Supplies, drugs & other prices at Providence Regional Medical Center Everett

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,536.08 $2,954 1.7×
2d tte w or w/o fol w/con,co (C8923) $1,039.48 $1,999 1.2×
2d tte w or w/o fol w/con,fu (C8924) $1,039.48 $1,999 2.6×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T) $18,912.40 $36,370 1.6×
Adapt bhv tx prtcl modificaj ea 15 min tech time (0373T) $382.20 $735 9.0×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $48.88 $94 1.2×
Computed tomography, breast, including 3D rendering, when performed, bilateral; with contrast material(s) Non-Facility… (0637T) $543.92 $1,046 1.4×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast material(s)… (0636T) $421.72 $811 1.6×
Computed tomography, breast, including 3D rendering, when performed, bilateral; without contrast, followed by contrast… (0638T) $717.60 $1,380 1.8×
Computed tomography, breast, including 3D rendering, when performed, unilateral; with contrast material(s) Non-Facility… (0634T) $543.92 $1,046 2.7×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast material Non-Facility… (0633T) $421.72 $811 3.5×
Computed tomography, breast, including 3D rendering, when performed, unilateral; without contrast, followed by contrast… (0635T) $717.60 $1,380 3.6×
Demonstrate use home inr mon (G0248) $192.40 $370 1.3×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater… (0419T) $926.12 $1,781 1.1×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) $926.12 $1,781 1.1×
Diab manage trn per indiv (G0108) $119.60 $230 2.1×
Diab manage trn ind/group (G0109) $100.88 $194 6.3×
Direct refer hospital observ (G0379) $1,283.36 $2,468 1.9×
Elec stim other than wound (G0283) $70.72 $136 5.6×
Elec stim unattend for press (G0281) $70.72 $136 6.0×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
likely a partial charge, not the full procedure
$8,085.48 $15,549 0.2×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $1,862.64 $3,582 0.5×
Esw integumentary wound healing initial wound (0512T) $434.72 $836 1.9×
Group train w/o patient (G0543) $40.56 $78 1.2×
Hbot, full body chamber, 30m (G0277) $539.76 $1,038 3.4×
Home sleep test/type 2 porta (G0398) $287.04 $552 1.2×
Home sleep test/type 3 porta (G0399) $287.04 $552 1.2×
Home sleep test/type 4 porta (G0400) $287.04 $552 1.2×
Hospital outpt clinic visit (G0463) $201.24 $387 1.3×
Iliac Atherectomy (0238T) $44,506.28 $85,589 2.1×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T)
likely a partial charge, not the full procedure
$3,479.32 $6,691 0.3×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) $5,218.72 $10,036 0.6×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0525T)
unusually low: confirm this is the full procedure
$6,963.32 $13,391 0.3×
Insertion wrls car stimulator lv pacg compl sys (0515T) $15,503.28 $29,814 0.6×
Insertion/replacement iims implantable mntr only (0527T) $5,218.72 $10,036 0.6×
Insj Wcs Lv Eltrd Only (0516T)
unusually low: confirm this is the full procedure
$5,218.72 $10,036 0.4×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $18,912.40 $36,370 1.6×
Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) $873.60 $1,680 4.4×
No pt prsnt train initial 30 (G0541) $84.24 $162 2.6×
Obtaining screen pap smear (Q0091) $35.36 $68 1.1×
Oth resp proc, group (G0239) $194.48 $374 4.6×
Oth resp proc, indiv (G0238) $206.44 $397 6.3×
Pathogen test for platelets (P9100) $278.20 $535 4.1×
Perc d-e cor revasc chro sin (C9607) $11,892.40 $22,870 0.6×
Perc d-e cor revasc t cabg s (C9604) $10,513.36 $20,218 0.8×
Perc d-e cor stent ather s (C9602) $16,741.40 $32,195 0.8×
Perc drug-el cor stent sing (C9600) $10,934.04 $21,027 0.8×
Perq Sacral Augmt Bilat Inj (0201T) $6,515.60 $12,530 0.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $7,412.60 $14,255 0.6×
Place device/marker, non pro (C9728) $2,635.36 $5,068 1.7×
Prgrmg Dev Eval Scrms Phys/Qhp Remote (0650T) $20.80 $40 0.5×
Prostate biopsy, any mthd (G0416) $158.60 $305 0.4×
Provide inr test mater/equip (G0249) $282.36 $543 1.9×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $303.68 $584 0.3×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $535.08 $1,029 0.5×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $535.08 $1,029 0.5×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $1,470.04 $2,827 1.4×
Quan MRI alys brain with diagnostic MRI (0866T) $305.76 $588 1.1×
Quan MRI alys brn w/o dx MRI (0865T) $305.76 $588 1.1×
Quan us tiss charac i&r w/o dx us same anat (0689T) $106.60 $205 1.1×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T)
likely a partial charge, not the full procedure
$2,207.40 $4,245 0.2×
Removal complete iims (0530T) $2,207.40 $4,245 0.5×
Removal iims electrode only (0531T) $2,207.40 $4,245 0.5×
Removal iims implt mntr only (0532T) $2,207.40 $4,245 0.5×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $2,207.40 $4,245 0.5×
Revasc intra lithotrip-ather (C9766)
likely a partial charge, not the full procedure
$5,157.88 $9,919 0.2×
Revasc intra lithotrip-stent (C9765)
likely a partial charge, not the full procedure
$4,926.48 $9,474 0.2×
Revasc intravasc lithotripsy (C9764)
likely a partial charge, not the full procedure
$2,494.96 $4,798 0.2×
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure
$5,157.88 $9,919 0.4×
Revasc lithotrip-stent-ather (C9767)
unusually low: confirm this is the full procedure
$8,085.48 $15,549 0.4×
Scr c/v cyto,thinlayer,rescr (G0145) $83.20 $160 3.1×
Tactile breast img uni/bi (0422T) $232.44 $447 2.3×
Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) $5,752.76 $11,063 1.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $8,288.28 $15,939 1.3×
Tee w or w/o fol w/cont, mon (C8927) $1,536.08 $2,954 1.7×
Tee w or w/o fol w/cont,cong (C8926) $1,536.08 $2,954 1.7×
Therapeutic procd strg endur (G0237) $308.36 $593 9.4×
Therapeutic ultrafiltration (0692T) $885.04 $1,702 0.5×
Tomosynthesis, mammo (G0279) $106.60 $205 8.4×
Transcatheter Renal Sympath Denervation Bilat (0339T) $12,488.84 $24,017 1.9×
Transcatheter renal sympath denervation unilat (0338T) $12,488.84 $24,017 1.9×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $29,064.36 $55,893 2.2×
Trauma respons w/hosp criti (G0390) $6,441.50 $12,387.50 4.2×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $29,064.36 $55,893 2.2×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $29,064.36 $55,893 2.2×
Tte w or w/o contr, cont ecg (C8930) $1,536.08 $2,954 1.7×
Tte w or w/o fol w/con,stres (C8928) $1,536.08 $2,954 1.7×
Tte w or w/o fol w/cont, com (C8921) $1,536.08 $2,954 1.7×
Tte w or w/o fol w/cont, f/u (C8922) $1,476.28 $2,839 1.7×
Tte w or wo fol wcon,doppler (C8929) $1,597.44 $3,072 1.8×
Unsched dialysis esrd pt hos (G0257) $769.60 $1,480 1.0×
Vasc emb/occ w/prs cath (C9797) $27,043.12 $52,006 1.3×