Providence Centralia Hospital

⭐ 4/5
hospital · Providence · Centralia, WA
Data Grade B
📍 Centralia, WA
🏥 Medicare #500019

Compare real prices at Providence Centralia Hospital in Centralia, WA. Taven tracks 320 procedures at this hospital using data from their publicly filed transparency report. Last updated March 2026.

📊
320
Procedures Tracked
with pricing data
4/5
Star Rating
CMS Care Compare
💰
5.1x
Markup Ratio
Avg = 3.0x
🏥
Grade B
Data Quality
Good data coverage
CMS v3.0 Compliant
This hospital's pricing data meets the latest CMS v3.0 requirements, including actual allowed amounts from insurer remittance data.
Attested by: DONALD ANDERSONOrg NPI: 1376624981
🔒 De-identification Notice: All pricing data shown on this page is derived from publicly available hospital machine-readable files and insurer transparency data as mandated by federal law. No individual patient data, protected health information (PHI), or personally identifiable information is collected, stored, or displayed. Aggregate statistics (such as allowed amount medians and percentiles) are calculated from de-identified claim payment data reported by hospitals per CMS requirements.
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Procedure Prices at Providence Centralia Hospital

320 procedures with pricing data. Prices reflect negotiated rates across insurance payers compared to the Centralia, WA metro average. Includes actual allowed amounts from insurer remittance data (CMS v3.0).

Last updated: March 26, 2026

Procedure Cash Price Avg Negotiated Median Allowed Range (10th–90th) Centralia Avg vs. Avg Payers
Debridement - Subcutaneous Tissue
CPT 11042
Wound debridement — removal of dead, damaged, or infected tissue from a wound to promote healing.
$950 $950 $950 avg
Skin Biopsy (Tangential, Single Lesion)
CPT 11102
Skin biopsy, tangential — removal of a thin layer of skin tissue for microscopic examination to diagnose skin conditions or suspicious lesions.
$539 $539 $539 avg
Skin Biopsy (Punch, Single Lesion)
CPT 11104
Skin punch biopsy — removal of a small, full-thickness circular sample of skin for laboratory analysis to diagnose skin conditions.
$605 $605 $605 avg
Skin Graft Preparation
CPT 15002
Skin Graft Preparation — CPT code 15002 covers skin graft preparation performed in a clinical or hospital setting.
$3,606 $3,606 $3,606 avg
Skin Substitute Graft (≤25 sq cm)
CPT 15271
Skin Substitute Graft (≤25 sq cm) — CPT code 15271 covers skin substitute graft (≤25 sq cm) performed in a clinical or hospital setting.
$3,606 $3,606 $3,606 avg
Destruction of Premalignant Lesion (First)
CPT 17000
Destruction of precancerous skin lesion — removal of a precancerous growth (actinic keratosis) using freezing, chemicals, or other methods.
$417 $417 $417 avg
Wart Removal (Up to 14 Lesions)
CPT 17110
Destruction of benign skin lesions, up to 14 — removal of warts, skin tags, or other non-cancerous growths.
$417 $417 $417 avg
Joint Injection (small joint)
CPT 20600
Small joint injection — injection of medication into a small joint like a finger or toe to reduce pain and inflammation.
$379 $379 $379 avg
Joint Injection (medium joint)
CPT 20605
Medium joint injection — injection of medication into a medium-sized joint like the elbow, wrist, or ankle to reduce pain and inflammation.
$747 $747 $747 avg
Joint Injection (Major Joint)
CPT 20610
Large joint injection — injection of medication (such as cortisone) into a large joint like the knee, shoulder, or hip to reduce pain and inflammation.
$1,121 $1,121 $1,121 avg
Joint Injection with Ultrasound (Major Joint)
CPT 20611
Ultrasound — joint injection with ultrasound (major joint). This imaging test uses sound waves to create pictures of organs and structures inside the body.
$889 $889 $889 avg
Open Fracture Treatment - Metacarpal
CPT 26615
Open Fracture Treatment - Metacarpal — CPT code 26615 covers open fracture treatment - metacarpal performed in a clinical or hospital setting.
$6,219 $6,219 $6,219 avg
Closed Treatment Tibial Fracture
CPT 27750
Treatment of a broken shinbone (tibia) without surgery, using a cast or brace to hold the bone in place while it heals.
$478 $478 $478 avg
Bunionectomy with Metatarsal Osteotomy
CPT 28296
Surgical correction of a bunion (hallux valgus) that includes cutting and realigning the metatarsal bone to straighten the big toe and relieve pain.
$6,876 $6,876 $6,876 avg
Septoplasty (Deviated Septum Repair)
CPT 30520
Septoplasty (Deviated Septum Repair) — CPT code 30520 covers septoplasty (deviated septum repair) performed in a clinical or hospital setting.
$6,572 $6,572 $6,572 avg
Nasal Endoscopy (diagnostic)
CPT 31231
Nasal Endoscopy (diagnostic) — CPT code 31231 covers nasal endoscopy (diagnostic) performed in a clinical or hospital setting.
$352 $352 $352 avg
Venipuncture (blood draw)
CPT 36415
A routine blood draw where a needle is inserted into a vein (usually in the arm) to collect blood for laboratory testing.
$17 $17 $17 -3%
Central Venous Catheter
CPT 36556
Insertion of a central venous catheter (a thin, flexible tube) into a large vein to deliver medications, fluids, or nutrition directly into the bloodstream.
$3,006 $3,006 $3,006 avg
Central Venous Access - Jugular
CPT 36573
Insertion of a central venous catheter into the jugular vein (in the neck) for direct access to the central bloodstream for medications or monitoring.
$3,747 $3,747 $3,747 avg
Arterial Line Placement
CPT 36620
Placement of a thin tube (catheter) into an artery, usually in the wrist, to continuously monitor blood pressure during surgery or critical care.
$214 $214 $214 avg
Upper Endoscopy (EGD) Diagnostic
CPT 43235
Upper endoscopy (EGD) — a flexible tube with a camera is passed through the mouth to visually examine the esophagus, stomach, and upper intestine.
$1,631 $1,631 $1,631 avg
Upper Endoscopy (EGD) with Biopsy
CPT 43239
Upper endoscopy with biopsy — a flexible tube with a camera is passed through the mouth to examine the esophagus, stomach, and upper intestine, and tissue samples are taken for analysis.
$1,631 $1,631 $1,631 avg
Upper Endoscopy with Dilation
CPT 43249
Upper endoscopy with dilation — a flexible scope is used to stretch a narrowed area of the esophagus or stomach to improve swallowing.
$3,441 $3,441 $3,441 avg
Colonoscopy (diagnostic)
CPT 45378
Diagnostic colonoscopy — a flexible tube with a camera is inserted through the rectum to examine the entire large intestine for polyps, cancer, or other abnormalities.
$1,642 $1,642 $1,642 avg
Gallbladder Removal with Cholangiography
CPT 47563
Laparoscopic gallbladder removal with X-ray imaging of the bile ducts (cholangiography) to check for gallstones in the ducts during surgery.
$10,890 $10,890 $10,890 avg
Inguinal Hernia Repair
CPT 49505
Inguinal hernia repair — surgical repair of a hernia in the groin area where tissue pushes through a weak spot in the abdominal muscles.
$8,182 $8,182 $8,182 avg
Bladder Aspiration/Drainage
CPT 51102
Bladder Aspiration/Drainage — CPT code 51102 covers bladder aspiration/drainage performed in a clinical or hospital setting.
$5,185 $5,185 $5,185 avg
Cystoscopy (Bladder Exam)
CPT 52000
Cystoscopy — a thin scope with a camera is inserted through the urethra to examine the inside of the bladder and urinary tract.
$1,161 $1,161 $1,161 avg
Endometrial Biopsy
CPT 58100
Endometrial Biopsy — CPT code 58100 covers endometrial biopsy performed in a clinical or hospital setting.
$412 $412 $412 avg
IUD Removal
CPT 58301
IUD Removal — CPT code 58301 covers iud removal performed in a clinical or hospital setting.
$491 $491 $491 avg
Fetal Non-Stress Test
CPT 59025
Fetal non-stress test — monitoring the baby's heart rate in response to its own movements to assess fetal wellbeing.
$253 $253 $253 avg
Vaginal Delivery Only
CPT 59409
Vaginal Delivery Only — CPT code 59409 covers vaginal delivery only performed in a clinical or hospital setting.
$5,409 $5,409 $5,409 avg
Lumbar Epidural Injection
CPT 62322
Lumbar or sacral epidural injection — injection of medication into the epidural space of the lower spine for pain relief.
$1,969 $1,969 $1,969 avg
Lumbar Epidural - Fluoroscopic
CPT 62323
Lumbar or sacral epidural injection with imaging guidance — a precisely targeted spinal injection using X-ray or fluoroscopy for accurate placement.
$1,661 $1,661 $1,661 avg
Carpal Tunnel Release
CPT 64721
Carpal tunnel release — surgery to relieve pressure on the median nerve in the wrist, treating numbness, tingling, and weakness in the hand.
$4,152 $4,152 $4,152 avg
Ear Wax Removal
CPT 69210
Ear Wax Removal — CPT code 69210 covers ear wax removal performed in a clinical or hospital setting.
$148 $148 $148 avg
CT Head without Contrast
CPT 70450
CT scan — ct head without contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$850 $850 $850 avg
CT Head with Contrast
CPT 70460
CT scan — ct head with contrast. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$1,282 $1,282 $1,282 avg
Brain MRI without Contrast
CPT 70551
MRI of the brain without contrast — detailed magnetic resonance imaging of the brain to evaluate for abnormalities without using contrast dye.
$707 $707 $707 avg
MRI Brain with/without Contrast
CPT 70553
MRI of the brain with and without contrast dye — detailed imaging of the brain using magnetic fields and radio waves to diagnose tumors, stroke, or other conditions.
$1,315 $1,417 $1,417 avg
Chest X-Ray (single view)
CPT 71045
X-ray imaging — chest x-ray (single view). A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$206 $206 $206 avg
Chest X-Ray (2 views)
CPT 71046
Chest X-ray, two views — standard imaging of the lungs and chest from front and side to evaluate for pneumonia, heart problems, or other chest conditions.
$206 $206 $206 avg
CT Chest without Contrast
CPT 71250
CT scan of the chest without contrast — detailed cross-sectional imaging of the lungs, heart, and chest structures without contrast dye.
$1,215 $1,215 $1,215 avg
CT Chest with Contrast
CPT 71260
CT scan of the chest with contrast — detailed cross-sectional imaging of the chest after injecting contrast dye to better visualize blood vessels and tissues.
$1,477 $1,512 $1,512 avg
Lumbar Spine X-Ray
CPT 72100
X-ray imaging — lumbar spine x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$345 $345 $345 avg
MRI Cervical Spine without Contrast
CPT 72141
MRI of the cervical spine (neck) without contrast — detailed imaging of the neck spine to evaluate for herniated discs, spinal cord problems, or nerve issues.
$707 $707 $707 avg
MRI Lumbar Spine without Contrast
CPT 72148
MRI of the lumbar spine (lower back) without contrast — detailed imaging of the lower spine to evaluate for herniated discs, spinal stenosis, or nerve compression.
$1,141 $1,148 $1,148 avg
Shoulder X-Ray
CPT 73030
X-ray imaging — shoulder x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$270 $270 $270 avg
Hand X-Ray
CPT 73130
X-ray imaging — hand x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$270 $270 $270 avg
MRI Shoulder without Contrast
CPT 73221
MRI of any joint of the upper extremity without contrast — detailed imaging of a shoulder, elbow, wrist, or hand joint.
$1,141 $1,141 $1,141 avg
Knee X-Ray
CPT 73560
X-ray imaging — knee x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$270 $270 $270 avg
Ankle X-Ray
CPT 73610
X-ray imaging — ankle x-ray. A quick imaging test using small amounts of radiation to create pictures of bones and internal structures.
$270 $270 $270 avg
MRI Knee without Contrast
CPT 73721
MRI of any joint of the lower extremity without contrast — detailed imaging of a hip, knee, ankle, or foot joint using magnetic resonance.
$1,141 $1,148 $1,148 avg
CT Abdomen/Pelvis without Contrast
CPT 74176
CT scan of the abdomen and pelvis without contrast followed by with contrast — complete imaging study of the abdomen and pelvis.
$1,117 $1,117 $1,117 avg
CT Abdomen/Pelvis with Contrast
CPT 74177
CT scan of the abdomen and pelvis with contrast — comprehensive cross-sectional imaging of the abdominal and pelvic organs after contrast injection.
$1,322 $1,425 $1,425 avg
Breast Ultrasound
CPT 76642
Ultrasound — breast ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$357 $357 $357 avg
Abdominal Ultrasound
CPT 76700
Abdominal ultrasound — uses sound waves to create images of organs in the abdomen including the liver, gallbladder, kidneys, and pancreas.
$473 $473 $473 avg
OB Ultrasound (first trimester)
CPT 76801
Ultrasound — ob ultrasound (first trimester). This imaging test uses sound waves to create pictures of organs and structures inside the body.
$473 $473 $473 avg
OB Ultrasound (complete)
CPT 76805
Ultrasound — ob ultrasound (complete). This imaging test uses sound waves to create pictures of organs and structures inside the body.
$473 $473 $473 avg
Transvaginal Ultrasound
CPT 76830
Transvaginal ultrasound — an ultrasound probe is placed internally to obtain detailed images of the uterus, ovaries, and pelvic structures.
$473 $473 $473 avg
Pelvic Ultrasound
CPT 76856
Pelvic ultrasound — uses sound waves to examine the uterus, ovaries, bladder, and other pelvic organs.
$473 $473 $473 avg
3D Mammography (Tomosynthesis)
CPT 77063
3D Mammography (Tomosynthesis) — CPT code 77063 covers 3d mammography (tomosynthesis) performed in a clinical or hospital setting.
$136 $136 $136 avg
Diagnostic Mammogram (unilateral)
CPT 77065
Screening mammogram of one breast — X-ray imaging of one breast to check for early signs of breast cancer.
$671 $671 $671 avg
Diagnostic Mammogram (bilateral)
CPT 77066
Screening mammogram of both breasts — routine X-ray imaging of both breasts to detect early breast cancer in women without symptoms.
$422 $422 $422 avg
Screening Mammogram (bilateral)
CPT 77067
Screening mammogram of both breasts including computer-aided detection — enhanced breast X-ray with software assistance for improved cancer detection.
$394 $395 $395 avg
Nuclear Stress Test (SPECT MPI)
CPT 78452
Myocardial perfusion imaging (stress test with nuclear imaging) — evaluates blood flow to the heart muscle during rest and stress to detect blocked arteries.
$3,987 $3,987 $3,987 avg
BMP (Basic Metabolic Panel)
CPT 80048
Basic metabolic panel — a blood test measuring 8 substances (glucose, calcium, sodium, potassium, CO2, chloride, BUN, creatinine) to assess kidney function, blood sugar, and electrolyte balance.
$72 $72 $72 avg
CMP (Comprehensive Metabolic Panel)
CPT 80053
Comprehensive metabolic panel — a blood test measuring 14 substances to evaluate kidney and liver function, blood sugar, electrolytes, and protein levels.
$94 $103 $103 avg
Lipid Panel
CPT 80061
Lipid panel — a blood test measuring cholesterol levels including total cholesterol, HDL ("good"), LDL ("bad"), and triglycerides to assess heart disease risk.
$134 $134 $134 avg
Hepatic Function Panel
CPT 80076
Hepatic Function Panel — CPT code 80076 covers hepatic function panel performed in a clinical or hospital setting.
$66 $66 $66 -1%
Urinalysis with Microscopy
CPT 81001
Urinalysis with microscopy — a urine test that examines the physical, chemical, and microscopic properties of urine to detect infections, kidney disease, or other conditions.
$52 $52 $52 avg
Urinalysis (automated)
CPT 81003
Urinalysis (automated) — CPT code 81003 covers urinalysis (automated) performed in a clinical or hospital setting.
$30 $30 $30 -1%
Vitamin D Level
CPT 82306
Vitamin D blood test — measures the level of vitamin D in your blood to check for deficiency.
$79 $79 $79 avg
Urine Creatinine
CPT 82570
Urine Creatinine — CPT code 82570 covers urine creatinine performed in a clinical or hospital setting.
$42 $42 $42 avg
Ferritin Level
CPT 82728
Ferritin Level — CPT code 82728 covers ferritin level performed in a clinical or hospital setting.
$37 $37 $37 avg
Glucose (blood sugar)
CPT 82947
Blood glucose test — measures the level of sugar in your blood, used to screen for and monitor diabetes.
$22 $22 $22 -1%
Hemoglobin A1C
CPT 83036
Hemoglobin A1c test — a blood test that shows your average blood sugar level over the past 2-3 months, used to diagnose and monitor diabetes.
$80 $80 $80 -1%
Potassium Level
CPT 84132
Potassium Level — CPT code 84132 covers potassium level performed in a clinical or hospital setting.
$58 $58 $58 avg
PSA (Prostate)
CPT 84153
PSA (Prostate) — CPT code 84153 covers psa (prostate) performed in a clinical or hospital setting.
$108 $108 $108 avg
Sodium Level
CPT 84295
Sodium Level — CPT code 84295 covers sodium level performed in a clinical or hospital setting.
$43 $43 $43 avg
TSH (Thyroid)
CPT 84443
Thyroid-stimulating hormone (TSH) test — a blood test to check how well your thyroid gland is working.
$151 $151 $151 avg
CBC (Complete Blood Count)
CPT 85025
Complete blood count (CBC) with differential — a common blood test that measures red blood cells, white blood cells, platelets, and hemoglobin to evaluate overall health.
$72 $69 $69 avg
PT/INR (Prothrombin Time)
CPT 85610
PT/INR (Prothrombin Time) — CPT code 85610 covers pt/inr (prothrombin time) performed in a clinical or hospital setting.
$64 $64 $64 avg
TB Skin Test
CPT 86580
TB Skin Test — CPT code 86580 covers tb skin test performed in a clinical or hospital setting.
$30 $30 $30–$30 $30 -1% 1
Blood Type (ABO)
CPT 86900
Blood Type (ABO) — CPT code 86900 covers blood type (abo) performed in a clinical or hospital setting.
$147 $147 $147 avg
COVID-19 Test (rapid antigen)
CPT 87426
COVID-19 Test (rapid antigen) — CPT code 87426 covers covid-19 test (rapid antigen) performed in a clinical or hospital setting.
$68 $68 $68 -1%
Chlamydia Test
CPT 87491
Chlamydia test — a laboratory test to detect the sexually transmitted infection chlamydia using genetic material from a sample.
$186 $186 $186 avg
Gonorrhea Test
CPT 87591
Gonorrhea test — a laboratory test to detect the sexually transmitted infection gonorrhea using genetic material from a sample.
$127 $127 $127 avg
COVID-19 Test (PCR)
CPT 87635
COVID-19 Test (PCR) — CPT code 87635 covers covid-19 test (pcr) performed in a clinical or hospital setting.
$73 $73 $73 avg
Pap Smear (ThinPrep)
CPT 88175
Pap Smear (ThinPrep) — CPT code 88175 covers pap smear (thinprep) performed in a clinical or hospital setting.
$70 $70 $70 avg
Immunization Administration
CPT 90471
Immunization Administration — CPT code 90471 covers immunization administration performed in a clinical or hospital setting.
$104 $104 $104 avg
Flu Vaccine (high dose)
CPT 90662
Flu Vaccine (high dose) — CPT code 90662 covers flu vaccine (high dose) performed in a clinical or hospital setting.
$87 $87 $87–$87 $87 avg 1
Tdap Vaccine
CPT 90715
Tdap Vaccine — CPT code 90715 covers tdap vaccine performed in a clinical or hospital setting.
$181 $181 $181 avg
EKG Interpretation
CPT 93010
EKG Interpretation — CPT code 93010 covers ekg interpretation performed in a clinical or hospital setting.
$14 $14 $14 -3%
Echocardiogram Complete
CPT 93306
Echocardiogram Complete — CPT code 93306 covers echocardiogram complete performed in a clinical or hospital setting.
$1,301 $1,443 $1,443 avg
Carotid Ultrasound
CPT 93880
Ultrasound — carotid ultrasound. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$283 $283 $283 avg
Venous Duplex Scan (legs)
CPT 93971
Venous Duplex Scan (legs) — CPT code 93971 covers venous duplex scan (legs) performed in a clinical or hospital setting.
$473 $513 $513 $513–$513 $513 avg 1
Therapeutic Injection (IM/SubQ)
CPT 96372
Therapeutic injection — injection of medication into a muscle or under the skin for treatment purposes.
$183 $183 $183 avg
IV Push (single drug)
CPT 96374
IV push medication — rapid injection of medication directly into a vein or existing IV line.
$600 $600 $600 avg
Chemotherapy Infusion (first hour)
CPT 96413
Chemotherapy IV infusion, first hour — administration of cancer-fighting medication through an IV line for the initial hour.
$873 $873 $873 avg
PT - Ultrasound Therapy
CPT 97035
Ultrasound — pt - ultrasound therapy. This imaging test uses sound waves to create pictures of organs and structures inside the body.
$29 $29 $29 -1%
PT - Therapeutic Exercise
CPT 97110
Therapeutic exercises — a physical therapy session focused on exercises to improve strength, flexibility, endurance, or range of motion.
$71 $71 $71 avg
PT - Gait Training
CPT 97116
PT - Gait Training — CPT code 97116 covers pt - gait training performed in a clinical or hospital setting.
$58 $58 $58 avg
PT - Manual Therapy
CPT 97140
Manual therapy — hands-on treatment by a physical therapist including joint mobilization, soft tissue massage, and manual stretching.
$74 $74 $74 avg
PT Evaluation - Low Complexity
CPT 97161
Physical therapy evaluation, low complexity — initial assessment by a physical therapist for a straightforward condition.
$228 $228 $228 avg
PT Evaluation - Moderate Complexity
CPT 97162
Physical therapy evaluation, moderate complexity — initial assessment by a physical therapist for a condition requiring moderate clinical decision-making.
$342 $342 $342 avg
PT Evaluation - High Complexity
CPT 97163
Physical therapy evaluation, high complexity — comprehensive initial assessment by a physical therapist for a complex condition.
$237 $237 $237 avg
PT - Therapeutic Activities
CPT 97530
Therapeutic activities — functional movement training to improve your ability to perform daily activities.
$74 $74 $74 avg
New Patient Visit - Low Complexity
CPT 99202
New Patient Visit - Low Complexity — CPT code 99202 covers new patient visit - low complexity performed in a clinical or hospital setting.
$150 $150 $150 avg
New Patient Visit - Moderate Complexity
CPT 99203
Office visit for a new patient with a low complexity medical problem. Typically 30-44 minutes for initial evaluation, history, and treatment planning.
$185 $185 $185 avg
New Patient Visit - High Complexity
CPT 99204
Office visit for a new patient with a moderate to high complexity medical problem. Typically 45-59 minutes for comprehensive evaluation.
$338 $338 $338 avg
New Patient Visit - Comprehensive
CPT 99205
Office visit for a new patient with a high complexity medical problem. Typically 60-74 minutes for comprehensive evaluation and management.
$355 $355 $355 avg
Office Visit - Minimal (Level 1)
CPT 99211
Office Visit - Minimal (Level 1) — CPT code 99211 covers office visit - minimal (level 1) performed in a clinical or hospital setting.
$110 $110 $110 avg
Office Visit - Straightforward (Level 2)
CPT 99212
Office Visit - Straightforward (Level 2) — CPT code 99212 covers office visit - straightforward (level 2) performed in a clinical or hospital setting.
$129 $129 $129 avg
Office Visit - Low Complexity (Level 3)
CPT 99213
Office visit for an established patient with a low to moderate complexity medical problem. Typically 20-29 minutes with your doctor for evaluation and management.
$153 $159 $159 avg
Office Visit - Moderate Complexity (Level 4)
CPT 99214
Office visit for an established patient with a moderate to high complexity medical problem. Typically 30-39 minutes with your doctor for evaluation and management.
$185 $192 $192 avg
Office Visit - High Complexity (Level 5)
CPT 99215
Office visit for an established patient with a high complexity medical problem. Typically 40-54 minutes with your doctor for detailed evaluation and management.
$305 $317 $317 avg
ER Visit - Minor Problem
CPT 99281
Emergency department visit for a minor, self-limited problem requiring minimal evaluation.
$248 $248 $248 avg
ER Visit - Low Complexity
CPT 99282
Emergency department visit for a low to moderate severity problem requiring a brief evaluation.
$470 $470 $470 avg
ER Visit - Moderate Complexity
CPT 99283
Emergency department visit for a moderate severity problem requiring an expanded evaluation.
$719 $769 $769 avg
ER Visit - High Complexity
CPT 99284
Emergency department visit for a high severity problem requiring urgent evaluation, but not an immediate threat to life.
$1,260 $1,348 $1,348 avg
ER Visit - Immediate Threat to Life
CPT 99285
Emergency department visit for a severe, potentially life-threatening problem requiring immediate and comprehensive evaluation.
$2,669 $2,855 $2,855 avg
Critical Care - First Hour
CPT 99291
Critical care, first 30-74 minutes — intensive medical care for a critically ill or injured patient whose condition requires constant attention from the physician.
$5,680 $6,077 $6,077 avg
Critical Care - Additional 30 Min
CPT 99292
Critical care, each additional 30 minutes — continued intensive care beyond the first 74 minutes for a critically ill patient.
$3,402 $3,402 $3,402 avg
Ceftriaxone Injection 250mg
CPT J0696
HCPCS Level II code J0696 — Ceftriaxone Injection 250mg. Healthcare Common Procedure Coding System code for ceftriaxone injection 250mg.
$47 $47 $47 avg
Triamcinolone Injection
CPT J3301
HCPCS Level II code J3301 — Triamcinolone Injection. Healthcare Common Procedure Coding System code for triamcinolone injection.
$43 $43 $43 +1%
Dexamethasone Injection
CPT J1100
HCPCS Level II code J1100 — Dexamethasone Injection. Healthcare Common Procedure Coding System code for dexamethasone injection.
$35 $35 $35 -1%
Anesthesia - Head
CPT 00100
Anesthesia - Head — CPT code 00100 covers anesthesia - head performed in a clinical or hospital setting.
$80 $80 $64–$97 $80 avg 1
Anesthesia - Chest
CPT 00400
Anesthesia - Chest — CPT code 00400 covers anesthesia - chest performed in a clinical or hospital setting.
$80 $80 $64–$97 $80 avg 1
Epidural/Spinal Daily Management
CPT 01996
Epidural/Spinal Daily Management — CPT code 01996 covers epidural/spinal daily management performed in a clinical or hospital setting.
$290 $290 $290–$290 $290 avg 1
CT Sinus without Contrast
CPT 70486
CT scan of maxillofacial area without contrast
$513 $513 $513–$513 $513 avg 1
CT Soft Tissue Neck with Contrast
CPT 70491
CT scan of soft tissue neck with contrast
$858 $858 $858–$858 $858 avg 1
MRI Head/Neck MRA
CPT 70543
Magnetic resonance angiography, head and/or neck
$1,796 $1,796 $1,796–$1,796 $1,796 avg 1
CT Angiography Chest
CPT 71275
CT angiography of chest with contrast
$858 $858 $858–$858 $858 avg 1
CT Cervical Spine without Contrast
CPT 72125
CT cervical spine without contrast
$513 $513 $513–$513 $513 avg 1
CT Lumbar Spine without Contrast
CPT 72131
CT lumbar spine without contrast
$513 $513 $513–$513 $513 avg 1
MRI Lumbar Spine with Contrast
CPT 72149
MRI lumbar spine with contrast
$1,796 $1,796 $1,796–$1,796 $1,796 avg 1
MRI Lumbar Spine with/without Contrast
CPT 72158
MRI lumbar spine without contrast, then with contrast
$1,796 $1,796 $1,796–$1,796 $1,796 avg 1
CT Pelvis without Contrast
CPT 72192
CT pelvis without contrast
$513 $513 $513–$513 $513 avg 1
CT Pelvis with Contrast
CPT 72193
CT pelvis with contrast
$858 $858 $858–$858 $858 avg 1
MRI Pelvis without/with Contrast
CPT 72197
MRI pelvis without contrast, then with contrast
$1,796 $1,796 $1,796–$1,796 $1,796 avg 1
Clavicle X-Ray
CPT 73000
Radiologic examination of clavicle
$424 $424 $424–$424 $424 avg 1
Elbow X-Ray
CPT 73070
Radiologic examination of elbow, 2 views
$424 $424 $424–$424 $424 avg 1
Wrist X-Ray
CPT 73100
Radiologic examination of wrist, 2 views
$424 $424 $424–$424 $424 avg 1
Wrist X-Ray (3+ views)
CPT 73110
Radiologic examination of wrist, complete, minimum 3 views
$424 $424 $424–$424 $424 avg 1
MRI Shoulder with Contrast
CPT 73222
MRI any joint of upper extremity with contrast
$3,739 $3,739 $3,739–$3,739 $3,739 avg 1
Hip X-Ray (2-3 views)
CPT 73502
Radiologic examination of hip, 2-3 views
$424 $424 $424–$424 $424 avg 1
Femur X-Ray
CPT 73552
Radiologic examination of femur, minimum 2 views
$424 $424 $424–$424 $424 avg 1
Tibia/Fibula X-Ray
CPT 73590
Radiologic examination of tibia and fibula, 2 views
$424 $424 $424–$424 $424 avg 1
Foot X-Ray (2 views)
CPT 73620
Radiologic examination of foot, 2 views
$424 $424 $424–$424 $424 avg 1
Foot X-Ray (3+ views)
CPT 73630
Radiologic examination of foot, complete, minimum 3 views
$424 $424 $424–$424 $424 avg 1
MRI Knee with/without Contrast
CPT 73723
MRI any joint of lower extremity without then with contrast
$1,796 $1,796 $1,796–$1,796 $1,796 avg 1
Abdomen X-Ray (1 view)
CPT 74018
Radiologic examination of abdomen, single anteroposterior view
$424 $424 $424–$424 $424 avg 1
Abdomen X-Ray (2 views)
CPT 74019
Radiologic examination of abdomen, 2 views
$513 $513 $513–$513 $513 avg 1
CT Abdomen without Contrast
CPT 74150
CT abdomen without contrast
$513 $513 $513–$513 $513 avg 1
CT Abdomen/Pelvis with/without Contrast
CPT 74178
CT abdomen and pelvis without contrast, then with contrast
$1,796 $1,796 $1,796–$1,796 $1,796 avg 1
MRI Abdomen without Contrast
CPT 74181
MRI abdomen without contrast
$1,144 $1,144 $1,144–$1,144 $1,144 avg 1
MRI Abdomen with/without Contrast
CPT 74183
MRI abdomen without contrast, then with contrast
$1,796 $1,796 $1,796–$1,796 $1,796 avg 1
Thyroid Ultrasound
CPT 76536
Ultrasound of head and neck, thyroid, real time with image
$513 $513 $513–$513 $513 avg 1
Chest Ultrasound
CPT 76604
Ultrasound of chest, real time with image documentation
$513 $513 $513–$513 $513 avg 1
Retroperitoneal Ultrasound (limited)
CPT 76775
Ultrasound, retroperitoneal, limited
$513 $513 $513–$513 $513 avg 1
OB Ultrasound (limited)
CPT 76815
Ultrasound, pregnant uterus, limited
$513 $513 $513–$513 $513 avg 1
Transvaginal OB Ultrasound
CPT 76817
Ultrasound, pregnant uterus, transvaginal
$513 $513 $513–$513 $513 avg 1
Pelvic Ultrasound (limited)
CPT 76857
Ultrasound, pelvic, limited or follow-up
$513 $513 $513–$513 $513 avg 1
Scrotal Ultrasound
CPT 76870
Ultrasound, scrotum and contents
$513 $513 $513–$513 $513 avg 1
Extremity Ultrasound (complete)
CPT 76881
Ultrasound, complete joint, real time
$513 $513 $513–$513 $513 avg 1
Extremity Ultrasound (limited)
CPT 76882
Ultrasound, limited, joint or focal evaluation
$513 $513 $513–$513 $513 avg 1
Bone Age Study
CPT 77072
Bone age studies
$513 $513 $513–$513 $513 avg 1
Bone Length Studies
CPT 77073
Bone length studies
$513 $513 $513–$513 $513 avg 1
Bone Survey (complete)
CPT 77075
Radiologic examination, osseous survey, complete
$513 $513 $513–$513 $513 avg 1
DEXA Scan (Bone Density)
CPT 77080
DXA bone density study, axial skeleton
$513 $513 $513–$513 $513 avg 1
DEXA Scan (Peripheral)
CPT 77081
DXA bone density study, appendicular skeleton
$424 $424 $424–$424 $424 avg 1
DEXA Body Composition
CPT 77085
DXA bone density study, body composition
$513 $513 $513–$513 $513 avg 1
Cardiac PET Scan (Myocardial Perfusion)
CPT 78429
Myocardial imaging, PET, perfusion study
$7,307 $7,307 $7,307–$7,307 $7,307 avg 1
PET Scan (limited)
CPT 78815
PET for limited area other than heart or brain
$7,307 $7,307 $7,307–$7,307 $7,307 avg 1
PET Scan (whole body)
CPT 78816
PET for tumor, whole body
$7,307 $7,307 $7,307–$7,307 $7,307 avg 1
Renal Function Panel
CPT 80069
Renal function panel blood test
$25 $25 $25–$25 $25 +2% 1
Urinalysis (non-automated, with microscopy)
CPT 81000
Urinalysis by dip stick or tablet reagent, non-automated, with microscopy
$12 $12 $12–$12 $12 -2% 1
Urinalysis (non-automated, without microscopy)
CPT 81002
Urinalysis without microscopy, non-automated
$10 $10 $10–$10 $10 +2% 1
Albumin Level
CPT 82040
Albumin, serum, plasma or whole blood
$14 $14 $14–$14 $14 +4% 1
Amylase Level
CPT 82150
Amylase test
$19 $19 $19–$19 $19 avg 1
Bilirubin Total
CPT 82247
Bilirubin, total
$15 $15 $15–$15 $15 -2% 1
Calcium Level
CPT 82310
Calcium, total
$15 $15 $15–$15 $15 +1% 1
CO2/Bicarbonate Level
CPT 82374
Carbon dioxide (bicarbonate)
$14 $14 $14–$14 $14 +2% 1
Cholesterol Total
CPT 82465
Cholesterol, serum or whole blood, total
$13 $13 $13–$13 $13 -2% 1
CK/CPK (Creatine Kinase)
CPT 82550
Creatine kinase (CK, CPK), total
$19 $19 $19–$19 $19 avg 1
CK-MB (Heart)
CPT 82553
Creatine kinase (CK), MB fraction
$34 $34 $34–$34 $34 -1% 1
Creatinine Level
CPT 82565
Creatinine; blood
$15 $15 $15–$15 $15 avg 1
Vitamin B12 Level
CPT 82607
Cyanocobalamin (Vitamin B-12)
$44 $44 $44–$44 $44 avg 1
Estradiol Level
CPT 82670
Estradiol
$82 $82 $82–$82 $82 avg 1
Folic Acid Level
CPT 82746
Folic acid, serum
$43 $43 $43–$43 $43 avg 1
IgA Level
CPT 82784
Gammaglobulin IgA
$27 $27 $27–$27 $27 +1% 1
Glucose (point of care)
CPT 82962
Glucose, blood by glucose monitoring device
$10 $10 $10–$10 $10 -4% 1
FSH (Follicle Stimulating Hormone)
CPT 83001
Gonadotropin, follicle stimulating hormone (FSH)
$54 $54 $54–$54 $54 +1% 1
LH (Luteinizing Hormone)
CPT 83002
Gonadotropin, luteinizing hormone (LH)
$54 $54 $54–$54 $54 avg 1
Iron Level
CPT 83540
Iron
$19 $19 $19–$19 $19 avg 1
Iron Binding Capacity (TIBC)
CPT 83550
Iron binding capacity, total
$26 $26 $26–$26 $26 -2% 1
LDH (Lactate Dehydrogenase)
CPT 83615
Lactate dehydrogenase (LD, LDH)
$18 $18 $18–$18 $18 -2% 1
Lipase Level
CPT 83690
Lipase
$20 $20 $20–$20 $20 +1% 1
Magnesium Level
CPT 83735
Magnesium
$20 $20 $20–$20 $20 -2% 1
BNP (Brain Natriuretic Peptide)
CPT 83880
Natriuretic peptide (BNP)
$115 $115 $115–$115 $115 avg 1
Parathyroid Hormone (PTH)
CPT 83970
Parathormone (parathyroid hormone, PTH)
$121 $121 $121–$121 $121 avg 1
Alkaline Phosphatase
CPT 84075
Phosphatase, alkaline
$15 $15 $15–$15 $15 +1% 1
Phosphorus Level
CPT 84100
Phosphorus inorganic (phosphate)
$14 $14 $14–$14 $14 -1% 1
Progesterone Level
CPT 84144
Progesterone
$61 $61 $61–$61 $61 avg 1
Prolactin Level
CPT 84146
Prolactin
$57 $57 $57–$57 $57 -1% 1
Testosterone Total
CPT 84403
Testosterone, total
$76 $76 $76–$76 $76 -1% 1
Thyroxine Total (T4)
CPT 84436
Thyroxine, total
$20 $20 $20–$20 $20 +1% 1
Free Thyroxine (Free T4)
CPT 84439
Thyroxine, free
$26 $26 $26–$26 $26 +1% 1
Transferrin Level
CPT 84466
Transferrin
$37 $37 $37–$37 $37 +1% 1
Triglycerides
CPT 84478
Triglycerides
$17 $17 $17–$17 $17 -1% 1
T3 (Triiodothyronine) Total
CPT 84480
Triiodothyronine T3, total
$41 $41 $41–$41 $41 +1% 1
Free T3
CPT 84481
Triiodothyronine T3, free
$50 $50 $50–$50 $50 -1% 1
Troponin (Cardiac)
CPT 84484
Troponin, quantitative
$37 $37 $37–$37 $37 -1% 1
BUN (Blood Urea Nitrogen)
CPT 84520
Urea nitrogen, blood (BUN)
$12 $12 $12–$12 $12 -4% 1
Uric Acid Level
CPT 84550
Uric acid, blood
$13 $13 $13–$13 $13 +2% 1
CBC (Automated)
CPT 85027
Complete blood count, automated
$19 $19 $19–$19 $19 avg 1
D-Dimer
CPT 85379
Fibrin degradation products, D-dimer
$30 $30 $30–$30 $30 -1% 1
Sed Rate (ESR)
CPT 85652
Sedimentation rate, erythrocyte; automated
$8 $8 $8–$8 $8 -1% 1
PTT (Partial Thromboplastin Time)
CPT 85730
Thromboplastin time, partial (PTT)
$18 $18 $18–$18 $18 -2% 1
Allergen Specific IgE
CPT 86003
Allergen specific IgE; quantitative or semiquantitative, each allergen
$15 $15 $15–$15 $15 +2% 1
C-Reactive Protein (CRP)
CPT 86140
C-reactive protein
$15 $15 $15–$15 $15 +1% 1
Cyclic Citrullinated Peptide (CCP)
CPT 86200
Cyclic citrullinated peptide (CCP), antibody
$38 $38 $38–$38 $38 avg 1
CA 125 Tumor Marker
CPT 86300
Immunoassay for tumor antigen, CA 125
$61 $61 $61–$61 $61 avg 1
CA 19-9 Tumor Marker
CPT 86304
Immunoassay for tumor antigen, CA 19-9
$61 $61 $61–$61 $61 avg 1
Rheumatoid Factor
CPT 86431
Rheumatoid factor, quantitative
$17 $17 $17–$17 $17 -2% 1
TB Blood Test (QuantiFERON)
CPT 86480
Tuberculosis test, cell mediated immunity antigen response
$181 $181 $181–$181 $181 avg 1
Syphilis Test (RPR/VDRL)
CPT 86592
Syphilis test, non-treponemal antibody; qualitative
$13 $13 $13–$13 $13 -4% 1
Helicobacter Pylori Antibody
CPT 86677
Antibody, Helicobacter pylori
$49 $49 $49–$49 $49 +1% 1
Hepatitis A Antibody
CPT 86696
Antibody, hepatitis A
$57 $57 $57–$57 $57 -1% 1
Hepatitis B Core Antibody
CPT 86704
Hepatitis B core antibody (HBcAb); total
$35 $35 $35–$35 $35 +1% 1
Hepatitis B Surface Antibody
CPT 86706
Hepatitis B surface antibody (HBsAb)
$31 $31 $31–$31 $31 +1% 1
Rubella Antibody
CPT 86762
Antibody, rubella
$42 $42 $42–$42 $42 avg 1
Rubeola (Measles) Antibody
CPT 86765
Antibody, rubeola
$38 $38 $38–$38 $38 -1% 1
Varicella Antibody (Chickenpox)
CPT 86787
Antibody, varicella-zoster
$38 $38 $38–$38 $38 -1% 1
Hepatitis C Antibody
CPT 86803
Hepatitis C antibody
$42 $42 $42–$42 $42 -1% 1
Antibody Screen (RBC)
CPT 86850
Antibody screen, RBC, each serum technique
$29 $29 $29–$29 $29 -1% 1
Bacterial Culture
CPT 87070
Culture, bacterial; any other source except urine, blood or stool
$25 $25 $25–$25 $25 +1% 1
Bacterial Culture (aerobic isolate)
CPT 87077
Culture, bacterial; aerobic isolate, additional methods
$24 $24 $24–$24 $24 -2% 1
Urine Culture
CPT 87086
Culture, bacterial; quantitative colony count, urine
$24 $24 $24–$24 $24 -2% 1
Chlamydia Culture
CPT 87110
Culture, chlamydia
$57 $57 $57–$57 $57 +1% 1
Antibiotic Sensitivity (MIC)
CPT 87186
Susceptibility studies, antimicrobial agent; microdilution or agar dilution
$25 $25 $25–$25 $25 +1% 1
Gram Stain
CPT 87205
Smear, primary source with interpretation; Gram or Giemsa stain
$13 $13 $13–$13 $13 -4% 1
Hepatitis B Surface Antigen
CPT 87340
Infectious agent antigen detection; hepatitis B surface antigen (HBsAg)
$30 $30 $30–$30 $30 +1% 1
HIV-1/HIV-2 Antibody Test
CPT 87389
HIV-1 and HIV-2, single result, immunoassay
$70 $70 $70–$70 $70 +1% 1
Flu Test (PCR/molecular)
CPT 87502
Infectious agent detection, influenza, multiplex reverse transcription
$280 $280 $280–$280 $280 avg 1
Mycobacterium TB Detection
CPT 87580
Infectious agent detection, Mycobacterium tuberculosis, amplified probe
$59 $59 $59–$59 $59 -1% 1
HPV High-Risk Test
CPT 87624
Infectious agent detection, human papillomavirus (HPV), high-risk types
$103 $103 $103–$103 $103 avg 1
Strep Test (rapid)
CPT 87880
Infectious agent antigen detection, Streptococcus, group A
$48 $48 $48–$48 $48 +1% 1
Hepatitis A Vaccine (adult)
CPT 90632
Hepatitis A vaccine, adult dosage
$69 $69 $69–$69 $69 +1% 1
Hib Vaccine
CPT 90647
Haemophilus influenzae type b vaccine
$87 $87 $87–$87 $87 avg 1
HPV Vaccine (9-valent)
CPT 90651
Human papillomavirus vaccine, 9-valent, 3 dose schedule
$87 $87 $87–$87 $87 avg 1
Rotavirus Vaccine
CPT 90681
Rotavirus vaccine, human, attenuated
$87 $87 $87–$87 $87 avg 1
Flu Vaccine (quadrivalent)
CPT 90686
Influenza virus vaccine, quadrivalent, preservative free
$87 $87 $87–$87 $87 avg 1
DTaP-IPV Vaccine
CPT 90696
Diphtheria, tetanus, acellular pertussis and polio vaccine
$87 $87 $87–$87 $87 avg 1
MMR Vaccine
CPT 90707
Measles, mumps, rubella vaccine
$87 $87 $87–$87 $87 avg 1
MMRV Vaccine
CPT 90710
Measles, mumps, rubella, and varicella vaccine
$87 $87 $87–$87 $87 avg 1
Td Vaccine (adult)
CPT 90714
Tetanus and diphtheria toxoids, adult, preservative free
$37 $37 $37–$37 $37 -1% 1
Varicella (Chickenpox) Vaccine
CPT 90716
Varicella virus vaccine, live
$87 $87 $87–$87 $87 avg 1
Shingles Vaccine (Zoster)
CPT 90736
Zoster (shingles) vaccine, live
$87 $87 $87–$87 $87 avg 1
Shingles Vaccine (Shingrix)
CPT 90750
Zoster vaccine, recombinant, adjuvanted
$87 $87 $87–$87 $87 avg 1
Ankle-Brachial Index (ABI)
CPT 93922
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries
$597 $597 $597–$597 $597 avg 1
Complete Bilateral Extremity Study
CPT 93923
Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries
$730 $730 $730–$730 $730 avg 1
Lower Extremity Arterial Duplex
CPT 93925
Duplex scan of lower extremity arteries, complete bilateral study
$1,144 $1,144 $1,144–$1,144 $1,144 avg 1
Venous Duplex Scan (complete)
CPT 93970
Duplex scan of extremity veins, complete bilateral study
$1,144 $1,144 $1,144–$1,144 $1,144 avg 1
Cytopathology (fluids)
CPT 88104
Cytopathology, fluids, washings or brushings, smears with interpretation
$141 $141 $141–$141 $141 avg 1
Cytopathology (selective cellular enhancement)
CPT 88112
Cytopathology, selective cellular enhancement technique with interpretation
$119 $119 $119–$119 $119 avg 1
Pap Smear - Physician Interpretation
CPT 88141
Cytopathology, cervical or vaginal, requiring interpretation by physician
$69 $69 $69–$69 $69 avg 1
Pap Smear - ThinPrep (automated)
CPT 88142
Cytopathology, cervical or vaginal, collected in preservative fluid, automated thin layer
$59 $59 $59–$59 $59 avg 1
Cytopathology (smears, any source)
CPT 88160
Cytopathology, smears, any other source, screening and interpretation
$158 $158 $158–$158 $158 avg 1
Flow Cytometry (first marker)
CPT 88184
Flow cytometry, cell surface, cytoplasmic, or nuclear marker, first marker
$224 $224 $224–$224 $224 avg 1
Flow Cytometry (each additional marker)
CPT 88185
Flow cytometry, each additional marker
$68 $68 $68–$68 $68 avg 1
Surgical Pathology (gross only)
CPT 88300
Level I surgical pathology, gross examination only
$34 $34 $34–$34 $34 +1% 1
Surgical Pathology (gross & micro)
CPT 88302
Level II surgical pathology, gross and microscopic examination
$77 $77 $77–$77 $77 avg 1
Surgical Pathology (Level III)
CPT 88304
Level III surgical pathology
$92 $92 $92–$92 $92 avg 1
Surgical Pathology (Level IV)
CPT 88305
Level IV surgical pathology, each specimen
$102 $102 $102–$102 $102 avg 1
Surgical Pathology (Level V)
CPT 88307
Level V surgical pathology, each specimen
$601 $601 $601–$601 $601 avg 1
Surgical Pathology (Level VI)
CPT 88309
Level VI surgical pathology, each specimen
$843 $843 $843–$843 $843 avg 1
Immunohistochemistry (first antibody)
CPT 88342
Immunohistochemistry, each antibody, per specimen, first stain
$208 $208 $208–$208 $208 avg 1
Botulinum Toxin A (Botox) Injection
CPT J0585
Injection, onabotulinumtoxinA, 1 unit
$6 $6 $6–$6 $6 +2% 1
Testosterone Injection
CPT J1071
Injection, testosterone cypionate, 1 mg
$0 $0 $0–$0 1
Heparin Injection (per 10 units)
CPT J1642
Injection, heparin sodium, per 10 units
$0 $0 $0–$0 1
Ketorolac (Toradol) Injection
CPT J1885
Injection, ketorolac tromethamine, per 15 mg
$0 $0 $0–$0 1
Meperidine (Demerol) Injection
CPT J2175
Injection, meperidine hydrochloride, per 100 mg
$8 $8 $8–$8 $8 -4% 1
Midazolam Injection
CPT J2250
Injection, midazolam hydrochloride, per 1 mg
$0 $0 $0–$0 1
Morphine Injection
CPT J2270
Injection, morphine sulfate, up to 10 mg
$3 $3 $3–$3 $3 -5% 1
Ondansetron (Zofran) Injection
CPT J2405
Injection, ondansetron hydrochloride, per 1 mg
$0 $0 $0–$0 1
Propofol Injection
CPT J2704
Injection, propofol, 10 mg
$0 $0 $0–$0 1
Ropivacaine Injection
CPT J2795
Injection, ropivacaine hydrochloride, 1 mg
$0 $0 $0–$0 1
Fentanyl Injection
CPT J3010
Injection, fentanyl citrate, 0.1 mg
$1 $1 $1–$1 $1 +12% 1
Normal Saline (1000 ml)
CPT J7120
Ringers lactate infusion, up to 1000 cc
$2 $2 $2–$2 $2 +13% 1
Normal Saline Infusion (1000 cc)
CPT J7030
Infusion, normal saline solution, 1000 cc
$2 $2 $2–$2 $2 -6% 1
Normal Saline with Dextrose (500 ml)
CPT J7040
Infusion, normal saline solution, sterile, 500 ml
$1 $1 $1–$1 $1 +21% 1
Normal Saline Infusion (250 cc)
CPT J7050
Infusion, normal saline solution, 250 cc
$1 $1 $1–$1 $1 -37% 1
Septicemia/Severe Sepsis w/o MV >96hrs w MCC
MS-DRG 871
Medicare Severity Diagnosis Related Group DRG-871 — Septicemia/Severe Sepsis w/o MV >96hrs w MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w mcc.
$18,029 $18,029 avg 1
Heart Failure and Shock w MCC
MS-DRG 291
Medicare Severity Diagnosis Related Group DRG-291 — Heart Failure and Shock w MCC. Inpatient hospital payment classification for cases involving heart failure and shock w mcc.
$11,259 $11,259 avg 1
Respiratory Infections/Inflammations w MCC
MS-DRG 177
Medicare Severity Diagnosis Related Group DRG-177 — Respiratory Infections/Inflammations w MCC. Inpatient hospital payment classification for cases involving respiratory infections/inflammations w mcc.
$17,662 $17,662 avg 1
Simple Pneumonia and Pleurisy w MCC
MS-DRG 193
Medicare Severity Diagnosis Related Group DRG-193 — Simple Pneumonia and Pleurisy w MCC. Inpatient hospital payment classification for cases involving simple pneumonia and pleurisy w mcc.
$11,489 $11,489 avg 1
Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC
MS-DRG 872
Medicare Severity Diagnosis Related Group DRG-872 — Septicemia/Severe Sepsis w/o MV >96hrs w/o MCC. Inpatient hospital payment classification for cases involving septicemia/severe sepsis w/o mv >96hrs w/o mcc.
$9,291 $9,291 avg 1
Pulmonary Edema and Respiratory Failure
MS-DRG 189
Medicare Severity Diagnosis Related Group DRG-189 — Pulmonary Edema and Respiratory Failure. Inpatient hospital payment classification for cases involving pulmonary edema and respiratory failure.
$14,979 $14,979 avg 1
Esophagitis/Gastroenteritis/Misc Digestive w/o MCC
MS-DRG 392
Medicare Severity Diagnosis Related Group DRG-392 — Esophagitis/Gastroenteritis/Misc Digestive w/o MCC. Inpatient hospital payment classification for cases involving esophagitis/gastroenteritis/misc digestive w/o mcc.
$7,241 $7,241 avg 1
Kidney/Urinary Tract Infections w/o MCC
MS-DRG 690
CT scan — kidney/urinary tract infections w/o mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$6,964 $6,964 avg 1
Acute Myocardial Infarction, Discharged Alive w MCC
MS-DRG 280
Medicare Severity Diagnosis Related Group DRG-280 — Acute Myocardial Infarction, Discharged Alive w MCC. Inpatient hospital payment classification for cases involving acute myocardial infarction, discharged alive w mcc.
$15,259 $15,259 avg 1
GI Hemorrhage w CC
MS-DRG 378
Medicare Severity Diagnosis Related Group DRG-378 — GI Hemorrhage w CC. Inpatient hospital payment classification for cases involving gi hemorrhage w cc.
$8,704 $8,704 avg 1
Infectious/Parasitic Diseases w OR Procedures w MCC
MS-DRG 853
Medicare Severity Diagnosis Related Group DRG-853 — Infectious/Parasitic Diseases w OR Procedures w MCC. Inpatient hospital payment classification for cases involving infectious/parasitic diseases w or procedures w mcc.
$45,211 $45,211 avg 1
Renal Failure w CC
MS-DRG 683
Medicare Severity Diagnosis Related Group DRG-683 — Renal Failure w CC. Inpatient hospital payment classification for cases involving renal failure w cc.
$7,784 $7,784 avg 1
Renal Failure w MCC
MS-DRG 682
Medicare Severity Diagnosis Related Group DRG-682 — Renal Failure w MCC. Inpatient hospital payment classification for cases involving renal failure w mcc.
$13,033 $13,033 avg 1
Major Hip/Knee Joint Replacement
MS-DRG 470
Medicare Severity Diagnosis Related Group DRG-470 — Major Hip/Knee Joint Replacement. Inpatient hospital payment classification for cases involving major hip/knee joint replacement.
$16,493 $16,493 avg 1
Intracranial Hemorrhage/Cerebral Infarction w CC
MS-DRG 065
Medicare Severity Diagnosis Related Group DRG-065 — Intracranial Hemorrhage/Cerebral Infarction w CC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w cc.
$9,788 $9,788 avg 1
Other Kidney/Urinary Tract Diagnoses w MCC
MS-DRG 698
CT scan — other kidney/urinary tract diagnoses w mcc. This imaging test uses X-rays and a computer to create detailed cross-sectional images of the body.
$13,500 $13,500 avg 1
Misc Disorders of Nutrition/Metabolism/Fluids w MCC
MS-DRG 640
Medicare Severity Diagnosis Related Group DRG-640 — Misc Disorders of Nutrition/Metabolism/Fluids w MCC. Inpatient hospital payment classification for cases involving misc disorders of nutrition/metabolism/fluids w mcc.
$11,721 $11,721 avg 1
Intracranial Hemorrhage/Cerebral Infarction w MCC
MS-DRG 064
Medicare Severity Diagnosis Related Group DRG-064 — Intracranial Hemorrhage/Cerebral Infarction w MCC. Inpatient hospital payment classification for cases involving intracranial hemorrhage/cerebral infarction w mcc.
$17,213 $17,213 avg 1
Hip/Femur Procedures Except Major Joint w CC
MS-DRG 481
Medicare Severity Diagnosis Related Group DRG-481 — Hip/Femur Procedures Except Major Joint w CC. Inpatient hospital payment classification for cases involving hip/femur procedures except major joint w cc.
$18,335 $18,335 avg 1
Cardiac Arrhythmia/Conduction Disorders w CC
MS-DRG 309
Medicare Severity Diagnosis Related Group DRG-309 — Cardiac Arrhythmia/Conduction Disorders w CC. Inpatient hospital payment classification for cases involving cardiac arrhythmia/conduction disorders w cc.
$8,369 $8,369 avg 1
COPD w MCC
MS-DRG 190
Medicare Severity Diagnosis Related Group DRG-190 — COPD w MCC. Inpatient hospital payment classification for cases involving copd w mcc.
$9,579 $9,579 avg 1
Embryo Culture (IVF Lab)
CPT 89250
Embryo Culture (IVF Lab) — CPT code 89250 covers embryo culture (ivf lab) performed in a clinical or hospital setting.
$97 $97 $97–$97 $97 avg 1
Assisted Embryo Hatching (IVF)
CPT 89253
Assisted Embryo Hatching (IVF) — CPT code 89253 covers assisted embryo hatching (ivf) performed in a clinical or hospital setting.
$476 $476 $476–$476 $476 avg 1
Egg/Embryo Freezing (Cryopreservation)
CPT 89258
Egg/Embryo Freezing (Cryopreservation) — CPT code 89258 covers egg/embryo freezing (cryopreservation) performed in a clinical or hospital setting.
$2,396 $2,396 $2,396–$2,396 $2,396 avg 1
IVF Fertilization (Oocyte Insemination)
CPT 89268
IVF Fertilization (Oocyte Insemination) — CPT code 89268 covers ivf fertilization (oocyte insemination) performed in a clinical or hospital setting.
$476 $476 $476–$476 $476 avg 1
Extended Embryo Culture (IVF)
CPT 89272
Extended Embryo Culture (IVF) — CPT code 89272 covers extended embryo culture (ivf) performed in a clinical or hospital setting.
$2,396 $2,396 $2,396–$2,396 $2,396 avg 1

Prices are typical ranges based on Providence Centralia Hospital's published transparency data, including actual allowed amounts calculated from insurer remittance (ERA) data per CMS v3.0 requirements. Your actual cost depends on your specific plan, deductible status, and clinical details.

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Insurance Plans with Negotiated Rates

Taven has payer-specific negotiated rate data from 1 insurer at Providence Centralia Hospital. The "Avg Negotiated" rate in the table above represents the average across all payers. Individual payer rates may be higher or lower.

Cash Price

Negotiated rates vary by insurance plan. The prices shown are aggregated from this hospital's publicly filed machine-readable file. Your actual rate depends on your specific insurance plan and network tier. Use our price comparison tool to see payer-specific breakdowns.

Financial Assistance at Providence Centralia Hospital

As a nonprofit hospital, Providence Centralia Hospital is required under IRS Section 501(r) to offer a financial assistance program (also called "charity care").

Patients at or below 300% of the Federal Poverty Level generally qualify for reduced or free care. You can apply as soon as care is received — through the hospital's financial counseling office, online portal, or billing department.

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Your Billing Rights

Under the No Surprises Act and hospital price transparency rules, you have the right to receive a Good Faith Estimate before scheduled care, protection from surprise out-of-network bills in emergencies, and access to the hospital's published pricing data.

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Technical Details
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Health System
Providence
Medicare Provider #
500019
Emergency Services
Yes
Metro Area
Centralia, WA
Procedures Tracked
320

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