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
C 1ST TRIMESTER SCREEN WITH NT
Puyallup, WA
See all hospitals reporting CPT 84702 →Price type
Good Samaritan Hospital’s median price of $16 is 42% below the median hospital's median price ($27), higher than 20% of the 2,618 hospitals reporting CPT 84702. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina apple health fee schedule · outpatient | $8.93 | $8.93 | $8.93 – $8.93 |
| 2 | UnitedHealthcare apple health fee schedule · outpatient | $9.65 | $9.65 | $9.65 – $9.65 |
| 3 | Premera hmo fee schedule · outpatient | $15.05 | $15.05 | $15.05 – $15.05 |
| 4 | Premera prime fee schedule · outpatient | $15.05 | $15.05 | $15.05 – $15.05 |
| 5 | Premera signature fee schedule · outpatient | $15.05 | $15.05 | $15.05 – $15.05 |
| 6 | Regence blue high performance fee schedule · outpatient | $15.14 | $15.14 | $15.14 – $15.14 |
| 7 | Regence mcc/ahn fee schedule · outpatient | $15.14 | $15.14 | $15.14 – $15.14 |
| 8 | Aetna medadvantage fee schedule · outpatient | $15.19 | $15.19 | $15.19 – $15.19 |
| 9 | Regence medadvantage fee schedule · outpatient | $15.19 | $15.19 | $15.19 – $15.19 |
| 10 | UnitedHealthcare medadvantage fee schedule · outpatient | $15.34 | $15.34 | $15.34 – $15.34 |
| 11 | Molina medadvantage fee schedule · outpatient | $15.49 | $15.49 | $15.49 – $15.49 |
| 12 | WellCare medadvantage fee schedule · outpatient | $15.49 | $15.49 | $15.49 – $15.49 |
| 13 | Regence realvalue fee schedule · outpatient | $15.58 | $15.58 | $15.58 – $15.58 |
| 14 | Kaiser ppo fee schedule · outpatient | $16.56 | $16.56 | $16.56 – $16.56 |
| 15 | Regence commercial fee schedule · outpatient | $17.31 | $17.31 | $17.31 – $17.31 |
| 16 | Cigna all commercial plans fee schedule · outpatient | $18.06 | $18.06 | $18.06 – $18.06 |
| 17 | UnitedHealthcare all commercial plans fee schedule · outpatient | $18.06 | $18.06 | $18.06 – $18.06 |
| 18 | Premera other commercial plans fee schedule · outpatient | $18.81 | $18.81 | $18.81 – $18.81 |
| 19 | Ambetter coordinated care exchange fee schedule · outpatient | $29.50 | $29.50 | $29.50 – $29.50 |
| 20 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $54.75 | $54.75 | $54.75 – $54.75 |
| 21 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $54.75 | $54.75 | $54.75 – $54.75 |
| 22 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $68.62 | $68.62 | $68.62 – $68.62 |
| 23 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $68.62 | $68.62 | $68.62 – $68.62 |
| 24 | Aetna all commercial plans fee schedule · outpatient | $69.83 | $69.83 | $69.83 – $69.83 |
Last updated: Aug 27, 2026
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