Does Seattle Children's Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Seattle Children's Hospital. In a medical emergency, call 911.

Where is Seattle Children's Hospital?

4800 Sand Point Way NE, PO Box C-5371, Seattle, WA 98105, in King County, Washington.

What is the phone number of Seattle Children's Hospital?

(206) 987-2000, as listed by Medicare (CMS).

What is the Medicare star rating of Seattle Children's Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Seattle Children's Hospital — Seattle, WA

Quick answers

Does Seattle Children's Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Seattle Children's Hospital. In a medical emergency, call 911.
Where is Seattle Children's Hospital?: 4800 Sand Point Way NE, PO Box C-5371, Seattle, WA 98105, in King County, Washington.
What is the phone number of Seattle Children's Hospital?: (206) 987-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Seattle Children's Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[10]

Anesthesiology
Audiology
Cardiology
Clinical Genetics
Critical Care
Dentistry
Dermatology
Gastroenterology and Hepatology
General Surgery
Immunology
Infectious Disease and Virology
Interventional Radiology
Nephrology
Neonatology
Neuropsychology
Neurosciences
Ophthalmology
Oral and Maxillofacial Surgery
Orthopedics
Otolaryngology
Pain Medicine
Plastic Surgery
Psychiatry and Behavioral Medicine
Pulmonary
Rehabilitation Medicine
Rheumatology
Sports Medicine
Urology

Programs and centers^[10]

Brain Tumor Program
Cancer and Blood Disorders Center
Cochlear Implant Program
Craniofacial Center
Cystic Fibrosis Program
Epilepsy Program
Headache Program
Inflammatory Bowel Disease Center
Neuroblastoma Program
Palliative Care Program
Pediatric Intensive Care Unit (PICU)
Sickle Cell Program
Spine Program
Transplant Center

Emergency care (hospital website)^[5][7][8]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Parking	All parking is free. Inpatients and visitors use Forest Garage and Forest entrance; ED parking is in Forest Garage^[10]
Interpreters and languages	Free medical interpreters for any language, 24/7. Family interpreting line 866-583-1527; not for emergencies^[9][10]
Patient portal	MyChart

Doctors and clinicians (84)

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

Main specialties

And 60 more: the button below opens the full list.

Other emergency rooms nearby

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

University of Washington Medical Ctr1.5 mi · Seattle, WA · Acute Care Hospital
Kaiser Permanente Central Hospital3.4 mi · Seattle, WA · Acute Care Hospital
Swedish Medical Center / Cherry Hill4.2 mi · Seattle, WA · Acute Care Hospital
Swedish Medical Center4.2 mi · Seattle, WA · Acute Care Hospital
Virginia Mason Medical Center4.3 mi · Seattle, WA · Acute Care Hospital

Other hospitals nearby

Kindred Hospital-Seattle4.2 mi · Seattle, WA · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Park Shore2.1 mi · Seattle, WA · 4 of 5 stars
Bailey-Boushay House3.0 mi · Seattle, WA · 3 of 5 stars
Cascades of St Anne3.1 mi · Seattle, WA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Gentiva1.5 mi · Tukwila, WA
Kaiser Permanente Washington Hospice1.9 mi · Seattle, WA · 3 of 5 stars
Evergreen Health Hospice Care4.8 mi · Kirkland, WA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Kaiser Permenante Washington Home Health1.9 mi · Seattle, WA
Eden Home Health4.2 mi · Tukwila, WA
Evergreenhealth Home Care Services4.8 mi · Kirkland, WA

All home health agencies in the state →

Dialysis facilities

Seattle Childrens Hospital Dialysis0.3 mi · Seattle, WA
DaVita Olympic View Dialysis Center1.9 mi · Seattle, WA · 4 of 5 stars
NKC Kirkland Kidney Center4.8 mi · Kirkland, WA · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

GH Fremont Endoscopy Center SUB LLC2.5 mi · Seattle, WA
Seattle Orthopedic Surgery Center2.5 mi · Seattle, WA
Northwest Eye Surgeons3.7 mi · Seattle, WA

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Neighborcare Health at Magnuson1.5 mi · Seattle, WA · Community health center
Neighborcare Health at Roosevelt High School1.6 mi · Seattle, WA · Community health center
Neighborcare Health at 45th Street - Dental2.6 mi · Seattle, WA · Community health center

Clinics and urgent care

Carbon Health Medical Group of California PC3.7 mi · Seattle, WA · Urgent care center
Rapid Care Center, PLLC4.2 mi · Kirkland, WA · Urgent care center
Connectionswa, LLC4.8 mi · Kirkland, WA · Urgent care center

Pharmacies

Sand Point Pharmacy & Health0.3 mi · Seattle, WA · Community/retail pharmacy
Seattle Childrens Hospital0.3 mi · Seattle, WA · Clinic pharmacy
University of Washington0.3 mi · Seattle, WA · Community/retail pharmacy

Assisted living nearby

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

Aegis Living Laurelhurst0.3 mi · Seattle, WA
Empress Senior Living at Laurelhurst0.3 mi · Seattle, WA
Merrill Gardens at the University0.3 mi · Seattle, WA
Aegis Living at Ravenna1.5 mi · Seattle, WA

About the Medicare star rating

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

Medicare quality data

What Seattle Children's 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.

Not reported to Medicare

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 surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not 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 patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
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 replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

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

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

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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 Seattle Best hospitals in Seattle

Prices

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

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: New Clinic Facility Beh Health UC	$135	$135	$55.35 – $129.60
New patient office visit (about 30–44 minutes): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $108 ADMINISTRATORS [13102] — First Choice PPO: $114.75 ADMINISTRATORS [13102] — First Choice PSHVN: $101.25 AETNA [11000] — Aetna PPO: $113.40 ALLEGIANCE [12264] — Cigna PPO: $114.75 ALLIED [13129] — First Choice PPO: $114.75 ALTIUS HEALTH PLAN [12275] — First Health PPO: $129.60 AMERIBEN [11006] — Aetna PPO: $113.40 ASSURANT HEALTH FC [13135] — First Choice PPO: $114.75 ASURIS [11900] — Regence PPO: $112.05
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: New Clinic Facility Beh Health	$135	$135	$34.02 – $129.60
New patient office visit (about 30–44 minutes): 10 of 112 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $108 ADMINISTRATORS [13102] — First Choice PPO: $114.75 ADMINISTRATORS [13102] — First Choice PSHVN: $101.25 AETNA [11000] — Aetna PPO: $113.40 ALLEGIANCE [12264] — Cigna PPO: $114.75 ALLIED [13129] — First Choice PPO: $114.75 ALTIUS HEALTH PLAN [12275] — First Health PPO: $129.60 AMERIBEN [11006] — Aetna PPO: $113.40 ASSURANT HEALTH FC [13135] — First Choice PPO: $114.75 ASURIS [11900] — Regence PPO: $112.05
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: New Pt Level 3	$255	Not listed in the file	$75.91 – $204
New patient office visit (about 30–44 minutes): 10 of 86 insurance plan rates ADMINISTRATORS [13102] — First Choice: $171.65 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $171.65 AETNA [11000] — Aetna: $169.48 ALLEGIANCE [12264] — Cigna: $169.53 ALLIED [13129] — First Choice: $171.65 AMERIBEN [11006] — Aetna: $169.48 ASSURANT HEALTH FC [13135] — First Choice: $171.65 ASURIS [11900] — Regence Blue Shield: $201.27 ASURIS [11913] — Regence Blue Shield: $201.27 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $201.27
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Clinic Facility Med/Surg	$140	$140	$35.28 – $134.40
New patient office visit (about 45–59 minutes): 10 of 112 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $112 ADMINISTRATORS [13102] — First Choice PPO: $119 ADMINISTRATORS [13102] — First Choice PSHVN: $105 AETNA [11000] — Aetna PPO: $117.60 ALLEGIANCE [12264] — Cigna PPO: $119 ALLIED [13129] — First Choice PPO: $119 ALTIUS HEALTH PLAN [12275] — First Health PPO: $134.40 AMERIBEN [11006] — Aetna PPO: $117.60 ASSURANT HEALTH FC [13135] — First Choice PPO: $119 ASURIS [11900] — Regence PPO: $116.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: New Pt Level 4	$415	Not listed in the file	$124.12 – $332
New patient office visit (about 45–59 minutes): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $279.29 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $279.29 AETNA [11000] — Aetna: $276.37 ALLEGIANCE [12264] — Cigna: $273.36 ALLIED [13129] — First Choice: $279.29 AMERIBEN [11006] — Aetna: $276.37 ASSURANT HEALTH FC [13135] — First Choice: $279.29 ASURIS [11900] — Regence Blue Shield: $300.67 ASURIS [11913] — Regence Blue Shield: $300.67 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $300.67
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New Clinic Facility Multiple	$200	$200	$50.40 – $192
New patient office visit (about 60–74 minutes): 10 of 112 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $160 ADMINISTRATORS [13102] — First Choice PPO: $170 ADMINISTRATORS [13102] — First Choice PSHVN: $150 AETNA [11000] — Aetna PPO: $168 ALLEGIANCE [12264] — Cigna PPO: $170 ALLIED [13129] — First Choice PPO: $170 ALTIUS HEALTH PLAN [12275] — First Health PPO: $192 AMERIBEN [11006] — Aetna PPO: $168 ASSURANT HEALTH FC [13135] — First Choice PPO: $170 ASURIS [11900] — Regence PPO: $166
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: New Pt Level 5	$565	Not listed in the file	$168.84 – $452
New patient office visit (about 60–74 minutes): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $379.89 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $379.89 AETNA [11000] — Aetna: $375.66 ALLEGIANCE [12264] — Cigna: $371.28 ALLIED [13129] — First Choice: $379.89 AMERIBEN [11006] — Aetna: $375.66 ASSURANT HEALTH FC [13135] — First Choice: $379.89 ASURIS [11900] — Regence Blue Shield: $396.99 ASURIS [11913] — Regence Blue Shield: $396.99 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $396.99
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Est Clinic Facility Beh Health UC	$135	$135	$55.35 – $129.60
Established patient office visit (about 20–29 minutes): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $108 ADMINISTRATORS [13102] — First Choice PPO: $114.75 ADMINISTRATORS [13102] — First Choice PSHVN: $101.25 AETNA [11000] — Aetna PPO: $113.40 ALLEGIANCE [12264] — Cigna PPO: $114.75 ALLIED [13129] — First Choice PPO: $114.75 ALTIUS HEALTH PLAN [12275] — First Health PPO: $129.60 AMERIBEN [11006] — Aetna PPO: $113.40 ASSURANT HEALTH FC [13135] — First Choice PPO: $114.75 ASURIS [11900] — Regence PPO: $112.05
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clinic Facility Beh Health	$135	$135	$34.02 – $129.60
Established patient office visit (about 20–29 minutes): 10 of 112 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $108 ADMINISTRATORS [13102] — First Choice PPO: $114.75 ADMINISTRATORS [13102] — First Choice PSHVN: $101.25 AETNA [11000] — Aetna PPO: $113.40 ALLEGIANCE [12264] — Cigna PPO: $114.75 ALLIED [13129] — First Choice PPO: $114.75 ALTIUS HEALTH PLAN [12275] — First Health PPO: $129.60 AMERIBEN [11006] — Aetna PPO: $113.40 ASSURANT HEALTH FC [13135] — First Choice PPO: $114.75 ASURIS [11900] — Regence PPO: $112.05
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Clinic Facility Beh Health	$135	$135	$34.02 – $129.60
Established patient office visit (about 20–29 minutes): 10 of 112 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $108 ADMINISTRATORS [13102] — First Choice PPO: $114.75 ADMINISTRATORS [13102] — First Choice PSHVN: $101.25 AETNA [11000] — Aetna PPO: $113.40 ALLEGIANCE [12264] — Cigna PPO: $114.75 ALLIED [13129] — First Choice PPO: $114.75 ALTIUS HEALTH PLAN [12275] — First Health PPO: $129.60 AMERIBEN [11006] — Aetna PPO: $113.40 ASSURANT HEALTH FC [13135] — First Choice PPO: $114.75 ASURIS [11900] — Regence PPO: $112.05
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clinic Facility Med/Surg	$140	$140	$35.28 – $134.40
Established patient office visit (about 30–39 minutes): 10 of 112 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $112 ADMINISTRATORS [13102] — First Choice PPO: $119 ADMINISTRATORS [13102] — First Choice PSHVN: $105 AETNA [11000] — Aetna PPO: $117.60 ALLEGIANCE [12264] — Cigna PPO: $119 ALLIED [13129] — First Choice PPO: $119 ALTIUS HEALTH PLAN [12275] — First Health PPO: $134.40 AMERIBEN [11006] — Aetna PPO: $117.60 ASSURANT HEALTH FC [13135] — First Choice PPO: $119 ASURIS [11900] — Regence PPO: $116.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: Est Pt Level 4	$302	Not listed in the file	$90.09 – $241.60
Established patient office visit (about 30–39 minutes): 10 of 86 insurance plan rates ADMINISTRATORS [13102] — First Choice: $203.31 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $203.31 AETNA [11000] — Aetna: $202.59 ALLEGIANCE [12264] — Cigna: $200.27 ALLIED [13129] — First Choice: $203.31 AMERIBEN [11006] — Aetna: $202.59 ASSURANT HEALTH FC [13135] — First Choice: $203.31 ASURIS [11900] — Regence Blue Shield: $232.14 ASURIS [11913] — Regence Blue Shield: $232.14 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $232.14
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: Est Pt Level 4	$302	Not listed in the file	$221.53
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans PB PREMERA [11601] — Premera Blue Cross: $221.53 PREMERA [11600] — Premera BC Heritage Prime: $221.53 PREMERA [11600] — Premera BC Heritage Signature/Lifewise: $221.53 PREMERA [11600] — Premera Blue Cross: $221.53
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: OP Consult Level 3	$274	Not listed in the file	$68.21 – $219.20
Office consultation with a specialist (moderate): 10 of 78 insurance plan rates ADMINISTRATORS [13102] — First Choice: $184.32 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $184.32 ALLEGIANCE [12264] — Cigna: $182.41 ALLIED [13129] — First Choice: $184.32 ASSURANT HEALTH FC [13135] — First Choice: $184.32 ASURIS [11900] — Regence Blue Shield: $215.47 ASURIS [11913] — Regence Blue Shield: $215.47 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $215.47 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $68.21 CHPW [15802] — CHPW Apple Health: $70.26
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: OP Consult Level 4	$415	Not listed in the file	$103.82 – $332
Office consultation with a specialist (moderate to high): 10 of 78 insurance plan rates ADMINISTRATORS [13102] — First Choice: $280.70 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $280.70 ALLEGIANCE [12264] — Cigna: $278.56 ALLIED [13129] — First Choice: $280.70 ASSURANT HEALTH FC [13135] — First Choice: $280.70 ASURIS [11900] — Regence Blue Shield: $322.90 ASURIS [11913] — Regence Blue Shield: $322.90 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $322.90 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $103.82 CHPW [15802] — CHPW Apple Health: $106.93
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER Visit Level 3	$1,770.80	$1,770.80	$446.24 – $1,699.97
Emergency room visit (moderate): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $1,416.64 ADMINISTRATORS [13102] — First Choice PPO: $1,505.18 ADMINISTRATORS [13102] — First Choice PSHVN: $1,328.10 AETNA [11000] — Aetna PPO: $1,487.47 ALLEGIANCE [12264] — Cigna PPO: $1,505.18 ALLIED [13129] — First Choice PPO: $1,505.18 ALTIUS HEALTH PLAN [12275] — First Health PPO: $1,699.97 AMERIBEN [11006] — Aetna PPO: $1,487.47 ASSURANT HEALTH FC [13135] — First Choice PPO: $1,505.18 ASURIS [11900] — Regence PPO: $1,469.76
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency Dept Visit Low Mdm	$293	Not listed in the file	$54.06 – $234.40
Emergency room visit (moderate): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $148.44 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $148.44 AETNA [11000] — Aetna: $143.26 ALLEGIANCE [12264] — Cigna: $146.47 ALLIED [13129] — First Choice: $148.44 AMERIBEN [11006] — Aetna: $143.26 ASSURANT HEALTH FC [13135] — First Choice: $148.44 ASURIS [11900] — Regence Blue Shield: $129.04 ASURIS [11913] — Regence Blue Shield: $129.04 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $129.04
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER Visit Level 4	$3,744.60	$3,744.60	$943.64 – $3,594.82
Emergency room visit (moderately high): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $2,995.68 ADMINISTRATORS [13102] — First Choice PPO: $3,182.91 ADMINISTRATORS [13102] — First Choice PSHVN: $2,808.45 AETNA [11000] — Aetna PPO: $3,145.46 ALLEGIANCE [12264] — Cigna PPO: $3,182.91 ALLIED [13129] — First Choice PPO: $3,182.91 ALTIUS HEALTH PLAN [12275] — First Health PPO: $3,594.82 AMERIBEN [11006] — Aetna PPO: $3,145.46 ASSURANT HEALTH FC [13135] — First Choice PPO: $3,182.91 ASURIS [11900] — Regence PPO: $3,108.02
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency Dept Visit Mod Mdm	$500	Not listed in the file	$92.20 – $400
Emergency room visit (moderately high): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $252.56 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $252.56 AETNA [11000] — Aetna: $243.15 ALLEGIANCE [12264] — Cigna: $246.67 ALLIED [13129] — First Choice: $252.56 AMERIBEN [11006] — Aetna: $243.15 ASSURANT HEALTH FC [13135] — First Choice: $252.56 ASURIS [11900] — Regence Blue Shield: $219.18 ASURIS [11913] — Regence Blue Shield: $219.18 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $219.18
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER Visit Level 5	$6,739.30	$6,739.30	$1,698.30 – $6,469.73
Emergency room visit (high): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $5,391.44 ADMINISTRATORS [13102] — First Choice PPO: $5,728.41 ADMINISTRATORS [13102] — First Choice PSHVN: $5,054.48 AETNA [11000] — Aetna PPO: $5,661.01 ALLEGIANCE [12264] — Cigna PPO: $5,728.41 ALLIED [13129] — First Choice PPO: $5,728.41 ALTIUS HEALTH PLAN [12275] — First Health PPO: $6,469.73 AMERIBEN [11006] — Aetna PPO: $5,661.01 ASSURANT HEALTH FC [13135] — First Choice PPO: $5,728.41 ASURIS [11900] — Regence PPO: $5,593.62
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: Emergency Dept Visit High Mdm	$726	Not listed in the file	$133.37 – $580.80
Emergency room visit (high): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $365.82 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $365.82 AETNA [11000] — Aetna: $353.79 ALLEGIANCE [12264] — Cigna: $358.48 ALLIED [13129] — First Choice: $365.82 AMERIBEN [11006] — Aetna: $353.79 ASSURANT HEALTH FC [13135] — First Choice: $365.82 ASURIS [11900] — Regence Blue Shield: $319.81 ASURIS [11913] — Regence Blue Shield: $319.81 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $319.81

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel	$110.90	$110.90	$27.95 – $106.46
Basic metabolic panel (blood test): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $88.72 ADMINISTRATORS [13102] — First Choice PPO: $94.27 ADMINISTRATORS [13102] — First Choice PSHVN: $83.18 AETNA [11000] — Aetna PPO: $93.16 ALLEGIANCE [12264] — Cigna PPO: $94.27 ALLIED [13129] — First Choice PPO: $94.27 ALTIUS HEALTH PLAN [12275] — First Health PPO: $106.46 AMERIBEN [11006] — Aetna PPO: $93.16 ASSURANT HEALTH FC [13135] — First Choice PPO: $94.27 ASURIS [11900] — Regence PPO: $92.05
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$152.10	$152.10	$38.33 – $146.02
Comprehensive metabolic panel (blood test): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $121.68 ADMINISTRATORS [13102] — First Choice PPO: $129.29 ADMINISTRATORS [13102] — First Choice PSHVN: $114.08 AETNA [11000] — Aetna PPO: $127.76 ALLEGIANCE [12264] — Cigna PPO: $129.29 ALLIED [13129] — First Choice PPO: $129.29 ALTIUS HEALTH PLAN [12275] — First Health PPO: $146.02 AMERIBEN [11006] — Aetna PPO: $127.76 ASSURANT HEALTH FC [13135] — First Choice PPO: $129.29 ASURIS [11900] — Regence PPO: $126.24
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Profile	$148.40	$148.40	$37.40 – $142.46
Cholesterol panel (lipid panel): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $118.72 ADMINISTRATORS [13102] — First Choice PPO: $126.14 ADMINISTRATORS [13102] — First Choice PSHVN: $111.30 AETNA [11000] — Aetna PPO: $124.66 ALLEGIANCE [12264] — Cigna PPO: $126.14 ALLIED [13129] — First Choice PPO: $126.14 ALTIUS HEALTH PLAN [12275] — First Health PPO: $142.46 AMERIBEN [11006] — Aetna PPO: $124.66 ASSURANT HEALTH FC [13135] — First Choice PPO: $126.14 ASURIS [11900] — Regence PPO: $123.17
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel	$113.90	$113.90	$28.70 – $109.34
Kidney function panel: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $91.12 ADMINISTRATORS [13102] — First Choice PPO: $96.82 ADMINISTRATORS [13102] — First Choice PSHVN: $85.43 AETNA [11000] — Aetna PPO: $95.68 ALLEGIANCE [12264] — Cigna PPO: $96.82 ALLIED [13129] — First Choice PPO: $96.82 ALTIUS HEALTH PLAN [12275] — First Health PPO: $109.34 AMERIBEN [11006] — Aetna PPO: $95.68 ASSURANT HEALTH FC [13135] — First Choice PPO: $96.82 ASURIS [11900] — Regence PPO: $94.54
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel	$111.50	$111.50	$28.10 – $107.04
Liver function panel: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $89.20 ADMINISTRATORS [13102] — First Choice PPO: $94.78 ADMINISTRATORS [13102] — First Choice PSHVN: $83.63 AETNA [11000] — Aetna PPO: $93.66 ALLEGIANCE [12264] — Cigna PPO: $94.78 ALLIED [13129] — First Choice PPO: $94.78 ALTIUS HEALTH PLAN [12275] — First Health PPO: $107.04 AMERIBEN [11006] — Aetna PPO: $93.66 ASSURANT HEALTH FC [13135] — First Choice PPO: $94.78 ASURIS [11900] — Regence PPO: $92.55
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis With Microscopic	$86.80	$86.80	$21.87 – $83.33
Urine test (automated, with microscope): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $69.44 ADMINISTRATORS [13102] — First Choice PPO: $73.78 ADMINISTRATORS [13102] — First Choice PSHVN: $65.10 AETNA [11000] — Aetna PPO: $72.91 ALLEGIANCE [12264] — Cigna PPO: $73.78 ALLIED [13129] — First Choice PPO: $73.78 ALTIUS HEALTH PLAN [12275] — First Health PPO: $83.33 AMERIBEN [11006] — Aetna PPO: $72.91 ASSURANT HEALTH FC [13135] — First Choice PPO: $73.78 ASURIS [11900] — Regence PPO: $72.04
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bilirubin Urine	$43.60	$43.60	$10.99 – $41.86
Urine test (manual, without microscope): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $34.88 ADMINISTRATORS [13102] — First Choice PPO: $37.06 ADMINISTRATORS [13102] — First Choice PSHVN: $32.70 AETNA [11000] — Aetna PPO: $36.62 ALLEGIANCE [12264] — Cigna PPO: $37.06 ALLIED [13129] — First Choice PPO: $37.06 ALTIUS HEALTH PLAN [12275] — First Health PPO: $41.86 AMERIBEN [11006] — Aetna PPO: $36.62 ASSURANT HEALTH FC [13135] — First Choice PPO: $37.06 ASURIS [11900] — Regence PPO: $36.19
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Glucose Urine	$43.60	$43.60	$10.99 – $41.86
Urine test (manual, without microscope): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $34.88 ADMINISTRATORS [13102] — First Choice PPO: $37.06 ADMINISTRATORS [13102] — First Choice PSHVN: $32.70 AETNA [11000] — Aetna PPO: $36.62 ALLEGIANCE [12264] — Cigna PPO: $37.06 ALLIED [13129] — First Choice PPO: $37.06 ALTIUS HEALTH PLAN [12275] — First Health PPO: $41.86 AMERIBEN [11006] — Aetna PPO: $36.62 ASSURANT HEALTH FC [13135] — First Choice PPO: $37.06 ASURIS [11900] — Regence PPO: $36.19
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Ph Urine	$61.80	$61.80	$15.57 – $59.33
Urine test (manual, without microscope): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $49.44 ADMINISTRATORS [13102] — First Choice PPO: $52.53 ADMINISTRATORS [13102] — First Choice PSHVN: $46.35 AETNA [11000] — Aetna PPO: $51.91 ALLEGIANCE [12264] — Cigna PPO: $52.53 ALLIED [13129] — First Choice PPO: $52.53 ALTIUS HEALTH PLAN [12275] — First Health PPO: $59.33 AMERIBEN [11006] — Aetna PPO: $51.91 ASSURANT HEALTH FC [13135] — First Choice PPO: $52.53 ASURIS [11900] — Regence PPO: $51.29
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis No Microscopic	$57.50	$57.50	$14.49 – $55.20
Urine test (automated, without microscope): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $46 ADMINISTRATORS [13102] — First Choice PPO: $48.88 ADMINISTRATORS [13102] — First Choice PSHVN: $43.13 AETNA [11000] — Aetna PPO: $48.30 ALLEGIANCE [12264] — Cigna PPO: $48.88 ALLIED [13129] — First Choice PPO: $48.88 ALTIUS HEALTH PLAN [12275] — First Health PPO: $55.20 AMERIBEN [11006] — Aetna PPO: $48.30 ASSURANT HEALTH FC [13135] — First Choice PPO: $48.88 ASURIS [11900] — Regence PPO: $47.73
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ketones Urine	$57.50	$57.50	$14.49 – $55.20
Urine test (automated, without microscope): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $46 ADMINISTRATORS [13102] — First Choice PPO: $48.88 ADMINISTRATORS [13102] — First Choice PSHVN: $43.13 AETNA [11000] — Aetna PPO: $48.30 ALLEGIANCE [12264] — Cigna PPO: $48.88 ALLIED [13129] — First Choice PPO: $48.88 ALTIUS HEALTH PLAN [12275] — First Health PPO: $55.20 AMERIBEN [11006] — Aetna PPO: $48.30 ASSURANT HEALTH FC [13135] — First Choice PPO: $48.88 ASURIS [11900] — Regence PPO: $47.73
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Leukocyte Esterase, Urine	$57.50	$57.50	$14.49 – $55.20
Urine test (automated, without microscope): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $46 ADMINISTRATORS [13102] — First Choice PPO: $48.88 ADMINISTRATORS [13102] — First Choice PSHVN: $43.13 AETNA [11000] — Aetna PPO: $48.30 ALLEGIANCE [12264] — Cigna PPO: $48.88 ALLIED [13129] — First Choice PPO: $48.88 ALTIUS HEALTH PLAN [12275] — First Health PPO: $55.20 AMERIBEN [11006] — Aetna PPO: $48.30 ASSURANT HEALTH FC [13135] — First Choice PPO: $48.88 ASURIS [11900] — Regence PPO: $47.73
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cbc With Differential	$121.20	$121.20	$30.54 – $116.35
Complete blood count (CBC) with differential: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $96.96 ADMINISTRATORS [13102] — First Choice PPO: $103.02 ADMINISTRATORS [13102] — First Choice PSHVN: $90.90 AETNA [11000] — Aetna PPO: $101.81 ALLEGIANCE [12264] — Cigna PPO: $103.02 ALLIED [13129] — First Choice PPO: $103.02 ALTIUS HEALTH PLAN [12275] — First Health PPO: $116.35 AMERIBEN [11006] — Aetna PPO: $101.81 ASSURANT HEALTH FC [13135] — First Choice PPO: $103.02 ASURIS [11900] — Regence PPO: $100.60
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Blood Count	$86	$86	$21.67 – $82.56
Complete blood count (CBC), automated: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $68.80 ADMINISTRATORS [13102] — First Choice PPO: $73.10 ADMINISTRATORS [13102] — First Choice PSHVN: $64.50 AETNA [11000] — Aetna PPO: $72.24 ALLEGIANCE [12264] — Cigna PPO: $73.10 ALLIED [13129] — First Choice PPO: $73.10 ALTIUS HEALTH PLAN [12275] — First Health PPO: $82.56 AMERIBEN [11006] — Aetna PPO: $72.24 ASSURANT HEALTH FC [13135] — First Choice PPO: $73.10 ASURIS [11900] — Regence PPO: $71.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time	$75	$75	$18.90 – $72
Blood clotting time test (prothrombin time, PT): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $60 ADMINISTRATORS [13102] — First Choice PPO: $63.75 ADMINISTRATORS [13102] — First Choice PSHVN: $56.25 AETNA [11000] — Aetna PPO: $63 ALLEGIANCE [12264] — Cigna PPO: $63.75 ALLIED [13129] — First Choice PPO: $63.75 ALTIUS HEALTH PLAN [12275] — First Health PPO: $72 AMERIBEN [11006] — Aetna PPO: $63 ASSURANT HEALTH FC [13135] — First Choice PPO: $63.75 ASURIS [11900] — Regence PPO: $62.25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Warfarin Prothrombin Time	$75	$75	$18.90 – $72
Blood clotting time test (prothrombin time, PT): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $60 ADMINISTRATORS [13102] — First Choice PPO: $63.75 ADMINISTRATORS [13102] — First Choice PSHVN: $56.25 AETNA [11000] — Aetna PPO: $63 ALLEGIANCE [12264] — Cigna PPO: $63.75 ALLIED [13129] — First Choice PPO: $63.75 ALTIUS HEALTH PLAN [12275] — First Health PPO: $72 AMERIBEN [11006] — Aetna PPO: $63 ASSURANT HEALTH FC [13135] — First Choice PPO: $63.75 ASURIS [11900] — Regence PPO: $62.25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Prothrombin Time Coumatrak	$75	$75	$18.90 – $72
Blood clotting time test (prothrombin time, PT): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $60 ADMINISTRATORS [13102] — First Choice PPO: $63.75 ADMINISTRATORS [13102] — First Choice PSHVN: $56.25 AETNA [11000] — Aetna PPO: $63 ALLEGIANCE [12264] — Cigna PPO: $63.75 ALLIED [13129] — First Choice PPO: $63.75 ALTIUS HEALTH PLAN [12275] — First Health PPO: $72 AMERIBEN [11006] — Aetna PPO: $63 ASSURANT HEALTH FC [13135] — First Choice PPO: $63.75 ASURIS [11900] — Regence PPO: $62.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Act Partial Thromboplastn Time	$112.60	$112.60	$28.38 – $108.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $90.08 ADMINISTRATORS [13102] — First Choice PPO: $95.71 ADMINISTRATORS [13102] — First Choice PSHVN: $84.45 AETNA [11000] — Aetna PPO: $94.58 ALLEGIANCE [12264] — Cigna PPO: $95.71 ALLIED [13129] — First Choice PPO: $95.71 ALTIUS HEALTH PLAN [12275] — First Health PPO: $108.10 AMERIBEN [11006] — Aetna PPO: $94.58 ASSURANT HEALTH FC [13135] — First Choice PPO: $95.71 ASURIS [11900] — Regence PPO: $93.46

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head W/O Contrast	$2,394.50	$2,394.50	$603.41 – $2,298.72
CT scan of the head or brain, without contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $1,915.60 ADMINISTRATORS [13102] — First Choice PPO: $2,035.33 ADMINISTRATORS [13102] — First Choice PSHVN: $1,795.88 AETNA [11000] — Aetna PPO: $2,011.38 ALLEGIANCE [12264] — Cigna PPO: $2,035.33 ALLIED [13129] — First Choice PPO: $2,035.33 ALTIUS HEALTH PLAN [12275] — First Health PPO: $2,298.72 AMERIBEN [11006] — Aetna PPO: $2,011.38 ASSURANT HEALTH FC [13135] — First Choice PPO: $2,035.33 ASURIS [11900] — Regence PPO: $1,987.44
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head W/O Contrast Stealth	$2,753.70	$2,753.70	$693.93 – $2,643.55
CT scan of the head or brain, without contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $2,202.96 ADMINISTRATORS [13102] — First Choice PPO: $2,340.65 ADMINISTRATORS [13102] — First Choice PSHVN: $2,065.28 AETNA [11000] — Aetna PPO: $2,313.11 ALLEGIANCE [12264] — Cigna PPO: $2,340.65 ALLIED [13129] — First Choice PPO: $2,340.65 ALTIUS HEALTH PLAN [12275] — First Health PPO: $2,643.55 AMERIBEN [11006] — Aetna PPO: $2,313.11 ASSURANT HEALTH FC [13135] — First Choice PPO: $2,340.65 ASURIS [11900] — Regence PPO: $2,285.57
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT Scan Head W/O Contrast	$167	$167	$23.18 – $133.60
CT scan of the head or brain, without contrast: 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $133.60 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $133.60 ALLEGIANCE [12264] — Cigna: $83.50 ALLIED [13129] — First Choice: $133.60 ASSURANT HEALTH FC [13135] — First Choice: $133.60 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $75.15 CHPW [15802] — CHPW Apple Health: $83.50 CHPW CASCADE [12228] — CHPW Cascade Care: $83.50 CIGNA [12204] — Cigna: $83.50 CLARITEV [12299] — Multiplan: $133.60
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain W+W/O Contrast Ltd	$4,555.10	$4,555.10	$1,147.89 – $4,372.90
MRI of the brain, before and after contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $3,644.08 ADMINISTRATORS [13102] — First Choice PPO: $3,871.84 ADMINISTRATORS [13102] — First Choice PSHVN: $3,416.33 AETNA [11000] — Aetna PPO: $3,826.28 ALLEGIANCE [12264] — Cigna PPO: $3,871.84 ALLIED [13129] — First Choice PPO: $3,871.84 ALTIUS HEALTH PLAN [12275] — First Health PPO: $4,372.90 AMERIBEN [11006] — Aetna PPO: $3,826.28 ASSURANT HEALTH FC [13135] — First Choice PPO: $3,871.84 ASURIS [11900] — Regence PPO: $3,780.73
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Iac W+W/O Contrast	$7,235.90	$7,235.90	$1,823.45 – $6,946.46
MRI of the brain, before and after contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $5,788.72 ADMINISTRATORS [13102] — First Choice PPO: $6,150.52 ADMINISTRATORS [13102] — First Choice PSHVN: $5,426.93 AETNA [11000] — Aetna PPO: $6,078.16 ALLEGIANCE [12264] — Cigna PPO: $6,150.52 ALLIED [13129] — First Choice PPO: $6,150.52 ALTIUS HEALTH PLAN [12275] — First Health PPO: $6,946.46 AMERIBEN [11006] — Aetna PPO: $6,078.16 ASSURANT HEALTH FC [13135] — First Choice PPO: $6,150.52 ASURIS [11900] — Regence PPO: $6,005.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain Combined	$6,820.40	$6,820.40	$1,718.74 – $6,547.58
MRI of the brain, before and after contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $5,456.32 ADMINISTRATORS [13102] — First Choice PPO: $5,797.34 ADMINISTRATORS [13102] — First Choice PSHVN: $5,115.30 AETNA [11000] — Aetna PPO: $5,729.14 ALLEGIANCE [12264] — Cigna PPO: $5,797.34 ALLIED [13129] — First Choice PPO: $5,797.34 ALTIUS HEALTH PLAN [12275] — First Health PPO: $6,547.58 AMERIBEN [11006] — Aetna PPO: $5,729.14 ASSURANT HEALTH FC [13135] — First Choice PPO: $5,797.34 ASURIS [11900] — Regence PPO: $5,660.93
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: xray Chest 2V	$627.30	$627.30	$158.08 – $602.21
Chest X-ray, 2 views: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $501.84 ADMINISTRATORS [13102] — First Choice PPO: $533.21 ADMINISTRATORS [13102] — First Choice PSHVN: $470.48 AETNA [11000] — Aetna PPO: $526.93 ALLEGIANCE [12264] — Cigna PPO: $533.21 ALLIED [13129] — First Choice PPO: $533.21 ALTIUS HEALTH PLAN [12275] — First Health PPO: $602.21 AMERIBEN [11006] — Aetna PPO: $526.93 ASSURANT HEALTH FC [13135] — First Choice PPO: $533.21 ASURIS [11900] — Regence PPO: $520.66
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: X-Ray Exam Chest 2 Views	$43	$43	$5.98 – $34.40
Chest X-ray, 2 views: 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $34.40 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $34.40 ALLEGIANCE [12264] — Cigna: $21.50 ALLIED [13129] — First Choice: $34.40 ASSURANT HEALTH FC [13135] — First Choice: $34.40 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $19.35 CHPW [15802] — CHPW Apple Health: $21.50 CHPW CASCADE [12228] — CHPW Cascade Care: $21.50 CIGNA [12204] — Cigna: $21.50 CLARITEV [12299] — Multiplan: $34.40
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: X-Ray Exam Chest 2 Views\|PROFESSIONAL COMPONENT	$43	Not listed in the file	$5.98 – $34.40
Chest X-ray, 2 views: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $24.13 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $24.13 AETNA [11000] — Aetna: $23.58 ALLEGIANCE [12264] — Cigna: $25.52 ALLIED [13129] — First Choice: $24.13 AMERIBEN [11006] — Aetna: $23.58 ASSURANT HEALTH FC [13135] — First Choice: $24.13 ASURIS [11900] — Regence Blue Shield: $22.48 ASURIS [11913] — Regence Blue Shield: $22.48 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $22.48
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: xray SPINE LUMBAR MIN 4V	$1,004.90	$1,004.90	$253.23 – $964.70
X-ray of the lower spine, at least 4 views: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $803.92 ADMINISTRATORS [13102] — First Choice PPO: $854.17 ADMINISTRATORS [13102] — First Choice PSHVN: $753.68 AETNA [11000] — Aetna PPO: $844.12 ALLEGIANCE [12264] — Cigna PPO: $854.17 ALLIED [13129] — First Choice PPO: $854.17 ALTIUS HEALTH PLAN [12275] — First Health PPO: $964.70 AMERIBEN [11006] — Aetna PPO: $844.12 ASSURANT HEALTH FC [13135] — First Choice PPO: $854.17 ASURIS [11900] — Regence PPO: $834.07
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: X-Ray Lumbar Spine 4 Vw	$51	$51	$7.29 – $42.40
X-ray of the lower spine, at least 4 views: 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $40.80 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $40.80 ALLEGIANCE [12264] — Cigna: $25.50 ALLIED [13129] — First Choice: $40.80 ASSURANT HEALTH FC [13135] — First Choice: $40.80 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $22.95 CHPW [15802] — CHPW Apple Health: $25.50 CHPW CASCADE [12228] — CHPW Cascade Care: $25.50 CIGNA [12204] — Cigna: $25.50 CLARITEV [12299] — Multiplan: $40.80
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: X-Ray Lumbar Spine 4 Vw\|PROFESSIONAL COMPONENT	$53	Not listed in the file	$7.29 – $42.40
X-ray of the lower spine, at least 4 views: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $28.80 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $28.80 AETNA [11000] — Aetna: $28.22 ALLEGIANCE [12264] — Cigna: $30.52 ALLIED [13129] — First Choice: $28.80 AMERIBEN [11006] — Aetna: $28.22 ASSURANT HEALTH FC [13135] — First Choice: $28.80 ASURIS [11900] — Regence Blue Shield: $26.83 ASURIS [11913] — Regence Blue Shield: $26.83 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $26.83
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lumbar Spine Limited	$1,308.10	$1,308.10	$329.64 – $1,255.78
MRI of the lower back (lumbar spine), without contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $1,046.48 ADMINISTRATORS [13102] — First Choice PPO: $1,111.89 ADMINISTRATORS [13102] — First Choice PSHVN: $981.08 AETNA [11000] — Aetna PPO: $1,098.80 ALLEGIANCE [12264] — Cigna PPO: $1,111.89 ALLIED [13129] — First Choice PPO: $1,111.89 ALTIUS HEALTH PLAN [12275] — First Health PPO: $1,255.78 AMERIBEN [11006] — Aetna PPO: $1,098.80 ASSURANT HEALTH FC [13135] — First Choice PPO: $1,111.89 ASURIS [11900] — Regence PPO: $1,085.72
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lumbar Spine W/O Contrast - Component	$3,310.10	$3,310.10	$834.15 – $3,177.70
MRI of the lower back (lumbar spine), without contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $2,648.08 ADMINISTRATORS [13102] — First Choice PPO: $2,813.59 ADMINISTRATORS [13102] — First Choice PSHVN: $2,482.58 AETNA [11000] — Aetna PPO: $2,780.48 ALLEGIANCE [12264] — Cigna PPO: $2,813.59 ALLIED [13129] — First Choice PPO: $2,813.59 ALTIUS HEALTH PLAN [12275] — First Health PPO: $3,177.70 AMERIBEN [11006] — Aetna PPO: $2,780.48 ASSURANT HEALTH FC [13135] — First Choice PPO: $2,813.59 ASURIS [11900] — Regence PPO: $2,747.38
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lumbar Spine W/O Contrast	$4,939.80	$4,939.80	$1,244.83 – $4,742.21
MRI of the lower back (lumbar spine), without contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $3,951.84 ADMINISTRATORS [13102] — First Choice PPO: $4,198.83 ADMINISTRATORS [13102] — First Choice PSHVN: $3,704.85 AETNA [11000] — Aetna PPO: $4,149.43 ALLEGIANCE [12264] — Cigna PPO: $4,198.83 ALLIED [13129] — First Choice PPO: $4,198.83 ALTIUS HEALTH PLAN [12275] — First Health PPO: $4,742.21 AMERIBEN [11006] — Aetna PPO: $4,149.43 ASSURANT HEALTH FC [13135] — First Choice PPO: $4,198.83 ASURIS [11900] — Regence PPO: $4,100.03
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis W Contrast	$3,784.20	$3,784.20	$953.62 – $3,632.83
CT scan of the pelvis, with contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $3,027.36 ADMINISTRATORS [13102] — First Choice PPO: $3,216.57 ADMINISTRATORS [13102] — First Choice PSHVN: $2,838.15 AETNA [11000] — Aetna PPO: $3,178.73 ALLEGIANCE [12264] — Cigna PPO: $3,216.57 ALLIED [13129] — First Choice PPO: $3,216.57 ALTIUS HEALTH PLAN [12275] — First Health PPO: $3,632.83 AMERIBEN [11006] — Aetna PPO: $3,178.73 ASSURANT HEALTH FC [13135] — First Choice PPO: $3,216.57 ASURIS [11900] — Regence PPO: $3,140.89
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT Scan of Pelvis Contrast	$228	$228	$31.40 – $182.40
CT scan of the pelvis, with contrast: 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $182.40 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $182.40 ALLEGIANCE [12264] — Cigna: $114 ALLIED [13129] — First Choice: $182.40 ASSURANT HEALTH FC [13135] — First Choice: $182.40 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $102.60 CHPW [15802] — CHPW Apple Health: $114 CHPW CASCADE [12228] — CHPW Cascade Care: $114 CIGNA [12204] — Cigna: $114 CLARITEV [12299] — Multiplan: $182.40
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CT Scan of Pelvis Contrast\|PROFESSIONAL COMPONENT	$227	Not listed in the file	$31.40 – $182.40
CT scan of the pelvis, with contrast: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $126.90 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $126.90 AETNA [11000] — Aetna: $124 ALLEGIANCE [12264] — Cigna: $134.93 ALLIED [13129] — First Choice: $126.90 AMERIBEN [11006] — Aetna: $124 ASSURANT HEALTH FC [13135] — First Choice: $126.90 ASURIS [11900] — Regence Blue Shield: $118.19 ASURIS [11913] — Regence Blue Shield: $118.19 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $118.19
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Ext Joint Lower W/O Contrast Ltd	$2,327.30	$2,327.30	$586.48 – $4,370.78
MRI of a leg joint (such as the knee), without contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $1,861.84 ADMINISTRATORS [13102] — First Choice PPO: $1,978.21 ADMINISTRATORS [13102] — First Choice PSHVN: $1,745.48 AETNA [11000] — Aetna PPO: $1,954.93 ALLEGIANCE [12264] — Cigna PPO: $1,978.21 ALLIED [13129] — First Choice PPO: $1,978.21 ALTIUS HEALTH PLAN [12275] — First Health PPO: $2,234.21 AMERIBEN [11006] — Aetna PPO: $1,954.93 ASSURANT HEALTH FC [13135] — First Choice PPO: $1,978.21 ASURIS [11900] — Regence PPO: $1,931.66
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ext Joint Lower W/O Contrast	$4,552.90	$4,552.90	$1,147.33 – $8,740.80
MRI of a leg joint (such as the knee), without contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $3,642.32 ADMINISTRATORS [13102] — First Choice PPO: $3,869.97 ADMINISTRATORS [13102] — First Choice PSHVN: $3,414.68 AETNA [11000] — Aetna PPO: $3,824.44 ALLEGIANCE [12264] — Cigna PPO: $3,869.97 ALLIED [13129] — First Choice PPO: $3,869.97 ALTIUS HEALTH PLAN [12275] — First Health PPO: $4,370.78 AMERIBEN [11006] — Aetna PPO: $3,824.44 ASSURANT HEALTH FC [13135] — First Choice PPO: $3,869.97 ASURIS [11900] — Regence PPO: $3,778.91
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI, Joint of Leg	$267	$267	$36.82 – $213.60
MRI of a leg joint (such as the knee), without contrast: 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $213.60 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $213.60 ALLEGIANCE [12264] — Cigna: $133.50 ALLIED [13129] — First Choice: $213.60 ASSURANT HEALTH FC [13135] — First Choice: $213.60 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $120.15 CHPW [15802] — CHPW Apple Health: $133.50 CHPW CASCADE [12228] — CHPW Cascade Care: $133.50 CIGNA [12204] — Cigna: $133.50 CLARITEV [12299] — Multiplan: $213.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen Pelvis W/ Contrast	$6,471.10	$6,471.10	$1,630.72 – $6,212.26
CT scan of the abdomen and pelvis, with contrast: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $5,176.88 ADMINISTRATORS [13102] — First Choice PPO: $5,500.44 ADMINISTRATORS [13102] — First Choice PSHVN: $4,853.33 AETNA [11000] — Aetna PPO: $5,435.72 ALLEGIANCE [12264] — Cigna PPO: $5,500.44 ALLIED [13129] — First Choice PPO: $5,500.44 ALTIUS HEALTH PLAN [12275] — First Health PPO: $6,212.26 AMERIBEN [11006] — Aetna PPO: $5,435.72 ASSURANT HEALTH FC [13135] — First Choice PPO: $5,500.44 ASURIS [11900] — Regence PPO: $5,371.01
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT Abdomen&Pelvis W/Contrast	$359	$359	$49.53 – $287.20
CT scan of the abdomen and pelvis, with contrast: 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $287.20 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $287.20 ALLEGIANCE [12264] — Cigna: $179.50 ALLIED [13129] — First Choice: $287.20 ASSURANT HEALTH FC [13135] — First Choice: $287.20 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $161.55 CHPW [15802] — CHPW Apple Health: $179.50 CHPW CASCADE [12228] — CHPW Cascade Care: $179.50 CIGNA [12204] — Cigna: $179.50 CLARITEV [12299] — Multiplan: $287.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: CT Abdomen&Pelvis W/Contrast\|PROFESSIONAL COMPONENT	$359	Not listed in the file	$49.53 – $287.20
CT scan of the abdomen and pelvis, with contrast: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $198.52 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $198.52 AETNA [11000] — Aetna: $195.28 ALLEGIANCE [12264] — Cigna: $212.15 ALLIED [13129] — First Choice: $198.52 AMERIBEN [11006] — Aetna: $195.28 ASSURANT HEALTH FC [13135] — First Choice: $198.52 ASURIS [11900] — Regence Blue Shield: $186.35 ASURIS [11913] — Regence Blue Shield: $186.35 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $186.35
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdominal Sonogram	$1,476.90	$1,476.90	$372.18 – $1,417.82
Ultrasound of the abdomen, complete: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $1,181.52 ADMINISTRATORS [13102] — First Choice PPO: $1,255.37 ADMINISTRATORS [13102] — First Choice PSHVN: $1,107.68 AETNA [11000] — Aetna PPO: $1,240.60 ALLEGIANCE [12264] — Cigna PPO: $1,255.37 ALLIED [13129] — First Choice PPO: $1,255.37 ALTIUS HEALTH PLAN [12275] — First Health PPO: $1,417.82 AMERIBEN [11006] — Aetna PPO: $1,240.60 ASSURANT HEALTH FC [13135] — First Choice PPO: $1,255.37 ASURIS [11900] — Regence PPO: $1,225.83
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US Exam, Abdom, Complete	$158	$158	$21.87 – $126.40
Ultrasound of the abdomen, complete: 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $126.40 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $126.40 ALLEGIANCE [12264] — Cigna: $79 ALLIED [13129] — First Choice: $126.40 ASSURANT HEALTH FC [13135] — First Choice: $126.40 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $71.10 CHPW [15802] — CHPW Apple Health: $79 CHPW CASCADE [12228] — CHPW Cascade Care: $79 CIGNA [12204] — Cigna: $79 CLARITEV [12299] — Multiplan: $126.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: US Exam, Abdom, Complete\|PROFESSIONAL COMPONENT	$158	Not listed in the file	$21.87 – $126.40
Ultrasound of the abdomen, complete: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $87.97 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $87.97 AETNA [11000] — Aetna: $86.58 ALLEGIANCE [12264] — Cigna: $93.81 ALLIED [13129] — First Choice: $87.97 AMERIBEN [11006] — Aetna: $86.58 ASSURANT HEALTH FC [13135] — First Choice: $87.97 ASURIS [11900] — Regence Blue Shield: $82.66 ASURIS [11913] — Regence Blue Shield: $82.66 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $82.66
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: OB US >/=14wks Sngl/1st Gestatation	$947	$947	$238.64 – $909.12
Pregnancy ultrasound (after the first trimester): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $757.60 ADMINISTRATORS [13102] — First Choice PPO: $804.95 ADMINISTRATORS [13102] — First Choice PSHVN: $710.25 AETNA [11000] — Aetna PPO: $795.48 ALLEGIANCE [12264] — Cigna PPO: $804.95 ALLIED [13129] — First Choice PPO: $804.95 ALTIUS HEALTH PLAN [12275] — First Health PPO: $909.12 AMERIBEN [11006] — Aetna PPO: $795.48 ASSURANT HEALTH FC [13135] — First Choice PPO: $804.95 ASURIS [11900] — Regence PPO: $786.01
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal Sonogram	$1,129.20	$1,129.20	$284.56 – $1,084.03
Transvaginal ultrasound: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $903.36 ADMINISTRATORS [13102] — First Choice PPO: $959.82 ADMINISTRATORS [13102] — First Choice PSHVN: $846.90 AETNA [11000] — Aetna PPO: $948.53 ALLEGIANCE [12264] — Cigna PPO: $959.82 ALLIED [13129] — First Choice PPO: $959.82 ALTIUS HEALTH PLAN [12275] — First Health PPO: $1,084.03 AMERIBEN [11006] — Aetna PPO: $948.53 ASSURANT HEALTH FC [13135] — First Choice PPO: $959.82 ASURIS [11900] — Regence PPO: $937.24
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: Sono Exam, Transvaginal	$138	$138	$18.88 – $110.40
Transvaginal ultrasound: 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $110.40 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $110.40 ALLEGIANCE [12264] — Cigna: $69 ALLIED [13129] — First Choice: $110.40 ASSURANT HEALTH FC [13135] — First Choice: $110.40 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $62.10 CHPW [15802] — CHPW Apple Health: $69 CHPW CASCADE [12228] — CHPW Cascade Care: $69 CIGNA [12204] — Cigna: $69 CLARITEV [12299] — Multiplan: $110.40
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: Sono Exam, Transvaginal\|PROFESSIONAL COMPONENT	$136	Not listed in the file	$18.88 – $110.40
Transvaginal ultrasound: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $75.51 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $75.51 AETNA [11000] — Aetna: $74.34 ALLEGIANCE [12264] — Cigna: $81.39 ALLIED [13129] — First Choice: $75.51 AMERIBEN [11006] — Aetna: $74.34 ASSURANT HEALTH FC [13135] — First Choice: $75.51 ASURIS [11900] — Regence Blue Shield: $71.06 ASURIS [11913] — Regence Blue Shield: $71.06 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $71.06

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: Ecg W/12+ Leads & Interp/Rep	$54	Not listed in the file	$8.41 – $43.20
Electrocardiogram (ECG/EKG) with reading: 10 of 27 insurance plan rates CHILD HEARING LEAGUE [17301] — Washington Medicaid: $8.41 CHPW [15802] — CHPW Apple Health: $8.66 CLARITEV [12299] — Multiplan: $43.20 COORDINATED CARE [15815] — Coordinated Care Apple Health: $8.83 EBMS [12241] — Multiplan: $43.20 EYE QUEST [15894] — Amerigroup Eyequest: $9.67 HEALTH ALLIANCE [12266] — Multiplan: $43.20 HOSPICE [17306] — Washington Medicaid: $8.41 HUMANA [12224] — Multiplan: $43.20 ICW UHC [15812] — United Community Apple Health: $9.25
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Lt Hrt Cath W/Ventrclgrphy	$29,746.50	$29,746.50	$7,496.12 – $28,556.64
Left heart catheterization (diagnostic): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $23,797.20 ADMINISTRATORS [13102] — First Choice PPO: $25,284.53 ADMINISTRATORS [13102] — First Choice PSHVN: $22,309.88 AETNA [11000] — Aetna PPO: $24,987.06 ALLEGIANCE [12264] — Cigna PPO: $25,284.53 ALLIED [13129] — First Choice PPO: $25,284.53 ALTIUS HEALTH PLAN [12275] — First Health PPO: $28,556.64 AMERIBEN [11006] — Aetna PPO: $24,987.06 ASSURANT HEALTH FC [13135] — First Choice PPO: $25,284.53 ASURIS [11900] — Regence PPO: $24,689.60
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lt Hrt Cath W/Ventrclgrphy	Not listed in the file	$91,997.85	Not listed in the file
Left heart catheterization (diagnostic): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Comp Ep W/O Induct Arrhy	$24,294.20	$24,294.20	$6,122.14 – $23,322.43
Heart rhythm study (electrophysiology evaluation): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $19,435.36 ADMINISTRATORS [13102] — First Choice PPO: $20,650.07 ADMINISTRATORS [13102] — First Choice PSHVN: $18,220.65 AETNA [11000] — Aetna PPO: $20,407.13 ALLEGIANCE [12264] — Cigna PPO: $20,650.07 ALLIED [13129] — First Choice PPO: $20,650.07 ALTIUS HEALTH PLAN [12275] — First Health PPO: $23,322.43 AMERIBEN [11006] — Aetna PPO: $20,407.13 ASSURANT HEALTH FC [13135] — First Choice PPO: $20,650.07 ASURIS [11900] — Regence PPO: $20,164.19
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: Compre Electrophysiologic W/O Arrhyt Induction	$1,569	$1,569	$211.58 – $1,255.20
Heart rhythm study (electrophysiology evaluation): 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $1,255.20 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $1,255.20 ALLEGIANCE [12264] — Cigna: $784.50 ALLIED [13129] — First Choice: $1,255.20 ASSURANT HEALTH FC [13135] — First Choice: $1,255.20 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $706.05 CHPW [15802] — CHPW Apple Health: $784.50 CHPW CASCADE [12228] — CHPW Cascade Care: $784.50 CIGNA [12204] — Cigna: $784.50 CLARITEV [12299] — Multiplan: $1,255.20
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: Compre Electrophysiologic W/O Arrhyt Induction\|PROFESSIONAL COMPONENT	$1,163	Not listed in the file	$211.58 – $1,255.20
Heart rhythm study (electrophysiology evaluation): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $930.40 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $930.40 AETNA [11000] — Aetna: $945.13 ALLEGIANCE [12264] — Cigna: $910.50 ALLIED [13129] — First Choice: $930.40 AMERIBEN [11006] — Aetna: $945.13 ASSURANT HEALTH FC [13135] — First Choice: $930.40 ASURIS [11900] — Regence Blue Shield: $828.79 ASURIS [11913] — Regence Blue Shield: $828.79 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $828.79
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sleep Study W/O Intervention	$8,127.50	$8,127.50	$2,048.13 – $7,802.40
Sleep study (overnight, in a sleep lab): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $6,502 ADMINISTRATORS [13102] — First Choice PPO: $6,908.38 ADMINISTRATORS [13102] — First Choice PSHVN: $6,095.63 AETNA [11000] — Aetna PPO: $6,827.10 ALLEGIANCE [12264] — Cigna PPO: $6,908.38 ALLIED [13129] — First Choice PPO: $6,908.38 ALTIUS HEALTH PLAN [12275] — First Health PPO: $7,802.40 AMERIBEN [11006] — Aetna PPO: $6,827.10 ASSURANT HEALTH FC [13135] — First Choice PPO: $6,908.38 ASURIS [11900] — Regence PPO: $6,745.83
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study W/O Intervent Limited	$2,466.50	$2,466.50	$526.83 – $2,367.84
Sleep study (overnight, in a sleep lab): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $1,973.20 ADMINISTRATORS [13102] — First Choice PPO: $2,096.53 ADMINISTRATORS [13102] — First Choice PSHVN: $1,849.88 AETNA [11000] — Aetna PPO: $2,071.86 ALLEGIANCE [12264] — Cigna PPO: $2,096.53 ALLIED [13129] — First Choice PPO: $2,096.53 ALTIUS HEALTH PLAN [12275] — First Health PPO: $2,367.84 AMERIBEN [11006] — Aetna PPO: $2,071.86 ASSURANT HEALTH FC [13135] — First Choice PPO: $2,096.53 ASURIS [11900] — Regence PPO: $2,047.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: Polysom 6/>Yrs Sleep 4/> Addl Param Attnd	$482	$482	$66.91 – $385.60
Sleep study (overnight, in a sleep lab): 10 of 70 insurance plan rates ADMINISTRATORS [13102] — First Choice: $385.60 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $385.60 ALLEGIANCE [12264] — Cigna: $241 ALLIED [13129] — First Choice: $385.60 ASSURANT HEALTH FC [13135] — First Choice: $385.60 CHILD HEARING LEAGUE [17301] — Washington Medicaid: $216.90 CHPW [15802] — CHPW Apple Health: $241 CHPW CASCADE [12228] — CHPW Cascade Care: $241 CIGNA [12204] — Cigna: $241 CLARITEV [12299] — Multiplan: $385.60

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sprt Therapeutic Pro Ea 15 Min	$149.50	$149.50	$17.38 – $143.52
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $119.60 ADMINISTRATORS [13102] — First Choice PPO: $127.08 ADMINISTRATORS [13102] — First Choice PSHVN: $112.13 AETNA [11000] — Aetna PPO: $125.58 ALLEGIANCE [12264] — Cigna PPO: $127.08 ALLIED [13129] — First Choice PPO: $127.08 ALTIUS HEALTH PLAN [12275] — First Health PPO: $143.52 AMERIBEN [11006] — Aetna PPO: $125.58 ASSURANT HEALTH FC [13135] — First Choice PPO: $127.08 ASURIS [11900] — Regence PPO: $124.09
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic Proc Ea 15 Min	$180.70	$180.70	$17.38 – $173.47
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $144.56 ADMINISTRATORS [13102] — First Choice PPO: $153.60 ADMINISTRATORS [13102] — First Choice PSHVN: $135.53 AETNA [11000] — Aetna PPO: $151.79 ALLEGIANCE [12264] — Cigna PPO: $153.60 ALLIED [13129] — First Choice PPO: $153.60 ALTIUS HEALTH PLAN [12275] — First Health PPO: $173.47 AMERIBEN [11006] — Aetna PPO: $151.79 ASSURANT HEALTH FC [13135] — First Choice PPO: $153.60 ASURIS [11900] — Regence PPO: $149.98
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Evaluation Low Complexity	$488.30	$488.30	$59.44 – $468.77
Physical therapy evaluation (low complexity): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $390.64 ADMINISTRATORS [13102] — First Choice PPO: $415.06 ADMINISTRATORS [13102] — First Choice PSHVN: $366.23 AETNA [11000] — Aetna PPO: $410.17 ALLEGIANCE [12264] — Cigna PPO: $415.06 ALLIED [13129] — First Choice PPO: $415.06 ALTIUS HEALTH PLAN [12275] — First Health PPO: $468.77 AMERIBEN [11006] — Aetna PPO: $410.17 ASSURANT HEALTH FC [13135] — First Choice PPO: $415.06 ASURIS [11900] — Regence PPO: $405.29
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Evaluation Mod Complexity	$639.90	$639.90	$59.44 – $614.30
Physical therapy evaluation (moderate complexity): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $511.92 ADMINISTRATORS [13102] — First Choice PPO: $543.92 ADMINISTRATORS [13102] — First Choice PSHVN: $479.93 AETNA [11000] — Aetna PPO: $537.52 ALLEGIANCE [12264] — Cigna PPO: $543.92 ALLIED [13129] — First Choice PPO: $543.92 ALTIUS HEALTH PLAN [12275] — First Health PPO: $614.30 AMERIBEN [11006] — Aetna PPO: $537.52 ASSURANT HEALTH FC [13135] — First Choice PPO: $543.92 ASURIS [11900] — Regence PPO: $531.12
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Evaluation High Complexity	$838.70	$838.70	$59.44 – $805.15
Physical therapy evaluation (high complexity): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $670.96 ADMINISTRATORS [13102] — First Choice PPO: $712.90 ADMINISTRATORS [13102] — First Choice PSHVN: $629.03 AETNA [11000] — Aetna PPO: $704.51 ALLEGIANCE [12264] — Cigna PPO: $712.90 ALLIED [13129] — First Choice PPO: $712.90 ALTIUS HEALTH PLAN [12275] — First Health PPO: $805.15 AMERIBEN [11006] — Aetna PPO: $704.51 ASSURANT HEALTH FC [13135] — First Choice PPO: $712.90 ASURIS [11900] — Regence PPO: $696.12
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy 16-37mins	$303	$303	$76.36 – $290.88
Psychotherapy, 30 minutes: 10 of 105 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $242.40 ADMINISTRATORS [13102] — First Choice PPO: $257.55 ADMINISTRATORS [13102] — First Choice PSHVN: $227.25 AETNA [11000] — Aetna PPO: $254.52 ALLEGIANCE [12264] — Cigna PPO: $257.55 ALLIED [13129] — First Choice PPO: $257.55 ALTIUS HEALTH PLAN [12275] — First Health PPO: $290.88 AMERIBEN [11006] — Aetna PPO: $254.52 ASSURANT HEALTH FC [13135] — First Choice PPO: $257.55 ASURIS [11900] — Regence PPO: $251.49
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: Psychotherapy Patient 16-37 Minutes	$303	Not listed in the file	$50.14 – $303
Psychotherapy, 30 minutes: 10 of 92 insurance plan rates ADMINISTRATORS [13102] — First Choice: $144.22 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $144.22 AETNA [11000] — Aetna: $128.82 ALLEGIANCE [12264] — Cigna: $160.94 ALLIED [13129] — First Choice: $144.22 AMERIBEN [11006] — Aetna: $128.82 ASSURANT HEALTH FC [13135] — First Choice: $144.22 ASURIS [11900] — Regence Blue Shield: $106.60 ASURIS [11913] — Regence Blue Shield: $106.60 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $106.60
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy 38-52 Minutes	$404	$404	$165.64 – $387.84
Psychotherapy, 45 minutes: 10 of 101 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $323.20 ADMINISTRATORS [13102] — First Choice PPO: $343.40 ADMINISTRATORS [13102] — First Choice PSHVN: $303 AETNA [11000] — Aetna PPO: $339.36 ALLEGIANCE [12264] — Cigna PPO: $343.40 ALLIED [13129] — First Choice PPO: $343.40 ALTIUS HEALTH PLAN [12275] — First Health PPO: $387.84 AMERIBEN [11006] — Aetna PPO: $339.36 ASSURANT HEALTH FC [13135] — First Choice PPO: $343.40 ASURIS [11900] — Regence PPO: $335.32
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: Psychotherapy Patient 38-52 Minutes	$404	Not listed in the file	$66 – $323.20
Psychotherapy, 45 minutes: 10 of 92 insurance plan rates ADMINISTRATORS [13102] — First Choice: $190.65 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $190.65 AETNA [11000] — Aetna: $211.79 ALLEGIANCE [12264] — Cigna: $213.37 ALLIED [13129] — First Choice: $190.65 AMERIBEN [11006] — Aetna: $211.79 ASSURANT HEALTH FC [13135] — First Choice: $190.65 ASURIS [11900] — Regence Blue Shield: $141.23 ASURIS [11913] — Regence Blue Shield: $141.23 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $141.23
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy 53+ Mins	$606	$606	$152.71 – $581.76
Psychotherapy, 60 minutes: 10 of 105 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $484.80 ADMINISTRATORS [13102] — First Choice PPO: $515.10 ADMINISTRATORS [13102] — First Choice PSHVN: $454.50 AETNA [11000] — Aetna PPO: $509.04 ALLEGIANCE [12264] — Cigna PPO: $515.10 ALLIED [13129] — First Choice PPO: $515.10 ALTIUS HEALTH PLAN [12275] — First Health PPO: $581.76 AMERIBEN [11006] — Aetna PPO: $509.04 ASSURANT HEALTH FC [13135] — First Choice PPO: $515.10 ASURIS [11900] — Regence PPO: $502.98
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: Psychotherapy Patient 53+ Minutes	$606	Not listed in the file	$97.75 – $484.80
Psychotherapy, 60 minutes: 10 of 92 insurance plan rates ADMINISTRATORS [13102] — First Choice: $281.40 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $281.40 AETNA [11000] — Aetna: $258.27 ALLEGIANCE [12264] — Cigna: $313.60 ALLIED [13129] — First Choice: $281.40 AMERIBEN [11006] — Aetna: $258.27 ASSURANT HEALTH FC [13135] — First Choice: $281.40 ASURIS [11900] — Regence Blue Shield: $208.86 ASURIS [11913] — Regence Blue Shield: $208.86 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $208.86
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: Fam Ther W/O Pt Fac 26+ Minutes	$500	$500	$205 – $480
Family psychotherapy, without the patient: 10 of 101 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $400 ADMINISTRATORS [13102] — First Choice PPO: $425 ADMINISTRATORS [13102] — First Choice PSHVN: $375 AETNA [11000] — Aetna PPO: $420 ALLEGIANCE [12264] — Cigna PPO: $425 ALLIED [13129] — First Choice PPO: $425 ALTIUS HEALTH PLAN [12275] — First Health PPO: $480 AMERIBEN [11006] — Aetna PPO: $420 ASSURANT HEALTH FC [13135] — First Choice PPO: $425 ASURIS [11900] — Regence PPO: $415
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: Family Therapy W/O Pt Present 26+ Minutes	$500	Not listed in the file	$71.53 – $400
Family psychotherapy, without the patient: 10 of 92 insurance plan rates ADMINISTRATORS [13102] — First Choice: $205.42 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $205.42 AETNA [11000] — Aetna: $213.33 ALLEGIANCE [12264] — Cigna: $230.53 ALLIED [13129] — First Choice: $205.42 AMERIBEN [11006] — Aetna: $213.33 ASSURANT HEALTH FC [13135] — First Choice: $205.42 ASURIS [11900] — Regence Blue Shield: $152.59 ASURIS [11913] — Regence Blue Shield: $152.59 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $152.59
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Fam Ther W/Pt Fac 26+ Minutes	$521	$521	$213.61 – $500.16
Family psychotherapy, with the patient: 10 of 101 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $416.80 ADMINISTRATORS [13102] — First Choice PPO: $442.85 ADMINISTRATORS [13102] — First Choice PSHVN: $390.75 AETNA [11000] — Aetna PPO: $437.64 ALLEGIANCE [12264] — Cigna PPO: $442.85 ALLIED [13129] — First Choice PPO: $442.85 ALTIUS HEALTH PLAN [12275] — First Health PPO: $500.16 AMERIBEN [11006] — Aetna PPO: $437.64 ASSURANT HEALTH FC [13135] — First Choice PPO: $442.85 ASURIS [11900] — Regence PPO: $432.43
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: Family Therapy W/ Pt Present 26+ Minutes	$521	Not listed in the file	$74.52 – $416.80
Family psychotherapy, with the patient: 10 of 92 insurance plan rates ADMINISTRATORS [13102] — First Choice: $214.57 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $214.57 AETNA [11000] — Aetna: $216.39 ALLEGIANCE [12264] — Cigna: $240.43 ALLIED [13129] — First Choice: $214.57 AMERIBEN [11006] — Aetna: $216.39 ASSURANT HEALTH FC [13135] — First Choice: $214.57 ASURIS [11900] — Regence Blue Shield: $158 ASURIS [11913] — Regence Blue Shield: $158 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $158
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psychotherapy 90 Minutes Fac	$150	$150	$61.50 – $144
Group psychotherapy: 10 of 101 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $120 ADMINISTRATORS [13102] — First Choice PPO: $127.50 ADMINISTRATORS [13102] — First Choice PSHVN: $112.50 AETNA [11000] — Aetna PPO: $126 ALLEGIANCE [12264] — Cigna PPO: $127.50 ALLIED [13129] — First Choice PPO: $127.50 ALTIUS HEALTH PLAN [12275] — First Health PPO: $144 AMERIBEN [11006] — Aetna PPO: $126 ASSURANT HEALTH FC [13135] — First Choice PPO: $127.50 ASURIS [11900] — Regence PPO: $124.50

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	$1,774	Not listed in the file	$244.48 – $1,419.20
Removal of breast growth (open surgery): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $985.58 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $985.58 AETNA [11000] — Aetna: $1,012.17 ALLEGIANCE [12264] — Cigna: $1,017 ALLIED [13129] — First Choice: $985.58 AMERIBEN [11006] — Aetna: $1,012.17 ASSURANT HEALTH FC [13135] — First Choice: $985.58 ASURIS [11900] — Regence Blue Shield: $984.25 ASURIS [11913] — Regence Blue Shield: $984.25 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $984.25
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion	Not listed in the file	$23,310.40	Not listed in the file
Removal of breast growth (open surgery): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion\|LEFT SIDE	Not listed in the file	$37,658.80	Not listed in the file
Removal of breast growth (open surgery): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	$5,411	Not listed in the file	$746.34 – $5,627.44
Total hip replacement: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $3,007.35 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $3,007.35 AETNA [11000] — Aetna: $3,089.72 ALLEGIANCE [12264] — Cigna: $3,120.32 ALLIED [13129] — First Choice: $3,007.35 AMERIBEN [11006] — Aetna: $3,089.72 ASSURANT HEALTH FC [13135] — First Choice: $3,007.35 ASURIS [11900] — Regence Blue Shield: $3,032.76 ASURIS [11913] — Regence Blue Shield: $3,032.76 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $3,032.76
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft	Not listed in the file	$193,116.30	Not listed in the file
Total hip replacement: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier AS In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft\|PHYSICIAN ASSISTANT/NURSE PRACTITIONER	$5,411	Not listed in the file	$746.34 – $4,328.80
Total hip replacement: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $3,007.35 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $3,007.35 AETNA [11000] — Aetna: $3,089.72 ALLEGIANCE [12264] — Cigna: $3,120.32 ALLIED [13129] — First Choice: $3,007.35 AMERIBEN [11006] — Aetna: $3,089.72 ASSURANT HEALTH FC [13135] — First Choice: $3,007.35 ASURIS [11900] — Regence Blue Shield: $3,032.76 ASURIS [11913] — Regence Blue Shield: $3,032.76 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $3,032.76
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg	$2,313	Not listed in the file	$322.42 – $1,850.40
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $1,284.53 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $1,284.53 AETNA [11000] — Aetna: $1,331.18 ALLEGIANCE [12264] — Cigna: $1,336.48 ALLIED [13129] — First Choice: $1,284.53 AMERIBEN [11006] — Aetna: $1,331.18 ASSURANT HEALTH FC [13135] — First Choice: $1,284.53 ASURIS [11900] — Regence Blue Shield: $1,283.52 ASURIS [11913] — Regence Blue Shield: $1,283.52 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $1,283.52
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier AS In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg\|PHYSICIAN ASSISTANT/NURSE PRACTITIONER	$2,313	$479.80	$64.48 – $1,850.40
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $1,284.53 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $1,284.53 AETNA [11000] — Aetna: $1,331.18 ALLEGIANCE [12264] — Cigna: $1,336.48 ALLIED [13129] — First Choice: $1,284.53 AMERIBEN [11006] — Aetna: $1,331.18 ASSURANT HEALTH FC [13135] — First Choice: $1,284.53 ASURIS [11900] — Regence Blue Shield: $1,283.52 ASURIS [11913] — Regence Blue Shield: $1,283.52 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $1,283.52
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier AS\|LT\|22 In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg\|PHYSICIAN ASSISTANT/NURSE PRACTITIONER\|LEFT SIDE\|UNUSUAL PROCEDURAL SERVICES	$462.60	$462.60	$64.48 – $1,850.40
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $256.91 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $256.91 AETNA [11000] — Aetna: $266.24 ALLEGIANCE [12264] — Cigna: $267.30 ALLIED [13129] — First Choice: $256.91 AMERIBEN [11006] — Aetna: $266.24 ASSURANT HEALTH FC [13135] — First Choice: $256.91 ASURIS [11900] — Regence Blue Shield: $256.70 ASURIS [11913] — Regence Blue Shield: $256.70 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $256.70
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: Tonsillectomy & Adenoidectomy <Age 12	$1,236	Not listed in the file	$172.33 – $988.80
Removal of tonsils and adenoids (under age 12): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $688.97 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $688.97 AETNA [11000] — Aetna: $759.43 ALLEGIANCE [12264] — Cigna: $718.97 ALLIED [13129] — First Choice: $688.97 AMERIBEN [11006] — Aetna: $759.43 ASSURANT HEALTH FC [13135] — First Choice: $688.97 ASURIS [11900] — Regence Blue Shield: $675.37 ASURIS [11913] — Regence Blue Shield: $675.37 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $675.37
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tonsillectomy & Adenoidectomy <Age 12	Not listed in the file	$31,217.35	Not listed in the file
Removal of tonsils and adenoids (under age 12): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD Flexible, Transoral; Diagnostic	$5,517	$5,517	$1,390.28 – $5,296.32
Upper GI endoscopy (diagnostic): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $4,413.60 ADMINISTRATORS [13102] — First Choice PPO: $4,689.45 ADMINISTRATORS [13102] — First Choice PSHVN: $4,137.75 AETNA [11000] — Aetna PPO: $4,634.28 ALLEGIANCE [12264] — Cigna PPO: $4,689.45 ALLIED [13129] — First Choice PPO: $4,689.45 ALTIUS HEALTH PLAN [12275] — First Health PPO: $5,296.32 AMERIBEN [11006] — Aetna PPO: $4,634.28 ASSURANT HEALTH FC [13135] — First Choice PPO: $4,689.45 ASURIS [11900] — Regence PPO: $4,579.11
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: Esophagogastroduodenoscopy Transoral Diagnostic	$507	Not listed in the file	$70.09 – $405.60
Upper GI endoscopy (diagnostic): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $282.60 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $282.60 AETNA [11000] — Aetna: $317.22 ALLEGIANCE [12264] — Cigna: $294.40 ALLIED [13129] — First Choice: $282.60 AMERIBEN [11006] — Aetna: $317.22 ASSURANT HEALTH FC [13135] — First Choice: $282.60 ASURIS [11900] — Regence Blue Shield: $285.67 ASURIS [11913] — Regence Blue Shield: $285.67 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $285.67
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD Flexible, Transoral; Diagnostic	Not listed in the file	$16,158.25	Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: Upper GI Endoscopy Biopsy	$5,382.40	$5,382.40	$1,356.36 – $5,167.10
Upper GI endoscopy with biopsy: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $4,305.92 ADMINISTRATORS [13102] — First Choice PPO: $4,575.04 ADMINISTRATORS [13102] — First Choice PSHVN: $4,036.80 AETNA [11000] — Aetna PPO: $4,521.22 ALLEGIANCE [12264] — Cigna PPO: $4,575.04 ALLIED [13129] — First Choice PPO: $4,575.04 ALTIUS HEALTH PLAN [12275] — First Health PPO: $5,167.10 AMERIBEN [11006] — Aetna PPO: $4,521.22 ASSURANT HEALTH FC [13135] — First Choice PPO: $4,575.04 ASURIS [11900] — Regence PPO: $4,467.39
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: Egd Transoral Biopsy Single/Multiple	$570	Not listed in the file	$78.88 – $456
Upper GI endoscopy with biopsy: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $319.18 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $319.18 AETNA [11000] — Aetna: $357.47 ALLEGIANCE [12264] — Cigna: $332.02 ALLIED [13129] — First Choice: $319.18 AMERIBEN [11006] — Aetna: $357.47 ASSURANT HEALTH FC [13135] — First Choice: $319.18 ASURIS [11900] — Regence Blue Shield: $321.68 ASURIS [11913] — Regence Blue Shield: $321.68 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $321.68
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Upper GI Endoscopy Biopsy	Not listed in the file	$14,681.70	Not listed in the file
Upper GI endoscopy with biopsy: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonscopy Flex W/+W/O Brush/Wash	$5,952.50	$5,952.50	$1,500.03 – $5,714.40
Colonoscopy (diagnostic): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $4,762 ADMINISTRATORS [13102] — First Choice PPO: $5,059.63 ADMINISTRATORS [13102] — First Choice PSHVN: $4,464.38 AETNA [11000] — Aetna PPO: $5,000.10 ALLEGIANCE [12264] — Cigna PPO: $5,059.63 ALLIED [13129] — First Choice PPO: $5,059.63 ALTIUS HEALTH PLAN [12275] — First Health PPO: $5,714.40 AMERIBEN [11006] — Aetna PPO: $5,000.10 ASSURANT HEALTH FC [13135] — First Choice PPO: $5,059.63 ASURIS [11900] — Regence PPO: $4,940.58
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy Flx Dx W/WO Collj Specimens	$762	Not listed in the file	$105.04 – $609.60
Colonoscopy (diagnostic): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $424.28 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $424.28 AETNA [11000] — Aetna: $477.43 ALLEGIANCE [12264] — Cigna: $442.41 ALLIED [13129] — First Choice: $424.28 AMERIBEN [11006] — Aetna: $477.43 ASSURANT HEALTH FC [13135] — First Choice: $424.28 ASURIS [11900] — Regence Blue Shield: $432.11 ASURIS [11913] — Regence Blue Shield: $432.11 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $432.11
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy W/Biopsy	$5,342.90	$5,342.90	$1,346.41 – $5,129.18
Colonoscopy with biopsy: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $4,274.32 ADMINISTRATORS [13102] — First Choice PPO: $4,541.47 ADMINISTRATORS [13102] — First Choice PSHVN: $4,007.18 AETNA [11000] — Aetna PPO: $4,488.04 ALLEGIANCE [12264] — Cigna PPO: $4,541.47 ALLIED [13129] — First Choice PPO: $4,541.47 ALTIUS HEALTH PLAN [12275] — First Health PPO: $5,129.18 AMERIBEN [11006] — Aetna PPO: $4,488.04 ASSURANT HEALTH FC [13135] — First Choice PPO: $4,541.47 ASURIS [11900] — Regence PPO: $4,434.61
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: Colonoscopy W/Biopsy Single/Multiple	$828	Not listed in the file	$114.20 – $662.40
Colonoscopy with biopsy: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $460.87 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $460.87 AETNA [11000] — Aetna: $517.69 ALLEGIANCE [12264] — Cigna: $481.08 ALLIED [13129] — First Choice: $460.87 AMERIBEN [11006] — Aetna: $517.69 ASSURANT HEALTH FC [13135] — First Choice: $460.87 ASURIS [11900] — Regence Blue Shield: $468.12 ASURIS [11913] — Regence Blue Shield: $468.12 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $468.12
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy W/Biopsy	Not listed in the file	$21,707.90	Not listed in the file
Colonoscopy with biopsy: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy W/Remove By Snare	$5,342.90	$5,342.90	$1,346.41 – $5,129.18
Colonoscopy with removal of polyps (snare): 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $4,274.32 ADMINISTRATORS [13102] — First Choice PPO: $4,541.47 ADMINISTRATORS [13102] — First Choice PSHVN: $4,007.18 AETNA [11000] — Aetna PPO: $4,488.04 ALLEGIANCE [12264] — Cigna PPO: $4,541.47 ALLIED [13129] — First Choice PPO: $4,541.47 ALTIUS HEALTH PLAN [12275] — First Health PPO: $5,129.18 AMERIBEN [11006] — Aetna PPO: $4,488.04 ASSURANT HEALTH FC [13135] — First Choice PPO: $4,541.47 ASURIS [11900] — Regence PPO: $4,434.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: Colsc Flx Prox Splenic Flxr Rmvl Les Snare Tq	$1,044	Not listed in the file	$143.92 – $835.20
Colonoscopy with removal of polyps (snare): 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $583.10 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $583.10 AETNA [11000] — Aetna: $653.71 ALLEGIANCE [12264] — Cigna: $608.51 ALLIED [13129] — First Choice: $583.10 AMERIBEN [11006] — Aetna: $653.71 ASSURANT HEALTH FC [13135] — First Choice: $583.10 ASURIS [11900] — Regence Blue Shield: $591.35 ASURIS [11913] — Regence Blue Shield: $591.35 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $591.35
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Hospital (facility) fee In the file: Colsc Flx Prox Splenic Flxr Ndsc US Xm	$6,792.60	$6,792.60	$2,784.97 – $6,520.90
Ultrasound of the lower bowel by endoscope: 10 of 101 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $5,434.08 ADMINISTRATORS [13102] — First Choice PPO: $5,773.71 ADMINISTRATORS [13102] — First Choice PSHVN: $5,094.45 AETNA [11000] — Aetna PPO: $5,705.78 ALLEGIANCE [12264] — Cigna PPO: $5,773.71 ALLIED [13129] — First Choice PPO: $5,773.71 ALTIUS HEALTH PLAN [12275] — First Health PPO: $6,520.90 AMERIBEN [11006] — Aetna PPO: $5,705.78 ASSURANT HEALTH FC [13135] — First Choice PPO: $5,773.71 ASURIS [11900] — Regence PPO: $5,637.86
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: Colsc Flx Prox Splenic Flxr Ndsc US Xm	$1,058	Not listed in the file	$145.98 – $846.40
Ultrasound of the lower bowel by endoscope: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $590.88 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $590.88 AETNA [11000] — Aetna: $662.76 ALLEGIANCE [12264] — Cigna: $617.85 ALLIED [13129] — First Choice: $590.88 AMERIBEN [11006] — Aetna: $662.76 ASSURANT HEALTH FC [13135] — First Choice: $590.88 ASURIS [11900] — Regence Blue Shield: $598.55 ASURIS [11913] — Regence Blue Shield: $598.55 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $598.55
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: Laparoscopy Surg Cholecystectomy	$2,788	Not listed in the file	$381.11 – $2,230.40
Gallbladder removal by laparoscope: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $1,550.77 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $1,550.77 AETNA [11000] — Aetna: $1,708.71 ALLEGIANCE [12264] — Cigna: $1,594.22 ALLIED [13129] — First Choice: $1,550.77 AMERIBEN [11006] — Aetna: $1,708.71 ASSURANT HEALTH FC [13135] — First Choice: $1,550.77 ASURIS [11900] — Regence Blue Shield: $1,563.59 ASURIS [11913] — Regence Blue Shield: $1,563.59 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $1,563.59
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy Surg Cholecystectomy	Not listed in the file	$67,934.40	Not listed in the file
Gallbladder removal by laparoscope: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	$2,136	Not listed in the file	$303.92 – $1,708.80
Groin (inguinal) hernia repair, age 5 or older: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $1,231.59 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $1,231.59 AETNA [11000] — Aetna: $1,360.99 ALLEGIANCE [12264] — Cigna: $1,269.55 ALLIED [13129] — First Choice: $1,231.59 AMERIBEN [11006] — Aetna: $1,360.99 ASSURANT HEALTH FC [13135] — First Choice: $1,231.59 ASURIS [11900] — Regence Blue Shield: $1,238.71 ASURIS [11913] — Regence Blue Shield: $1,238.71 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $1,238.71
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible	Not listed in the file	$27,499.60	Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Doctor (professional) fee · modifier AS In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible\|PHYSICIAN ASSISTANT/NURSE PRACTITIONER	$427.20	$427.20	$60.78 – $2,563.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $246.32 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $246.32 AETNA [11000] — Aetna: $272.20 ALLEGIANCE [12264] — Cigna: $253.91 ALLIED [13129] — First Choice: $246.32 AMERIBEN [11006] — Aetna: $272.20 ASSURANT HEALTH FC [13135] — First Choice: $246.32 ASURIS [11900] — Regence Blue Shield: $247.74 ASURIS [11913] — Regence Blue Shield: $247.74 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $247.74
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Inj Intrlmin	$4,956	$4,956	$1,248.91 – $4,757.76
Spinal injection, lower back (epidural), with imaging guidance: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $3,964.80 ADMINISTRATORS [13102] — First Choice PPO: $4,212.60 ADMINISTRATORS [13102] — First Choice PSHVN: $3,717 AETNA [11000] — Aetna PPO: $4,163.04 ALLEGIANCE [12264] — Cigna PPO: $4,212.60 ALLIED [13129] — First Choice PPO: $4,212.60 ALTIUS HEALTH PLAN [12275] — First Health PPO: $4,757.76 AMERIBEN [11006] — Aetna PPO: $4,163.04 ASSURANT HEALTH FC [13135] — First Choice PPO: $4,212.60 ASURIS [11900] — Regence PPO: $4,113.48
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: Njx Interlaminar Lmbr/Sac	$413	Not listed in the file	$57.20 – $330.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $230.44 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $230.44 AETNA [11000] — Aetna: $233.93 ALLEGIANCE [12264] — Cigna: $239.23 ALLIED [13129] — First Choice: $230.44 AMERIBEN [11006] — Aetna: $233.93 ASSURANT HEALTH FC [13135] — First Choice: $230.44 ASURIS [11900] — Regence Blue Shield: $231.26 ASURIS [11913] — Regence Blue Shield: $231.26 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $231.26
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj Intrlminar Lmbr/Sac W/Imag	Not listed in the file	$20,800.05	Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Inj Foramen	$3,911.60	$3,911.60	$1,603.76 – $3,755.14
Nerve root injection, lower back, with imaging guidance: 10 of 101 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: $3,129.28 ADMINISTRATORS [13102] — First Choice PPO: $3,324.86 ADMINISTRATORS [13102] — First Choice PSHVN: $2,933.70 AETNA [11000] — Aetna PPO: $3,285.74 ALLEGIANCE [12264] — Cigna PPO: $3,324.86 ALLIED [13129] — First Choice PPO: $3,324.86 ALTIUS HEALTH PLAN [12275] — First Health PPO: $3,755.14 AMERIBEN [11006] — Aetna PPO: $3,285.74 ASSURANT HEALTH FC [13135] — First Choice PPO: $3,324.86 ASURIS [11900] — Regence PPO: $3,246.63
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl	$463	Not listed in the file	$64.48 – $370.40
Nerve root injection, lower back, with imaging guidance: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $258.46 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $258.46 AETNA [11000] — Aetna: $265.22 ALLEGIANCE [12264] — Cigna: $268.58 ALLIED [13129] — First Choice: $258.46 AMERIBEN [11006] — Aetna: $265.22 ASSURANT HEALTH FC [13135] — First Choice: $258.46 ASURIS [11900] — Regence Blue Shield: $260.07 ASURIS [11913] — Regence Blue Shield: $260.07 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $260.07
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx Anes&/Strd W/Img Tfrml Edrl Lmbr/Sac 1 Lvl	Not listed in the file	$16,637.75	Not listed in the file
Nerve root injection, lower back, with imaging guidance: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	$1,875	$1,875	$263.17 – $1,500
Carpal tunnel release: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $1,040.85 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $1,040.85 AETNA [11000] — Aetna: $1,068.10 ALLEGIANCE [12264] — Cigna: $1,084.42 ALLIED [13129] — First Choice: $1,040.85 AMERIBEN [11006] — Aetna: $1,068.10 ASSURANT HEALTH FC [13135] — First Choice: $1,040.85 ASURIS [11900] — Regence Blue Shield: $1,026.66 ASURIS [11913] — Regence Blue Shield: $1,026.66 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $1,026.66
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne	Not listed in the file	$30,082	Not listed in the file
Carpal tunnel release: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Doctor (professional) fee · modifier 50 In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne\|BILATERAL PROCEDURE	$2,812.50	$2,812.50	$394.76 – $2,250
Carpal tunnel release: 10 of 90 insurance plan rates ADMINISTRATORS [13102] — First Choice: $1,561.28 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $1,561.28 AETNA [11000] — Aetna: $1,602.15 ALLEGIANCE [12264] — Cigna: $1,626.63 ALLIED [13129] — First Choice: $1,561.28 AMERIBEN [11006] — Aetna: $1,602.15 ASSURANT HEALTH FC [13135] — First Choice: $1,561.28 ASURIS [11900] — Regence Blue Shield: $1,539.99 ASURIS [11913] — Regence Blue Shield: $1,539.99 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $1,539.99
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: Cataract Removal Insertion of Lens	$2,242	Not listed in the file	$315.88 – $1,793.60
Cataract removal with lens implant: 10 of 87 insurance plan rates ADMINISTRATORS [13102] — First Choice: $1,256.50 ADMINISTRATORS [13102] — First Choice Puget Sound High Value: $1,256.50 AETNA [11000] — Aetna: $1,555.07 ALLEGIANCE [12264] — Cigna: $1,324.04 ALLIED [13129] — First Choice: $1,256.50 AMERIBEN [11006] — Aetna: $1,555.07 ASSURANT HEALTH FC [13135] — First Choice: $1,256.50 ASURIS [11900] — Regence Blue Shield: $1,257.11 ASURIS [11913] — Regence Blue Shield: $1,257.11 BRIDGESPAN HEALTH COMPANY [11906] — Regence Blue Shield: $1,257.11
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract Removal Insertion of Lens	Not listed in the file	$50,059.95	Not listed in the file
Cataract removal with lens implant: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: Cataract Removal Insertion of Lens\|BILATERAL PROCEDURE	Not listed in the file	$59,218.70	Not listed in the file
Cataract removal with lens implant: 10 of 117 insurance plan rates ADMINISTRATORS [13102] — First Choice EHN: 80% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ADMINISTRATORS [13102] — First Choice PSHVN: 75% (a percentage in the contract, not a dollar amount) AETNA [11000] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ALLEGIANCE [12264] — Cigna PPO: 85% (a percentage in the contract, not a dollar amount) ALLIED [13129] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ALTIUS HEALTH PLAN [12275] — First Health PPO: 96% (a percentage in the contract, not a dollar amount) AMERIBEN [11006] — Aetna PPO: 84% (a percentage in the contract, not a dollar amount) ASSURANT HEALTH FC [13135] — First Choice PPO: 85% (a percentage in the contract, not a dollar amount) ASURIS [11900] — Regence PPO: 83% (a percentage in the contract, not a dollar amount)

Source: Seattle Children's Hospital’s standard charges file (seattlechildrens.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 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 type	Children's Hospital
Address	4800 Sand Point Way NE, PO Box C-5371, Seattle, WA 98105
County	King County
State	Washington
Phone	(206) 987‑2000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	503300
Name in Medicare records	SEATTLE CHILDREN'S HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Seattle Children's
Official website	seattlechildrens.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Emergency or Urgent Care — seattlechildrens.org
Seattle Children's — seattlechildrens.org
Emergency Department - Seattle Children's — seattlechildrens.org
Interpreter Services - Seattle Children's — seattlechildrens.org
Hospital Campus - Seattle Children's Locations — seattlechildrens.org

Seattle Children's Hospital

Summary

Profile from official sources

At a glance