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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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

77062

Premera pricing summary

Low

$63

Average

$130

Median

$105

High

$425

Premera rate distribution

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21 hospital rates

#		Plans
1	Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA percent of total billed charges · bothfrom % of charges	1	$90	$90	—	—	75	$90 – $90
2	Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges	3	$80	$78	$3	4%	—	$72 – $80
3	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient	1	$425	$425	—	—	—	$425 – $425
4	Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient	1	$425	$425	—	—	—	$425 – $425
5	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$65	$65	—	—	—	$65 – $65
6	Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges	4	$105	$105	—	—	—	$105 – $105
7	Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges	4	$105	$105	—	—	—	$105 – $105
8	MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges	4	$105	$105	—	—	—	$105 – $105
9	MultiCare Capital Medical Center Lacey, WA percent of total billed charges · outpatientfrom % of charges	4	$63	$63	—	—	—	$63 – $63
10	MultiCare Covington Medical Center Covington, WA percent of total billed charges · outpatientfrom % of charges	4	$105	$105	—	—	—	$105 – $105
11	MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA percent of total billed charges · outpatientfrom % of charges	3	$78	$78	—	—	—	$78 – $78
12	PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges	1	$103	$103	—	—	—	$103 – $103
13	Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges	1	$90	$90	—	—	—	$90 – $90
14	Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges	1	$450	$450	$170	38%	—	$280 – $620
15	St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges	1	$90	$90	—	—	—	$90 – $90
16	St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges	1	$280	$280	—	—	—	$280 – $280
17	Tacoma General Allenmore Hospital Bremerton, WA percent of total billed charges · outpatientfrom % of charges	4	$105	$105	—	—	—	$105 – $105
18	The Mercy Hospital Inc Springfield, MA professional · fee schedule · inpatient	1	$76	$76	—	—	—	$76 – $76
19	The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
20	Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges	1	$51	$51	—	—	—	$51 – $51
21	Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient	1	$187	$187	—	—	—	$187 – $187