HCPCS Q0114

Fern test

Current code29 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS Q0114 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$9.74 – $68.0020 plans$32.00$80.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27$9.74 – $30.1016 plans$16.00$40.00
EvergreenHealth Medical CenterKirkland$10.08 – $10828 plans$92.80$116
Harborview Medical CenterSeattleFile dated 2026-04-01$14.61 – $30.195 plans——
Island HospitalAnacortes$9.74 – $18.776 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$10.40 – $27.367 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$18.21 – $25.675 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$9.74 – $30.1019 plans$10.80$27.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$9.74 – $21.9220 plans$10.80$27.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$9.74 – $21.9220 plans$10.80$27.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$9.74 – $21.9220 plans$10.80$27.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$9.74 – $32.9216 plans$16.00$40.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$10.13 – $32.8813 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$11.69 – $57.4311 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$16.46 – $91.517 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$11.69 – $41.598 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$9.74 – $62.9311 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$15.58 – $62.935 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$8.28 – $50.4710 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$9.74 – $43.8312 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$8.77 – $34.1912 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$8.77 – $34.7913 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$8.77 – $34.7913 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$9.74 – $19.7120 plans$10.80$27.00
University of Washington Medical CtrSeattleFile dated 2026-04-01$11.69 – $30.557 plans$41.03$58.61
Virginia Mason Medical CenterSeattle$9.74 – $43.938 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$24.581 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$10.08 – $29.2219 plans$10.80$27.00

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)
$9.74