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
HB=INJECT DX/TX SUBS L/S WO IMAGING
The hospitals that file a Premera 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.
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46 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $1,406 | $1,406 – $1,406 |
| 2 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $1,406 | $1,406 – $1,406 |
| 3 | Coulee Medical Center Grand Coulee, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $279.97 | $279.97 – $279.97 |
| 4 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $3,857 | $3,857 – $3,857 |
| 5 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $544.45 | $544.45 – $544.45 |
| 6 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 3 | $2,066 | $1,039 – $3,050 |
| 7 | FRANCISCAN HEALTH SYSTEM Tacoma, WA case rate · outpatient | 3 | $2,066 | $1,039 – $3,050 |
| 8 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $3,104 | $1,497 – $4,185 |
| 9 | HARRISON MEDICAL CENTER Silverdale, WA case rate · outpatient | 3 | $2,868 | $1,069 – $3,955 |
| 10 | HIGHLINE MEDICAL CENTER Burien, WA case rate · outpatient | 3 | $2,076 | $1,021 – $2,764 |
| 11 | Johnson Memorial Hospital Stafford Springs, CT facility · case rate · both | 1 | $6,585 | $6,585 – $6,585 |
| 12 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $3,104 | $1,497 – $4,185 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $587.58 | $587.58 – $587.58 |
| 14 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $3,304 | $3,304 – $3,304 |
| 15 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $3,181 | $3,181 – $3,181 |
| 16 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $3,181 | $3,181 – $3,181 |
| 17 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · both | 1 | $3,181 | $3,181 – $3,181 |
| 18 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $3,181 | $3,181 – $3,181 |
| 19 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $3,104 | $1,497 – $4,185 |
| 20 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $2,171 | $1,497 – $2,395 |
| 21 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $3,104 | $1,497 – $4,185 |
| 22 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $2,351 | $1,452 – $2,650 |
| 23 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $2,162 | $1,412 – $2,412 |
| 24 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $2,976 | $2,837 – $3,045 |
| 25 | Plymouth Medical Center Plymouth, IN facility · other · both | 1 | $3,304 | $3,304 – $3,304 |
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