $133.20 – $360.75
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $351.50
  • CIGNA — ALL PRODUCTS: $358.90
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $153.18
  • HEALTHNET — ALL PRODUCTS: $358.90
  • HUMANA — ALL PRODUCTS: $360.75
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $351.50
  • PACIFICSOURCE — MEDICARE ADV.: $149.18
  • PROVIDENCE — EPO - NON PEBB/OEBB: $358.90
  • PROVIDENCE — EPO - PEBB/OEBB: $358.90
  • PROVIDENCE — INDIVIDUAL-STANDARD: $358.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC CHEST 2 VIEWS $30 $24 $8.87 – $32.53
Chest X-ray, 2 views: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $23.46
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $17.59
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $19.94
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $19.94
  • AETNA — FAC - PSYCHIATRIC NP: $23.46
  • AETNA — NONFAC - MD-DO: $23.46
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $17.59
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $19.94
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $19.94
  • AETNA — NONFAC - PSYCHIATRIC NP: $23.46
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC X-RAY EXAM OF LOWER SPINE $159 $127.20 $42.36 – $161.62
X-ray of the lower spine, at least 4 views: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $115.25
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $86.44
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $97.96
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $97.96
  • AETNA — FAC - PSYCHIATRIC NP: $115.25
  • AETNA — NONFAC - MD-DO: $115.25
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $86.44
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $97.96
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $97.96
  • AETNA — NONFAC - PSYCHIATRIC NP: $115.25
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XRAY LUMBOSACRAL MINIMUM 4 VIEWS $450 $360 $162 – $438.75
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $427.50
  • CIGNA — ALL PRODUCTS: $436.50
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $186.30
  • HEALTHNET — ALL PRODUCTS: $436.50
  • HUMANA — ALL PRODUCTS: $438.75
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $427.50
  • PACIFICSOURCE — MEDICARE ADV.: $181.44
  • PROVIDENCE — EPO - NON PEBB/OEBB: $436.50
  • PROVIDENCE — EPO - PEBB/OEBB: $436.50
  • PROVIDENCE — INDIVIDUAL-STANDARD: $436.50
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC X-RAY EXAM OF LOWER SPINE $36 $28.80 $10.59 – $38.83
X-ray of the lower spine, at least 4 views: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $28.05
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $21.04
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $23.84
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $23.84
  • AETNA — FAC - PSYCHIATRIC NP: $28.05
  • AETNA — NONFAC - MD-DO: $28.05
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $21.04
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $23.84
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $23.84
  • AETNA — NONFAC - PSYCHIATRIC NP: $28.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR WO $2,220 $1,776 $799.20 – $2,164.50
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $2,109
  • CIGNA — ALL PRODUCTS: $2,153.40
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $919.08
  • HEALTHNET — ALL PRODUCTS: $2,153.40
  • HUMANA — ALL PRODUCTS: $2,164.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $2,109
  • PACIFICSOURCE — MEDICARE ADV.: $895.10
  • PROVIDENCE — EPO - NON PEBB/OEBB: $2,153.40
  • PROVIDENCE — EPO - PEBB/OEBB: $2,153.40
  • PROVIDENCE — INDIVIDUAL-STANDARD: $2,153.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC MRI LUMBAR SPINE W/O DYE $528 $422.40 $59.53 – $220.40
MRI of the lower back (lumbar spine), without contrast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $158.58
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $118.93
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $134.79
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $134.79
  • AETNA — FAC - PSYCHIATRIC NP: $158.58
  • AETNA — NONFAC - MD-DO: $158.58
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $118.93
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $134.79
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $134.79
  • AETNA — NONFAC - PSYCHIATRIC NP: $158.58
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier TC In the file: PC MRI LUMBAR SPINE W/O DYE $2,160 $1,728 $117.63 – $405.11
MRI of the lower back (lumbar spine), without contrast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $288.01
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $216.01
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $244.81
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $244.81
  • AETNA — FAC - PSYCHIATRIC NP: $288.01
  • AETNA — NONFAC - MD-DO: $288.01
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $216.01
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $244.81
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $244.81
  • AETNA — NONFAC - PSYCHIATRIC NP: $288.01
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PELVIS ENHANCED $1,440 $1,152 $518.40 – $1,404
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,368
  • CIGNA — ALL PRODUCTS: $1,396.80
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $596.16
  • HEALTHNET — ALL PRODUCTS: $1,396.80
  • HUMANA — ALL PRODUCTS: $1,404
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,368
  • PACIFICSOURCE — MEDICARE ADV.: $580.61
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,396.80
  • PROVIDENCE — EPO - PEBB/OEBB: $1,396.80
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,396.80
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC CT PELVIS W/DYE $192 $153.60 $46.65 – $172.12
CT scan of the pelvis, with contrast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $123.93
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $92.95
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $105.34
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $105.34
  • AETNA — FAC - PSYCHIATRIC NP: $123.93
  • AETNA — NONFAC - MD-DO: $123.93
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $92.95
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $105.34
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $105.34
  • AETNA — NONFAC - PSYCHIATRIC NP: $123.93
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC MRI LOWER EXTREMITY JOINT $484 $387.20 $54.66 – $201.50
MRI of a leg joint (such as the knee), without contrast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $145.06
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $108.79
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $123.30
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $123.30
  • AETNA — FAC - PSYCHIATRIC NP: $145.06
  • AETNA — NONFAC - MD-DO: $145.06
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $108.79
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $123.30
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $123.30
  • AETNA — NONFAC - PSYCHIATRIC NP: $145.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier TC In the file: PC MRI LOWER EXTREMITY JOINT $2,160 $1,728 $132.51 – $460.73
MRI of a leg joint (such as the knee), without contrast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $327.64
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $245.73
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $278.49
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $278.49
  • AETNA — FAC - PSYCHIATRIC NP: $327.64
  • AETNA — NONFAC - MD-DO: $327.64
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $245.73
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $278.49
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $278.49
  • AETNA — NONFAC - PSYCHIATRIC NP: $327.64
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC MRI EXT LOWER JOINT WO LT $2,220 $1,776 $799.20 – $2,164.50
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $2,109
  • CIGNA — ALL PRODUCTS: $2,153.40
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $919.08
  • HEALTHNET — ALL PRODUCTS: $2,153.40
  • HUMANA — ALL PRODUCTS: $2,164.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $2,109
  • PACIFICSOURCE — MEDICARE ADV.: $895.10
  • PROVIDENCE — EPO - NON PEBB/OEBB: $2,153.40
  • PROVIDENCE — EPO - PEBB/OEBB: $2,153.40
  • PROVIDENCE — INDIVIDUAL-STANDARD: $2,153.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD AND PELVIS W/CONTRAST $2,400 $1,920 $864 – $2,340
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $2,280
  • CIGNA — ALL PRODUCTS: $2,328
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $993.60
  • HEALTHNET — ALL PRODUCTS: $2,328
  • HUMANA — ALL PRODUCTS: $2,340
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $2,280
  • PACIFICSOURCE — MEDICARE ADV.: $967.68
  • PROVIDENCE — EPO - NON PEBB/OEBB: $2,328
  • PROVIDENCE — EPO - PEBB/OEBB: $2,328
  • PROVIDENCE — INDIVIDUAL-STANDARD: $2,328
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC CT ABD & PELV W/CONTRAST $302 $241.60 $73.55 – $270.77
CT scan of the abdomen and pelvis, with contrast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $194.78
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $146.08
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $165.56
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $165.56
  • AETNA — FAC - PSYCHIATRIC NP: $194.78
  • AETNA — NONFAC - MD-DO: $194.78
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $146.08
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $165.56
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $165.56
  • AETNA — NONFAC - PSYCHIATRIC NP: $194.78
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC US EXAM ABDOM COMPLETE $155 $124 $102.17 – $368.37
Ultrasound of the abdomen, complete: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $155
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $197.32
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $155
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $155
  • AETNA — FAC - PSYCHIATRIC NP: $155
  • AETNA — NONFAC - MD-DO: $155
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $155
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $223.63
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $223.63
  • AETNA — NONFAC - PSYCHIATRIC NP: $155
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ABDOMEN COMPLETE $930 $744 $334.80 – $906.75
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $883.50
  • CIGNA — ALL PRODUCTS: $902.10
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $385.02
  • HEALTHNET — ALL PRODUCTS: $902.10
  • HUMANA — ALL PRODUCTS: $906.75
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $883.50
  • PACIFICSOURCE — MEDICARE ADV.: $374.98
  • PROVIDENCE — EPO - NON PEBB/OEBB: $902.10
  • PROVIDENCE — EPO - PEBB/OEBB: $902.10
  • PROVIDENCE — INDIVIDUAL-STANDARD: $902.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC US EXAM ABDOM COMPLETE $142 $113.60 $32.63 – $119.64
Ultrasound of the abdomen, complete: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $86.20
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $64.65
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $73.27
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $73.27
  • AETNA — FAC - PSYCHIATRIC NP: $86.20
  • AETNA — NONFAC - MD-DO: $86.20
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $64.65
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $73.27
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $73.27
  • AETNA — NONFAC - PSYCHIATRIC NP: $86.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC OB US >/= 14 WKS SNGL FETUS $531 $424.80 $117.34 – $428.20
Pregnancy ultrasound (after the first trimester): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $305.90
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $229.42
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $260.01
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $260.01
  • AETNA — FAC - PSYCHIATRIC NP: $305.90
  • AETNA — NONFAC - MD-DO: $305.90
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $229.42
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $260.01
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $260.01
  • AETNA — NONFAC - PSYCHIATRIC NP: $305.90
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/=14 WKS SINGLE FETUS $1,150 $920 $414 – $1,121.25
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,092.50
  • CIGNA — ALL PRODUCTS: $1,115.50
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $476.10
  • HEALTHNET — ALL PRODUCTS: $1,115.50
  • HUMANA — ALL PRODUCTS: $1,121.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,092.50
  • PACIFICSOURCE — MEDICARE ADV.: $463.68
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,115.50
  • PROVIDENCE — EPO - PEBB/OEBB: $1,115.50
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,115.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC OB US >/= 14 WKS SNGL FETUS $174 $139.20 $40.07 – $147.98
Pregnancy ultrasound (after the first trimester): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $106.87
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $80.15
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $90.84
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $90.84
  • AETNA — FAC - PSYCHIATRIC NP: $106.87
  • AETNA — NONFAC - MD-DO: $106.87
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $80.15
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $90.84
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $90.84
  • AETNA — NONFAC - PSYCHIATRIC NP: $106.87
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC TRANSVAGINAL US NON-OB $472 $377.60 $104.18 – $378.87
Transvaginal ultrasound: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $270.27
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $202.70
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $229.73
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $229.73
  • AETNA — FAC - PSYCHIATRIC NP: $270.27
  • AETNA — NONFAC - MD-DO: $270.27
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $202.70
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $229.73
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $229.73
  • AETNA — NONFAC - PSYCHIATRIC NP: $270.27
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NON OB US TRANSVAGINAL $630 $504 $226.80 – $614.25
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $598.50
  • CIGNA — ALL PRODUCTS: $611.10
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $260.82
  • HEALTHNET — ALL PRODUCTS: $611.10
  • HUMANA — ALL PRODUCTS: $614.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $598.50
  • PACIFICSOURCE — MEDICARE ADV.: $254.02
  • PROVIDENCE — EPO - NON PEBB/OEBB: $611.10
  • PROVIDENCE — EPO - PEBB/OEBB: $611.10
  • PROVIDENCE — INDIVIDUAL-STANDARD: $611.10
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC TRANSVAGINAL US NON-OB $121 $96.80 $28.05 – $103.90
Transvaginal ultrasound: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $74.66
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $56
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $63.46
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $63.46
  • AETNA — FAC - PSYCHIATRIC NP: $74.66
  • AETNA — NONFAC - MD-DO: $74.66
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $56
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $63.46
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $63.46
  • AETNA — NONFAC - PSYCHIATRIC NP: $74.66
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC DIAGNOSTIC MAMMOGRAPHY UNILATERAL $115 $92 $32.63 – $119.64
Diagnostic mammogram, one breast: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $86.20
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $64.65
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $73.27
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $73.27
  • AETNA — FAC - PSYCHIATRIC NP: $86.20
  • AETNA — NONFAC - MD-DO: $86.20
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $64.65
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $73.27
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $73.27
  • AETNA — NONFAC - PSYCHIATRIC NP: $86.20
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC DIGITAL MAMMO DIAG UNILAT W OR W/O CAD LT $390 $312 $140.40 – $380.25
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $370.50
  • CIGNA — ALL PRODUCTS: $378.30
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $161.46
  • HEALTHNET — ALL PRODUCTS: $378.30
  • HUMANA — ALL PRODUCTS: $380.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $370.50
  • PACIFICSOURCE — MEDICARE ADV.: $157.25
  • PROVIDENCE — EPO - NON PEBB/OEBB: $378.30
  • PROVIDENCE — EPO - PEBB/OEBB: $378.30
  • PROVIDENCE — INDIVIDUAL-STANDARD: $378.30
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: HC DIGITAL MAMMO DIAG UNILAT W OR W/O CAD RT $390 $312 $140.40 – $380.25
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $370.50
  • CIGNA — ALL PRODUCTS: $378.30
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $161.46
  • HEALTHNET — ALL PRODUCTS: $378.30
  • HUMANA — ALL PRODUCTS: $380.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $370.50
  • PACIFICSOURCE — MEDICARE ADV.: $157.25
  • PROVIDENCE — EPO - NON PEBB/OEBB: $378.30
  • PROVIDENCE — EPO - PEBB/OEBB: $378.30
  • PROVIDENCE — INDIVIDUAL-STANDARD: $378.30
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIGITAL MAMMOGRAPHY DIAG BILAT W OR W/O CAD $530 $424 $190.80 – $516.75
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $503.50
  • CIGNA — ALL PRODUCTS: $514.10
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $219.42
  • HEALTHNET — ALL PRODUCTS: $514.10
  • HUMANA — ALL PRODUCTS: $516.75
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $503.50
  • PACIFICSOURCE — MEDICARE ADV.: $213.70
  • PROVIDENCE — EPO - NON PEBB/OEBB: $514.10
  • PROVIDENCE — EPO - PEBB/OEBB: $514.10
  • PROVIDENCE — INDIVIDUAL-STANDARD: $514.10
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC DIAGNSTIC MAMMOGRAPHY BILATERAL $142 $113.60 $40.36 – $146.93
Diagnostic mammogram, both breasts: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $106.14
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $79.60
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $90.22
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $90.22
  • AETNA — FAC - PSYCHIATRIC NP: $106.14
  • AETNA — NONFAC - MD-DO: $106.14
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $79.60
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $90.22
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $90.22
  • AETNA — NONFAC - PSYCHIATRIC NP: $106.14
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIGITAL MAMMOGRAPHY SCREENING W OR W/O CAD $500 $400 $180 – $487.50
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $475
  • CIGNA — ALL PRODUCTS: $485
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $207
  • HEALTHNET — ALL PRODUCTS: $485
  • HUMANA — ALL PRODUCTS: $487.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $475
  • PACIFICSOURCE — MEDICARE ADV.: $201.60
  • PROVIDENCE — EPO - NON PEBB/OEBB: $485
  • PROVIDENCE — EPO - PEBB/OEBB: $485
  • PROVIDENCE — INDIVIDUAL-STANDARD: $485
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC SCREENING MAMMOGRAPHY BILATERAL $108 $86.40 $30.91 – $113.35
Screening mammogram, both breasts: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $81.58
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $61.19
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $69.35
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $69.35
  • AETNA — FAC - PSYCHIATRIC NP: $81.58
  • AETNA — NONFAC - MD-DO: $81.58
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $61.19
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $69.35
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $69.35
  • AETNA — NONFAC - PSYCHIATRIC NP: $81.58
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: HC DIGITAL MAMMO REDUC SCREENING W OR W/O CAD $500 $400 $180 – $487.50
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $475
  • CIGNA — ALL PRODUCTS: $485
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $207
  • HEALTHNET — ALL PRODUCTS: $485
  • HUMANA — ALL PRODUCTS: $487.50
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $475
  • PACIFICSOURCE — MEDICARE ADV.: $201.60
  • PROVIDENCE — EPO - NON PEBB/OEBB: $485
  • PROVIDENCE — EPO - PEBB/OEBB: $485
  • PROVIDENCE — INDIVIDUAL-STANDARD: $485

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC EKG WITH REPORT (ECG) $52 $41.60 $12.31 – $45.13
Electrocardiogram (ECG/EKG) with reading: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $32.02
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $24.02
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $27.22
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $27.22
  • AETNA — FAC - PSYCHIATRIC NP: $32.02
  • AETNA — NONFAC - MD-DO: $32.02
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $24.02
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $27.22
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $27.22
  • AETNA — NONFAC - PSYCHIATRIC NP: $32.02
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC LT HEART CATHETERIZATION $814 $651.20 $805.37 – $2,833.65
Left heart catheterization (diagnostic): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $814
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $1,504.53
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $814
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $814
  • AETNA — FAC - PSYCHIATRIC NP: $814
  • AETNA — NONFAC - MD-DO: $814
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $814
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $1,705.13
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $1,705.13
  • AETNA — NONFAC - PSYCHIATRIC NP: $814
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH INCL INJ LT VENT $10,250 $8,200 $3,690 – $9,993.75
Left heart catheterization (diagnostic): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $9,737.50
  • CIGNA — ALL PRODUCTS: $9,942.50
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $4,243.50
  • HEALTHNET — ALL PRODUCTS: $9,942.50
  • HUMANA — ALL PRODUCTS: $9,993.75
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $9,737.50
  • PACIFICSOURCE — MEDICARE ADV.: $4,132.80
  • PROVIDENCE — EPO - NON PEBB/OEBB: $9,942.50
  • PROVIDENCE — EPO - PEBB/OEBB: $9,942.50
  • PROVIDENCE — INDIVIDUAL-STANDARD: $9,942.50
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC LT HEART CATHETERIZATION $781 $624.80 $196.90 – $719.96
Left heart catheterization (diagnostic): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $501.41
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $376.05
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $426.20
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $426.20
  • AETNA — FAC - PSYCHIATRIC NP: $501.41
  • AETNA — NONFAC - MD-DO: $501.41
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $376.05
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $426.20
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $426.20
  • AETNA — NONFAC - PSYCHIATRIC NP: $501.41
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE EP EVAL W/O INDU $8,960 $7,168 $3,225.60 – $8,736
Heart rhythm study (electrophysiology evaluation): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $8,512
  • CIGNA — ALL PRODUCTS: $8,691.20
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $3,709.44
  • HEALTHNET — ALL PRODUCTS: $8,691.20
  • HUMANA — ALL PRODUCTS: $8,736
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $8,512
  • PACIFICSOURCE — MEDICARE ADV.: $3,612.67
  • PROVIDENCE — EPO - NON PEBB/OEBB: $8,691.20
  • PROVIDENCE — EPO - PEBB/OEBB: $8,691.20
  • PROVIDENCE — INDIVIDUAL-STANDARD: $8,691.20
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC COMPREHENSIVE EP EVAL W/O INDUCTIN $1,285 $1,028 $327.13 – $1,184.89
Heart rhythm study (electrophysiology evaluation): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $825.35
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $619.01
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $701.54
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $701.54
  • AETNA — FAC - PSYCHIATRIC NP: $825.35
  • AETNA — NONFAC - MD-DO: $825.35
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $619.01
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $701.54
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $701.54
  • AETNA — NONFAC - PSYCHIATRIC NP: $825.35
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC TX ATRIAL FIB PULM VEIN ISOL $3,293 $2,634.40 $830.68 – $2,939.65
Heart rhythm study with ablation for atrial fibrillation: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $2,028.65
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $1,521.49
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $1,724.35
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $1,724.35
  • AETNA — FAC - PSYCHIATRIC NP: $2,028.65
  • AETNA — NONFAC - MD-DO: $2,028.65
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $1,521.49
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $1,724.35
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $1,724.35
  • AETNA — NONFAC - PSYCHIATRIC NP: $2,028.65
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP TX ATRIAL FIB PULM VEIN ISOL $50,000 $40,000 $18,000 – $48,750
Heart rhythm study with ablation for atrial fibrillation: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $47,500
  • CIGNA — ALL PRODUCTS: $48,500
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $20,700
  • HEALTHNET — ALL PRODUCTS: $48,500
  • HUMANA — ALL PRODUCTS: $48,750
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $47,500
  • PACIFICSOURCE — MEDICARE ADV.: $20,160
  • PROVIDENCE — EPO - NON PEBB/OEBB: $48,500
  • PROVIDENCE — EPO - PEBB/OEBB: $48,500
  • PROVIDENCE — INDIVIDUAL-STANDARD: $48,500
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMINOGRAPHY SLEEP STUDY $5,360 $4,288 $1,929.60 – $5,226
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $5,092
  • CIGNA — ALL PRODUCTS: $5,199.20
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $2,219.04
  • HEALTHNET — ALL PRODUCTS: $5,199.20
  • HUMANA — ALL PRODUCTS: $5,226
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $5,092
  • PACIFICSOURCE — MEDICARE ADV.: $2,161.15
  • PROVIDENCE — EPO - NON PEBB/OEBB: $5,199.20
  • PROVIDENCE — EPO - PEBB/OEBB: $5,199.20
  • PROVIDENCE — INDIVIDUAL-STANDARD: $5,199.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PC POLYSOMNOGRAPHY SLEEP STUDY $382 $305.60 $99.60 – $364.18
Sleep study (overnight, in a sleep lab): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $263.09
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $197.32
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $223.63
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $223.63
  • AETNA — FAC - PSYCHIATRIC NP: $263.09
  • AETNA — NONFAC - MD-DO: $263.09
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $197.32
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $223.63
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $223.63
  • AETNA — NONFAC - PSYCHIATRIC NP: $263.09
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier TC In the file: PC POLYSOMNOGRAPHY SLEEP STUDY $1,397 $1,117.60 $416.14 – $1,540.67
Sleep study (overnight, in a sleep lab): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $1,093.49
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $820.12
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $929.46
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $929.46
  • AETNA — FAC - PSYCHIATRIC NP: $1,093.49
  • AETNA — NONFAC - MD-DO: $1,093.49
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $820.12
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $929.46
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $929.46
  • AETNA — NONFAC - PSYCHIATRIC NP: $1,093.49

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC THERAPEUTIC EXERCISE $85 $68 $24.90 – $92.36
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $66.69
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $50.02
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $56.69
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $56.69
  • AETNA — FAC - PSYCHIATRIC NP: $66.69
  • AETNA — NONFAC - MD-DO: $66.69
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $50.02
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $56.69
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $56.69
  • AETNA — NONFAC - PSYCHIATRIC NP: $66.69
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC EXERCISE THERAPEUTIC PT $92 $73.60 $33.12 – $89.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $87.40
  • CIGNA — ALL PRODUCTS: $89.24
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $38.09
  • HEALTHNET — ALL PRODUCTS: $89.24
  • HUMANA — ALL PRODUCTS: $89.70
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $87.40
  • PACIFICSOURCE — MEDICARE ADV.: $37.09
  • PROVIDENCE — EPO - NON PEBB/OEBB: $89.24
  • PROVIDENCE — EPO - PEBB/OEBB: $89.24
  • PROVIDENCE — INDIVIDUAL-STANDARD: $89.24
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC EXERCISE THERAPEUTIC OT $92 $73.60 $33.12 – $89.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $87.40
  • CIGNA — ALL PRODUCTS: $89.24
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $38.09
  • HEALTHNET — ALL PRODUCTS: $89.24
  • HUMANA — ALL PRODUCTS: $89.70
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $87.40
  • PACIFICSOURCE — MEDICARE ADV.: $37.09
  • PROVIDENCE — EPO - NON PEBB/OEBB: $89.24
  • PROVIDENCE — EPO - PEBB/OEBB: $89.24
  • PROVIDENCE — INDIVIDUAL-STANDARD: $89.24
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC PT EVALUATION LOW COMPLEXITY $291 $232.80 $83.57 – $314.85
Physical therapy evaluation (low complexity): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $227.19
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $170.39
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $193.11
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $193.11
  • AETNA — FAC - PSYCHIATRIC NP: $227.19
  • AETNA — NONFAC - MD-DO: $227.19
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $170.39
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $193.11
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $193.11
  • AETNA — NONFAC - PSYCHIATRIC NP: $227.19
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PHYSICAL THERAPY EVAL LOW COMPLEXITY $310 $248 $111.60 – $302.25
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $294.50
  • CIGNA — ALL PRODUCTS: $300.70
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $128.34
  • HEALTHNET — ALL PRODUCTS: $300.70
  • HUMANA — ALL PRODUCTS: $302.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $294.50
  • PACIFICSOURCE — MEDICARE ADV.: $124.99
  • PROVIDENCE — EPO - NON PEBB/OEBB: $300.70
  • PROVIDENCE — EPO - PEBB/OEBB: $300.70
  • PROVIDENCE — INDIVIDUAL-STANDARD: $300.70
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC PT EVALUATION MODERATE COMPLEXITY $291 $232.80 $83.57 – $314.85
Physical therapy evaluation (moderate complexity): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $227.19
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $170.39
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $193.11
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $193.11
  • AETNA — FAC - PSYCHIATRIC NP: $227.19
  • AETNA — NONFAC - MD-DO: $227.19
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $170.39
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $193.11
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $193.11
  • AETNA — NONFAC - PSYCHIATRIC NP: $227.19
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PHYSICAL THERAPY EVAL MODERATE COMPLEXITY $310 $248 $111.60 – $302.25
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $294.50
  • CIGNA — ALL PRODUCTS: $300.70
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $128.34
  • HEALTHNET — ALL PRODUCTS: $300.70
  • HUMANA — ALL PRODUCTS: $302.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $294.50
  • PACIFICSOURCE — MEDICARE ADV.: $124.99
  • PROVIDENCE — EPO - NON PEBB/OEBB: $300.70
  • PROVIDENCE — EPO - PEBB/OEBB: $300.70
  • PROVIDENCE — INDIVIDUAL-STANDARD: $300.70
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC PT EVALUATION HIGH COMPLEXITY $291 $232.80 $83.57 – $314.85
Physical therapy evaluation (high complexity): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $227.19
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $170.39
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $193.11
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $193.11
  • AETNA — FAC - PSYCHIATRIC NP: $227.19
  • AETNA — NONFAC - MD-DO: $227.19
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $170.39
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $193.11
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $193.11
  • AETNA — NONFAC - PSYCHIATRIC NP: $227.19
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PHYSICAL THERAPY EVAL HIGH COMPLEXITY $310 $248 $111.60 – $302.25
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $294.50
  • CIGNA — ALL PRODUCTS: $300.70
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $128.34
  • HEALTHNET — ALL PRODUCTS: $300.70
  • HUMANA — ALL PRODUCTS: $302.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $294.50
  • PACIFICSOURCE — MEDICARE ADV.: $124.99
  • PROVIDENCE — EPO - NON PEBB/OEBB: $300.70
  • PROVIDENCE — EPO - PEBB/OEBB: $300.70
  • PROVIDENCE — INDIVIDUAL-STANDARD: $300.70
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC PSYCHOTHERAPY W PT 30 MINS $243 $194.40 $56.38 – $234.04
Psychotherapy, 30 minutes: 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $149.85
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $112.39
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $127.38
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $127.38
  • AETNA — FAC - PSYCHIATRIC NP: $149.85
  • AETNA — NONFAC - MD-DO: $170.04
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $127.53
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $144.54
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $144.54
  • AETNA — NONFAC - PSYCHIATRIC NP: $170.04
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH 30 MIN W PT/FAMILY $48 $38.40 $17.28 – $46.80
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $45.60
  • CIGNA — ALL PRODUCTS: $46.56
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $19.87
  • HEALTHNET — ALL PRODUCTS: $46.56
  • HUMANA — ALL PRODUCTS: $46.80
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $45.60
  • PACIFICSOURCE — MEDICARE ADV.: $19.35
  • PROVIDENCE — EPO - NON PEBB/OEBB: $46.56
  • PROVIDENCE — EPO - PEBB/OEBB: $46.56
  • PROVIDENCE — INDIVIDUAL-STANDARD: $46.56
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX W PT 30 MINS $200 $160 $72 – $195
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $190
  • CIGNA — ALL PRODUCTS: $194
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $82.80
  • HEALTHNET — ALL PRODUCTS: $194
  • HUMANA — ALL PRODUCTS: $195
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $190
  • PACIFICSOURCE — MEDICARE ADV.: $80.64
  • PROVIDENCE — EPO - NON PEBB/OEBB: $194
  • PROVIDENCE — EPO - PEBB/OEBB: $194
  • PROVIDENCE — INDIVIDUAL-STANDARD: $194
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC PSYCHOTHERAPY W PT 45 MINS $321 $256.80 $74.70 – $309.60
Psychotherapy, 45 minutes: 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $198.55
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $148.91
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $168.77
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $168.77
  • AETNA — FAC - PSYCHIATRIC NP: $198.55
  • AETNA — NONFAC - MD-DO: $224.70
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $168.52
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $190.99
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $190.99
  • AETNA — NONFAC - PSYCHIATRIC NP: $224.70
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH 45 MIN W PT/FAMILY $64 $51.20 $23.04 – $62.40
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $60.80
  • CIGNA — ALL PRODUCTS: $62.08
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $26.50
  • HEALTHNET — ALL PRODUCTS: $62.08
  • HUMANA — ALL PRODUCTS: $62.40
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $60.80
  • PACIFICSOURCE — MEDICARE ADV.: $25.80
  • PROVIDENCE — EPO - NON PEBB/OEBB: $62.08
  • PROVIDENCE — EPO - PEBB/OEBB: $62.08
  • PROVIDENCE — INDIVIDUAL-STANDARD: $62.08
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX W PT 45 MINS $270 $216 $97.20 – $263.25
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $256.50
  • CIGNA — ALL PRODUCTS: $261.90
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $111.78
  • HEALTHNET — ALL PRODUCTS: $261.90
  • HUMANA — ALL PRODUCTS: $263.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $256.50
  • PACIFICSOURCE — MEDICARE ADV.: $108.86
  • PROVIDENCE — EPO - NON PEBB/OEBB: $261.90
  • PROVIDENCE — EPO - PEBB/OEBB: $261.90
  • PROVIDENCE — INDIVIDUAL-STANDARD: $261.90
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC PSYCHOTHERAPY W PT 60 MINS $471 $376.80 $89.97 – $455.48
Psychotherapy, 60 minutes: 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $291.99
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $218.99
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $248.19
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $248.19
  • AETNA — FAC - PSYCHIATRIC NP: $291.99
  • AETNA — NONFAC - MD-DO: $330.86
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $248.15
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $281.23
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $281.23
  • AETNA — NONFAC - PSYCHIATRIC NP: $330.86
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCH 60 MIN W PT/FAMILY $94 $75.20 $33.84 – $91.65
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $89.30
  • CIGNA — ALL PRODUCTS: $91.18
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $38.92
  • HEALTHNET — ALL PRODUCTS: $91.18
  • HUMANA — ALL PRODUCTS: $91.65
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $89.30
  • PACIFICSOURCE — MEDICARE ADV.: $37.90
  • PROVIDENCE — EPO - NON PEBB/OEBB: $91.18
  • PROVIDENCE — EPO - PEBB/OEBB: $91.18
  • PROVIDENCE — INDIVIDUAL-STANDARD: $91.18
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX W PT 60 MINS $330 $264 $118.80 – $321.75
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $313.50
  • CIGNA — ALL PRODUCTS: $320.10
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $136.62
  • HEALTHNET — ALL PRODUCTS: $320.10
  • HUMANA — ALL PRODUCTS: $321.75
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $313.50
  • PACIFICSOURCE — MEDICARE ADV.: $133.06
  • PROVIDENCE — EPO - NON PEBB/OEBB: $320.10
  • PROVIDENCE — EPO - PEBB/OEBB: $320.10
  • PROVIDENCE — INDIVIDUAL-STANDARD: $320.10
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC FAMILY PSYCHOTHERAPY W/O PT 50 MIN $318 $254.40 $74.24 – $295.96
Family psychotherapy, without the patient: 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $214.38
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $160.78
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $182.22
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $182.22
  • AETNA — FAC - PSYCHIATRIC NP: $214.38
  • AETNA — NONFAC - MD-DO: $215.11
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $161.33
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $182.84
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $182.84
  • AETNA — NONFAC - PSYCHIATRIC NP: $215.11
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTX / NO PT 15 MIN $64 $51.20 $23.04 – $62.40
Family psychotherapy, without the patient: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $60.80
  • CIGNA — ALL PRODUCTS: $62.08
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $26.50
  • HEALTHNET — ALL PRODUCTS: $62.08
  • HUMANA — ALL PRODUCTS: $62.40
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $60.80
  • PACIFICSOURCE — MEDICARE ADV.: $25.80
  • PROVIDENCE — EPO - NON PEBB/OEBB: $62.08
  • PROVIDENCE — EPO - PEBB/OEBB: $62.08
  • PROVIDENCE — INDIVIDUAL-STANDARD: $62.08
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYTX WO /PT 50 MIN $270 $216 $97.20 – $263.25
Family psychotherapy, without the patient: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $256.50
  • CIGNA — ALL PRODUCTS: $261.90
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $111.78
  • HEALTHNET — ALL PRODUCTS: $261.90
  • HUMANA — ALL PRODUCTS: $263.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $256.50
  • PACIFICSOURCE — MEDICARE ADV.: $108.86
  • PROVIDENCE — EPO - NON PEBB/OEBB: $261.90
  • PROVIDENCE — EPO - PEBB/OEBB: $261.90
  • PROVIDENCE — INDIVIDUAL-STANDARD: $261.90
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC FAMILY PSYCHOTHERAPY W PT 50 MIN $329 $263.20 $83.57 – $308.55
Family psychotherapy, with the patient: 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $223.60
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $167.70
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $190.06
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $190.06
  • AETNA — FAC - PSYCHIATRIC NP: $223.60
  • AETNA — NONFAC - MD-DO: $224.36
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $168.27
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $190.70
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $190.70
  • AETNA — NONFAC - PSYCHIATRIC NP: $224.36
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTX W/ PT 15 MIN $66 $52.80 $23.76 – $64.35
Family psychotherapy, with the patient: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $62.70
  • CIGNA — ALL PRODUCTS: $64.02
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $27.32
  • HEALTHNET — ALL PRODUCTS: $64.02
  • HUMANA — ALL PRODUCTS: $64.35
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $62.70
  • PACIFICSOURCE — MEDICARE ADV.: $26.61
  • PROVIDENCE — EPO - NON PEBB/OEBB: $64.02
  • PROVIDENCE — EPO - PEBB/OEBB: $64.02
  • PROVIDENCE — INDIVIDUAL-STANDARD: $64.02
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYTX W/PT 50 MIN $270 $216 $97.20 – $263.25
Family psychotherapy, with the patient: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $256.50
  • CIGNA — ALL PRODUCTS: $261.90
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $111.78
  • HEALTHNET — ALL PRODUCTS: $261.90
  • HUMANA — ALL PRODUCTS: $263.25
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $256.50
  • PACIFICSOURCE — MEDICARE ADV.: $108.86
  • PROVIDENCE — EPO - NON PEBB/OEBB: $261.90
  • PROVIDENCE — EPO - PEBB/OEBB: $261.90
  • PROVIDENCE — INDIVIDUAL-STANDARD: $261.90
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC GROUP PSYCHOTHERAPY $86 $68.80 $19.75 – $82.91
Group psychotherapy: 10 of 115 insurance plan rates
  • AETNA — FAC - MD-DO: $52.55
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $39.42
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $44.67
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $44.67
  • AETNA — FAC - PSYCHIATRIC NP: $52.55
  • AETNA — NONFAC - MD-DO: $60.02
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $45.02
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $51.02
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $51.02
  • AETNA — NONFAC - PSYCHIATRIC NP: $60.02
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY $17 $13.60 $6.12 – $16.58
Group psychotherapy: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $16.15
  • CIGNA — ALL PRODUCTS: $16.49
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $7.04
  • HEALTHNET — ALL PRODUCTS: $16.49
  • HUMANA — ALL PRODUCTS: $16.58
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $16.15
  • PACIFICSOURCE — MEDICARE ADV.: $6.85
  • PROVIDENCE — EPO - NON PEBB/OEBB: $16.49
  • PROVIDENCE — EPO - PEBB/OEBB: $16.49
  • PROVIDENCE — INDIVIDUAL-STANDARD: $16.49

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC EXCISE OF CYST BREAST MALE/FEMALE $1,559 $1,247.20 $352.03 – $1,638.27
Removal of breast growth (open surgery): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $911.13
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $683.35
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $774.46
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $774.46
  • AETNA — FAC - PSYCHIATRIC NP: $911.13
  • AETNA — NONFAC - MD-DO: $1,140.68
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $855.51
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $969.57
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $969.57
  • AETNA — NONFAC - PSYCHIATRIC NP: $1,140.68
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXCISE OF CYST BREAST MALE/FEM $312 $249.60 $112.32 – $304.20
Removal of breast growth (open surgery): 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $296.40
  • CIGNA — ALL PRODUCTS: $302.64
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $129.17
  • HEALTHNET — ALL PRODUCTS: $302.64
  • HUMANA — ALL PRODUCTS: $304.20
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $296.40
  • PACIFICSOURCE — MEDICARE ADV.: $125.80
  • PROVIDENCE — EPO - NON PEBB/OEBB: $302.64
  • PROVIDENCE — EPO - PEBB/OEBB: $302.64
  • PROVIDENCE — INDIVIDUAL-STANDARD: $302.64
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC HIP REPLACEMENT TOTAL $5,275 $4,220 $1,084.70 – $4,029.03
Total hip replacement: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $2,806.92
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $2,105.19
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $2,385.88
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $2,385.88
  • AETNA — FAC - PSYCHIATRIC NP: $2,806.92
  • AETNA — NONFAC - MD-DO: $2,806.92
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $2,105.19
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $2,385.88
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $2,385.88
  • AETNA — NONFAC - PSYCHIATRIC NP: $2,806.92
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC ARTHROPLASTY KNEE CONDYL MED & LAT $5,270 $4,216 $1,083.27 – $4,024.83
Total knee replacement: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $2,804.20
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $2,103.15
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $2,383.57
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $2,383.57
  • AETNA — FAC - PSYCHIATRIC NP: $2,804.20
  • AETNA — NONFAC - MD-DO: $2,804.20
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $2,103.15
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $2,383.57
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $2,383.57
  • AETNA — NONFAC - PSYCHIATRIC NP: $2,804.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC ARTHROSCOPY SHLDER DECOMP SUBACRI $701 $560.80 $146.25 – $536.29
Shoulder arthroscopy: shaving of shoulder bone: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $373.02
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $279.77
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $317.07
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $317.07
  • AETNA — FAC - PSYCHIATRIC NP: $373.02
  • AETNA — NONFAC - MD-DO: $373.02
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $279.77
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $317.07
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $317.07
  • AETNA — NONFAC - PSYCHIATRIC NP: $373.02
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC ARTHROSCOPY KNEE W/MENISECT MED OR $2,255 $1,804 $459.06 – $1,713.83
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $1,199.76
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $899.82
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $1,019.80
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $1,019.80
  • AETNA — FAC - PSYCHIATRIC NP: $1,199.76
  • AETNA — NONFAC - MD-DO: $1,199.76
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $899.82
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $1,019.80
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $1,019.80
  • AETNA — NONFAC - PSYCHIATRIC NP: $1,199.76
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC TONSILECTOMY/ADENOID < 12 $1,025 $820 $241.55 – $919.36
Removal of tonsils and adenoids (under age 12): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $648.84
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $486.63
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $551.51
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $551.51
  • AETNA — FAC - PSYCHIATRIC NP: $648.84
  • AETNA — NONFAC - MD-DO: $648.84
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $486.63
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $551.51
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $551.51
  • AETNA — NONFAC - PSYCHIATRIC NP: $648.84
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC ESOPHAGOGASTRODUODENOSCOPY DIAGNOSTIC $1,003 $802.40 $102.17 – $908.87
Upper GI endoscopy (diagnostic): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $267.07
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $200.30
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $227.01
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $227.01
  • AETNA — FAC - PSYCHIATRIC NP: $267.07
  • AETNA — NONFAC - MD-DO: $645.39
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $484.04
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $548.58
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $548.58
  • AETNA — NONFAC - PSYCHIATRIC NP: $645.39
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC UPPER GI ENDO W/BIOPSY 1 OR MORE $1,445 $1,156 $115.05 – $1,190.13
Upper GI endoscopy with biopsy: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $301.37
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $226.03
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $256.17
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $256.17
  • AETNA — FAC - PSYCHIATRIC NP: $301.37
  • AETNA — NONFAC - MD-DO: $845.67
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $634.26
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $718.82
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $718.82
  • AETNA — NONFAC - PSYCHIATRIC NP: $845.67
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UPPER GI ENDO W/BIOPSY 1OR MOR $290 $232 $104.40 – $282.75
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $275.50
  • CIGNA — ALL PRODUCTS: $281.30
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $120.06
  • HEALTHNET — ALL PRODUCTS: $281.30
  • HUMANA — ALL PRODUCTS: $282.75
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $275.50
  • PACIFICSOURCE — MEDICARE ADV.: $116.93
  • PROVIDENCE — EPO - NON PEBB/OEBB: $281.30
  • PROVIDENCE — EPO - PEBB/OEBB: $281.30
  • PROVIDENCE — INDIVIDUAL-STANDARD: $281.30
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC COLONOSCOPY FIBEROPTIC $1,445 $1,156 $154.55 – $1,069.44
Colonoscopy (diagnostic): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $401.55
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $301.16
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $341.32
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $341.32
  • AETNA — FAC - PSYCHIATRIC NP: $401.55
  • AETNA — NONFAC - MD-DO: $758.20
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $568.65
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $644.47
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $644.47
  • AETNA — NONFAC - PSYCHIATRIC NP: $758.20
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC COLONOSCOPY W/REM TUMORS BY FORCEP $1,603 $1,282.40 $167.43 – $1,368.55
Colonoscopy with biopsy: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $436.91
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $327.68
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $371.37
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $371.37
  • AETNA — FAC - PSYCHIATRIC NP: $436.91
  • AETNA — NONFAC - MD-DO: $971.50
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $728.62
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $825.77
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $825.77
  • AETNA — NONFAC - PSYCHIATRIC NP: $971.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC COLONOSCOPY POLYP REMOVAL $1,603 $1,282.40 $211.50 – $1,428.37
Colonoscopy with removal of polyps (snare): 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $552.98
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $414.73
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $470.03
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $470.03
  • AETNA — FAC - PSYCHIATRIC NP: $552.98
  • AETNA — NONFAC - MD-DO: $1,013.55
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $760.16
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $861.52
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $861.52
  • AETNA — NONFAC - PSYCHIATRIC NP: $1,013.55
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC LAPAROSCOPY CHOLECYSTECTOMY $2,260 $1,808 $559.24 – $2,073.81
Gallbladder removal by laparoscope: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $1,430.24
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $1,072.68
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $1,215.70
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $1,215.70
  • AETNA — FAC - PSYCHIATRIC NP: $1,430.24
  • AETNA — NONFAC - MD-DO: $1,430.24
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $1,072.68
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $1,215.70
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $1,215.70
  • AETNA — NONFAC - PSYCHIATRIC NP: $1,430.24
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY, PROSTATE, SNGL/MULTI A $146 $116.80 $52.56 – $142.35
Prostate biopsy: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $138.70
  • CIGNA — ALL PRODUCTS: $141.62
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $60.44
  • HEALTHNET — ALL PRODUCTS: $141.62
  • HUMANA — ALL PRODUCTS: $142.35
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $138.70
  • PACIFICSOURCE — MEDICARE ADV.: $58.87
  • PROVIDENCE — EPO - NON PEBB/OEBB: $141.62
  • PROVIDENCE — EPO - PEBB/OEBB: $141.62
  • PROVIDENCE — INDIVIDUAL-STANDARD: $141.62
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC HYSTEROSCOPY W/BIOPSY W OR W/O D&C $3,224 $2,579.20 $194.04 – $4,250.48
Hysteroscopy with biopsy of the uterus lining: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $505.97
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $379.48
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $430.08
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $430.08
  • AETNA — FAC - PSYCHIATRIC NP: $505.97
  • AETNA — NONFAC - MD-DO: $3,018.90
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $2,264.17
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $2,566.06
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $2,566.06
  • AETNA — NONFAC - PSYCHIATRIC NP: $3,018.90
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HB HYSTEROSCOPY BIOPSY W/WO D&C $763 $610.40 $274.68 – $743.93
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $724.85
  • CIGNA — ALL PRODUCTS: $740.11
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $315.88
  • HEALTHNET — ALL PRODUCTS: $740.11
  • HUMANA — ALL PRODUCTS: $743.93
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $724.85
  • PACIFICSOURCE — MEDICARE ADV.: $307.64
  • PROVIDENCE — EPO - NON PEBB/OEBB: $740.11
  • PROVIDENCE — EPO - PEBB/OEBB: $740.11
  • PROVIDENCE — INDIVIDUAL-STANDARD: $740.11
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC NJX INTERLAMINAR LMBR/SAC W GUDIE $1,154 $923.20 $82.71 – $812.31
Spinal injection, lower back (epidural), with imaging guidance: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $217.80
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $163.35
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $185.13
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $185.13
  • AETNA — FAC - PSYCHIATRIC NP: $217.80
  • AETNA — NONFAC - MD-DO: $578.17
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $433.63
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $491.45
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $491.45
  • AETNA — NONFAC - PSYCHIATRIC NP: $578.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC INJ TRANSFOR EPI L/S BIL SNGL REDUCD $1,920 $1,536 $691.20 – $1,872
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,824
  • CIGNA — ALL PRODUCTS: $1,862.40
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $794.88
  • HEALTHNET — ALL PRODUCTS: $1,862.40
  • HUMANA — ALL PRODUCTS: $1,872
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,824
  • PACIFICSOURCE — MEDICARE ADV.: $774.14
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,862.40
  • PROVIDENCE — EPO - PEBB/OEBB: $1,862.40
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,862.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC INJ TRANSFOR EPI L/S SNGL LT $1,920 $1,536 $691.20 – $1,872
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,824
  • CIGNA — ALL PRODUCTS: $1,862.40
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $794.88
  • HEALTHNET — ALL PRODUCTS: $1,862.40
  • HUMANA — ALL PRODUCTS: $1,872
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,824
  • PACIFICSOURCE — MEDICARE ADV.: $774.14
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,862.40
  • PROVIDENCE — EPO - PEBB/OEBB: $1,862.40
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,862.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: HC INJ TRANSFOR EPI L/S SNGLE RT $1,920 $1,536 $691.20 – $1,872
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
  • AETNA — ALL PRODUCTS: $1,824
  • CIGNA — ALL PRODUCTS: $1,862.40
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $794.88
  • HEALTHNET — ALL PRODUCTS: $1,862.40
  • HUMANA — ALL PRODUCTS: $1,872
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: $1,824
  • PACIFICSOURCE — MEDICARE ADV.: $774.14
  • PROVIDENCE — EPO - NON PEBB/OEBB: $1,862.40
  • PROVIDENCE — EPO - PEBB/OEBB: $1,862.40
  • PROVIDENCE — INDIVIDUAL-STANDARD: $1,862.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC NEUROPLASTY MEDIAL @ CARPAL TUNNEL $1,860 $1,488 $367.20 – $1,410.53
Carpal tunnel release: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $971.70
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $728.78
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $825.95
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $825.95
  • AETNA — FAC - PSYCHIATRIC NP: $971.70
  • AETNA — NONFAC - MD-DO: $989.63
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $742.23
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $841.19
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $841.19
  • AETNA — NONFAC - PSYCHIATRIC NP: $989.63

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC OB NORMAL CARE $7,086 $5,668.80 $2,010.84 – $7,543.81
Vaginal delivery, with care before and after: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $5,183.97
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $3,887.98
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $4,406.38
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $4,406.38
  • AETNA — FAC - PSYCHIATRIC NP: $5,183.97
  • AETNA — NONFAC - MD-DO: $5,183.97
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $3,887.98
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $4,406.38
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $4,406.38
  • AETNA — NONFAC - PSYCHIATRIC NP: $5,183.97
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC OB CARE CESAREAN DELIVERY $7,797 $6,237.60 $2,220.91 – $8,346.67
Cesarean delivery (C-section), with care before and after: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $5,703.22
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $4,277.41
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $4,847.73
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $4,847.73
  • AETNA — FAC - PSYCHIATRIC NP: $5,703.22
  • AETNA — NONFAC - MD-DO: $5,703.22
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $4,277.41
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $4,847.73
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $4,847.73
  • AETNA — NONFAC - PSYCHIATRIC NP: $5,703.22
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PC VBAC W/TOTAL OB CARE $7,377 $5,901.60 $2,102.14 – $7,901.69
Vaginal delivery after a previous C-section, with care before and after: 10 of 114 insurance plan rates
  • AETNA — FAC - MD-DO: $5,396.73
  • AETNA — FAC - MIDLEVEL LCSW/LPC/RDN: $4,047.54
  • AETNA — FAC - MIDLEVEL NP-PA-CNM: $4,587.22
  • AETNA — FAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $4,587.22
  • AETNA — FAC - PSYCHIATRIC NP: $5,396.73
  • AETNA — NONFAC - MD-DO: $5,396.73
  • AETNA — NONFAC - MIDLEVEL LCSW/LPC/RDN: $4,047.54
  • AETNA — NONFAC - MIDLEVEL NP-PA-CNM: $4,587.22
  • AETNA — NONFAC - OPTOMETRISTS - PYSCHOLOGISTS- PT-ST-OT: $4,587.22
  • AETNA — NONFAC - PSYCHIATRIC NP: $5,396.73

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $4,543
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 10 insurance plans
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $4,543
  • HEALTHNET — ALL PRODUCTS: $100,181
  • AETNA — ALL PRODUCTS: 95% (a percentage in the contract, not a dollar amount)
  • CIGNA — ALL PRODUCTS: 97% (a percentage in the contract, not a dollar amount)
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: 95% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — EPO - NON PEBB/OEBB: 97% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — EPO - PEBB/OEBB: 97% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — INDIVIDUAL-STANDARD: 97% (a percentage in the contract, not a dollar amount)
  • REGENCE — ALL PRODUCTS: 96.55% (a percentage in the contract, not a dollar amount)
  • SAMARITAN — SAMARITAN CHOICE: 80% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC Not listed in the file Not listed in the file $4,543
Hip or knee replacement (major joint of the leg), without major complications: rates for 10 insurance plans
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $4,543
  • AETNA — ALL PRODUCTS: 95% (a percentage in the contract, not a dollar amount)
  • CIGNA — ALL PRODUCTS: 97% (a percentage in the contract, not a dollar amount)
  • HEALTHNET — ALL PRODUCTS: 97% (a percentage in the contract, not a dollar amount)
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: 95% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — EPO - NON PEBB/OEBB: 97% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — EPO - PEBB/OEBB: 97% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — INDIVIDUAL-STANDARD: 97% (a percentage in the contract, not a dollar amount)
  • REGENCE — ALL PRODUCTS: 96.55% (a percentage in the contract, not a dollar amount)
  • SAMARITAN — SAMARITAN CHOICE: 80% (a percentage in the contract, not a dollar amount)
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 $4,543
Neck (cervical) spinal fusion, without complications: rates for 10 insurance plans
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $4,543
  • AETNA — ALL PRODUCTS: 95% (a percentage in the contract, not a dollar amount)
  • CIGNA — ALL PRODUCTS: 97% (a percentage in the contract, not a dollar amount)
  • HEALTHNET — ALL PRODUCTS: 97% (a percentage in the contract, not a dollar amount)
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: 95% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — EPO - NON PEBB/OEBB: 97% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — EPO - PEBB/OEBB: 97% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — INDIVIDUAL-STANDARD: 97% (a percentage in the contract, not a dollar amount)
  • REGENCE — ALL PRODUCTS: 96.55% (a percentage in the contract, not a dollar amount)
  • SAMARITAN — SAMARITAN CHOICE: 80% (a percentage in the contract, not a dollar amount)
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 $4,543
Uterus and ovary surgery (not for cancer), without complications: rates for 10 insurance plans
  • DEVOTED HEALTH — DEVOTED HEALTH MCR ADVANTAGE: $4,543
  • AETNA — ALL PRODUCTS: 95% (a percentage in the contract, not a dollar amount)
  • CIGNA — ALL PRODUCTS: 97% (a percentage in the contract, not a dollar amount)
  • HEALTHNET — ALL PRODUCTS: 97% (a percentage in the contract, not a dollar amount)
  • MODA — CONNEXUS-SYNERGY-OHSU PPO: 95% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — EPO - NON PEBB/OEBB: 97% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — EPO - PEBB/OEBB: 97% (a percentage in the contract, not a dollar amount)
  • PROVIDENCE — INDIVIDUAL-STANDARD: 97% (a percentage in the contract, not a dollar amount)
  • REGENCE — ALL PRODUCTS: 96.55% (a percentage in the contract, not a dollar amount)
  • SAMARITAN — SAMARITAN CHOICE: 80% (a percentage in the contract, not a dollar amount)

Source: Samaritan North Lincoln Hospital’s standard charges file (samaritanhealth.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 31, 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 typeCritical Access Hospital
Address3043 NE 28th Street, Lincoln City, OR 97367
CountyLincoln County
StateOregon
Phone(541) 994‑3661
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number381302
Name in Medicare recordsSAMARITAN NORTH LINCOLN HOSPITAL
Profile levelMedicare data + hospital website
Official websitesamhealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Samaritan North Lincoln Hospital — samhealth.org
  2. Emergency Care - Samaritan Health Services — samhealth.org