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Acute Care Hospital

Swedish Issaquah

Issaquah, Washington · King County · Emergency services listed

Summary

Swedish Issaquah is an acute care hospital in Issaquah, Washington. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 83 services, specialties and programs. Medicare lists 739 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
83Services listed

Quick answers

Does Swedish Issaquah have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Swedish Issaquah. In a medical emergency, call 911.
Where is Swedish Issaquah?
751 NE Blakely Dr, Issaquah, WA 98029, in King County, Washington.
What is the phone number of Swedish Issaquah?
(425) 313-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Swedish Issaquah?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][7][11][13][14][16][17][18]

Conditions treated[10][14][16][18]

Treatments[10][14][16]

  • Deep brain stimulation
  • Interventional neuroradiology
  • Minimally invasive spine surgery
  • Neurostimulation
  • Stereotactic radiosurgery
  • Cochlear implants
  • Hearing aid fitting
  • Acupuncture
  • Spinal cord stimulation
  • Intrathecal drug delivery (pain pumps)
  • Injection therapies
  • Low dose radiation therapy

Procedures[13][18][19]

Programs and centers[4][7][11][12][15]

  • Birth Center
  • Cancer Institute
  • Cardiovascular Diagnostic Center
  • Medical Imaging
  • Adult Hydrocephalus Program
  • Pediatric Metabolic Health Program
  • Neonatal Intensive Care Unit (Level II)
  • Swedish Birth Center
  • Doula Services

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingCheck with the nurse for visit times; visitors with contagious illness should not visit; campus is smoke-free[9]
ParkingAmple free parking in the underground garage and Cascade and Olympic lots[6]
Interpreters and languagesPatient and Family Handbook offered in Amharic, Chinese, Japanese, Korean, Russian, Somali, Spanish and Vietnamese[8]

Recognition[4][19]

  • U.S. News & World Report High Performing Hospital in Hip Fracture (2026-27)
  • U.S. News & World Report High Performing Hospital in Pneumonia (2026-27)
  • U.S. News & World Report High Performing Hospital in Spinal Fusion (2026-27)
  • American College of Radiology accredited imaging departments

Doctors and clinicians (739)

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

Main specialties

Doctors with a page on this site (739)

And 715 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1078%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean73%National average: 74%
Area around the room “always” quiet at night57%National average: 60%
Completed surveys567Response rate: 21%

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)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.823No different from the national benchmark
Surgical site infections after colon surgery1.591No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections2.292No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.146Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients13.9%
Deaths within 30 days: heart failure patients12.7%
Deaths within 30 days: pneumonia patients11.6%
Deaths within 30 days: COPD patients6.4%
Deaths within 30 days: stroke patients9.8%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.94No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.4%
Readmitted within 30 days: heart failure20.6%
Readmitted within 30 days: pneumonia15%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)141 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)37%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 78 common services exactly as Swedish Issaquah lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $316.99 – $1,344.57
Emergency room visit (moderate): 10 of 22 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $326.50
  • Aetna — Medicare Managed Care - Ppo: $329.67
  • Amerigroup — Medicare Managed Care Plan: $348.69
  • Blue Cross — Premera All Commercial Plans: $762.28
  • Blue Cross — Premera Heritage Signature Exchange: $630.93
  • Blue Cross — Premera Lifewise Exchange: $570.59
  • Blue Shield — Regence All Commercial Plans: $739.38
  • Blue Shield — Regence Medicare Managed Care Plan: $342.35
  • Blue Shield — Uniform Medical Plan Exchange: $815.55
  • Cigna — Medicare Managed Care Plan: $380.39
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED OB FAC E&M VISIT LEVEL 3 CDM $1,143 $548.64 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED BH FAC E&M LEVEL 3 CDM $1,314 $630.72 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $484.54 – $2,055.25
Emergency room visit (moderately high): 10 of 22 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $499.08
  • Aetna — Medicare Managed Care - Ppo: $503.92
  • Amerigroup — Medicare Managed Care Plan: $533
  • Blue Cross — Premera All Commercial Plans: $1,183.30
  • Blue Cross — Premera Heritage Signature Exchange: $979.40
  • Blue Cross — Premera Lifewise Exchange: $872.17
  • Blue Shield — Regence All Commercial Plans: $1,147.76
  • Blue Shield — Regence Medicare Managed Care Plan: $523.30
  • Blue Shield — Uniform Medical Plan Exchange: $1,266
  • Cigna — Medicare Managed Care Plan: $581.45
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED OB FAC E&M VISIT LEVEL 4 CDM $1,894 $909.12 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED BH FAC E&M LEVEL 4 CDM $1,804 $865.92 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $691.55 – $2,933.32
Emergency room visit (high): 10 of 22 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $712.30
  • Aetna — Medicare Managed Care - Ppo: $719.22
  • Amerigroup — Medicare Managed Care Plan: $760.71
  • Blue Cross — Premera All Commercial Plans: $1,716.02
  • Blue Cross — Premera Heritage Signature Exchange: $1,420.33
  • Blue Cross — Premera Lifewise Exchange: $1,244.80
  • Blue Shield — Regence All Commercial Plans: $1,664.49
  • Blue Shield — Regence Medicare Managed Care Plan: $746.88
  • Blue Shield — Uniform Medical Plan Exchange: $1,835.97
  • Cigna — Medicare Managed Care Plan: $829.86
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED OB FAC E&M VISIT LEVEL 5 CDM $2,650 $1,272 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM $2,650 $1,272 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $7.61 – $42.30
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $29.69
  • Aetna — Medicare Managed Care - Hmo: $8.71
  • Amerigroup — Medicare Managed Care Plan: $9.31
  • Blue Cross — Premera Lifewise Exchange: $15.23
  • Blue Cross — Premera Medicare Managed Care Plan: $8.80
  • Cigna — All Commercial Plans: $16.50
  • Community Health Plan — Cascade Care Exchange: $13.54
  • Coordinated Care — Ambetter Exchange: $15.65
  • First Choice — All Commercial Plans: $42.30
  • First Choice — Health Administrators All Commercial Plans: $39.76
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $87 $41.76 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $9.50 – $52.80
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $37.07
  • Aetna — Medicare Managed Care - Hmo: $10.88
  • Amerigroup — Medicare Managed Care Plan: $11.62
  • Blue Cross — Premera Lifewise Exchange: $19.01
  • Blue Cross — Premera Medicare Managed Care Plan: $10.98
  • Cigna — All Commercial Plans: $20.58
  • Community Health Plan — Cascade Care Exchange: $16.90
  • Coordinated Care — Ambetter Exchange: $19.54
  • First Choice — All Commercial Plans: $52.80
  • First Choice — Health Administrators All Commercial Plans: $49.63
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL $116 $55.68 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $43.03 – $239.05
Obstetric blood test panel: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $167.81
  • Aetna — Medicare Managed Care - Hmo: $49.24
  • Amerigroup — Medicare Managed Care Plan: $52.59
  • Blue Cross — Premera Lifewise Exchange: $86.06
  • Blue Cross — Premera Medicare Managed Care Plan: $49.72
  • Cigna — All Commercial Plans: $93.24
  • Community Health Plan — Cascade Care Exchange: $76.50
  • Coordinated Care — Ambetter Exchange: $88.45
  • First Choice — All Commercial Plans: $239.05
  • First Choice — Health Administrators All Commercial Plans: $224.71
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $12.05 – $47
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $47
  • Aetna — Medicare Managed Care - Hmo: $13.79
  • Amerigroup — Medicare Managed Care Plan: $14.73
  • Blue Cross — Premera Lifewise Exchange: $24.10
  • Blue Cross — Premera Medicare Managed Care Plan: $13.93
  • Cigna — All Commercial Plans: $26.10
  • Community Health Plan — Cascade Care Exchange: $21.42
  • Coordinated Care — Ambetter Exchange: $24.77
  • First Choice — All Commercial Plans: $34.81
  • First Choice — Health Administrators All Commercial Plans: $25.44
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PANEL LAB $183 $87.84 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PANEL $183 $87.84 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $7.81 – $43.40
Kidney function panel: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $30.47
  • Aetna — Medicare Managed Care - Hmo: $8.94
  • Amerigroup — Medicare Managed Care Plan: $9.55
  • Blue Cross — Premera Lifewise Exchange: $15.62
  • Blue Cross — Premera Medicare Managed Care Plan: $9.03
  • Cigna — All Commercial Plans: $16.92
  • Community Health Plan — Cascade Care Exchange: $13.89
  • Coordinated Care — Ambetter Exchange: $16.06
  • First Choice — All Commercial Plans: $43.40
  • First Choice — Health Administrators All Commercial Plans: $40.80
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM $87 $41.76 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $7.35 – $40.85
Liver function panel: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $28.68
  • Aetna — Medicare Managed Care - Hmo: $8.42
  • Amerigroup — Medicare Managed Care Plan: $8.99
  • Blue Cross — Premera Lifewise Exchange: $14.71
  • Blue Cross — Premera Medicare Managed Care Plan: $8.50
  • Cigna — All Commercial Plans: $15.93
  • Community Health Plan — Cascade Care Exchange: $13.07
  • Coordinated Care — Ambetter Exchange: $15.11
  • First Choice — All Commercial Plans: $40.85
  • First Choice — Health Administrators All Commercial Plans: $38.40
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM $87 $41.76 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $2.85 – $15.85
Urine test (automated, with microscope): 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $11.13
  • Aetna — Medicare Managed Care - Hmo: $3.27
  • Amerigroup — Medicare Managed Care Plan: $3.49
  • Blue Cross — Premera Lifewise Exchange: $5.71
  • Blue Cross — Premera Medicare Managed Care Plan: $3.30
  • Cigna — All Commercial Plans: $6.18
  • Community Health Plan — Cascade Care Exchange: $5.07
  • Coordinated Care — Ambetter Exchange: $5.86
  • First Choice — All Commercial Plans: $15.85
  • First Choice — Health Administrators All Commercial Plans: $14.90
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB $43 $20.64 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM $45 $21.60 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.13 – $17.40
Urine test (manual, without microscope): 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $12.21
  • Aetna — Medicare Managed Care - Hmo: $3.58
  • Amerigroup — Medicare Managed Care Plan: $3.83
  • Blue Cross — Premera Lifewise Exchange: $6.26
  • Blue Cross — Premera Medicare Managed Care Plan: $3.62
  • Cigna — All Commercial Plans: $6.78
  • Community Health Plan — Cascade Care Exchange: $5.57
  • Coordinated Care — Ambetter Exchange: $6.44
  • First Choice — All Commercial Plans: $17.40
  • First Choice — Health Administrators All Commercial Plans: $16.36
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM $33 $15.84 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $39 $18.72 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.02 – $11.25
Urine test (automated, without microscope): 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $7.90
  • Aetna — Medicare Managed Care - Hmo: $2.32
  • Amerigroup — Medicare Managed Care Plan: $2.48
  • Blue Cross — Premera Lifewise Exchange: $4.05
  • Blue Cross — Premera Medicare Managed Care Plan: $2.34
  • Cigna — All Commercial Plans: $4.38
  • Community Health Plan — Cascade Care Exchange: $3.60
  • Coordinated Care — Ambetter Exchange: $4.16
  • First Choice — All Commercial Plans: $11.25
  • First Choice — Health Administrators All Commercial Plans: $10.58
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $32 $15.36 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB $26 $12.48 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $16.55 – $91.95
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $64.55
  • Aetna — Medicare Managed Care - Hmo: $18.94
  • Amerigroup — Medicare Managed Care Plan: $20.23
  • Blue Cross — Premera Lifewise Exchange: $33.10
  • Blue Cross — Premera Medicare Managed Care Plan: $19.13
  • Cigna — All Commercial Plans: $35.85
  • Community Health Plan — Cascade Care Exchange: $29.42
  • Coordinated Care — Ambetter Exchange: $34.02
  • First Choice — All Commercial Plans: $91.95
  • First Choice — Health Administrators All Commercial Plans: $86.43
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $277 $132.96 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB $261 $125.28 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $15.12 – $84
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $58.97
  • Aetna — Medicare Managed Care - Hmo: $17.30
  • Amerigroup — Medicare Managed Care Plan: $18.48
  • Blue Cross — Premera Lifewise Exchange: $30.24
  • Blue Cross — Premera Medicare Managed Care Plan: $17.47
  • Cigna — All Commercial Plans: $32.76
  • Community Health Plan — Cascade Care Exchange: $26.88
  • Coordinated Care — Ambetter Exchange: $31.08
  • First Choice — All Commercial Plans: $84
  • First Choice — Health Administrators All Commercial Plans: $78.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $254 $121.92 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC TSH $254 $121.92 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $6.99 – $38.85
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $27.27
  • Aetna — Medicare Managed Care - Hmo: $8
  • Amerigroup — Medicare Managed Care Plan: $8.55
  • Blue Cross — Premera Lifewise Exchange: $13.99
  • Blue Cross — Premera Medicare Managed Care Plan: $8.08
  • Cigna — All Commercial Plans: $15.15
  • Community Health Plan — Cascade Care Exchange: $12.43
  • Coordinated Care — Ambetter Exchange: $14.37
  • First Choice — All Commercial Plans: $38.85
  • First Choice — Health Administrators All Commercial Plans: $36.52
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO $105 $50.40 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $105 $50.40 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $5.82 – $32.35
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $22.71
  • Aetna — Medicare Managed Care - Hmo: $6.66
  • Amerigroup — Medicare Managed Care Plan: $7.12
  • Blue Cross — Premera Lifewise Exchange: $11.65
  • Blue Cross — Premera Medicare Managed Care Plan: $6.73
  • Cigna — All Commercial Plans: $12.63
  • Community Health Plan — Cascade Care Exchange: $10.35
  • Coordinated Care — Ambetter Exchange: $11.97
  • First Choice — All Commercial Plans: $32.35
  • First Choice — Health Administrators All Commercial Plans: $30.41
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED $88 $42.24 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED LAB $76 $36.48 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $3.86 – $21.45
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $15.06
  • Aetna — Medicare Managed Care - Hmo: $4.42
  • Amerigroup — Medicare Managed Care Plan: $4.72
  • Blue Cross — Premera Lifewise Exchange: $7.72
  • Blue Cross — Premera Medicare Managed Care Plan: $4.46
  • Cigna — All Commercial Plans: $8.37
  • Community Health Plan — Cascade Care Exchange: $6.86
  • Coordinated Care — Ambetter Exchange: $7.94
  • First Choice — All Commercial Plans: $21.45
  • First Choice — Health Administrators All Commercial Plans: $20.16
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME LAB $53 $25.44 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $53 $25.44 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $5.41 – $30.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates
  • Aetna — All Commercial Plans: $21.10
  • Aetna — Medicare Managed Care - Hmo: $6.19
  • Amerigroup — Medicare Managed Care Plan: $6.61
  • Blue Cross — Premera Lifewise Exchange: $10.82
  • Blue Cross — Premera Medicare Managed Care Plan: $6.25
  • Cigna — All Commercial Plans: $11.73
  • Community Health Plan — Cascade Care Exchange: $9.62
  • Coordinated Care — Ambetter Exchange: $11.12
  • First Choice — All Commercial Plans: $30.05
  • First Choice — Health Administrators All Commercial Plans: $28.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB $79 $37.92 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD $79 $37.92 Not listed in the file

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $121.40 – $560.40
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $284.35
  • Aetna — Medicare Managed Care - Hmo: $125.04
  • Aetna — Medicare Managed Care - Ppo: $126.26
  • Amerigroup — Medicare Managed Care Plan: $133.54
  • Blue Cross — Premera All Commercial Plans: $293.73
  • Blue Cross — Premera Heritage Signature Exchange: $243.12
  • Blue Cross — Premera Lifewise Exchange: $218.52
  • Blue Shield — Regence All Commercial Plans: $284.90
  • Blue Shield — Regence Medicare Managed Care Plan: $131.11
  • Blue Shield — Uniform Medical Plan Exchange: $303.78
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST $634 $304.32 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST $401 $192.48 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $405.13 – $1,909.25
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $897.49
  • Aetna — Medicare Managed Care - Hmo: $417.28
  • Aetna — Medicare Managed Care - Ppo: $421.33
  • Amerigroup — Medicare Managed Care Plan: $445.64
  • Blue Cross — Premera All Commercial Plans: $1,027.44
  • Blue Cross — Premera Heritage Signature Exchange: $850.40
  • Blue Cross — Premera Lifewise Exchange: $729.23
  • Blue Shield — Regence All Commercial Plans: $996.59
  • Blue Shield — Regence Medicare Managed Care Plan: $437.54
  • Blue Shield — Uniform Medical Plan Exchange: $1,062.62
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE $4,622 $2,218.56 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE $2,399 $1,151.52 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $96.84 – $428.65
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $96.84
  • Aetna — Medicare Managed Care - Hmo: $104.09
  • Aetna — Medicare Managed Care - Ppo: $105.10
  • Amerigroup — Medicare Managed Care Plan: $111.16
  • Blue Cross — Premera All Commercial Plans: $242.77
  • Blue Cross — Premera Heritage Signature Exchange: $200.93
  • Blue Cross — Premera Lifewise Exchange: $181.90
  • Blue Shield — Regence All Commercial Plans: $235.48
  • Blue Shield — Regence Medicare Managed Care Plan: $109.14
  • Blue Shield — Uniform Medical Plan Exchange: $251.08
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $672 $322.56 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $222 $106.56 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $121.40 – $560.40
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $163.50
  • Aetna — Medicare Managed Care - Hmo: $125.04
  • Aetna — Medicare Managed Care - Ppo: $126.26
  • Amerigroup — Medicare Managed Care Plan: $133.54
  • Blue Cross — Premera All Commercial Plans: $293.73
  • Blue Cross — Premera Heritage Signature Exchange: $243.12
  • Blue Cross — Premera Lifewise Exchange: $218.52
  • Blue Shield — Regence All Commercial Plans: $284.90
  • Blue Shield — Regence Medicare Managed Care Plan: $131.11
  • Blue Shield — Uniform Medical Plan Exchange: $303.78
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS $1,017 $488.16 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS $407 $195.36 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $277.07 – $1,175.25
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $517.30
  • Aetna — Medicare Managed Care - Hmo: $285.39
  • Aetna — Medicare Managed Care - Ppo: $288.16
  • Amerigroup — Medicare Managed Care Plan: $304.78
  • Blue Cross — Premera All Commercial Plans: $654.64
  • Blue Cross — Premera Heritage Signature Exchange: $541.84
  • Blue Cross — Premera Lifewise Exchange: $498.73
  • Blue Shield — Regence All Commercial Plans: $634.99
  • Blue Shield — Regence Medicare Managed Care Plan: $299.24
  • Blue Shield — Uniform Medical Plan Exchange: $677.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE $2,203 $1,057.44 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE $1,081 $518.88 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $203.68 – $911.10
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $731.21
  • Aetna — Medicare Managed Care - Hmo: $209.79
  • Aetna — Medicare Managed Care - Ppo: $211.83
  • Amerigroup — Medicare Managed Care Plan: $224.05
  • Blue Cross — Premera All Commercial Plans: $490.87
  • Blue Cross — Premera Heritage Signature Exchange: $406.29
  • Blue Cross — Premera Lifewise Exchange: $366.63
  • Blue Shield — Regence All Commercial Plans: $476.13
  • Blue Shield — Regence Medicare Managed Care Plan: $219.98
  • Blue Shield — Uniform Medical Plan Exchange: $507.67
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $2,192 $1,052.16 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $1,217 $584.16 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $277.07 – $1,175.25
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $593.26
  • Aetna — Medicare Managed Care - Hmo: $285.39
  • Aetna — Medicare Managed Care - Ppo: $288.16
  • Amerigroup — Medicare Managed Care Plan: $304.78
  • Blue Cross — Premera All Commercial Plans: $654.64
  • Blue Cross — Premera Heritage Signature Exchange: $541.84
  • Blue Cross — Premera Lifewise Exchange: $498.73
  • Blue Shield — Regence All Commercial Plans: $634.99
  • Blue Shield — Regence Medicare Managed Care Plan: $299.24
  • Blue Shield — Uniform Medical Plan Exchange: $677.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST $2,116 $1,015.68 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST $1,038 $498.24 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $405.13 – $1,909.25
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $917.35
  • Aetna — Medicare Managed Care - Hmo: $417.28
  • Aetna — Medicare Managed Care - Ppo: $421.33
  • Amerigroup — Medicare Managed Care Plan: $445.64
  • Blue Cross — Premera All Commercial Plans: $1,027.44
  • Blue Cross — Premera Heritage Signature Exchange: $850.40
  • Blue Cross — Premera Lifewise Exchange: $729.23
  • Blue Shield — Regence All Commercial Plans: $996.59
  • Blue Shield — Regence Medicare Managed Care Plan: $437.54
  • Blue Shield — Uniform Medical Plan Exchange: $1,062.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST $2,192 $1,052.16 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST $1,217 $584.16 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $121.40 – $560.40
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $321.45
  • Aetna — Medicare Managed Care - Hmo: $125.04
  • Aetna — Medicare Managed Care - Ppo: $126.26
  • Amerigroup — Medicare Managed Care Plan: $133.54
  • Blue Cross — Premera All Commercial Plans: $293.73
  • Blue Cross — Premera Heritage Signature Exchange: $243.12
  • Blue Cross — Premera Lifewise Exchange: $218.52
  • Blue Shield — Regence All Commercial Plans: $284.90
  • Blue Shield — Regence Medicare Managed Care Plan: $131.11
  • Blue Shield — Uniform Medical Plan Exchange: $303.78
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE $2,390 $1,147.20 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE $1,313 $630.24 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $121.40 – $560.40
Pregnancy ultrasound (after the first trimester): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $361.72
  • Aetna — Medicare Managed Care - Hmo: $125.04
  • Aetna — Medicare Managed Care - Ppo: $126.26
  • Amerigroup — Medicare Managed Care Plan: $133.54
  • Blue Cross — Premera All Commercial Plans: $293.73
  • Blue Cross — Premera Heritage Signature Exchange: $243.12
  • Blue Cross — Premera Lifewise Exchange: $218.52
  • Blue Shield — Regence All Commercial Plans: $284.90
  • Blue Shield — Regence Medicare Managed Care Plan: $131.11
  • Blue Shield — Uniform Medical Plan Exchange: $303.78
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS $1,286 $617.28 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS $705 $338.40 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $121.40 – $560.40
Transvaginal ultrasound: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $353.37
  • Aetna — Medicare Managed Care - Hmo: $125.04
  • Aetna — Medicare Managed Care - Ppo: $126.26
  • Amerigroup — Medicare Managed Care Plan: $133.54
  • Blue Cross — Premera All Commercial Plans: $293.73
  • Blue Cross — Premera Heritage Signature Exchange: $243.12
  • Blue Cross — Premera Lifewise Exchange: $218.52
  • Blue Shield — Regence All Commercial Plans: $284.90
  • Blue Shield — Regence Medicare Managed Care Plan: $131.11
  • Blue Shield — Uniform Medical Plan Exchange: $303.78
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB $1,286 $617.28 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB $705 $338.40 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $179.65 – $364.50
Diagnostic mammogram, one breast: rates for 4 insurance plans
  • Aetna — All Commercial Plans: $364.50
  • Cigna — All Commercial Plans: $318.84
  • First Choice — All Commercial Plans: $245.84
  • First Choice — Health Administrators All Commercial Plans: $179.65
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD $1,183 $567.84 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD $388 $186.24 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $229.02 – $464.50
Diagnostic mammogram, both breasts: rates for 4 insurance plans
  • Aetna — All Commercial Plans: $464.50
  • Cigna — All Commercial Plans: $408.63
  • First Choice — All Commercial Plans: $313.40
  • First Choice — Health Administrators All Commercial Plans: $229.02
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD $1,461 $701.28 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD $478 $229.44 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $189.94 – $384.35
Screening mammogram, both breasts: rates for 4 insurance plans
  • Aetna — All Commercial Plans: $384.35
  • Cigna — All Commercial Plans: $337.11
  • First Choice — All Commercial Plans: $259.92
  • First Choice — Health Administrators All Commercial Plans: $189.94
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD $1,112 $533.76 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD $363 $174.24 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $63.67
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $63.67
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $3,764.66 – $17,896
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates
  • Aetna — All Commercial Plans: $17,896
  • Aetna — Medicare Managed Care - Hmo: $3,877.60
  • Aetna — Medicare Managed Care - Ppo: $3,915.24
  • Amerigroup — Medicare Managed Care Plan: $4,141.12
  • Blue Cross — Premera All Commercial Plans: $8,705.68
  • Blue Cross — Premera Heritage Signature Exchange: $7,205.59
  • Blue Cross — Premera Lifewise Exchange: $6,776.38
  • Blue Shield — Regence All Commercial Plans: $8,444.24
  • Blue Shield — Regence Medicare Managed Care Plan: $4,065.83
  • Blue Shield — Uniform Medical Plan Exchange: $8,679.27
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY $21,225 $10,188 Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY $12,864 $6,174.72 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $9,057.27 – $38,417.69
Heart rhythm study (electrophysiology evaluation): 10 of 23 insurance plan rates
  • Aetna — All Commercial Plans: $17,896
  • Aetna — Medicare Managed Care - Hmo: $9,328.99
  • Aetna — Medicare Managed Care - Ppo: $9,419.56
  • Amerigroup — Medicare Managed Care Plan: $9,963
  • Blue Cross — Premera All Commercial Plans: $19,952.27
  • Blue Cross — Premera Heritage Signature Exchange: $16,514.25
  • Blue Cross — Premera Lifewise Exchange: $16,303.09
  • Blue Shield — Regence All Commercial Plans: $19,353.06
  • Blue Shield — Regence Medicare Managed Care Plan: $9,781.85
  • Blue Shield — Uniform Medical Plan Exchange: $19,891.72
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $32,917 $15,800.16 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $19,950 $9,576 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $17,896 – $128,743.52
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates
  • Aetna — All Commercial Plans: $17,896
  • Aetna — Medicare Managed Care - Hmo: $31,262.86
  • Aetna — Medicare Managed Care - Ppo: $31,566.38
  • Amerigroup — Medicare Managed Care Plan: $33,387.52
  • Blue Cross — Premera All Commercial Plans: $63,452.49
  • Blue Cross — Premera Heritage Signature Exchange: $52,518.83
  • Blue Cross — Premera Lifewise Exchange: $54,634.12
  • Blue Shield — Regence All Commercial Plans: $61,546.87
  • Blue Shield — Regence Medicare Managed Care Plan: $32,780.47
  • Blue Shield — Uniform Medical Plan Exchange: $63,259.90
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $73,866 $35,455.68 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $44,768 $21,488.64 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $997.20 – $4,544.75
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates
  • Aetna — All Commercial Plans: $2,118.14
  • Aetna — Medicare Managed Care - Hmo: $1,027.12
  • Aetna — Medicare Managed Care - Ppo: $1,037.09
  • Amerigroup — Medicare Managed Care Plan: $1,096.92
  • Blue Cross — Premera All Commercial Plans: $2,793.30
  • Blue Cross — Premera Heritage Signature Exchange: $2,311.98
  • Blue Cross — Premera Lifewise Exchange: $1,794.96
  • Blue Shield — Regence All Commercial Plans: $2,709.41
  • Blue Shield — Regence Medicare Managed Care Plan: $1,076.98
  • Blue Shield — Uniform Medical Plan Exchange: $2,784.82
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4 OR MORE $9,326 $4,476.48 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4 OR MORE $4,055 $1,946.40 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $23.92 – $113.83
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $113.83
  • Aetna — Medicare Managed Care - Hmo: $30.80
  • Aetna — Medicare Managed Care - Ppo: $31.10
  • Blue Cross — Premera All Commercial Plans: $52.92
  • Blue Cross — Premera Heritage Signature Exchange: $44.98
  • Blue Cross — Premera Lifewise Exchange: $53.82
  • Blue Shield — Regence Medicare Managed Care Plan: $32.29
  • Cigna — Medicare Managed Care Plan: $35.88
  • Community Health Plan — Cascade Care Exchange: $47.84
  • Coordinated Care — Ambetter Exchange: $55.32
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CRISIS TELEH 97110 THERAPEUTIC EXERCISES EA 15 MIN CDM $201 $96.48 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $201 $96.48 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $88.67 – $387.08
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $387.08
  • Aetna — Medicare Managed Care - Hmo: $114.17
  • Aetna — Medicare Managed Care - Ppo: $115.27
  • Blue Cross — Premera All Commercial Plans: $180.95
  • Blue Cross — Premera Heritage Signature Exchange: $153.81
  • Blue Cross — Premera Lifewise Exchange: $199.51
  • Blue Shield — Regence Medicare Managed Care Plan: $119.71
  • Cigna — Medicare Managed Care Plan: $133.01
  • Community Health Plan — Cascade Care Exchange: $177.34
  • Coordinated Care — Ambetter Exchange: $205.05
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION LOW COMPLEX CDM $461 $221.28 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM $461 $221.28 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $80.72 – $387.08
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $387.08
  • Aetna — Medicare Managed Care - Hmo: $103.93
  • Aetna — Medicare Managed Care - Ppo: $104.94
  • Blue Cross — Premera All Commercial Plans: $180.95
  • Blue Cross — Premera Heritage Signature Exchange: $153.81
  • Blue Cross — Premera Lifewise Exchange: $181.62
  • Blue Shield — Regence Medicare Managed Care Plan: $108.97
  • Cigna — Medicare Managed Care Plan: $121.08
  • Community Health Plan — Cascade Care Exchange: $161.44
  • Coordinated Care — Ambetter Exchange: $186.67
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION MOD COMPLEX CDM $531 $254.88 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM $531 $254.88 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $88.67 – $387.08
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $387.08
  • Aetna — Medicare Managed Care - Hmo: $114.17
  • Aetna — Medicare Managed Care - Ppo: $115.27
  • Blue Cross — Premera All Commercial Plans: $180.95
  • Blue Cross — Premera Heritage Signature Exchange: $153.81
  • Blue Cross — Premera Lifewise Exchange: $199.51
  • Blue Shield — Regence Medicare Managed Care Plan: $119.71
  • Cigna — Medicare Managed Care Plan: $133.01
  • Community Health Plan — Cascade Care Exchange: $177.34
  • Coordinated Care — Ambetter Exchange: $205.05
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC VIRTUAL THERAPY PT EVALUATION HIGH COMPLEX CDM $610 $292.80 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX $610 $292.80 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $206.11 – $874.26
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $212.30
  • Aetna — Medicare Managed Care - Ppo: $214.36
  • Amerigroup — Medicare Managed Care Plan: $226.73
  • Blue Cross — Premera All Commercial Plans: $425.97
  • Blue Cross — Premera Heritage Signature Exchange: $352.57
  • Blue Cross — Premera Lifewise Exchange: $371.01
  • Blue Shield — Regence All Commercial Plans: $413.16
  • Blue Shield — Regence Medicare Managed Care Plan: $222.60
  • Blue Shield — Uniform Medical Plan Exchange: $424.66
  • Cigna — Medicare Managed Care Plan: $247.34
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90832 PSYTX W PT 30 MIN RHC $423 $203.04 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90832 PSYTX W PT 30 MIN RHC $423 $203.04 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $206.11 – $874.26
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $212.30
  • Aetna — Medicare Managed Care - Ppo: $214.36
  • Amerigroup — Medicare Managed Care Plan: $226.73
  • Blue Cross — Premera All Commercial Plans: $425.97
  • Blue Cross — Premera Heritage Signature Exchange: $352.57
  • Blue Cross — Premera Lifewise Exchange: $371.01
  • Blue Shield — Regence All Commercial Plans: $413.16
  • Blue Shield — Regence Medicare Managed Care Plan: $222.60
  • Blue Shield — Uniform Medical Plan Exchange: $424.66
  • Cigna — Medicare Managed Care Plan: $247.34
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90834 PSYTX W PT 45 MIN RHC $783 $375.84 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90834 PSYTX W PT 45 MIN RHC $783 $375.84 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $206.11 – $874.26
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $212.30
  • Aetna — Medicare Managed Care - Ppo: $214.36
  • Amerigroup — Medicare Managed Care Plan: $226.73
  • Blue Cross — Premera All Commercial Plans: $425.97
  • Blue Cross — Premera Heritage Signature Exchange: $352.57
  • Blue Cross — Premera Lifewise Exchange: $371.01
  • Blue Shield — Regence All Commercial Plans: $413.16
  • Blue Shield — Regence Medicare Managed Care Plan: $222.60
  • Blue Shield — Uniform Medical Plan Exchange: $424.66
  • Cigna — Medicare Managed Care Plan: $247.34
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 90837 PSYTX W PT 60 MIN RHC $783 $375.84 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90837 PSYTX W PT 60 MIN RHC $783 $375.84 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $206.11 – $874.26
Family psychotherapy, without the patient: 10 of 22 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $212.30
  • Aetna — Medicare Managed Care - Ppo: $214.36
  • Amerigroup — Medicare Managed Care Plan: $226.73
  • Blue Cross — Premera All Commercial Plans: $425.97
  • Blue Cross — Premera Heritage Signature Exchange: $352.57
  • Blue Cross — Premera Lifewise Exchange: $371.01
  • Blue Shield — Regence All Commercial Plans: $413.16
  • Blue Shield — Regence Medicare Managed Care Plan: $222.60
  • Blue Shield — Uniform Medical Plan Exchange: $424.66
  • Cigna — Medicare Managed Care Plan: $247.34
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC $423 $203.04 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSTX FAMILY WO PT 50 MIN CDM $699 $335.52 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $206.11 – $874.26
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $212.30
  • Aetna — Medicare Managed Care - Ppo: $214.36
  • Amerigroup — Medicare Managed Care Plan: $226.73
  • Blue Cross — Premera All Commercial Plans: $425.97
  • Blue Cross — Premera Heritage Signature Exchange: $352.57
  • Blue Cross — Premera Lifewise Exchange: $371.01
  • Blue Shield — Regence All Commercial Plans: $413.16
  • Blue Shield — Regence Medicare Managed Care Plan: $222.60
  • Blue Shield — Uniform Medical Plan Exchange: $424.66
  • Cigna — Medicare Managed Care Plan: $247.34
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC $783 $375.84 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYTX FAMILY W PT 50 MIN IOP CDM $811 $389.28 Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $117.97 – $500.39
Group psychotherapy: 10 of 22 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $121.51
  • Aetna — Medicare Managed Care - Ppo: $122.69
  • Amerigroup — Medicare Managed Care Plan: $129.77
  • Blue Cross — Premera All Commercial Plans: $238.13
  • Blue Cross — Premera Heritage Signature Exchange: $197.10
  • Blue Cross — Premera Lifewise Exchange: $212.35
  • Blue Shield — Regence All Commercial Plans: $230.99
  • Blue Shield — Regence Medicare Managed Care Plan: $127.41
  • Blue Shield — Uniform Medical Plan Exchange: $237.42
  • Cigna — Medicare Managed Care Plan: $141.56
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSYTX GROUP IOP CDM $438 $210.24 Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PSY/PHP TX GROUP $438 $210.24 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $4,546.75 – $19,285.69
Removal of breast growth (open surgery): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $11,210
  • Aetna — Medicare Managed Care - Hmo: $4,683.16
  • Aetna — Medicare Managed Care - Ppo: $4,728.62
  • Amerigroup — Medicare Managed Care Plan: $5,001.43
  • Blue Cross — Premera All Commercial Plans: $10,183.57
  • Blue Cross — Premera Heritage Signature Exchange: $8,428.81
  • Blue Cross — Premera Lifewise Exchange: $8,184.16
  • Blue Shield — Regence All Commercial Plans: $9,877.74
  • Blue Shield — Regence Medicare Managed Care Plan: $4,910.49
  • Blue Shield — Uniform Medical Plan Exchange: $10,152.67
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM $18,626 $8,940.48 Not listed in the file
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION CDM $10,161 $4,877.28 Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $7,277 – $63,237.66
Total hip replacement: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $16,664
  • Aetna — Medicare Managed Care - Hmo: $15,356.03
  • Aetna — Medicare Managed Care - Ppo: $15,505.12
  • Amerigroup — Medicare Managed Care Plan: $16,399.65
  • Blue Cross — Premera All Commercial Plans: $35,161.79
  • Blue Cross — Premera Heritage Signature Exchange: $29,102.98
  • Blue Cross — Premera Lifewise Exchange: $26,835.79
  • Blue Shield — Regence All Commercial Plans: $34,105.80
  • Blue Shield — Regence Medicare Managed Care Plan: $16,101.47
  • Blue Shield — Uniform Medical Plan Exchange: $35,055.07
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $7,277 – $63,237.66
Total knee replacement: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $16,664
  • Aetna — Medicare Managed Care - Hmo: $15,356.03
  • Aetna — Medicare Managed Care - Ppo: $15,505.12
  • Amerigroup — Medicare Managed Care Plan: $16,399.65
  • Blue Cross — Premera All Commercial Plans: $35,161.79
  • Blue Cross — Premera Heritage Signature Exchange: $29,102.98
  • Blue Cross — Premera Lifewise Exchange: $26,835.79
  • Blue Shield — Regence All Commercial Plans: $34,105.80
  • Blue Shield — Regence Medicare Managed Care Plan: $16,101.47
  • Blue Shield — Uniform Medical Plan Exchange: $35,055.07
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $7,277 – $11,210
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • Aetna — All Commercial Plans: $11,210
  • Cigna — All Commercial Plans: $7,277
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $3,799.57 – $16,116.43
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $12,814
  • Aetna — Medicare Managed Care - Hmo: $3,913.56
  • Aetna — Medicare Managed Care - Ppo: $3,951.56
  • Amerigroup — Medicare Managed Care Plan: $4,179.53
  • Blue Cross — Premera All Commercial Plans: $8,647.66
  • Blue Cross — Premera Heritage Signature Exchange: $7,157.56
  • Blue Cross — Premera Lifewise Exchange: $6,839.23
  • Blue Shield — Regence All Commercial Plans: $8,387.94
  • Blue Shield — Regence Medicare Managed Care Plan: $4,103.54
  • Blue Shield — Uniform Medical Plan Exchange: $8,621.41
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $6,874.33 – $29,158.46
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $11,210
  • Aetna — Medicare Managed Care - Hmo: $7,080.56
  • Aetna — Medicare Managed Care - Ppo: $7,149.31
  • Amerigroup — Medicare Managed Care Plan: $7,561.77
  • Blue Cross — Premera All Commercial Plans: $15,645.56
  • Blue Cross — Premera Heritage Signature Exchange: $12,949.63
  • Blue Cross — Premera Lifewise Exchange: $12,373.80
  • Blue Shield — Regence All Commercial Plans: $15,175.70
  • Blue Shield — Regence Medicare Managed Care Plan: $7,424.28
  • Blue Shield — Uniform Medical Plan Exchange: $15,598.08
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $1,053.23 – $9,339
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $9,339
  • Aetna — Medicare Managed Care - Hmo: $1,084.82
  • Aetna — Medicare Managed Care - Ppo: $1,095.36
  • Amerigroup — Medicare Managed Care Plan: $1,158.55
  • Blue Cross — Premera All Commercial Plans: $2,421.80
  • Blue Cross — Premera Heritage Signature Exchange: $2,004.50
  • Blue Cross — Premera Lifewise Exchange: $1,895.81
  • Blue Shield — Regence All Commercial Plans: $2,349.06
  • Blue Shield — Regence Medicare Managed Care Plan: $1,137.48
  • Blue Shield — Uniform Medical Plan Exchange: $2,414.45
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC DIAGNOSTIC GASTROSCOPE $3,810 $1,828.80 Not listed in the file
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC GASTROSCOPE $2,078 $997.44 Not listed in the file
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $1,053.23 – $10,403
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $10,403
  • Aetna — Medicare Managed Care - Hmo: $1,084.82
  • Aetna — Medicare Managed Care - Ppo: $1,095.36
  • Amerigroup — Medicare Managed Care Plan: $1,158.55
  • Blue Cross — Premera All Commercial Plans: $2,421.80
  • Blue Cross — Premera Heritage Signature Exchange: $2,004.50
  • Blue Cross — Premera Lifewise Exchange: $1,895.81
  • Blue Shield — Regence All Commercial Plans: $2,349.06
  • Blue Shield — Regence Medicare Managed Care Plan: $1,137.48
  • Blue Shield — Uniform Medical Plan Exchange: $2,414.45
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $3,810 $1,828.80 Not listed in the file
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $1,079.90 – $10,403
Colonoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $10,403
  • Aetna — Medicare Managed Care - Hmo: $1,112.30
  • Aetna — Medicare Managed Care - Ppo: $1,123.10
  • Amerigroup — Medicare Managed Care Plan: $1,187.89
  • Blue Cross — Premera All Commercial Plans: $2,441.77
  • Blue Cross — Premera Heritage Signature Exchange: $2,021.02
  • Blue Cross — Premera Lifewise Exchange: $1,943.82
  • Blue Shield — Regence All Commercial Plans: $2,368.43
  • Blue Shield — Regence Medicare Managed Care Plan: $1,166.29
  • Blue Shield — Uniform Medical Plan Exchange: $2,434.35
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $4,026 $1,932.48 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,389.59 – $10,403
Colonoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $10,403
  • Aetna — Medicare Managed Care - Hmo: $1,431.27
  • Aetna — Medicare Managed Care - Ppo: $1,445.17
  • Amerigroup — Medicare Managed Care Plan: $1,528.54
  • Blue Cross — Premera All Commercial Plans: $3,152.72
  • Blue Cross — Premera Heritage Signature Exchange: $2,609.47
  • Blue Cross — Premera Lifewise Exchange: $2,501.26
  • Blue Shield — Regence All Commercial Plans: $3,058.03
  • Blue Shield — Regence Medicare Managed Care Plan: $1,500.75
  • Blue Shield — Uniform Medical Plan Exchange: $3,143.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,389.59 – $10,403
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $10,403
  • Aetna — Medicare Managed Care - Hmo: $1,431.27
  • Aetna — Medicare Managed Care - Ppo: $1,445.17
  • Amerigroup — Medicare Managed Care Plan: $1,528.54
  • Blue Cross — Premera All Commercial Plans: $3,152.72
  • Blue Cross — Premera Heritage Signature Exchange: $2,609.47
  • Blue Cross — Premera Lifewise Exchange: $2,501.26
  • Blue Shield — Regence All Commercial Plans: $3,058.03
  • Blue Shield — Regence Medicare Managed Care Plan: $1,500.75
  • Blue Shield — Uniform Medical Plan Exchange: $3,143.15
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,389.59 – $10,403
Ultrasound of the lower bowel by endoscope: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $10,403
  • Aetna — Medicare Managed Care - Hmo: $1,431.27
  • Aetna — Medicare Managed Care - Ppo: $1,445.17
  • Amerigroup — Medicare Managed Care Plan: $1,528.54
  • Blue Cross — Premera All Commercial Plans: $3,152.72
  • Blue Cross — Premera Heritage Signature Exchange: $2,609.47
  • Blue Cross — Premera Lifewise Exchange: $2,501.26
  • Blue Shield — Regence All Commercial Plans: $3,058.03
  • Blue Shield — Regence Medicare Managed Care Plan: $1,500.75
  • Blue Shield — Uniform Medical Plan Exchange: $3,143.15
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $1,079.90 – $10,403
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $10,403
  • Aetna — Medicare Managed Care - Hmo: $1,112.30
  • Aetna — Medicare Managed Care - Ppo: $1,123.10
  • Amerigroup — Medicare Managed Care Plan: $1,187.89
  • Blue Cross — Premera All Commercial Plans: $2,441.77
  • Blue Cross — Premera Heritage Signature Exchange: $2,021.02
  • Blue Cross — Premera Lifewise Exchange: $1,943.82
  • Blue Shield — Regence All Commercial Plans: $2,368.43
  • Blue Shield — Regence Medicare Managed Care Plan: $1,166.29
  • Blue Shield — Uniform Medical Plan Exchange: $2,434.35
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $7,020.30 – $29,777.59
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $14,253
  • Aetna — Medicare Managed Care - Hmo: $7,230.91
  • Aetna — Medicare Managed Care - Ppo: $7,301.11
  • Amerigroup — Medicare Managed Care Plan: $7,722.33
  • Blue Cross — Premera All Commercial Plans: $15,415.29
  • Blue Cross — Premera Heritage Signature Exchange: $12,759.04
  • Blue Cross — Premera Lifewise Exchange: $12,636.54
  • Blue Shield — Regence All Commercial Plans: $14,952.35
  • Blue Shield — Regence Medicare Managed Care Plan: $7,581.92
  • Blue Shield — Uniform Medical Plan Exchange: $15,368.51
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $4,157.70 – $17,635.47
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $12,814
  • Aetna — Medicare Managed Care - Hmo: $4,282.43
  • Aetna — Medicare Managed Care - Ppo: $4,324.01
  • Amerigroup — Medicare Managed Care Plan: $4,573.47
  • Blue Cross — Premera All Commercial Plans: $9,242.96
  • Blue Cross — Premera Heritage Signature Exchange: $7,650.29
  • Blue Cross — Premera Lifewise Exchange: $7,483.86
  • Blue Shield — Regence All Commercial Plans: $8,965.39
  • Blue Shield — Regence Medicare Managed Care Plan: $4,490.32
  • Blue Shield — Uniform Medical Plan Exchange: $9,214.92
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $4,503.96 – $10,403
Prostate biopsy: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $10,403
  • Blue Cross — Premera All Commercial Plans: $5,441.62
  • Blue Cross — Premera Heritage Signature Exchange: $4,503.96
  • Blue Shield — Regence All Commercial Plans: $5,278.21
  • Blue Shield — Uniform Medical Plan Exchange: $5,425.12
  • Cigna — All Commercial Plans: $7,277
  • First Choice — All Commercial Plans: $9,088.05
  • First Choice — Health Administrators All Commercial Plans: $8,627.45
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE $12,228 $5,869.44 Not listed in the file
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE $6,670 $3,201.60 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $7,277 – $52,357.86
Prostate removal by laparoscope (radical prostatectomy): 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $14,253
  • Aetna — Medicare Managed Care - Hmo: $12,714.09
  • Aetna — Medicare Managed Care - Ppo: $12,837.52
  • Amerigroup — Medicare Managed Care Plan: $13,578.15
  • Blue Cross — Premera All Commercial Plans: $27,501.07
  • Blue Cross — Premera Heritage Signature Exchange: $22,762.29
  • Blue Cross — Premera Lifewise Exchange: $22,218.79
  • Blue Shield — Regence All Commercial Plans: $26,675.15
  • Blue Shield — Regence Medicare Managed Care Plan: $13,331.27
  • Blue Shield — Uniform Medical Plan Exchange: $27,417.59
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,759.08 – $15,944.65
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $11,210
  • Aetna — Medicare Managed Care - Hmo: $3,871.85
  • Aetna — Medicare Managed Care - Ppo: $3,909.44
  • Amerigroup — Medicare Managed Care Plan: $4,134.98
  • Blue Cross — Premera All Commercial Plans: $8,352.51
  • Blue Cross — Premera Heritage Signature Exchange: $6,913.27
  • Blue Cross — Premera Lifewise Exchange: $6,766.34
  • Blue Shield — Regence All Commercial Plans: $8,101.66
  • Blue Shield — Regence Medicare Managed Care Plan: $4,059.80
  • Blue Shield — Uniform Medical Plan Exchange: $8,327.15
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $819.70 – $9,339
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $9,339
  • Aetna — Medicare Managed Care - Hmo: $844.29
  • Aetna — Medicare Managed Care - Ppo: $852.48
  • Amerigroup — Medicare Managed Care Plan: $901.67
  • Blue Cross — Premera All Commercial Plans: $1,847.55
  • Blue Cross — Premera Heritage Signature Exchange: $1,529.19
  • Blue Cross — Premera Lifewise Exchange: $1,475.45
  • Blue Shield — Regence All Commercial Plans: $1,792.08
  • Blue Shield — Regence Medicare Managed Care Plan: $885.27
  • Blue Shield — Uniform Medical Plan Exchange: $1,841.95
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG $4,360 $2,092.80 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG $2,378 $1,141.44 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $1,027.08 – $9,339
Nerve root injection, lower back, with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $9,339
  • Aetna — Medicare Managed Care - Hmo: $1,057.90
  • Aetna — Medicare Managed Care - Ppo: $1,068.17
  • Amerigroup — Medicare Managed Care Plan: $1,129.79
  • Blue Cross — Premera All Commercial Plans: $2,435.13
  • Blue Cross — Premera Heritage Signature Exchange: $2,015.53
  • Blue Cross — Premera Lifewise Exchange: $1,848.75
  • Blue Shield — Regence All Commercial Plans: $2,362.01
  • Blue Shield — Regence Medicare Managed Care Plan: $1,109.25
  • Blue Shield — Uniform Medical Plan Exchange: $2,427.75
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ FORAMEN EPIDURAL L/S $5,296 $2,542.08 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ FORAMEN EPIDURAL L/S $2,890 $1,387.20 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $2,267.58 – $10,403
Carpal tunnel release: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $10,403
  • Aetna — Medicare Managed Care - Hmo: $2,335.61
  • Aetna — Medicare Managed Care - Ppo: $2,358.28
  • Amerigroup — Medicare Managed Care Plan: $2,494.34
  • Blue Cross — Premera All Commercial Plans: $5,158.33
  • Blue Cross — Premera Heritage Signature Exchange: $4,269.49
  • Blue Cross — Premera Lifewise Exchange: $4,081.64
  • Blue Shield — Regence All Commercial Plans: $5,003.43
  • Blue Shield — Regence Medicare Managed Care Plan: $2,448.99
  • Blue Shield — Uniform Medical Plan Exchange: $5,142.69
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $6,025 $2,892 Not listed in the file
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $638.68 – $10,403
Laser treatment of clouding after cataract surgery: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $10,403
  • Aetna — Medicare Managed Care - Hmo: $657.84
  • Aetna — Medicare Managed Care - Ppo: $664.23
  • Amerigroup — Medicare Managed Care Plan: $702.55
  • Blue Cross — Premera All Commercial Plans: $1,552.94
  • Blue Cross — Premera Heritage Signature Exchange: $1,285.35
  • Blue Cross — Premera Lifewise Exchange: $1,149.62
  • Blue Shield — Regence All Commercial Plans: $1,506.31
  • Blue Shield — Regence Medicare Managed Care Plan: $689.77
  • Blue Shield — Uniform Medical Plan Exchange: $1,548.23
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $2,679.93 – $14,253
Cataract removal with lens implant: 10 of 24 insurance plan rates
  • Aetna — All Commercial Plans: $14,253
  • Aetna — Medicare Managed Care - Hmo: $2,760.33
  • Aetna — Medicare Managed Care - Ppo: $2,787.13
  • Amerigroup — Medicare Managed Care Plan: $2,947.93
  • Blue Cross — Premera All Commercial Plans: $6,225.88
  • Blue Cross — Premera Heritage Signature Exchange: $5,153.09
  • Blue Cross — Premera Lifewise Exchange: $4,823.88
  • Blue Shield — Regence All Commercial Plans: $6,038.91
  • Blue Shield — Regence Medicare Managed Care Plan: $2,894.33
  • Blue Shield — Uniform Medical Plan Exchange: $6,206.99

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $17,257
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $17,257
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $17,257
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $17,257
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $17,257
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Aetna — All Commercial Plans: $17,257

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $84,201.67 – $303,447.18
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 32 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $86,727.72
  • Aetna — Medicare Managed Care - Ppo: $87,569.74
  • Amerigroup — Medicare Managed Care Plan: $92,621.84
  • Blue Cross — Premera All Commercial Plans: $203,597.78
  • Blue Cross — Premera Heritage Signature Exchange: $163,621.65
  • Blue Cross — Premera Lifewise Exchange: $151,563.01
  • Blue Cross — Premera Medicare Managed Care Plan: $87,569.74
  • Blue Shield — Regence All Commercial Plans: $188,914.92
  • Blue Shield — Regence Medicare Managed Care Plan: $90,937.80
  • Blue Shield — Uniform Medical Plan Exchange: $205,047.51
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file $61,668.54 – $115,019.01
Spinal fusion (not neck), without major complications: 10 of 14 insurance plan rates
  • Blue Cross — Premera All Commercial Plans: $76,735.43
  • Blue Cross — Premera Heritage Signature Exchange: $61,668.54
  • Blue Shield — Regence All Commercial Plans: $73,030.27
  • Blue Shield — Uniform Medical Plan Exchange: $79,266.77
  • Cigna — All Commercial Plans: $103,800.23
  • First Choice — All Commercial Plans: $102,960.76
  • First Choice — Health Administrators All Commercial Plans: $100,905
  • Providence Health Plan — Signature/Choice Network Other Commercial Plan: $74,683.30
  • Unitedhealthcare — Aco Tiered Other Commercial Plan: $89,388.10
  • Unitedhealthcare — All Commercial Plans: $115,019.01
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $17,159.14 – $59,287.66
Hip or knee replacement (major joint of the leg), without major complications: 10 of 32 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $17,673.91
  • Aetna — Medicare Managed Care - Ppo: $17,845.51
  • Amerigroup — Medicare Managed Care Plan: $18,875.05
  • Blue Cross — Premera All Commercial Plans: $39,474.30
  • Blue Cross — Premera Heritage Signature Exchange: $31,723.58
  • Blue Cross — Premera Lifewise Exchange: $30,886.45
  • Blue Cross — Premera Medicare Managed Care Plan: $17,845.51
  • Blue Shield — Regence All Commercial Plans: $37,075.56
  • Blue Shield — Regence Medicare Managed Care Plan: $18,531.87
  • Blue Shield — Uniform Medical Plan Exchange: $40,241.67
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $21,533.10 – $74,434.24
Neck (cervical) spinal fusion, without complications: 10 of 32 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $22,179.09
  • Aetna — Medicare Managed Care - Ppo: $22,394.42
  • Amerigroup — Medicare Managed Care Plan: $23,686.41
  • Blue Cross — Premera All Commercial Plans: $51,618.47
  • Blue Cross — Premera Heritage Signature Exchange: $41,483.26
  • Blue Cross — Premera Lifewise Exchange: $38,759.58
  • Blue Cross — Premera Medicare Managed Care Plan: $22,394.42
  • Blue Shield — Regence All Commercial Plans: $49,160.66
  • Blue Shield — Regence Medicare Managed Care Plan: $23,255.75
  • Blue Shield — Uniform Medical Plan Exchange: $53,358.78
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $11,284.52 – $37,688.78
Uterus and ovary surgery (not for cancer), without complications: 10 of 32 insurance plan rates
  • Aetna — Medicare Managed Care - Hmo: $11,623.06
  • Aetna — Medicare Managed Care - Ppo: $11,735.90
  • Amerigroup — Medicare Managed Care Plan: $12,412.97
  • Blue Cross — Premera All Commercial Plans: $24,376.44
  • Blue Cross — Premera Heritage Signature Exchange: $19,590.16
  • Blue Cross — Premera Lifewise Exchange: $20,312.14
  • Blue Cross — Premera Medicare Managed Care Plan: $11,735.90
  • Blue Shield — Regence All Commercial Plans: $22,700.28
  • Blue Shield — Regence Medicare Managed Care Plan: $12,187.28
  • Blue Shield — Uniform Medical Plan Exchange: $24,638.79

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

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

Hospital information

Hospital typeAcute Care Hospital
Address751 NE Blakely Dr, Issaquah, WA 98029
CountyKing County
StateWashington
Phone(425) 313‑4000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number500152
Name in Medicare recordsSWEDISH ISSAQUAH
Profile levelMedicare data + hospital website
Name on the hospital’s websiteSwedish Issaquah Campus
Official websiteswedish.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Swedish Issaquah Campus — swedish.org
  2. Emergency Room — swedish.org
  3. Campus Map & Parking | Issaquah Campus | Swedish — swedish.org
  4. Pediatric Specialty Care - Issaquah | Swedish — swedish.org
  5. Patients and Visitors | Issaquah Campus | Swedish — swedish.org
  6. Visitor Information | Issaquah Campus | Swedish — swedish.org
  7. Neurosurgery | Issaquah Campus | Swedish — swedish.org
  8. Departments | Issaquah Campus | Swedish — swedish.org
  9. Swedish Issaquah Birth Center | Issaquah Campus | Swedish — swedish.org
  10. Swedish Cardiovascular Diagnostic Center | Issaquah Campus | Swedish — swedish.org
  11. Audiology Services | Issaquah | Swedish — swedish.org
  12. Doula Services | Issaquah Campus | Swedish — swedish.org
  13. Pain Services | Issaquah Campus | Swedish — swedish.org
  14. Cancer Institute Issaquah | Issaquah Campus | Swedish — swedish.org
  15. Heart & Vascular | Issaquah Campus | Swedish — swedish.org
  16. Medical Imaging | Issaquah Campus | Swedish — swedish.org