Patient Price Information List

Disclaimer: Harbor Regional Health determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.

Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.

LOCAL MARKET HOSPITALS

In order to present a meaningful comparison, Harbor Regional Health has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 6/30/23. Harbor Regional Health's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Mason General Hospital

Shelton

WA

MultiCare Capital Medical Center

Olympia

WA

Multicare Tacoma General Hospital

Tacoma

WA

Providence Centralia Hospital

Centralia

WA

Providence Saint Peter Hospital

Olympia

WA

Summit Pacific Medical Center

Elma

WA

CMS SHOPPABLE SERVICE

Description

Our Charge
Market Charge

Variance

Psychotherapy treatment by physician face-to-face with patient (45 minutes) [HCPCS 90834]

$245
$427

43% lower than market

Psychotherapy treatment by physician face-to-face with patient (60 minutes) [HCPCS 90837]

$119
$585

80% lower than market

Psychotherapy treatment for multiple patients in one group session [HCPCS 90853]

$193
$326

41% lower than market

Spinal canal injection of substance into lower back or sacrum with imaging guidance [HCPCS 62323]

$2,868
$3,268

12% lower than market

Spinal x-ray of lower and sacral spine (minimum of 4 views) [HCPCS 72110]

$745
$774

4% lower than market

Abdominal and pelvic CT scan with contrast for injury, foreign bodies, or tumors [HCPCS 74177]

$7,253
$5,157

41% higher than market

Abdominal ultrasound (complete) [HCPCS 76700]

$1,857
$1,145

62% higher than market

Total Knee or Hip Replacement

$117,161
$95,895

22% higher than market

Anesthetic agent and/or steroid injection into lower or sacral spine nerve root with imaging guidance (single level) [HCPCS 64483]

$3,062
$3,140

2% lower than market

Uterus or Ovary Surgery Not Related to Cancer without complications

$58,789
$54,115

9% higher than market

Cataract removal involving removal of the front part of the capsule and the central part of the lens with lens prosthesis insertion [HCPCS 66984]

$10,906
$15,662

30% lower than market

Catheter insertion into left heart with injection, imaging interpretation, and supervision [HCPCS 93452]

$14,792
$16,098

8% lower than market

Colon (large bowel) examination and biopsy with endoscope [HCPCS 45380]

$13,385
$7,480

79% higher than market

Colon (large bowel) examination and polyps or tumors removal by snare technique with endoscope [HCPCS 45385]

$14,845
$8,074

84% higher than market

Colon (large bowel) examination with endoscope for diagnosis (high risk) [HCPCS 45378]

$11,892
$7,482

59% higher than market

Esophagus, stomach, and/or upper small bowel examination and biopsy with endoscope [HCPCS 43239]

$12,509
$7,168

75% higher than market

Esophagus, stomach, and/or upper small bowel examination with endoscope for diagnosis [HCPCS 43235]

$7,435
$7,087

5% higher than market

Gallbladder removal with an endoscope [HCPCS 47562]

$51,955
$33,868

53% higher than market

Groin hernia repair for patient 5 years of age or older (herniated tissue that is not trapped) [HCPCS 49505]

$40,257
$24,600

64% higher than market

Head or brain CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 70450]

$3,205
$2,321

38% higher than market

Imaging of brain by MRI without contrast, followed by contrast [HCPCS 70553]

$3,453
$4,693

26% lower than market

Imaging of leg joint by MRI without contrast [HCPCS 73721]

$2,050
$3,279

37% lower than market

Imaging of lower spinal canal by MRI without contrast [HCPCS 72148]

$2,050
$3,441

40% lower than market

Imaging of pelvis by ultrasound through vagina [HCPCS 76830]

$1,634
$991

65% higher than market

Knee cartilage removal with endoscope (one knee) [HCPCS 29881]

$26,605
$17,687

50% higher than market

Lab analysis of urine specimen by dipstick with microscope (automated) [HCPCS 81001]

$78
$95

18% lower than market

Lab analysis of urine specimen by dipstick without microscope (automated) [HCPCS 81003]

$52
$59

11% lower than market

Lab analysis of urine specimen by dipstick without microscope (non-automated) [HCPCS 81002]

$19
$21

10% lower than market

Lab analysis to evaluate kidney function via a blood test panel [HCPCS 80069]

$153
$94

62% higher than market

Lab analysis to evaluate the clotting time in plasma specimen and monitor drug effectiveness [HCPCS 85610]

$72
$83

14% lower than market

Lab analysis to identify the thyroid stimulating hormone (tsh) in blood specimen [HCPCS 84443]

$133
$156

15% lower than market

Lab analysis to measure coagulation in plasma or whole blood specimen [HCPCS 85730]

$117
$84

40% higher than market

Lab analysis to measure complete blood cell count (red cells, white blood cell, and platelets), automated test [HCPCS 85027]

$94
$81

16% higher than market

Lab analysis to measure complete blood cell count (red cells, white blood cell, and platelets), automated test and automated differential white blood cell count [HCPCS 85025]

$115
$122

6% lower than market

Lab analysis to measure the amount of albumin, total and direct bilirubin, alkaline phosphatase, total protein, alanine amino transferase, and asparate amino transferase in blood specimen to evaluate liver function [HCPCS 800

$178
$138

29% higher than market

Lab analysis to measure the amount of free PSA (prostate specific antigen) in serum specimen [HCPCS 84154]

$204
$66

208% higher than market

Lab analysis to measure the amount of lipids (cholesterol and triglycerides) in blood specimen [HCPCS 80061]

$139
$198

30% lower than market

Lab analysis to measure the amount of total calcium, carbon dioxide (bicarbonate), chloride, creatinine, glucose, potassium, sodium, and urea nitrogen (BUN) in blood specimen [HCPCS 80048]

$192
$147

30% higher than market

Lab analysis to measure the amount of total PSA (prostate specific antigen) in serum specimen [HCPCS 84153]

$142
$173

18% lower than market

Lab analysis via blood test to measure a comprehensive group of blood chemicals [HCPCS 80053]

$191
$190

Approximately equal to market

Mammography of both breasts (screening exam) [HCPCS 77067]

$594
$614

3% lower than market

Mammography of both breasts for diagnosis [HCPCS 77066]

$620
$726

15% lower than market

Mammography of one breast for diagnosis [HCPCS 77065]

$384
$622

38% lower than market

Pelvis CT scan with contrast to examine injury, foreign bodies, or tumors [HCPCS 72193]

$4,835
$3,413

42% higher than market

Physical therapy exercise to develop strength, endurance, range of motion, and flexibility (each 15 minutes) [HCPCS 97110]

$117
$146

20% lower than market

Psychotherapy treatment by physician face-to-face with patient (30 minutes) [HCPCS 90832]

$193
$326

41% lower than market

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Semi-Private Room

$2,335
$3,649

36% lower than market

Coronary Care Unit

$4,203
$7,652

45% lower than market

OUTPATIENT EMERGENCY DEPARTMENT

Description

Our Charge
Market Charge

Variance

Critical care delivery to critically ill or injured patient (each additional 30 minutes) [HCPCS 99292]

$3,238
$4,043

20% lower than market

Critical care delivery to critically ill or injured patient (first 30-74 minutes) [HCPCS 99291]

$5,932
$7,877

25% lower than market

Emergency department visit for minor problem [HCPCS 99281]

$658
$790

17% lower than market

Emergency department visit for problem of high severity [HCPCS 99284]

$5,086
$5,419

6% lower than market

Emergency department visit for problem of low to moderate severity [HCPCS 99282]

$952
$894

7% higher than market

Emergency department visit for problem of moderate severity [HCPCS 99283]

$1,313
$1,865

30% lower than market

Emergency department visit for problem with significant threat to life [HCPCS 99285]

$9,902
$10,156

2% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY

Description

Our Charge
Market Charge

Variance

Drug screening read by chemistry analyzers [HCPCS 80307]

$572
$448

28% higher than market

Drug test def 1-7 classes [HCPCS G0480]

$146
$116

26% higher than market

Lab analysis by immunoassay (ELISA) to identify cryptosporidium (parasite) [HCPCS 87328]

$140
$126

11% higher than market

Lab analysis by immunoassay (ELISA) to identify Hepatitis B surface antigen [HCPCS 87340]

$62
$121

49% lower than market

Lab analysis by immunoassay (ELISA) to identify HIV-1 and HIV-2 [HCPCS 87389]

$133
$193

31% lower than market

Lab analysis by immunoassay to identify Strep (streptococcus) [HCPCS 87880]

$77
$133

42% lower than market

Lab analysis by nucleic acid (DNA or RNA) to identify chlamydia trachomatis by amplified probe technique [HCPCS 87491]

$139
$227

39% lower than market

Lab analysis by nucleic acid (DNA or RNA) to identify clostridium difficile by amplified probe technique [HCPCS 87493]

$202
$214

6% lower than market

Lab analysis by nucleic acid (DNA or RNA) to identify multiple types of the influenza virus (first 2 types or sub-types) [HCPCS 87502]

$475
$737

36% lower than market

Lab analysis by nucleic acid (DNA or RNA) to identify Neisseria gonorrhoeae (gonorrhoeae bacteria) by amplified probe technique [HCPCS 87591]

$197
$242

19% lower than market

Lab analysis of any culture (except blood) to identify aerobic isolates (each isolate) [HCPCS 87077]

$94
$109

14% lower than market

Lab analysis of any culture (except blood) to identify anaerobic bacteria [HCPCS 87075]

$118
$216

45% lower than market

Lab analysis of any culture (except blood) to identify anaerobic isolates (each isolate) [HCPCS 87076]

$62
$117

47% lower than market

Lab analysis of any culture (except urine, blood, or stool) to identify bacteria [HCPCS 87070]

$133
$269

50% lower than market

Lab analysis of blood culture to identify bacteria [HCPCS 87040]

$224
$258

13% lower than market

Lab analysis of complex special stain to identify parasites [HCPCS 87209]

$65
$80

19% lower than market

Lab analysis of special gram or Giemsa stain to idenitfy microorganisms [HCPCS 87205]

$99
$129

23% lower than market

Lab analysis of stool culture to identify bacteria [HCPCS 87045]

$78
$147

47% lower than market

Lab analysis of stool culture to identify bacteria and additional pathogens [HCPCS 87046]

$32
$107

70% lower than market

Lab analysis of urine culture to measure the amount of bacteria [HCPCS 87086]

$82
$209

61% lower than market

Lab analysis of urine specimen by dipstick to detect the hormone found in women in early pregnancy [HCPCS 81025]

$71
$93

24% lower than market

Lab analysis to evaluate an antimicrobial drug (antibiotic, antifungal, antiviral) by microdilution or agar dilution (each multi-antimicrobial, per plate) [HCPCS 87186]

$104
$107

2% lower than market

Lab analysis to identify chemicals in kidney stone by infrared spectroscopy [HCPCS 82365]

$97
$94

4% higher than market

Lab analysis to identify Hepatitis B core antibodies (IgG and IgM) [HCPCS 86704]

$109
$110

1% lower than market

Lab analysis to identify Hepatitis B surface antibodies [HCPCS 86706]

$67
$108

38% lower than market

Lab analysis to identify Hepatitis C antibodies [HCPCS 86803]

$159
$152

5% higher than market

Lab analysis to identify lactoferrin (immune system protein) in stool specimen [HCPCS 83630]

$108
$133

19% lower than market

Lab analysis to identify total thyroxine (thyroid chemical) function in serum specimen for screening [HCPCS 84436]

$99
$78

27% higher than market

Lab analysis to measure blood count (hemoglobin) [HCPCS 85018]

$47
$62

24% lower than market

Lab analysis to measure coagulation function measurement of D-dimer (quantitative) [HCPCS 85379]

$113
$209

46% lower than market

Lab analysis to measure the parathormone (parathyroid hormone) level [HCPCS 83970]

$258
$348

26% lower than market

Lab analysis to measure free thyroxine (thyroid chemical) in serum specimen [HCPCS 84439]

$108
$108

Approximately equal to market

Lab analysis to measure the phosphate level [HCPCS 84100]

$117
$111

5% higher than market

Lab analysis to measure platelet count (automated test) [HCPCS 85049]

$52
$110

53% lower than market

Lab analysis to measure the prealbumin (protein) level in urine specimen [HCPCS 84134]

$53
$114

53% lower than market

Lab analysis to measure the procalcitonin (hormone) level in serum or plasma specimen [HCPCS 84145]

$268
$262

2% higher than market

Lab analysis to measure red blood cell concentration [HCPCS 85014]

$47
$60

22% lower than market

Lab analysis to measure the sex hormone binding globulin (protein) level in serum specimen [HCPCS 84270]

$83
$111

25% lower than market

Lab analysis to measure red blood cell sedimentation rate to detect inflammation (non-automated) [HCPCS 85651]

$76
$95

20% lower than market

Lab analysis to measure the the alpha-fetoprotein (AFP) level in serum specimen [HCPCS 82105]

$131
$124

6% higher than market

Lab analysis to measure the ammonia level [HCPCS 82140]

$126
$222

43% lower than market

Lab analysis to measure the total creatine kinase (cardiac enzyme) level in blood specimen [HCPCS 82550]

$140
$141

1% lower than market

Lab analysis to measure the amount of blood gases with oxygen saturation [HCPCS 82805]

$207
$400

48% lower than market

Lab analysis to measure the total protein level in blood specimen [HCPCS 84155]

$114
$110

4% higher than market

Lab analysis to measure the amount of C-reactive protein in serum by high sensitivity assay to identify infection or inflammation [HCPCS 86141]

$89
$123

28% lower than market

Lab analysis to measure the uric acid level in blood specimen [HCPCS 84550]

$99
$75

33% higher than market

Lab analysis to measure the amount of C-reactive protein in serum to identify infection or inflammation [HCPCS 86140]

$44
$130

66% lower than market

Lab analysis to measure the vitamin D-3 level in serum or plasma specimen [HCPCS 82306]

$90
$143

37% lower than market

Lab analysis to measure the amount of free thyroid hormone, T3 in serum specimen [HCPCS 84481]

$136
$155

12% lower than market

Lab analysis to measure total testosterone (hormone) level in serum specimen [HCPCS 84403]

$92
$195

53% lower than market

Lab analysis to measure the amount of gammaglobulin (immune system protein) [HCPCS 82784]

$81
$81

Approximately equal to market

Lab analysis to measure urea nitrogen level in serum or plasma specimen to assess kidney function (quantitative) [HCPCS 84520]

$94
$80

18% higher than market

Lab analysis to measure the amount of hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody in blood specimen to evaluate acute hepatitis [HCPCS 80074]

$301
$364

17% lower than market

Lab analysis to screen for antibody to noninfectious agents [HCPCS 86255]

$128
$273

53% lower than market

Lab analysis to measure the amount of Hepatitis C virus [HCPCS 87522]

$317
$663

52% lower than market

Lab analysis to screen for autoimmune disorders [HCPCS 86038]

$51
$63

19% lower than market

Lab analysis to measure the amount of protein in serum specimen [HCPCS 84165]

$72
$165

56% lower than market

Lab analysis to screen for pathogenic organisms [HCPCS 87081]

$81
$198

59% lower than market

Lab analysis to measure the amount of substance by other immunoassay technique [HCPCS 83520]

$144
$169

15% lower than market

Lab analysis to screen for syphilis [HCPCS 86592]

$66
$227

71% lower than market

Lab analysis to measure the amount of tacrolimus in blood specimen [HCPCS 80197]

$205
$184

11% higher than market

Lab blood analysis to confirm blood unit compatibility by immediate spin technique [HCPCS 86920]

$195
$359

46% lower than market

Lab analysis to measure the amount of total digoxin in blood specimen [HCPCS 80162]

$153
$155

1% lower than market

Lab blood analysis to identify antigens on red blood cell surface and determine the patient's blood group type (ABO) [HCPCS 86900]

$142
$186

24% lower than market

Lab blood analysis to screen for antibodies to red blood cell antigens (each serum technique) [HCPCS 86850]

$146
$206

29% lower than market

Lab analysis to measure the amount of total phenytoin in blood specimen [HCPCS 80185]

$97
$232

58% lower than market

Platelet pheres leukoreduced [HCPCS P9035]

$760
$2,186

65% lower than market

Lab analysis to measure the amount of troponin (protein) in serum specimen [HCPCS 84484]

$214
$223

4% lower than market

Rbc leukocytes reduced [HCPCS P9016]

$408
$805

49% lower than market

Lab analysis to measure the amount of vancomycin (antibiotic) in serum specimen [HCPCS 80202]

$131
$296

56% lower than market

Unlisted lab analysis by immunoassay for identification of organism [HCPCS 87899]

$91
$49

86% higher than market

Lab analysis to measure the amylase (enzyme) level in serum specimen [HCPCS 82150]

$146
$173

15% lower than market

Lab analysis to measure the blood potassium level in blood specimen [HCPCS 84132]

$117
$54

118% higher than market

Lab analysis to measure the creatine kinase (cardiac enzyme) level (MB fraction only) [HCPCS 82553]

$172
$186

8% lower than market

Lab analysis to measure the creatinine level in blood specimen to test for kidney function or muscle injury [HCPCS 82565]

$84
$43

95% higher than market

Lab analysis to measure the creatinine level to test for kidney function or muscle injury (other than blood specimen) [HCPCS 82570]

$24
$75

68% lower than market

Lab analysis to measure the cyanocobalamin (vitamin b-12) level [HCPCS 82607]

$140
$145

3% lower than market

Lab analysis to measure the ferritin (blood protein) level [HCPCS 82728]

$136
$109

25% higher than market

Lab analysis to measure the folic acid level in serum specimen [HCPCS 82746]

$133
$138

4% lower than market

Lab analysis to measure the glutamyltransferase (liver enzyme) level [HCPCS 82977]

$92
$72

29% higher than market

Lab analysis to measure the hemoglobin A1C level in blood specimen [HCPCS 83036]

$86
$123

30% lower than market

Lab analysis to measure the ionized calcium level in blood specimen [HCPCS 82330]

$151
$147

2% higher than market

Lab analysis to measure the iron binding capacity [HCPCS 83550]

$86
$71

21% higher than market

Lab analysis to measure the iron level [HCPCS 83540]

$99
$77

29% higher than market

Lab analysis to measure the lactate dehydrogenase (enzyme) level [HCPCS 83615]

$108
$96

13% higher than market

Lab analysis to measure the lactic acid level in blood, plasma, or cerbrospinal fluid specimen [HCPCS 83605]

$108
$234

54% lower than market

Lab analysis to measure the LDL cholesterol level [HCPCS 83721]

$71
$88

19% lower than market

Lab analysis to measure the lipase (fat enzyme) level [HCPCS 83690]

$97
$196

51% lower than market

Lab analysis to measure the magnesium level in body fluids and cells [HCPCS 83735]

$99
$94

6% higher than market

Lab analysis to measure the microalbumin (protein) level in urine specimen [HCPCS 82043]

$172
$104

65% higher than market

Lab analysis to measure the natriuretic peptide (heart and blood vessel protein) level in plasma specimen [HCPCS 83880]

$223
$324

31% lower than market

OUTPATIENT MEDICINE

Description

Our Charge
Market Charge

Variance

Catheter, guiding [HCPCS C1887]

$284
$307

8% lower than market

Chemotherapy administration into vein by infusion (each additional hour) [HCPCS 96415]

$189
$285

34% lower than market

Drug administration into vein by infusion for therapy, prevention, or diagnosis (concurrent with another infusion) [HCPCS 96368]

$257
$289

11% lower than market

Drug administration into vein by infusion for therapy, prevention, or diagnosis (up to 1 hour) [HCPCS 96365]

$648
$1,037

38% lower than market

Drug administration into vein by infusion of additional sequential infusion of new drug for therapy, prevention, or diagnosis (up to 1 hour) [HCPCS 96367]

$423
$406

4% higher than market

Hbot, full body chamber, 30m [HCPCS G0277]

$2,738
$25,959

89% lower than market

Heart and lungs restart (attempt) [HCPCS 92950]

$2,651
$1,928

37% higher than market

Hydration administration into vein by infusion (31 minutes to 1 hour) [HCPCS 96360]

$893
$1,020

12% lower than market

Hydration administration into vein by infusion (each additional hour) [HCPCS 96361]

$157
$234

33% lower than market

Implanted venous access drug delivery device irrigation [HCPCS 96523]

$159
$328

51% lower than market

Moderate conscious sedation services by physician also performing a procedure (each additional 15 minutes) [HCPCS 99153]

$96
$224

57% lower than market

Orthotics use training (supports, braces, or splints) for arms, legs and/or trunk (initial encounter, each 15 minutes) [HCPCS 97760]

$200
$186

7% higher than market

Physician services for outpatient heart rehab with continuous EKG monitoring (per session) [HCPCS 93798]

$252
$493

49% lower than market

Respiratory inhaled aerosol treatment to relieve airway obstruction (first hour) [HCPCS 94644]

$567
$638

11% lower than market

Swallowing function evaluation by fluoroscopy with video recording [HCPCS 92611]

$473
$658

28% lower than market

Tissue removal from wounds per session (first 20 sq cm or less) [HCPCS 97597]

$554
$892

38% lower than market

Wound vac therapy (negative pressure wound therapy) with DME (durable medical equipment) per session (surface area less than or equal to 50 square cm) [HCPCS 97605]

$297
$459

35% lower than market

OUTPATIENT OTHER

Description

Our Charge
Market Charge

Variance

Non-covered item or service [HCPCS A9270]

$15
$3

363% higher than market

Tomosynthesis, mammo [HCPCS G0279]

$72
$217

67% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION

Description

Our Charge
Market Charge

Variance

5% dextrose/water [HCPCS J7060]

$65
$57

14% higher than market

Adenosine inj 1mg [HCPCS J0153]

$11
$9

12% higher than market

Adrenalin epinephrine inject [HCPCS J0171]

$7
$22

68% lower than market

Chemotherapy administration into vein by infusion (up to 1 hour, single drug) [HCPCS 96413]

$640
$1,191

46% lower than market

Darbepoetin alfa, non-esrd [HCPCS J0881]

$59
$39

51% higher than market

Drug administration into vein by push technique for therapy, diagnosis, or prevention (each additional push of new drug) [HCPCS 96375]

$157
$309

49% lower than market

Drug administration into vein by push technique for therapy, diagnosis, or prevention (initial drug) [HCPCS 96374]

$756
$881

14% lower than market

Furosemide injection [HCPCS J1940]

$32
$31

3% higher than market

Hydralazine hcl injection [HCPCS J0360]

$63
$71

11% lower than market

Inj ceftazidime per 500 mg [HCPCS J0713]

$65
$31

109% higher than market

Inj enoxaparin sodium [HCPCS J1650]

$16
$26

38% lower than market

Inj heparin sodium per 1000u [HCPCS J1644]

$13
$12

4% higher than market

Ketorolac tromethamine inj [HCPCS J1885]

$32
$57

45% lower than market

Levofloxacin injection [HCPCS J1956]

$39
$38

3% higher than market

Meropenem [HCPCS J2185]

$13
$29

54% lower than market

Metoclopramide hcl injection [HCPCS J2765]

$63
$65

4% lower than market

Morphine sulfate injection [HCPCS J2270]

$95
$81

17% higher than market

Na ferric gluconate complex [HCPCS J2916]

$24
$14

68% higher than market

Neostigmine methylslfte inj [HCPCS J2710]

$8
$12

33% lower than market

Normal saline solution infus [HCPCS J7040]

$65
$106

39% lower than market

Normal saline solution infus [HCPCS J7050]

$33
$133

76% lower than market

Octreotide inj, non-depot [HCPCS J2354]

$16
$16

1% higher than market

Ondansetron hcl injection [HCPCS J2405]

$16
$15

4% higher than market

Succinycholine chloride inj [HCPCS J0330]

$18
$26

32% lower than market

Tc99m tetrofosmin [HCPCS A9502]

$626
$607

3% higher than market

Thiamine hcl 100 mg [HCPCS J3411]

$65
$71

8% lower than market

Vitamin k phytonadione inj [HCPCS J3430]

$49
$23

109% higher than market

OUTPATIENT SURGICAL SERVICES

Description

Our Charge
Market Charge

Variance

Blood specimen collection from a completely implantable venous access device [HCPCS 36591]

$3,123
$10,779

71% lower than market

Blood specimen collection from central or peripheral venous catheter [HCPCS 36592]

$2,080
$13,440

85% lower than market

Breast biopsy with ultrasound guidance (first lesion) [HCPCS 19083]

$2,731
$5,594

51% lower than market

Breathing tube insertion into windpipe cartilage with endoscope (emergent) [HCPCS 31500]

$23,630
$20,736

14% higher than market

Chemical agent application to wound tissue [HCPCS 17250]

$654
$1,429

54% lower than market

Collection of blood specimen from arterial puncture for diagnosis [HCPCS 36600]

$12,219
$9,566

28% higher than market

Complex cataract removal with lens insertion [HCPCS 66982]

$12,713
$16,298

22% lower than market

Fluid removal from chest cavity with imaging guidance [HCPCS 32555]

$3,313
$10,358

68% lower than market

Large joint or joint capsule fluid removal and/or injection with needle [HCPCS 20610]

$3,368
$6,116

45% lower than market

Needle insertion into vein for collection of blood sample [HCPCS 36415]

$36
$36

1% lower than market

Non-tunneled central venous catheter insertion for infusion (5 years of age or older) [HCPCS 36556]

$19,202
$21,193

9% lower than market

Short arm splint application forearm to hand (non-moveable) [HCPCS 29125]

$3,899
$6,845

43% lower than market

Simple repair of wound of scalp, neck, underarms, genitalia, trunk, arms, and/or legs (2.5 cm or less) [HCPCS 12001]

$4,168
$5,651

26% lower than market

Simple repair of wound of scalp, neck, underarms, genitalia, trunk, arms, and/or legs (2.6 to 7.5 cm) [HCPCS 12002]

$6,891
$6,590

5% higher than market

Skin and muscle removal (first 20 sq cm or less) [HCPCS 11043]

$2,399
$16,646

86% lower than market

Skin and tissue removal (first 20 sq cm or less) [HCPCS 11042]

$1,655
$9,856

83% lower than market

Skin substitute graft application to trunk, arms, and legs for wound up to 100 sq cm (first 25 sq cm) [HCPCS 15271]

$27,413
$26,919

2% higher than market

Tendon covering incision [HCPCS 26055]

$7,417
$11,559

36% lower than market

Tunneled central venous catheter insertion for infusion with implanted port beneath the skin (5 years of age or older) [HCPCS 36561]

$26,137
$19,075

37% higher than market

Vein wound compression system application to lower leg below knee including ankle and foot [HCPCS 29581]

$738
$2,700

73% lower than market

Abscess incision and drainage (simple procedure or single abscess) [HCPCS 10060]

$4,031
$3,441

17% higher than market

Blood or blood products transfusion [HCPCS 36430]

$3,687
$10,912

66% lower than market

OUTPATIENT PHYSICAL/OCCUPATIONAL/SPEECH THERAPY

Description

Our Charge
Market Charge

Variance

Elec stim other than wound [HCPCS G0283]

$92
$93

1% lower than market

Function improvement activities with one-on-one contact between patient and provider (each 15 minutes) [HCPCS 97530]

$130
$165

21% lower than market

Occupational therapy evaluation (typically 30 minutes) [HCPCS 97165]

$349
$314

11% higher than market

Occupational therapy evaluation (typically 45 minutes) [HCPCS 97166]

$349
$414

16% lower than market

Occupational therapy evaluation with established plan of care (typically 60 minutes) [HCPCS 97167]

$349
$434

20% lower than market

Physcial therapy exercise of walking training to 1 or more areas (each 15 minutes) [HCPCS 97116]

$108
$115

6% lower than market

Physical therapy evaluation (typically 20 minutes) [HCPCS 97161]

$364
$365

Approximately equal to market

Physical therapy evaluation (typically 30 minutes) [HCPCS 97162]

$364
$402

9% lower than market

Physical therapy evaluation (typically 45 minutes) [HCPCS 97163]

$364
$440

17% lower than market

Physical therapy procedure to re-educate brain-to-nerve-to-muscle function (each 15 minutes) [HCPCS 97112]

$117
$195

40% lower than market

Physical therapy techniques to 1 or more regions (each 15 minutes) [HCPCS 97140]

$142
$164

13% lower than market

Speech, language, voice, communication, and/or hearing processing disorder treatment [HCPCS 92507]

$477
$404

18% higher than market

Swallowing and/or oral feeding function treatment [HCPCS 92526]

$432
$477

10% lower than market

Swallowing function evaluation [HCPCS 92610]

$429
$471

9% lower than market

Training activities for home and self-care management (each 15 minutes) [HCPCS 97535]

$132
$164

19% lower than market

OUTPATIENT X-RAY AND RADIOLOGICAL

Description

Our Charge
Market Charge

Variance

Abdominal and pelvic vessels CTA scan with contrast [HCPCS 74174]

$2,126
$5,823

63% lower than market

Abdominal aorta and both leg arteries CTA scan with contrast [HCPCS 75635]

$6,148
$5,614

10% higher than market

Abdominal aorta ultrasound for screening of abdominal aortic aneurysm [HCPCS 76706]

$752
$792

5% lower than market

Abdominal x-ray (single view) [HCPCS 74018]

$452
$478

5% lower than market

Abdominal x-ray, complete study including 2 or more views of abdomen and single view of chest [HCPCS 74022]

$745
$727

2% higher than market

Ankle x-ray (minimum of 3 views) [HCPCS 73610]

$452
$499

9% lower than market

Arm x-ray of forearm (2 views) [HCPCS 73090]

$452
$449

1% higher than market

Arm x-ray of upper arm (minimum of 2 views) [HCPCS 73060]

$452
$451

Approximately equal to market

Arms or legs veins ultrasound with assessment of compression and functional maneuvers (complete, both arms or legs) [HCPCS 93970]

$1,843
$1,990

7% lower than market

Bone density measurement of the axial skeleton (hips, pelvis, spine) [HCPCS 77080]

$387
$632

39% lower than market

Breast ultrasound (one breast, limited) [HCPCS 76642]

$374
$792

53% lower than market

Chest CT scan without contrast to examine injury, foreign bodies, or tumors [HCPCS 71250]

$3,107
$2,772

12% higher than market

Chest x-ray (2 views) [HCPCS 71046]

$452
$477

5% lower than market

Chest x-ray (single view) [HCPCS 71045]

$452
$455

1% lower than market

Digital tomography of both breasts (screening exam) [HCPCS 77063]

$72
$103

30% lower than market

Elbow x-ray, complete study (minimum of 3 views) [HCPCS 73080]

$452
$463

2% lower than market

Esophagus x-ray with barium swallow (single contrast material swallowed) [HCPCS 74220]

$745
$1,055

29% lower than market

Finger(s) x-ray (minimum of 2 views) [HCPCS 73140]

$452
$439

3% higher than market

Guidance to access blood vessel by ultrasound [HCPCS 76937]

$877
$776

13% higher than market

Hand x-ray (minimum of 2 views) [HCPCS 73130]

$452
$483

6% lower than market

Heart ultrasound including color-depicted blood flow rate, direction, and valve function [HCPCS 93306]

$4,144
$3,733

11% higher than market

Imaging for swallowing function evaluation with contrast [HCPCS 74230]

$745
$800

7% lower than market

Imaging of abdomen by MRI without contrast, followed by contrast [HCPCS 74183]

$3,453
$5,221

34% lower than market

Imaging of arm joint by MRI without contrast [HCPCS 73221]

$2,050
$3,293

38% lower than market

Imaging of brain by MRI without contrast [HCPCS 70551]

$2,050
$3,344

39% lower than market

Imaging of head blood vessels by MRA without contrast [HCPCS 70544]

$2,050
$3,818

46% lower than market

Imaging of heart vessels with SPECT tomography and drugs or exercise (multiple studies) [HCPCS 78452]

$6,075
$6,872

12% lower than market

Imaging of heart vessels with SPECT tomography and drugs or exercise (single study) [HCPCS 78451]

$3,831
$7,111

46% lower than market

Imaging of middle spinal canal by MRI without contrast [HCPCS 72146]

$2,050
$3,351

39% lower than market

Imaging of upper spinal canal by MRI without contrast [HCPCS 72141]

$2,050
$3,137

35% lower than market

Knee x-ray (1 or 2 views) [HCPCS 73560]

$452
$485

7% lower than market

Knee x-ray (3 views) [HCPCS 73562]

$452
$497

9% lower than market

Leg CT scan without contrast for injury, foreign bodies, or tumors [HCPCS 73700]

$2,650
$2,685

1% lower than market

Lower leg x-ray (2 views) [HCPCS 73590]

$452
$478

5% lower than market

Neck CT scan of the soft tissue of the neck with contrast to examine injury, foreign bodies, or tumors [HCPCS 70491]

$3,573
$3,027

18% higher than market

Rib cage x-ray of ribs on one side of body (2 views) [HCPCS 71100]

$452
$475

5% lower than market

Shoulder x-ray, complete study (minimum of 2 views) [HCPCS 73030]

$452
$503

10% lower than market

Spinal x-ray of upper spine (4 or 5 views) [HCPCS 72050]

$745
$673

11% higher than market

Toe(s) x-ray (minimum of 2 views) [HCPCS 73660]

$452
$423

7% higher than market

Ultrasound application to 1 or more areas (each 15 minutes) [HCPCS 97035]

$65
$126

48% lower than market

Wrist x-ray, complete study (minimum of 3 views) [HCPCS 73110]

$452
$508

11% lower than market

OUTPATIENT PROSTHETIC PROCEDURES

Description

Our Charge
Market Charge

Variance

Prosthetic implant nos [HCPCS L8699]

$9,557
$7,046

36% higher than market

OUTPATIENT PULMONARY THERAPY

Description

Our Charge
Market Charge

Variance

CPAP (continuous positive airway pressure) mask or breathing tube initiation and management for night time respiratory muscle rest [HCPCS 94660]

$762
$931

18% lower than market

Heart and blood vessel stress test with EKG tracing and monitoring (exercise or drug-induced) [HCPCS 93017]

$1,087
$1,491

27% lower than market

Routine EKG (electrocardiogram) tracing using at least 12 wires [HCPCS 93005]

$193
$308

37% lower than market

INPATIENT CARDIOLOGY

Description

Our Charge
Market Charge

Variance

Heart Failure with complications

$23,263
$27,236

15% lower than market

Heart Failure with major complications

$41,074
$46,771

12% lower than market

INPATIENT MEDICINE

Description

Our Charge
Market Charge

Variance

Blood Infection with major complications

$58,468
$69,147

15% lower than market

Blood infection without major complications

$36,283
$43,505

17% lower than market

Digestive System Bleeding with complications

$50,662
$39,792

27% higher than market

Infection of the skin

$26,011
$30,537

15% lower than market

Nutritional or Metabolic Disorders without major complications

$27,679
$32,193

14% lower than market

INPATIENT NEUROLOGY

Description

Our Charge
Market Charge

Variance

Stroke with complications

$38,563
$46,615

17% lower than market

INPATIENT ORTHOPEDIC SURGERY

Description

Our Charge
Market Charge

Variance

Hip & femur procedures except major joint with complications

$91,058
$94,452

4% lower than market

INPATIENT PULMONOLOGY

Description

Our Charge
Market Charge

Variance

Chronic Lung Disease with major complications

$34,264
$42,709

20% lower than market

Pneumonia with major complications

$44,507
$47,483

6% lower than market

Respiratory Failure

$48,832
$50,474

3% lower than market

INPATIENT UROLOGY

Description

Our Charge
Market Charge

Variance

Kidney & urinary Infection without complications

$34,495
$31,853

8% higher than market

Kidney failure with complications

$28,522
$30,640

7% lower than market

BILLING PROCESS AND INFORMATION

How You Can Help

Thank you for choosing Harbor Regional Health for your healthcare needs. We want to make understanding and paying your bill as easy as possible. Here are some ways you can help us as we work to make the billing process go smoothly.

• Please give us complete health insurance information.

In addition to your health insurance card, we may ask for a photo ID. If you have been seen at Harbor Regional Health, let us know if your personal information or insurance information has changed since your last visit.

• Please understand and follow the requirements of your health plan.

Be sure to know your benefits, obtain proper authorization for services and submit referral claim forms if necessary. Many insurance plans require patients to pay a co-payment or deductible amount. You are responsible for paying co-payments required by your insurance provider and Harbor Regional Health is responsible for collecting co-payments. Please come to your appointment prepared to make your co-payment.

• Please respond promptly to any requests from your insurance provider.

You may receive multiple bills from your hospital visit, including your family doctor, specialists, physicians that read x-rays, providers that give anesthesia, or physicians that interpret blood work. Insurance benefits are the result of your contract with your insurance company. We are a third-party to those benefits and may need your help with your insurance. If your insurance plan does not pay the bill within 90 days after billing, or your claim is denied, you will receive a statement from Harbor Regional Health indicating the bill is now your responsibility. All bills sent to you are due upon receipt.

Questions about Price and Billing Information

Our goal is for each of our patients and their families to have the best healthcare experience possible. Part of our commitment is to provide you with information that helps you make well informed decisions about your own care.

To ask questions or get more information about a bill for services you've received, please contact our Billing Department at 360-532-8330.

If you need more information about the price of a future service, please contact our Customer Service at 360-532-8330. A physician’s order or CPT code is strongly encouraged when you call to assist us in providing you with the most accurate estimate. You can obtain the CPT code from the ordering physician.