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
Cyto Vag/Cer W/Manu W/Phy Sup
Low
$26
Average
$51
Median
$31
High
$197
Each hospital's average Premera rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 3.9× 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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21 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 3 | Central Washington Health Services Association Wenatchee, WA fee schedule · outpatient | 4 | $90 | $83 | $17 | 20% | — | $42 – $90 |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $26 | $28 | $3 | 10% | — | $26 – $33 |
| 7 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $26 | $28 | $3 | 10% | — | $26 – $33 |
| 8 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 9 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 10 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 11 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $26 | $28 | $3 | 10% | — | $26 – $33 |
| 12 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $33 | $31 | $3 | 9% | — | $26 – $33 |
| 13 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $26 | $28 | $3 | 10% | — | $26 – $33 |
| 14 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $33 | $31 | $3 | 9% | — | $26 – $33 |
| 15 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $33 | $31 | $3 | 9% | — | $26 – $33 |
| 16 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $33 | $33 | — | — | — | $33 – $33 |
| 17 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 18 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 19 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 20 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 4 | $26 | $28 | $3 | 10% | — | $26 – $33 |
| 21 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 2 | $36 | $36 | $10 | 27% | — | $26 – $46 |
← Payers reporting HCPCS G0145 · Snapshot 20261111T120946Z-9134e7f7