CPT 84403
Clinical Chemistry
Current code53 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $28.00 – $109 | $28.00 – $109 |
| Capital Medical Center | $9.39 – $13.92 | $127 | $318 |
| Cascade Medical Center | $160 – $241 | $230 | $288 |
| Cascade Valley Hospital | $27.87 – $259 | $207 | $259 |
| Coulee Medical Center | — | $30.24 – $181 | $33.60 – $201 |
| Deaconess Medical Center | $8.59 – $9.10 | $114 | $285 |
| EvergreenHealth Medical Center | — | $221 | $276 |
| EvergreenHealth Monroe | $26.58 | $221 | $276 |
| Harborview Medical Center | — | $25.20 – $158 | $36.00 – $225 |
| Highline Medical Center | — | $102 | $335 |
| Island Hospital | $8.87 – $9.62 | $103 – $179 | $103 – $179 |
| Kadlec Regional Medical Center | — | $144 | $206 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $8.89 – $9.60 | $47.60 | $119 |
| MultiCare Auburn Medical Center | $8.73 – $9.43 | $47.60 | $119 |
| MultiCare Covington Medical Center | $8.73 – $9.43 | $47.60 | $119 |
| MultiCare Good Samaritan Hospital | $8.93 – $9.65 | $47.60 | $119 |
| MultiCare Valley Hospital | $8.53 – $9.04 | $114 | $285 |
| Olympic Medical Center | $10.99 – $12.03 | $64.80 | $81.00 |
| Overlake Hospital Medical Center & Clinics | — | $8.08 – $195 | $16.15 – $389 |
| PeaceHealth Peace Island Medical Center | — | $100 | $154 |
| PeaceHealth Southwest Medical Cente | $26.84 | $160 – $164 | $246 – $253 |
| PeaceHealth St John Medical Center | $20.13 – $27.10 | $236 | $363 |
| PeaceHealth St Joseph Medical Center | $27.10 | $237 – $244 | $365 – $376 |
| PeaceHealth United General Medical Center | — | $187 | $287 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $44.80 – $209 | $64.00 – $299 |
| Providence Centralia Hospital | — | $188 | $362 |
| Providence Holy Family Hospital | — | $41.30 – $181 | $59.00 – $259 |
| Providence Mount Carmel Hospital | — | $46.20 – $221 | $66.00 – $316 |
| Providence Regional Medical Center Everett | — | $201 – $202 | $386 – $389 |
| Providence St Joseph Hospital | — | $34.30 – $153 | $49.00 – $219 |
| Providence St Mary Medical Center | — | $11.20 – $119 | $16.00 – $170 |
| Providence St Peter Hospital | — | $83.20 – $188 | $160 – $362 |
| Seattle Children's Hospital | $28.76 – $81.82 | $112 – $252 | $112 – $252 |
| Skagit Valley Hospital | $4.16 – $5.10 | $216 | $270 |
| St Anthony Hospital | — | $102 | $335 |
| St Clare Hospital | — | $96.55 | $335 |
| St Elizabeth Hospital | $56.95 – $69.34 | $118 | $335 |
| St Francis Community Hospital | — | $105 | $335 |
| St Joseph Medical Center | — | $111 | $335 |
| St Michael Medical Center | — | $148 | $335 |
| Swedish Edmonds Hospital | — | $185 – $187 | $386 – $389 |
| Swedish Issaquah | — | $2.40 – $187 | $5.00 – $389 |
| Swedish Medical Center | — | $2.40 – $187 | $5.00 – $389 |
| Swedish Medical Center / Cherry Hill | — | $2.40 – $187 | $5.00 – $389 |
| Tacoma General Allenmore Hospital | $8.93 | $47.60 | $119 |
| Three Rivers Hospital | $45.50 | $65.00 | $65.00 |
| Trios Health | — | — | $321 |
| University of Washington Medical Ctr | — | $25.20 – $139 | $36.00 – $199 |
| Virginia Mason Medical Center | — | $91.80 | $180 |
| Wellfound Behavioral Health Hospital | — | $77.60 | $194 |
| WhidbeyHealth Medical Center | — | $90.00 – $194 | $90.00 – $194 |
| Yakima Valley Memorial | $8.54 – $9.92 | $48.00 | $120 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Lab fee schedule (national limit)
- $25.81