Seattle Children's Hospital
SeattleKing CountyChildrens
Sinus X-ray (1-2 views)
Quality: not rated by CMSEarliest available date: call (206) 987-2000
What you may pay
- With insurance from an employer or private plan
- $14.03 – $484
- Paying yourself (cash price)
- $35.00 – $505
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
Bills to expect
A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (King County) and an estimate for private plans.
| Bill | Who sends it | How likely | Status | Traditional Medicare allows | Private plans (estimate) |
|---|---|---|---|---|---|
| Hospital's fee | The hospital | Expected | Published by the hospital: the prices above | — | — |
| Radiologist | The radiology group | Expected | Billed separately; amount estimated | $9 | $11 to $16 |
| Ordering doctor's visit | Your doctor | Possible | Billed separately; not priced | — | — |
What you’d pay for these bills
You pay about $6 to $7 of about $29 to $34 billed to your plan.
How each bill comes to you
Hospital's fee
- The provider's charge
- Not published
- Allowed amount
- $18.13
- Your plan pays
- $14.50
- Your coinsurance
- $3.63
- You owe
- $3.63
Radiologist
- The provider's charge
- Not published
- Allowed amount
- $10.74
- Your plan pays
- $8.59
- Your coinsurance
- $2.15
- You owe
- $2.15
- All bills: allowed amounts
- $28.87
- Your plan pays
- $23.09
- You owe in all
- $5.78
Who owes what, and when you might owe more
- The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
- Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
- Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
- Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
- Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
- Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
- Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
- Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
- A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
- Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
- Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
- If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.
Get it confirmed before your care
The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.
Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.
Seattle Children's Hospital
Request to send
Subject: Estimate request: sinus x-ray (1-2 views) at Seattle Children's Hospital Hello, I am planning a sinus x-ray (1-2 views) (billing code CPT 70210) at Seattle Children's Hospital. Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use. Name: [YOUR NAME] Date of birth: [DATE OF BIRTH] Insurance: [PLAN NAME], member ID [MEMBER ID] Planned date: [DATE, IF KNOWN] Thank you.
If you call. Call (206) 987-2000 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my sinus x-ray (1-2 views)."
282 published prices, grouped by who each price applies to.
Cash price 2 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $35.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | — | Inpatient or outpatient | — |
| $505 | Hospital’s fee | xray sinuses paranasal <3V | — | Inpatient or outpatient | — |
List price (before discounts) 3 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $35.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | — | Inpatient or outpatient | — |
| $35.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | — | Inpatient or outpatient | — |
| $505 | Hospital’s fee | xray sinuses paranasal <3V | — | Inpatient or outpatient | — |
Commercial insurance 203 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| ADMINISTRATORS [13102] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice EHN | $404 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice PSHVN | $378 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice Puget Sound High Value | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice Puget Sound High Value | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| AETNA [11000] | Aetna PPO | $424 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ALLEGIANCE [12264] | Cigna | $20.57 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ALLEGIANCE [12264] | Cigna | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| ALLEGIANCE [12264] | Cigna PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ALLIED [13129] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ALLIED [13129] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| ALLIED [13129] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ALTIUS HEALTH PLAN [12275] | First Health PPO | $484 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| AMERIBEN [11006] | Aetna | $19.04 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| AMERIBEN [11006] | Aetna PPO | $424 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ASSURANT HEALTH FC [13135] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ASSURANT HEALTH FC [13135] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| ASSURANT HEALTH FC [13135] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ASURIS [11900] | Regence PPO | $419 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ASURIS [11913] | Regence Exchange | $272 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| BLUECROSS/SHIELD [11902] | Regence PPO | $419 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| BRIDGESPAN HEALTH COMPANY [11906] | Regence Blue Shield | $18.13 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| BRIDGESPAN HEALTH COMPANY [11906] | Regence Exchange | $272 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| CARPENTERS TRUST [13100] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| CHPW CASCADE [12228] | CHPW Cascade Care | $14.03 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHPW CASCADE [12228] | CHPW Cascade Care | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| CHPW CASCADE [12228] | CHPW Public Option | $278 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| CHRISTIAN BROTHERS [11001] | Aetna | $19.04 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHRISTIAN BROTHERS [11001] | Aetna PPO | $424 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna Narrow Network | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| CLARITEV [12299] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| CLARITEV [12299] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| CLARITEV [12299] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| COASTAL ADMINISTRATIVE [13140] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| COASTAL ADMINISTRATIVE [13140] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| COASTAL ADMINISTRATIVE [13140] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Ambetter | $14.56 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Ambetter | $26.25 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Exchange | $378 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Public Option | $14.56 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Public Option | $26.25 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Public Option | $278 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| CORESOURCE [11004] | Aetna | $19.04 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CORESOURCE [11004] | Aetna PPO | $424 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| COVENTRY FC [13112] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| COVENTRY MHBP [12272] | First Health PPO | $484 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| COVENTRY [12244] | First Health PPO | $484 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| EBMS FC [13144] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| EBMS FC [13144] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| EBMS FC [13144] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [11003] | Aetna | $19.04 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| EBMS [11003] | Aetna PPO | $424 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [12241] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [12241] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [12241] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| FIRST CHOICE [13399] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| FIRST CHOICE [13399] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| FIRST CHOICE [13399] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| FIRST HEALTH [12210] | First Health PPO | $484 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| GUARDIAN FC [13105] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| HCC MEDICAL [12274] | First Health PPO | $484 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [12266] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [12266] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [12266] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [13233] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| HEALTH ALLIANCE [13233] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [13233] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| HUMANA [12224] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| HUMANA [12224] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| HUMANA [12224] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ILWU-PMA [13158] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ILWU-PMA [13158] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| ILWU-PMA [13158] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser Exchange | $278 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser HMO | $328 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser PPO | $378 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13401] | Kaiser HMO | $328 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| KEY BENEFIT ADMIN [12276] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| KEY BENEFIT ADMIN [12276] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| KEY BENEFIT ADMIN [12276] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| KPS [13109] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| LEWERMARK [12286] | First Health PPO | $484 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| LOOMIS BENEFITS WEST [13161] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| LOOMIS BENEFITS WEST [13161] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| LOOMIS BENEFITS WEST [13161] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAL MUTUAL [12233] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAL MUTUAL [12233] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAL MUTUAL [12233] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MEDISHARE [12287] | First Health PPO | $484 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MEGA LIFE [13111] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN HEALTH [13229] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MERITAIN HEALTH [13229] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN HEALTH [13229] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Aetna | $19.04 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MERITAIN [12251] | Aetna PPO | $424 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MODA FC [13219] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MODA FC [13219] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MODA FC [13219] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MODA [11009] | Aetna PPO | $424 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MODA [12842] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| MODA [12842] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MODA [12842] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA MARKETPLACE [12831] | Molina Exchange | $378 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA MARKETPLACE [12831] | Molina Marketplace Exchange | $15.22 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MOLINA MARKETPLACE [12831] | Molina Marketplace Exchange | $26.25 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MYERS STEVENS & TOOHEY [13169] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MYERS STEVENS & TOOHEY [13169] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MYERS STEVENS & TOOHEY [13169] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| NIPPON LIFE INSURANCE [12232] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| NIPPON LIFE INSURANCE [12232] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| NIPPON LIFE INSURANCE [12232] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PACIFIC UNDERWRITERS [13175] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PACIFIC UNDERWRITERS [13175] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| PACIFIC UNDERWRITERS [13175] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PACIFICSOURCE [12245] | First Health PPO | $484 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PEHP [12235] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| PEHP [12235] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| PEHP [12235] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY CONTRACTED [12205] | 6 Degrees Health | $454 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY FC [13155] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PERSONIFY FC [13155] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY FC [13155] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY [12270] | Cigna | $20.57 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PERSONIFY [12270] | Cigna | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY [12270] | Cigna PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PREFERRED ONE [11008] | Aetna | $19.04 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PREFERRED ONE [11008] | Aetna PPO | $424 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PREFERREDONE ADMIN SERVICES [12236] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| PREFERREDONE ADMIN SERVICES [12236] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| PREFERREDONE ADMIN SERVICES [12236] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera BC Heritage Prime | $18.77 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PREMERA [11600] | Premera BC Heritage Signature/Lifewise | $18.77 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Exchange | $272 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera HMO | $343 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Narrow Network | $368 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera PPO | $419 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Public Option | $272 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PRINCIPAL MUTUAL FC [13115] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [12289] | Cigna PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [13181] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [13181] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [13181] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| PSEW [13124] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE UMP [12263] | Regence UMP | $17.18 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| REGENCE UMP [12263] | Regence UMP | $328 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11903] | Regence Exchange | $272 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11903] | Regence PPO | $419 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11909] | Regence Exchange | $272 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| REHN & ASSOCIATES [13182] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| REHN & ASSOCIATES [13182] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| REHN & ASSOCIATES [13182] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| RURAL CARRIER BENEFIT PLAN [12271] | First Health PPO | $484 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| SAMARITAN HEALTH [12265] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| SAMARITAN HEALTH [12265] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| SELECT HEALTH [12277] | Multiplan | $28.00 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| SELECT HEALTH [12277] | Multiplan | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| SELECT HEALTH [12277] | Multiplan PPO | $479 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| SOUND HEALTH AND WELLNESS [13116] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| STARMARK [13103] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| STARMARK [13103] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| STARMARK [13103] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| TONGASS TIMBER TRUST [13202] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TONGASS TIMBER TRUST [13202] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| TONGASS TIMBER TRUST [13202] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTEED PLANS [13186] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TRUSTEED PLANS [13186] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTEED PLANS [13186] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTMARK LIFE INSURANCE [13203] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TRUSTMARK LIFE INSURANCE [13203] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTMARK LIFE INSURANCE [13203] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| TUFTS HEALTH PLAN [12279] | Cigna PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United Exchange | $21.91 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UMR [12246] | United Exchange | $26.25 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United Healthcare | $21.91 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UMR [12246] | United Healthcare | $26.25 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United Narrow Network | $378 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Exchange | $21.91 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Exchange | $26.25 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Exchange | $378 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United HMO | $21.03 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United HMO | $26.25 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United HMO | $378 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Narrow Network | $378 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| WEB TPA [11007] | Aetna | $19.04 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| WEB TPA [11007] | Aetna PPO | $424 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| WELFARE PENSION [13120] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| WELFARE PENSION [13120] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| WELFARE PENSION [13120] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| WSHIP [13121] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| WSHIP [13121] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| WSHIP [13121] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ZENITH AMERICAN SOLUTIONS [13195] | First Choice | $19.46 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ZENITH AMERICAN SOLUTIONS [13195] | First Choice | $28.00 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| ZENITH AMERICAN SOLUTIONS [13195] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ZENITH [13123] | First Choice PPO | $429 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
Medicaid managed care 30 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| CHPW [15802] | CHPW Apple Health | $5.01 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHPW [15802] | CHPW Apple Health | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| CHPW [15802] | CHPW Apple Health | $131 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [15815] | Coordinated Care Apple Health | $5.10 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| COORDINATED CARE [15815] | Coordinated Care Apple Health | $16.54 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [15815] | Coordinated Care Apple Health | $134 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| EYE QUEST [15894] | Amerigroup Apple Health | $134 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ICW UHC [15812] | United Community Apple Health | $5.35 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ICW UHC [15812] | United Community Apple Health | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| ICW UHC [15812] | United Community Apple Health | $134 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| ICW WELLPOINT [15822] | Amerigroup Apple Health | $5.10 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ICW WELLPOINT [15822] | Amerigroup Apple Health | $16.54 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| ICW WELLPOINT [15822] | Amerigroup Apple Health | $134 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [15818] | Molina Apple Health | $5.10 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| KAISER [15818] | Molina Apple Health | $16.54 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [15818] | Molina Apple Health | $130 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA [15809] | Molina Apple Health | $5.10 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MOLINA [15809] | Molina Apple Health | $16.54 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA [15809] | Molina Apple Health | $130 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| OPTICARE [15895] | Coordinated Care Apple Health | $134 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UBH COMMUNITY & STATE [15819] | United BH Community Apple Health | $164 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UBH COMMUNITY & STATE [15819] | United Community Apple Health | $5.35 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UBH COMMUNITY & STATE [15819] | United Community Apple Health | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United BH Community Apple Health | $164 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United Community Apple Health | $5.35 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United Community Apple Health | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United Community Apple Health | $134 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| WELLPOINT [15814] | Amerigroup Apple Health | $5.10 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| WELLPOINT [15814] | Amerigroup Apple Health | $16.54 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| WELLPOINT [15814] | Amerigroup Apple Health | $134 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
Medicaid (state program) 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| MEDICAID WA [14900] | Washington Medicaid | $4.86 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MEDICAID WA [14900] | Washington Medicaid | $15.75 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAID WA [14900] | Washington Medicaid | $127 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
Other government program 3 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| USFHP [12208] | Pac Med | $10.10 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| USFHP [12208] | Pac Med | $24.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| USFHP [12208] | Pac Med | $207 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
Unknown 38 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AETNA [11000] | Aetna | $19.04 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ASURIS [11900] | Regence Blue Shield | $18.13 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ASURIS [11913] | Regence Blue Shield | $18.13 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHILD HEARING LEAGUE [17301] | Washington Medicaid | $4.86 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHILD HEARING LEAGUE [17301] | Washington Medicaid | $15.75 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| CHILD HEARING LEAGUE [17301] | Washington Medicaid | $127 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna | $20.57 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| COASTAL ADMIN SVCS CONTRACTED [12222] | 6 Degrees Health | $454 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| EYE QUEST [15894] | Amerigroup Eyequest | $5.59 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| EYE QUEST [15894] | Amerigroup Eyequest | $18.11 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| HOSPICE [17306] | Washington Medicaid | $4.86 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| HOSPICE [17306] | Washington Medicaid | $15.75 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| HOSPICE [17306] | Washington Medicaid | $127 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser | $20.01 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser | $24.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13401] | Kaiser | $20.01 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| KAISER [13401] | Kaiser | $24.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MAPLE LANE SCHOOL [17309] | Washington Medicaid | $4.86 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MAPLE LANE SCHOOL [17309] | Washington Medicaid | $15.75 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| MAPLE LANE SCHOOL [17309] | Washington Medicaid | $127 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| MODA [11009] | Aetna | $19.04 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| OPTICARE [15895] | Coordinated Care Vision | $5.10 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| OPTICARE [15895] | Coordinated Care Vision | $16.54 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| PB CIGNA CRD [12283] | Cigna | $20.57 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PB CIGNA CRD [12283] | Cigna | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| PB PREMERA [11601] | Premera Blue Cross | $18.77 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PB REGENCE [11908] | Regence Blue Shield | $18.13 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Blue Cross | $18.77 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [12289] | Cigna | $20.57 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [12289] | Cigna | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11903] | Regence Blue Shield | $18.13 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| REGENCE [11909] | Regence Blue Shield | $18.13 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TUFTS HEALTH PLAN [12279] | Cigna | $20.57 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TUFTS HEALTH PLAN [12279] | Cigna | $17.50 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
| UNITED BEHAVIORAL HEALTH [12234] | United Behavioral Health | $444 | Hospital’s fee | xray sinuses paranasal <3V | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Healthcare | $21.91 | Doctor’s fee | X-Ray Sinuses 1-2 Views|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Healthcare | $26.25 | Hospital’s fee | X-Ray Sinuses 1-2 Views | percent of total billed charges | Inpatient or outpatient | — |
Doctors here who do this procedure
No doctor affiliated with Seattle Children's Hospital billed Traditional Medicare for this often enough for CMS to publish it (11 or more patients a year). That doesn’t mean no one here does it. See all doctors and practices for this procedure.
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