Supplies, drugs & other prices at EvergreenHealth Medical Center
Kirkland, WA · every code in this section with a posted price and a Medicare benchmark.
71 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,012.80 | $1,266 | 2.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $4,535.20 | $5,669 | 2.0× |
| Admin hepatitis b vaccine (G0010) | $133.60 | $167 | 2.5× |
| Admin influenza virus vac (G0008) | $73.60 | $92 | 1.4× |
| Admin pneumococcal vaccine (G0009) | $73.60 | $92 | 1.4× |
| Ca screen;flexi sigmoidscope (G0104) | $2,003.20 | $2,504 | 1.9× |
| Ca screen;pelvic/breast exam (G0101) | $213.60 | $267 | 1.8× |
| Colon ca scrn not hi rsk ind (G0121) | $2,208.80 | $2,761 | 2.0× |
| Colorectal scrn; hi risk ind (G0105) | $2,208.80 | $2,761 | 2.0× |
| Covid-19 lab test non-cdc (U0002) | $210.40 | $263 | 4.1× |
| Depression screen annual (G0444) | $71.20 | $89 | 1.6× |
| Diab manage trn per indiv (G0108) | $179.20 | $224 | 3.2× |
| Diab manage trn ind/group (G0109) | $75.20 | $94 | 4.7× |
| Direct refer hospital observ (G0379) | $1,046.40 | $1,308 | 1.5× |
| Drug test def 1-7 classes (G0480) | $224.80 | $281 | 2.0× |
| Drug test def 22+ classes (G0483) | $597.60 | $747 | 2.4× |
| Drug test def 8-14 classes (G0481) | $340 | $425 | 2.2× |
| Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) | $1,788.80 | $2,236 | 1.7× |
| Elec stim other than wound (G0283) | $107.20 | $134 | 8.4× |
| Esd endoscopy or colonoscopy (C9779) | $9,539.20 | $11,924 | 2.1× |
| Fecal microbiota prep instil (G0455) | $2,276 | $2,845 | 2.1× |
| Fern test (Q0114) | $92.80 | $116 | 9.5× |
| Glyca nuc mr spectroscopy quantitative (0024U) | $66.40 | $83 | 1.9× |
| Home sleep test/type 3 porta (G0399) | $672 | $840 | 2.7× |
| Hospital outpt clinic visit (G0463) | $288 | $360 | 1.9× |
| Iliac Atherectomy (0238T) | $36,397.60 | $45,497 | 1.7× |
| Initial preventive exam (G0402) | $124 | $155 | 0.8× |
| Inj for sacroiliac jt anesth (G0260) | $2,295.20 | $2,869 | 2.8× |
| Intens cardiac rehab no exer (G0423) | $262.40 | $328 | 1.8× |
| Intens cardiac rehab w/exerc (G0422) | $262.40 | $328 | 1.8× |
| Mnt subs tx for change dx (G0270) | $113.60 | $142 | 3.6× |
| Mra w/cont, chest (C8909) | $1,816.80 | $2,271 | 4.5× |
| Mra w/o fol w/cont, chest (C8911) | $2,282.40 | $2,853 | 5.6× |
| Mra, w/o&w/dye, spinal canal (C8933) | $3,532 | $4,415 | 8.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $810.40 | $1,013 | 2.0× |
| Mri w/o fol w/cont, breast, (C8908) | $3,064 | $3,830 | 7.6× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $612.80 | $766 | 1.2× |
| Obtaining screen pap smear (Q0091) | $77.60 | $97 | 2.3× |
| Oth resp proc, group (G0239) | $162.40 | $203 | 3.7× |
| Oth resp proc, indiv (G0238) | $65.60 | $82 | 2.0× |
| Pathogen test for platelets (P9100) | $108 | $135 | 1.6× |
| Pemivibart infusion (M0224) | $981.60 | $1,227 | 1.9× |
| Perc d-e cor revasc chro sin (C9607) | $17,531.20 | $21,914 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $15,002.40 | $18,753 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $15,260.80 | $19,076 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $15,873.60 | $19,842 | 1.2× |
| Perq Sacral Augmt Bilat Inj (0201T) | $10,477.60 | $13,097 | 1.2× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $12,692 | $15,865 | 0.9× |
| Place device/marker, non pro (C9728) | $4,982.40 | $6,228 | 3.1× |
| Ppps, subseq visit (G0439) | $144 | $180 | 1.0× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $74.40 | $93 | 1.7× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $86.40 | $108 | 2.0× |
| Revasc intra lithotrip-ather (C9766) | $39,972.80 | $49,966 | 1.9× |
| Revasc intra lithotrip-stent (C9765) | $39,972.80 | $49,966 | 1.9× |
| Revasc intravasc lithotripsy (C9764) | $25,244.80 | $31,556 | 1.9× |
| Revasc lith-sten-ath tib/per (C9775) | $39,972.80 | $49,966 | 1.9× |
| Revasc lithotr-ather tib/per (C9774) | $39,972.80 | $49,966 | 1.9× |
| Revasc lithotr-stent tib/per (C9773) | $39,972.80 | $49,966 | 1.9× |
| Revasc lithotrip tibi/perone (C9772) | $22,835.20 | $28,544 | 1.7× |
| Revasc lithotrip-stent-ather (C9767) | $39,972.80 | $49,966 | 1.9× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $44,735.20 | $55,919 | 2.0× |
| Therapeutic procd strg endur (G0237) | $65.60 | $82 | 2.0× |
| Tomosynthesis, mammo (G0279) | $50.40 | $63 | 4.0× |
| Tpmt nudt15 gene analysis common variants (0034U) | $788 | $985 | 1.7× |
| Trauma respons w/hosp criti (G0390) | $3,896.80 | $4,871 | 2.5× |
| Trim nail(s) (G0127) | $155.20 | $194 | 2.3× |
| Tte w or w/o contr, cont ecg (C8930) | $1,852 | $2,315 | 2.0× |
| Tte w or wo fol wcon,doppler (C8929) | $2,299.20 | $2,874 | 2.5× |
| Unsched dialysis esrd pt hos (G0257) | $2,198.40 | $2,748 | 2.8× |
| Visit to determ ldct elig (G0296) | $132 | $165 | 1.1× |
| Xenograft implantation into the articular surface Non-Facility (0737T) | $29,817.60 | $37,272 | 2.0× |