Supplies, drugs & other prices at Harborview Medical Center

Seattle, WA · every code in this section with a posted price and a Medicare benchmark.

216 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $175 $250 4.9×
2d cephal radio image (D0702) $187.82 $268.32 1.9×
2d cephalometric image (D0340) $167.80 $239.71 1.7×
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) $7,072.84 $10,104.06 3.7×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $10,382.35 $14,831.94 4.6×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $11,126.96 $15,895.66 1.1×
Adm of soc dtr assess 5-15 m (G0136) $80.01 $114.30 1.8×
Adm tocilizu covid-19 1st (M0249) $967.49 $1,382.13 1.9×
Adm tocilizu covid-19 2nd (M0250) $1,433.32 $2,047.60 2.8×
Admin hepatitis b vaccine (G0010) $88.91 $127.01 1.6×
Admin influenza virus vac (G0008) $86.25 $123.21 1.6×
Admin pneumococcal vaccine (G0009) $90.20 $128.86 1.7×
Alcohol/sub misuse assess (G2011) $140.80 $201.14 4.2×
Alcohol/subs interv 15-30mn (G0396) $86.61 $123.73 2.0×
Alcohol/subs interv >30 min (G0397) $316.68 $452.40 1.5×
Alveoplasty w/ extraction (D7310) $243.18 $347.40 0.1×
Alveoplasty w/o extraction (D7320) $1,903.71 $2,719.58 1.1×
Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic… (0559T) $6,721.40 $9,602.01 43.6×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $51.53 $73.61 1.2×
Behavior counsel obesity 15m (G0447) $87.36 $124.80 0.7×
Bone graft peri per tooth (D3428) $341.36 $487.66 0.5×
Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) $431.01 $615.73 1.6×
Ca screen;flexi sigmoidscope (G0104) $2,852.78 $4,075.40 2.6×
Ca screen;pelvic/breast exam (G0101) $72.07 $102.96 0.6×
Catheterize for urine spec (P9612) $122.30 $174.72 13.1×
Chemo extend iv infus w/pump (G0498) $1,485.85 $2,122.64 3.9×
Collagen crosslinking cornea (0402T) $3,853.55 $5,505.07 1.4×
Colon ca scrn not hi rsk ind (G0121) $3,391.89 $4,845.56 3.1×
Colorectal scrn; hi risk ind (G0105) $3,994.99 $5,707.13 3.7×
Compre ful bdy cptr mrkrls 3d knmtc&kin mtn alys (0693T) $1,617.52 $2,310.74 4.1×
Comprehensve oral evaluation (D0150) $226.72 $323.89 1.5×
Cone beam ct both jaws (D0383) $334.70 $478.14 2.8×
Cone beam ct capt & interp (D0364) $653.32 $933.32 5.4×
Cone beam ct capt mandible (D0381) $334.70 $478.14 2.8×
Cone beam ct capt maxilla (D0382) $334.70 $478.14 2.8×
Cone beam ct capture limited (D0380) $522.66 $746.66 4.3×
Cone beam ct capture tmj (D0384) $762.21 $1,088.87 6.3×
Cone beam ct interp both jaw (D0367) $418.37 $597.67 3.5×
Cone beam ct interprete man (D0365) $418.37 $597.67 3.5×
Cone beam ct interprete max (D0366) $709.45 $1,013.50 5.9×
Cone beam ct interprete tmj (D0368) $1,036.90 $1,481.28 8.6×
Coronectomy (D7251) $446.39 $637.70 0.2×
Covid-19 lab test non-cdc (U0002) $221.55 $316.50 4.3×
Devlopment test interpt&rep (G0451) $161.43 $230.62 1.4×
Direct refer hospital observ (G0379) $837.02 $1,195.75 1.2×
Drug test def 1-7 classes (G0480) $273.66 $390.95 2.4×
Drug test def 15-21 classes (G0482) $87.50 $125 0.4×
Drug test def 22+ classes (G0483) $535.76 $765.37 2.2×
Drug test def 8-14 classes (G0481) $372.74 $532.48 2.4×
Ed svc ckd grp per session (G0421) $68.25 $97.50 2.5×
Egd Flx Trnsorl Vol Adjmt Ntrgstr Bariatric Balo (0813T) $687.40 $982 0.7×
Ekg tracing for initial prev (G0404) $28.83 $41.18 0.9×
Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) $198.10 $283 1.8×
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) $232.40 $332 2.1×
Elec stim other than wound (G0283) $92.31 $131.87 7.3×
Elec stim unattend for press (G0281) $149.02 $212.88 12.7×
Electrophysiological eval icds w/ss electrode (0577T) $1,749.03 $2,498.61 1.2×
Elisa hiv-1/hiv-2 screen (G0433) $197.29 $281.84 10.8×
Endo defect closure gi tract (C9901)
unusually low: confirm this is the full procedure
$5,138.90 $7,341.28 0.4×
Endodontic endosseous implan (D3460) $1,447.40 $2,067.72 1.9×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure
$7,955.50 $11,365 0.2×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $9,674.82 $13,821.16 2.6×
Esd endoscopy or colonoscopy (C9779) $3,981.19 $5,687.42 0.9×
Evac Meibomian Glnds Auto Ht& Intmt Press Uni (0207T) $355 $507.14 2.3×
Excision benign lesion>1.25c (D7411) $724.91 $1,035.59 0.4×
Extensv oral eval prob focus (D0160) $204.76 $292.51 1.3×
Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, and involving the lateral… (0102T) $18,884.85 $26,978.36 5.0×
Extraction erupted tooth/exr (D7140) $268.63 $383.76 0.4×
Fecal blood scrn immunoassay (G0328) $71.16 $101.65 3.9×
Fecal microbiota prep instil (G0455) $1,218.54 $1,740.76 1.1×
Followup eval of foot pt lop (G0246) $85.69 $122.42 0.6×
Full mouth debridement (D4355) $283.42 $404.88 0.4×
Glaucoma scrn hgh risk direc (G0118) $197.12 $281.60 4.6×
Glaucoma scrn hgh risk direc (G0117) $326.87 $466.96 9.8×
Group mnt 2 or more 30 mins (G0271) $55.03 $78.62 3.2×
Hep c screen high risk/other (G0472) $196.66 $280.94 4.2×
Hepb screen high risk indiv (G0499) $160.86 $229.80 5.7×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $32,096.46 $45,852.09 1.6×
Home sleep test/type 3 porta (G0399) $802.66 $1,146.66 3.2×
Home sleep test/type 4 porta (G0400) $812.45 $1,160.64 3.2×
Hopd mntl hlt, 15-29 min (C7900) $147.78 $211.12 3.4×
Hopd mntl hlt, 30-60 min (C7901) $238.06 $340.08 2.0×
Hopd mntl hlt, grp (C7903) $127.03 $181.47 2.9×
Hospital outpt clinic visit (G0463) $154.70 $221 1.0×
I&d absc intraoral soft tiss (D7510) $230.48 $329.25 0.3×
I&d abscess extraoral (D7520) $379.29 $541.84 0.5×
Iliac Atherectomy (0238T) $35,525.08 $50,750.12 1.7×
Impact tooth remov comp bony (D7240) $446.44 $637.77 0.6×
Impact tooth remov part bony (D7230) $379.29 $541.84 0.5×
Impact tooth remov soft tiss (D7220) $446.44 $637.77 0.6×
Incision/drain abscess extra (D7521) $694.96 $992.80 0.8×
Incision/drain abscess intra (D7511) $352.07 $502.96 0.4×
Init/sub psych care m 1st 30 (G2214) $138.26 $197.51 1.2×
Initial foot exam pt lops (G0245) $138.29 $197.56 0.9×
Initial preventive exam (G0402) $270.82 $386.88 1.8×
Inj for sacroiliac jt anesth (G0260) $2,656.27 $3,794.67 3.2×
Injection posterior chamber eye medication (0699T) $6,466.72 $9,238.16 2.4×
Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) $2,040.59 $2,915.13 3.9×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $4,064.02 $5,805.74 4.0×
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, internal approach, into the… (0253T) $4,223.62 $6,033.74 0.9×
Insertion of sinus tarsi implant (0335T) $12,911.86 $18,445.51 1.5×
Insertion perm ccm-d system pulse generator only (0916T) $22,561.30 $32,230.43 0.9×
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) $7,583.26 $10,833.24 1.2×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $10,396.50 $14,852.14 1.1×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $13,942.66 $19,918.08 1.5×
Insj perm ccm-d sys pg&eltrd (0915T) $63,880.60 $91,258 1.8×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $45,619.39 $65,170.56 1.3×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $13,942.66 $19,918.08 1.5×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $13,942.66 $19,918.08 1.5×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $22,561.30 $32,230.43 0.9×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $26,535.60 $37,908 0.7×
Instill pharm renal pelvis (C9789) $807.86 $1,154.09 0.6×
Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) $58.10 $83 1.3×
Intraoral periapical first (D0220) $59.28 $84.69 0.6×
Intrav inf, mon anti, fir do (M0235) $967.49 $1,382.13 1.9×
Intrav inf, mon anti, sec do (M0236) $1,433.32 $2,047.60 2.8×
Intrav inf, toci, first dose (M0237) $967.49 $1,382.13 1.9×
Intrav inf, toci, second dos (M0238) $1,433.32 $2,047.60 2.8×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $13,177.02 $18,824.31 1.1×
Limit oral eval problm focus (D0140) $100.52 $143.60 0.7×
Mandible graft (D7950) $4,172.15 $5,960.22 0.6×
Mnt subs tx for change dx (G0270) $56.24 $80.34 1.8×
Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; (0331T) $896.41 $1,280.59 0.6×
Nav srv peer sup 60 min pr m (G0140) $224.91 $321.30 1.9×
Neuro csf prion prtn qual (0035U) $568.40 $812 1.1×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $4,064.02 $5,805.74 4.0×
Njx pltlt plasma w/img harvest/preparation (0232T) $924.62 $1,320.88 1.8×
Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography… (0712T) $197.19 $281.70 0.8×
Obtaining screen pap smear (Q0091) $86.77 $123.96 2.6×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $711.16 $1,015.95 2.2×
Onc Merkel Cll Carc Srm Quan (0058U) $746.26 $1,066.08 2.3×
Opps service,sched team conf (G0175) $796.07 $1,137.24 1.6×
Oral hiv-1/hiv-2 screen (G0435) $134.75 $192.50 11.2×
Oth resp proc, indiv (G0238) $182.55 $260.78 5.5×
Pano radio image (D0701) $114.54 $163.63 1.1×
Panoramic image (D0330) $143.18 $204.54 0.5×
Pathogen test for platelets (P9100) $152.64 $218.05 2.2×
Pemivibart infusion (M0224) $1,057.56 $1,510.80 2.1×
Perc d-e cor revasc chro sin (C9607) $21,621.82 $30,888.31 1.0×
Perc d-e cor revasc t cabg s (C9604) $22,478.69 $32,112.42 1.7×
Perc d-e cor stent ather s (C9602) $22,627.03 $32,324.33 1.1×
Perc drug-el cor stent sing (C9600) $23,141.66 $33,059.52 1.7×
Periodic oral evaluation (D0120) $88.09 $125.84 0.6×
Perq Sacral Augmt Bilat Inj (0201T) $16,234.53 $23,192.18 1.9×
Perq Sacral Augmt Unilat Inj (0200T) $12,478.12 $17,825.88 1.5×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $12,452.44 $17,789.20 0.9×
Pet not otherwise specified (G0235) $3,698.18 $5,283.12 8.0×
Pin service 60m per month (G0023) $178.15 $254.50 1.5×
Place device/marker, non pro (C9728) $4,588.01 $6,554.30 2.9×
Potassium hydroxide preps (Q0112) $32.24 $46.05 5.5×
Ppps, initial visit (G0438) $295.57 $422.24 1.7×
Ppps, subseq visit (G0439) $230.05 $328.64 1.7×
Pre 3d mdl w/ccta and/or mri (C9793) $2,296.30 $3,280.43 2.3×
Prgrmg Dev Eval Scrms Phys/Qhp Remote (0650T) $99.22 $141.75 2.3×
Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) $124.25 $177.50 2.9×
Prostate biopsy, any mthd (G0416) $774.24 $1,106.06 1.9×
Psa screening (G0103) $96.15 $137.36 5.0×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $3,696.83 $5,281.19 3.4×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $2,956.59 $4,223.70 2.7×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $2,838.32 $4,054.74 2.6×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $4,066.52 $5,809.32 3.8×
Quan MRI alys brain with diagnostic MRI (0866T) $512.85 $732.64 1.9×
Quan MRI alys brn w/o dx MRI (0865T) $379.89 $542.70 1.4×
Quan us tiss charac i&r w/o dx us same anat (0689T) $381.24 $544.63 3.8×
Rad exc lesion up to 1.25 cm (D7410) $455.15 $650.21 0.3×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $705.60 $1,008 1.0×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $4,333.78 $6,191.12 1.8×
Rem imp tooth w mucoper flp (D7210) $241.11 $344.44 0.1×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $3,803.80 $5,434 0.9×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $4,806.98 $6,867.12 1.1×
Removal fb skin/areolar tiss (D7530) $899.49 $1,284.99 1.2×
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) $459.30 $656.15 2.0×
Remove torus mandibularis (D7473) $740.43 $1,057.76 1.0×
Repos Cardiac Modulj Transvenous Electrode (0415T) $2,082.79 $2,975.41 2.9×
Revasc intra lithotrip-ather (C9766) $22,843.73 $32,633.90 1.1×
Revasc intra lithotrip-stent (C9765) $28,607.60 $40,868 1.3×
Revasc lithotrip-stent-ather (C9767) $30,491.59 $43,559.41 1.4×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $4,382 $6,260 1.1×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $22,561.30 $32,230.43 0.9×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $22,561.30 $32,230.43 0.9×
Routine footcare pt w lops (G0247) $117.70 $168.14 0.5×
Scr c/v cyto,thinlayer,rescr (G0143) $169.87 $242.67 6.3×
Screen cerv/vag thin layer (G0123) $204.20 $291.71 10.1×
Sim ang w/prs cath rad emb (C8004) $19,182.80 $27,404 1.4×
Slctv nzmtc dbrdmt brn eschar anes s/n/hf&/md 1 (0975T) $1,344.62 $1,920.88 2.9×
Slctv nzmtc dbrdmt brn eschar req anes t/a/l 1st (0973T) $1,344.62 $1,920.88 2.9×
Splint extra-coronal (D4323) $582.96 $832.80 0.8×
Splint intra-coronal (D4322) $1,125.25 $1,607.50 1.5×
Tcat Impl Wrls Ivc Snr L-T Hemodyn Mntr (0981T) $32,294.81 $46,135.44 1.5×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $7,116.38 $10,166.26 1.9×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $35,816.87 $51,166.96 1.6×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $22,234.90 $31,764.15 1.0×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $5,500.60 $7,858 1.5×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $33,105.80 $47,294 1.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $7,777.45 $11,110.64 1.2×
Therapeutic procd strg endur (G0237) $228.27 $326.10 6.8×
Tomosynthesis, mammo (G0279) $101.85 $145.50 8.0×
Tooth root removal (D7250) $243.18 $347.40 0.3×
Tpmt nudt15 gene analysis common variants (0034U) $367.50 $525 0.8×
Trabeculostomy ab interno by laser (0621T) $1,719.50 $2,456.44 0.4×
Transcatheter Renal Sympath Denervation Bilat (0339T) $14,746.73 $21,066.76 2.2×
Transcatheter renal sympath denervation unilat (0338T) $15,142.69 $21,632.42 2.3×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $40,137.26 $57,338.95 3.0×
Trauma respons w/hosp criti (G0390) $10,346.90 $14,781.29 6.7×
Treatment of complications (D9930) $182.20 $260.28 0.2×
Trim nail(s) (G0127) $184.35 $263.36 2.7×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $36,877.27 $52,681.82 2.8×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $40,137.26 $57,338.95 3.0×
Tte w or w/o contr, cont ecg (C8930) $2,033.63 $2,905.19 2.2×
Tte w or w/o fol w/con,stres (C8928) $1,974.74 $2,821.05 2.2×
Tte w or wo fol wcon,doppler (C8929) $2,905.59 $4,150.84 3.2×
Unsched dialysis esrd pt hos (G0257) $2,460.70 $3,515.29 3.1×
Upper gastrointestinal blood detection, sensor capsule, with interpretation and report (0977T) $1,658.06 $2,368.65 1.6×
Vasc emb/occ w/prs cath (C9797) $17,672.93 $25,247.04 0.8×
Visit to determ ldct elig (G0296) $108.32 $154.74 0.9×
Wet mounts/ w preparations (Q0111) $87.09 $124.41 4.7×