EvergreenHealth Monroe

MonroeSnohomish CountyAcute Care Hospitals

Sinus or face CT scan with and without contrast

Quality: 3 of 5 (CMS overall rating)Earliest available date: call (360) 794-7497

What you may pay

With insurance from an employer or private plan: $205 – $2,972At least one plan lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.
Paying yourself (cash price): $2,172 – $2,557The hospital lists 2 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: EvergreenHealth Monroe’s own price file. CareNavIQ last refreshed prices on 2026-11-05.

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 (Washington outside King County) and an estimate for private plans.

Separate bills for this procedure and their estimated amounts
Bill	Who sends it	How likely	Status	Traditional Medicare allows	Private plans (estimate)
Hospital's feeThe scan: equipment, technologist and contrast dye	The hospital	Expected	Published by the hospital: the prices above	—	—
RadiologistReading the scan and writing the report	The radiology group	Expected	Billed separately; amount estimated	$59	$70 to $106
Ordering doctor's visitThe visit where the CT scan is ordered or the results are explained	Your doctor	Possible	Billed separately; not priced	—	—

What you’d pay for these bills

Adds up your share of the hospital’s bill and the expected doctors’ bills above (not the possible ones). What you type stays in your browser.

Your coverage Insurance from an employer or a private plan Traditional Medicare Medicare Advantage Apple Health (Medicaid)

Your plan’s price at this hospitalDeductible you still have to pay this yearYour coinsurance after the deductibleOut-of-pocket maximum you have left this year (optional)

Your plan’s summary of benefits says how it charges for each kind of care. Leave these as they are if it uses the deductible and coinsurance.

The hospital's billHow your plan charges

The bill from the doctor doing the procedureHow your plan charges

You pay about $55 to $62 of about $275 to $311 billed to your plan.

Your share of the hospital's bill is about $41; the rest is your share of the doctors' bills. The doctors' bills are estimates. Enter your out-of-pocket maximum to see whether you'd reach it. Assumes everyone is in your network.

How each bill comes to you

Each provider sends a claim to your plan. It applies its allowed amount, then your deductible, copay and coinsurance, and sends you an Explanation of Benefits. Then the provider bills you the “You owe” line. Bills are in the order your plan is assumed to process them, the hospital first. The doctors' bills are estimates.

Show the bills at the lower estimate the higher estimate

Hospital's feeSent by the hospital
The provider's chargeThe hospital's price file doesn't list one charge for this; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$205
Your plan pays
$164
Your coinsurance
$41.07
You oweThe provider bills you this after the insurer pays.
$41.07
RadiologistSent by the radiology group
The provider's chargeDoctors don't publish their charges; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$69.87
Your plan pays
$55.89
Your coinsurance
$13.97
You oweThe provider bills you this after the insurer pays.
$13.97

All bills: allowed amounts: $275
Your plan pays: $220
You owe in all: $55.04

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.

How you’ll payWith insurancePaying myself, without insurance

EvergreenHealth Monroe

The largest bill.

Request to send

Subject: Estimate request: sinus or face ct scan with and without contrast at EvergreenHealth Monroe

Hello,

I am planning a sinus or face ct scan with and without contrast (billing code CPT 70488) at EvergreenHealth Monroe.

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.

Replace the words in [brackets] with your details before you send it.

Open in my email

If you call. Call (360) 794-7497 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my sinus or face ct scan with and without contrast."

I’ve sent this one

0 of 3 sent. Washington law gives you the right to these estimates but sets no deadline: if you haven't heard back in five business days, send it again or call.

How these are worked out. Medicare amounts are CMS’s 2026 physician fee schedule for this area, at the rate for care in a hospital. Private-plan estimates are 118% to 179% of Medicare for doctors (the range across 19 studies in KFF’s review of what private insurers pay) and 3 to 5 times Medicare for anesthesia (a published industry estimate). Anesthesia is paid by the minute, so its range assumes the time shown. Medicare pays an assistant at surgery 13.6% to 16% of the surgeon’s fee. Where we have your insurer’s own published rates for the doctors here (below), the estimator uses those for that insurer’s employer plans instead. Your plan’s own rates may be outside these ranges: ask each office for an estimate, and for its network status. At an in-network hospital, the anesthesia, radiology, pathology and assistant groups can’t charge you more than your in-network cost share, even if they are out of network (No Surprises Act).

70 published prices, grouped by who each price applies to.

Cash price 2 prices

The hospital's discounted price for patients paying without insurance.

Cash price prices for Sinus or face CT scan with and without contrast at EvergreenHealth Monroe
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$2,172	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	—	Inpatient or outpatient	—
$2,557	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	—	Inpatient or outpatient	—

List price (before discounts) 2 prices

The hospital's full chargemaster price. Few patients pay this amount.

List price (before discounts) prices for Sinus or face CT scan with and without contrast at EvergreenHealth Monroe
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$2,715	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	—	Inpatient or outpatient	—
$3,196	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	—	Inpatient or outpatient	—

Commercial insurance 34 prices

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

Commercial insurance prices for Sinus or face CT scan with and without contrast at EvergreenHealth Monroe
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
ALLIED BENEFIT SYSTEMS	MRH Aetna	$2,213	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
ALLIED BENEFIT SYSTEMS	MRH Aetna	$2,605	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
AMBETTER	MRH Coordinated Care Ambetter	$240	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—
AMBETTER	MRH Coordinated Care Ambetter	$240	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
BRIDGESPAN	MRH Regence	$669	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	fee schedule	Inpatient or outpatient	—
BRIDGESPAN	MRH Regence	$669	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	fee schedule	Inpatient or outpatient	—
COASTAL ADMINISTRATIVE SERVICES	PHCS 6 DEGREES	$2,308	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMINISTRATIVE SERVICES	PHCS 6 DEGREES	$2,717	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
FCHN EVERGREEN HC FIRST CHOICE HLTH ADMN	MRH First Choice FCHA	$1,710	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
FCHN EVERGREEN HC FIRST CHOICE HLTH ADMN	MRH First Choice FCHA	$2,013	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
FEDERAL EMPLOYEES PROGRAM ALTERNATE PAYOR	MRH Premera	$1,882	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
FEDERAL EMPLOYEES PROGRAM ALTERNATE PAYOR	MRH Premera	$2,216	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
FIRST CHOICE	MRH FIRST CHOICE PPO	$2,020	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
FIRST CHOICE	MRH FIRST CHOICE PPO	$2,378	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
FIRST HEALTH	MRH Aetna	$2,213	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
FIRST HEALTH	MRH Aetna	$2,605	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
LIFEWISE HEALTH PLANS	MRH PREMERA ALPINE	$205	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—
LIFEWISE HEALTH PLANS	MRH PREMERA ALPINE	$205	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
LIFEWISE HEALTH PLANS	MRH Premera	$1,882	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
LIFEWISE HEALTH PLANS	MRH Premera	$2,216	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
MERITAIN	MRH Aetna	$2,213	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
MERITAIN	MRH Aetna	$2,605	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
MOLINA MARKETPLACE	MRH Molina Marketplace	$360	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—
MOLINA MARKETPLACE	MRH Molina Marketplace	$360	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
MULTIPLAN	MULTIPLAN	$2,525	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
MULTIPLAN	MULTIPLAN	$2,972	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
PHCS	PHCS 6 DEGREES	$2,308	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
PHCS	PHCS 6 DEGREES	$2,717	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
PREMERA BLUE CROSS	MRH PREMERA EXCHANGE	$1,788	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
PREMERA BLUE CROSS	MRH PREMERA EXCHANGE	$2,105	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
PREMERA BLUE CROSS	MRH PREMERA HERITAGE PRIME	$1,769	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
PREMERA BLUE CROSS	MRH PREMERA HERITAGE PRIME	$2,083	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
REGENCE BLUE SHIELD	MRH REGENCE INDIVIDUAL AND FAMILY	$602	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	fee schedule	Inpatient or outpatient	—
REGENCE BLUE SHIELD	MRH REGENCE INDIVIDUAL AND FAMILY	$602	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	fee schedule	Inpatient or outpatient	—

Medicare Advantage 10 prices

Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Medicare Advantage prices for Sinus or face CT scan with and without contrast at EvergreenHealth Monroe
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AARP	MRH 103% of Medicare	$206	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—
AARP	MRH 103% of Medicare	$206	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
AETNA MEDICARE ADVANTAGE	MRH 103% of Medicare	$206	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—
AETNA MEDICARE ADVANTAGE	MRH 103% of Medicare	$206	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
PREMERA BLUE CROSS MEDICARE ADVANTAGE	MRH 105% of Medicare - Premera Med Advantage	$210	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—
PREMERA BLUE CROSS MEDICARE ADVANTAGE	MRH 105% of Medicare - Premera Med Advantage	$210	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
REGENCE MEDICARE ADVANTAGE	MRH 103.5% of Medicare	$207	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
REGENCE MEDICARE ADVANTAGE	MRH 103.5% of Medicare	$207	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—
UNITED HEALTHCARE MEDICARE ADVANTAGE	MRH 103% of Medicare	$206	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—
UNITED HEALTHCARE MEDICARE ADVANTAGE	MRH 103% of Medicare	$206	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—

Medicaid managed care 2 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Medicaid managed care prices for Sinus or face CT scan with and without contrast at EvergreenHealth Monroe
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
OPTUM CARE NETWORK COMMUNITY PLAN APPLE HEALTH	MRH 103% of Medicare	$206	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
OPTUM CARE NETWORK COMMUNITY PLAN APPLE HEALTH	MRH 103% of Medicare	$206	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—

Other government program 2 prices

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Other government program prices for Sinus or face CT scan with and without contrast at EvergreenHealth Monroe
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
TRICARE	MRH TriCare/CHAMPUS	$200	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
TRICARE	MRH TriCare/CHAMPUS	$200	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—

Unknown 18 prices

The source file doesn't say which population this rate applies to.

Unknown prices for Sinus or face CT scan with and without contrast at EvergreenHealth Monroe
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AETNA	MRH Aetna	$2,213	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
AETNA	MRH Aetna	$2,605	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
ASURIS	MRH Regence	$669	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	fee schedule	Inpatient or outpatient	—
ASURIS	MRH Regence	$669	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	fee schedule	Inpatient or outpatient	—
CIGNA	MRH CIGNA	$2,172	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
CIGNA	MRH CIGNA	$2,557	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
KAISER PERMANENTE	MRH Kaiser	$699	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	other	Inpatient or outpatient	—
KAISER PERMANENTE	MRH Kaiser	$699	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	other	Inpatient or outpatient	—
PREMERA BLUE CROSS	MRH Premera	$1,882	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
PREMERA BLUE CROSS	MRH Premera	$2,216	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
PREMERA BLUE CROSS ALTERNATE	MRH Premera	$1,882	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
PREMERA BLUE CROSS ALTERNATE	MRH Premera	$2,216	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	percent of total billed charges	Inpatient or outpatient	—
REGENCE BLUE SHIELD	MRH Regence	$669	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	fee schedule	Inpatient or outpatient	—
REGENCE BLUE SHIELD	MRH Regence	$669	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	fee schedule	Inpatient or outpatient	—
REGENCE BLUE SHIELD ALTERNATE	MRH Regence	$669	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	fee schedule	Inpatient or outpatient	—
REGENCE BLUE SHIELD ALTERNATE	MRH Regence	$669	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	fee schedule	Inpatient or outpatient	—
UNITED HEALTHCARE	MRH UHC	$1,760	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus W WO Contrast	per diem	Inpatient or outpatient	—
UNITED HEALTHCARE	MRH UHC	$1,760	Hospital’s fee	HC CT Scans Face/Jaw Combo - CT Sinus Facial Bones W WO Contrast	per diem	Inpatient or outpatient	—

Doctors here who do this procedure

We don’t have doctor data for this procedure yet. CMS publishes what doctors bill Traditional Medicare by billing code, and no Washington doctor billed this one often enough for CMS to publish it (11 or more patients a year).

See a price that looks wrong? Tell us about it.

EvergreenHealth Monroe

What you may pay

Bills to expect

What you’d pay for these bills

How each bill comes to you

1 Hospital's feeSent by the hospital

2 RadiologistSent by the radiology group

Get it confirmed before your care

EvergreenHealth Monroe

Cash price 2 prices

List price (before discounts) 2 prices

Commercial insurance 34 prices

Medicare Advantage 10 prices

Medicaid managed care 2 prices

Other government program 2 prices

Unknown 18 prices

Doctors here who do this procedure

Hospital's feeSent by the hospital

RadiologistSent by the radiology group