Supplies, drugs & other prices at Virginia Mason Medical Center

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

184 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) $1,491.24 $2,924 1.6×
2d tte w or w/o fol w/con,co (C8923) $1,120.98 $2,198 1.2×
2d tte w or w/o fol w/con,fu (C8924) $616.08 $1,208 1.5×
Ablation, irreversible electroporation; 1 or more tumors, including fluoroscopic and ultrasound guidance, when… (0601T)
likely a partial charge, not the full procedure
$2,313.87 $4,537 0.2×
Adm tocilizu covid-19 1st (M0249) $965.43 $1,893 1.9×
Adm tocilizu covid-19 2nd (M0250) $919.02 $1,802 1.8×
Admin hepatitis b vaccine (G0010) $55.59 $109 1.0×
Admin influenza virus vac (G0008) $55.59 $109 1.0×
Admin pneumococcal vaccine (G0009) $55.59 $109 1.0×
Alcohol/sub misuse assess (G2011) $23.46 $46 0.7×
Alcohol/subs interv 15-30mn (G0396) $71.91 $141 1.7×
Alcohol/subs interv >30 min (G0397) $182.07 $357 0.9×
Annual alcohol screen 15 min (G0442) $16.83 $33 0.4×
Behavior counsel obesity 15m (G0447) $52.02 $102 0.4×
Blind interatrial shunt ide (C9758) $16,760.64 $32,864 0.8×
Brief alcohol misuse counsel (G0443) $52.02 $102 0.4×
Ca screen;flexi sigmoidscope (G0104) $1,513.68 $2,968 1.4×
Ca screen;pelvic/breast exam (G0101) $52.02 $102 0.4×
Cardiac mri seg dys strain (C9762) $646.17 $1,267 1.0×
Cardiac mri seg dys stress (C9763) $646.17 $1,267 1.0×
Care manage beh svs 20mins (G0323) $45.90 $90 1.1×
Chemo extend iv infus w/pump (G0498) $369.24 $724 1.0×
Colon ca scrn not hi rsk ind (G0121) $1,998.69 $3,919 1.9×
Colorectal scrn; hi risk ind (G0105) $1,998.69 $3,919 1.9×
Covid-19 lab test non-cdc (U0002) $62.22 $122 1.2×
Cysto impl 4 or more (C9740) $11,420.94 $22,394 1.0×
Cystoscopy prostatic imp 1-3 (C9739) $5,572.26 $10,926 0.9×
Demonstrate use home inr mon (G0248) $224.40 $440 1.5×
Depression screen annual (G0444) $16.83 $33 0.4×
Dermal filler injection(s) (G0429) $2,437.29 $4,779 1.0×
Devlopment test interpt&rep (G0451) $141.27 $277 1.2×
Diab manage trn per indiv (G0108) $108.12 $212 1.9×
Diab manage trn ind/group (G0109) $44.88 $88 2.8×
Direct refer hospital observ (G0379) $827.73 $1,623 1.2×
Drug test def 1-7 classes (G0480) $176.46 $346 1.5×
Drug test def 15-21 classes (G0482) $374.85 $735 1.9×
Drug test def 22+ classes (G0483) $465.63 $913 1.9×
Drug test def 8-14 classes (G0481) $287.13 $563 1.8×
Drug test def simple all cl (G0659) $123.42 $242 2.0×
Dstry eye lesn,fdr vssl tech (G0186) $916.47 $1,797 1.4×
Ekg tracing for initial prev (G0404) $42.33 $83 1.3×
Elec stim other than wound (G0283) $31.62 $62 2.5×
Elec stim unattend for press (G0281) $21.93 $43 1.9×
Electromagntic tx for ulcers (G0329) $18.87 $37 1.8×
Electrophysiological eval icds w/ss electrode (0577T) $1,547.85 $3,035 1.1×
Endo outlet restrict w/tube (C9785) $16,252.68 $31,868 1.3×
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) $7,306.26 $14,326 1.0×
Extrnl counterpulse, per tx (G0166) $197.88 $388 1.3×
Fecal blood scrn immunoassay (G0328) $64.26 $126 3.6×
Fecal microbiota prep instil (G0455) $1,292.34 $2,534 1.2×
Followup eval of foot pt lop (G0246) $77.52 $152 0.5×
Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part… (0479T) $580.38 $1,138 0.7×
Glaucoma scrn hgh risk direc (G0118) $74.97 $147 1.7×
Glaucoma scrn hgh risk direc (G0117) $74.97 $147 2.2×
Group behave couns 2-10 (G0473) $141.27 $277 3.2×
Group mnt 2 or more 30 mins (G0271) $23.46 $46 1.4×
Hbot, full body chamber, 30m (G0277) $266.73 $523 1.7×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $1,497.36 $2,936 1.9×
High inten beh couns std 30m (G0445) $47.43 $93 0.4×
Home sleep test/type 2 porta (G0398) $359.04 $704 1.4×
Home sleep test/type 3 porta (G0399) $395.25 $775 1.6×
Home sleep test/type 4 porta (G0400) $359.04 $704 1.4×
Hopd mntl hlt, 15-29 min (C7900) $45.90 $90 1.1×
Hopd mntl hlt, 30-60 min (C7901) $117.81 $231 1.0×
Hopd mntl hlt, grp (C7903) $38.76 $76 0.9×
Hospital outpt clinic visit (G0463) $83.13 $163 0.5×
Init/sub psych care m 1st 30 (G2214) $47.43 $93 0.4×
Initial foot exam pt lops (G0245) $77.52 $152 0.5×
Initial preventive exam (G0402) $214.20 $420 1.4×
Inj for sacroiliac jt anesth (G0260) $1,112.31 $2,181 1.4×
Insert drug del implant, >=4 (G0516) $496.23 $973 1.0×
Insertion of sinus tarsi implant (0335T) $8,429.28 $16,528 1.0×
Insertion of substernal implantable defibrillator electrode (0572T) $5,264.73 $10,323 0.5×
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
unusually low: confirm this is the full procedure
$14,925.15 $29,265 0.4×
Intens behave ther cardio dx (G0446) $16.83 $33 0.4×
Intens cardiac rehab no exer (G0423) $241.23 $473 1.6×
Intens cardiac rehab w/exerc (G0422) $241.23 $473 1.6×
Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) $47.94 $94 1.1×
Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) $47.94 $94 1.1×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $558.45 $1,095 4.6×
Mnt subs tx for change dx (G0270) $51 $100 1.6×
Mra w/cont, abd (C8900) $853.74 $1,674 2.1×
Mra w/cont, chest (C8909) $747.66 $1,466 1.8×
Mra w/cont, lwr ext (C8912) $608.43 $1,193 1.5×
Mra w/cont, pelvis (C8918) $608.43 $1,193 1.5×
Mra w/o cont, abd (C8901) $853.74 $1,674 3.1×
Mra w/o cont, chest (C8910) $747.66 $1,466 2.7×
Mra w/o cont, lwr ext (C8913) $1,145.46 $2,246 4.1×
Mra w/o cont, pelvis (C8919) $855.78 $1,678 3.1×
Mra w/o fol w/cont, abd (C8902) $853.74 $1,674 2.1×
Mra w/o fol w/cont, chest (C8911) $747.66 $1,466 1.8×
Mra w/o fol w/cont, lwr ext (C8914) $1,145.46 $2,246 2.8×
Mra w/o fol w/cont, pelvis (C8920) $855.78 $1,678 2.1×
Mra, w/dye, spinal canal (C8931) $608.43 $1,193 1.5×
Mra, w/dye, upper extremity (C8934) $608.43 $1,193 1.5×
Mra, w/o dye, spinal canal (C8932) $898.11 $1,761 3.2×
Mra, w/o dye, upper extr (C8935) $864.45 $1,695 3.1×
Mra, w/o&w/dye, spinal canal (C8933) $898.11 $1,761 2.2×
Mra, w/o&w/dye, upper extr (C8936) $864.45 $1,695 2.1×
Mri w/cont, breast, bi (C8906) $608.43 $1,193 1.5×
Mri w/cont, breast, uni (C8903) $303.45 $595 1.5×
Mri w/o fol w/cont, breast, (C8908) $1,153.62 $2,262 2.8×
Mri w/o fol w/cont, brst, un (C8905) $608.43 $1,193 1.5×
Myocrd symp innervaj img plnr qual&quant w/spect (0332T) $2,270.52 $4,452 1.5×
Neuro csf prion prtn qual (0035U) $827.73 $1,623 1.5×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,412.70 $2,770 1.4×
Njx pltlt plasma w/img harvest/preparation (0232T) $496.23 $973 1.0×
Non-blind interatrial shunt (C9760) $16,760.64 $32,864 0.5×
Non-cov proc, clinical trial (G0294) $79.05 $155 1.8×
Non-cov surg proc,clin trial (G0293) $79.05 $155 1.8×
Non-ophthalmic fva (C9733) $506.43 $993 1.3×
Obtaining screen pap smear (Q0091) $47.43 $93 1.4×
Off base opioid tx 70min (G2086) $84.66 $166 0.4×
Off base opioid tx, 60 m (G2087) $84.66 $166 0.4×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $412.08 $808 1.3×
Onc Merkel Cll Carc Srm Quan (0058U) $412.08 $808 1.3×
Opps service,sched team conf (G0175) $244.80 $480 0.5×
Oth resp proc, group (G0239) $79.05 $155 1.8×
Oth resp proc, indiv (G0238) $75.48 $148 2.2×
Pelvic ring fracture uni/bil (G0413)
unusually low: confirm this is the full procedure
$3,814.29 $7,479 0.5×
Perc d-e cor revasc chro sin (C9607) $29,054.70 $56,970 1.4×
Perc d-e cor revasc t cabg s (C9604) $19,114.80 $37,480 1.4×
Perc d-e cor stent ather s (C9602) $30,507.69 $59,819 1.4×
Perc drug-el cor stent sing (C9600) $20,070.54 $39,354 1.5×
Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T)
likely a partial charge, not the full procedure
$838.44 $1,644 0.1×
Perq Sacral Augmt Bilat Inj (0201T) $8,429.28 $16,528 1.0×
Place device/marker, non pro (C9728) $2,076.72 $4,072 1.3×
Place endorectal app (C9725) $1,375.98 $2,698 1.3×
Post op service lvrs min 6 (G0305) $1,636.08 $3,208 3.8×
Pre 3d mdl w/ccta and/or mri (C9793) $1,732.98 $3,398 1.7×
Pre-op service lvrs 1-9 dos (G0304) $1,636.08 $3,208 3.8×
Pre-op service lvrs 10-15dos (G0303) $329.46 $646 1.3×
Pre-op service lvrs complete (G0302) $1,636.08 $3,208 3.8×
Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) $47.94 $94 1.1×
Prolonged iv inf, req pump (C8957) $621.18 $1,218 2.5×
Prostate biopsy, any mthd (G0416) $1,239.81 $2,431 3.0×
Provide inr test mater/equip (G0249) $253.47 $497 1.6×
Removal of substernal implantable defibrillator electrode (0573T) $4,640.49 $9,099 1.1×
Remove drug implant (G0517) $496.23 $973 1.0×
Remove w insert drug implant (G0518) $496.23 $973 1.0×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $4,640.49 $9,099 1.1×
Revasc intra lithotrip-ather (C9766)
likely a partial charge, not the full procedure
$5,535.54 $10,854 0.3×
Revasc intra lithotrip-stent (C9765)
likely a partial charge, not the full procedure
$5,535.54 $10,854 0.3×
Revasc intravasc lithotripsy (C9764)
likely a partial charge, not the full procedure
$2,767.77 $5,427 0.2×
Revasc lith-sten-ath tib/per (C9775)
unusually low: confirm this is the full procedure
$8,976.51 $17,601 0.4×
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure
$8,976.51 $17,601 0.4×
Revasc lithotr-stent tib/per (C9773)
unusually low: confirm this is the full procedure
$8,976.51 $17,601 0.4×
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure
$5,612.04 $11,004 0.4×
Revasc lithotrip-stent-ather (C9767)
unusually low: confirm this is the full procedure
$8,905.11 $17,461 0.4×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $4,640.49 $9,099 1.1×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T)
unusually low: confirm this is the full procedure
$8,608.80 $16,880 0.3×
Routine footcare pt w lops (G0247) $254.49 $499 1.1×
Single energy x-ray study (G0130) $208.08 $408 1.7×
Spine device implant surgery (C9757)
unusually low: confirm this is the full procedure
$6,647.85 $13,035 0.4×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $19.38 $38 1.1×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $14,837.43 $29,093 0.7×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $14,837.43 $29,093 0.7×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $14,837.43 $29,093 0.7×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $29,674.86 $58,186 1.3×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $14,837.43 $29,093 4.0×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $14,837.43 $29,093 4.0×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $14,837.43 $29,093 4.0×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $29,674.86 $58,186 8.1×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $14,837.43 $29,093 0.7×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $29,674.86 $58,186 1.3×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $14,837.43 $29,093 0.7×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $14,837.43 $29,093 0.7×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $7,563.81 $14,831 1.1×
Tee w or w/o fol w/cont, mon (C8927) $848.64 $1,664 0.9×
Tee w or w/o fol w/cont,cong (C8926) $1,334.16 $2,616 1.5×
Therapeutic procd strg endur (G0237) $75.48 $148 2.2×
Tomosynthesis, mammo (G0279) $43.35 $85 3.4×
Tpmt nudt15 gene analysis common variants (0034U) $687.48 $1,348 1.5×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $4,462.50 $8,750 1.3×
Trim nail(s) (G0127) $84.15 $165 1.2×
Tte w or w/o contr, cont ecg (C8930) $1,227.57 $2,407 1.3×
Tte w or w/o fol w/con,stres (C8928) $1,106.19 $2,169 1.2×
Tte w or w/o fol w/cont, com (C8921) $1,058.76 $2,076 1.2×
Tte w or w/o fol w/cont, f/u (C8922) $1,058.76 $2,076 1.2×
Tte w or wo fol wcon,doppler (C8929) $1,323.45 $2,595 1.5×
Visit esketamine 56m or less (G2082) $673.71 $1,321 0.6×
Visit esketamine, > 56m (G2083) $588.03 $1,153 0.3×
Visit to determ ldct elig (G0296) $148.41 $291 1.3×
Warfarin respon genetic test (G9143) $322.83 $633 2.7×