Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SIMPLE RPR SUPRFCL WND SCLP/NK/AX/GN/TRK/EXT 2.5CM/LS-CAC
Low
$22
Average
$384
Median
$313
High
$4.4k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
124 hospitals; the 90th percentile is 8.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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301 hospital rates
iThe hospitals that file a Regence rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · outpatient | 2 | $441 | $441 | $232 | 53% | 198 | $209 – $673 |
| 2 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $104 | $100 | $6 | 6% | 99–117 | $89 – $104 |
| 3 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 5 | $89 | $76 | $21 | 27% | 79–106 | $44 – $92 |
| 4 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 2 | $276 | $276 | $67 | 24% | 65 | $209 – $343 |
| 5 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 2 | $276 | $276 | $67 | 24% | 65 | $209 – $343 |
| 6 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $77 | $115 | $104 | 90% | 27–45 | $19 – $288 |
| 7 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $84 | $119 | $103 | 86% | 19–37 | $21 – $288 |
| 8 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 3 | $465 | $501 | $93 | 19% | 16–43 | $422 – $649 |
| 9 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $439 | $472 | $87 | 19% | 16–43 | $399 – $613 |
| 10 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $141 | $190 | $106 | 56% | 14–23 | $38 – $349 |
| 11 | Cottage Grove Community Medical Ct Cottage Grove, OR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $852 | $283 | 33% | 13–31 | $452 – $1.1k |
| 12 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 3 | $169 | $206 | $88 | 43% | 11–110 | $77 – $327 |
| 13 | Peace Harbor Medical Center Florence, OR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $857 | $857 | $324 | 38% | 4–40 | $533 – $1.2k |
| 14 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $320 | $320 | $12 | 4% | 4–40 | $307 – $332 |
| 15 | PeaceHealth Peace Island Medical Center Friday Harbor, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $219 | $219 | $60 | 27% | 2–20 | $159 – $279 |
| 16 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $89 | $122 | $103 | 84% | 2–20 | $23 – $288 |
| 17 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 2 | $135 | $113 | $27 | 23% | 1–10 | $80 – $135 |
| 18 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 2 | $36 | $31 | $7 | 22% | 1–10 | $22 – $36 |
| 19 | St Luke's Regional Medical Center, LTD Mountain Home, ID fee schedule · outpatient | 3 | $607 | $607 | — | — | 1–10 | $607 – $607 |
| 20 | St. Joseph Medical Center Bellingham, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 21 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $716 | $716 | — | — | — | $716 – $716 |
| 22 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 14 | $113 | $142 | $78 | 55% | — | $48 – $297 |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT fee schedule · outpatient | 4 | $191 | $191 | — | — | — | $191 – $191 |
| 24 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 4 | $261 | $258 | $45 | 17% | — | $195 – $314 |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT fee schedule · outpatient | 4 | $191 | $191 | — | — | — | $191 – $191 |
← Payers reporting CPT 12001 · Snapshot 20261111T120946Z-9134e7f7