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Vitrectomy (retina surgery) in Seattle-Tacoma WA

Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.

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CPT 67036

Hospital · insurer	Rate	× Medicare	Plans
Multicare Good Samaritan Hospital median $8,901 · local Medicare $4,824 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,221	1.1×	2
Coordinated Care	$2,471	0.5×	1
Elevance/Anthem/Empire	$2,471	0.5×	1
First Choice	$8,901	1.8×	3
Kaiser Permanente	$18,500	3.8×	1
Premera Blue Cross	$15,190	3.1×	4
UnitedHealthcare	$2,471	0.5×	1
Multicare Auburn Medical Center median $9,898 · local Medicare $4,800 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,173	1.1×	2
Coordinated Care	$2,415	0.5×	1
Elevance/Anthem/Empire	$2,415	0.5×	1
First Choice	$8,901	1.9×	3
Kaiser Permanente	$18,500	3.9×	1
Premera Blue Cross	$15,190	3.2×	4
Regence BlueShield	$13,539	2.8×	4
Uniform Medical	$9,898	2.1×	1
UnitedHealthcare	$2,415	0.5×	1
Tacoma General Allenmore Hospital median $9,898 · local Medicare $4,824 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,221	1.1×	2
Coordinated Care	$2,472	0.5×	1
Elevance/Anthem/Empire	$2,472	0.5×	1
First Choice	$6,375	1.3×	3
Kaiser Permanente	$18,500	3.8×	1
Premera Blue Cross	$15,190	3.1×	4
Regence BlueShield	$13,539	2.8×	4
Uniform Medical	$9,898	2.1×	1
UnitedHealthcare	$2,472	0.5×	1
Multicare Covington Medical Center median $9,898 · local Medicare $4,800 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,173	1.1×	2
Coordinated Care	$2,415	0.5×	1
Elevance/Anthem/Empire	$2,415	0.5×	1
First Choice	$8,901	1.9×	3
Kaiser Permanente	$18,500	3.9×	1
Premera Blue Cross	$15,190	3.2×	4
Regence BlueShield	$13,539	2.8×	4
Uniform Medical	$9,898	2.1×	1
UnitedHealthcare	$2,415	0.5×	1
Swedish Issaquah median $10,699 · local Medicare $4,800 · file 2026-04-01
Aetna	$12,814	2.7×	1
Cigna	$7,277	1.5×	1
First Choice	$19,092	4.0×	2
Kaiser Permanente	$7,200	1.5×	1
Premera Blue Cross	$10,699	2.2×	2
Providence Health Plan	$10,656	2.2×	1
UnitedHealthcare	$18,144	3.8×	2
Overlake Hospital Medical Center median $11,204 · local Medicare $4,800 · file 2026-04-01
Aetna	$12,271	2.6×	1
Cigna	$9,999	2.1×	3
First Choice	$11,455	2.4×	12
Kaiser Permanente	$12,624	2.6×	1
Premera Blue Cross	$10,953	2.3×	5
UnitedHealthcare	$8,872	1.8×	2
Providence Regional Medical Center Everett median $11,306 · local Medicare $4,606 · file 2026-04-01
Aetna	$11,452	2.5×	2
Cigna	$11,306	2.5×	1
First Choice	$14,471	3.1×	1
Kaiser Permanente	$7,061	1.5×	1
Premera Blue Cross	$9,377	2.0×	2
Providence Health Plan	$10,921	2.4×	1
UnitedHealthcare	$11,555	2.5×	3
Swedish Edmonds Hospital median $11,345 · local Medicare $4,606 · file 2026-04-01
Aetna	$3,535	0.8×	2
Cigna	$7,277	1.6×	1
First Choice	$18,901	4.1×	2
Kaiser Permanente	$7,061	1.5×	1
Premera Blue Cross	$11,345	2.5×	2
Providence Health Plan	$11,956	2.6×	1
UnitedHealthcare	$15,648	3.4×	2
St Clare Hospital median $11,522 · local Medicare $4,824 · file 2026-02-28
Aetna	$18,558	3.8×	2
Cigna	$8,016	1.7×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$8,663	1.8×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$15,146	3.1×	3
St Joseph Medical Center median $11,522 · local Medicare $4,824 · file 2026-02-28
Aetna	$18,558	3.8×	2
Cigna	$8,016	1.7×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$9,119	1.9×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$15,146	3.1×	3
St Francis Community Hospital median $11,522 · local Medicare $4,800 · file 2026-02-28
Aetna	$18,558	3.9×	2
Cigna	$8,016	1.7×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$8,507	1.8×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$15,146	3.2×	3
St Anne Hospital median $11,926 · local Medicare $4,800 · file 2026-02-28
Aetna	$16,970	3.5×	2
Cigna	$8,016	1.7×	1
First Choice	$14,249	3.0×	1
Premera Blue Cross	$12,329	2.6×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$8,507	1.8×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$18,056	3.8×	2
St Anthony Hospital median $11,966 · local Medicare $4,824 · file 2026-02-28
Aetna	$18,558	3.8×	2
Cigna	$8,016	1.7×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,966	2.5×	1
Sound Family Medicine	$8,663	1.8×	1
Uniform Medical Plan	$10,387	2.2×	1
UnitedHealthcare	$15,146	3.1×	3
Virginia Mason Medical Center median $13,892 · local Medicare $4,800 · file 2026-01-01
Aetna	$14,500	3.0×	1
Cigna	$13,951	2.9×	2
Coventry - First Health (rental network)	$10,335	2.2×	1
Kaiser Permanente	$11,835	2.5×	1
Premera Blue Cross	$13,832	2.9×	1
Regence BlueShield	$11,566	2.4×	2
UnitedHealthcare	$14,816	3.1×	1
Swedish Medical Center / Cherry Hill median $14,392 · local Medicare $4,800 · file 2026-04-01
Aetna	$15,055	3.1×	2
Cigna	$7,277	1.5×	1
First Choice	$18,290	3.8×	2
Kaiser Permanente	$7,180	1.5×	1
Premera Blue Cross	$14,392	3.0×	2
Providence Health Plan	$11,200	2.3×	1
UnitedHealthcare	$18,093	3.8×	2
Swedish Medical Center median $14,541 · local Medicare $4,800 · file 2026-04-01
Aetna	$15,055	3.1×	2
Cigna	$7,277	1.5×	1
First Choice	$19,092	4.0×	2
Kaiser Permanente	$7,180	1.5×	1
Premera Blue Cross	$14,527	3.0×	5
Providence Health Plan	$14,541	3.0×	1
UnitedHealthcare	$18,093	3.8×	2

CPT 67042

Hospital · insurer	Rate	× Medicare	Plans
Multicare Good Samaritan Hospital median $8,901 · local Medicare $4,824 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,221	1.1×	2
Coordinated Care	$2,471	0.5×	1
Elevance/Anthem/Empire	$2,471	0.5×	1
First Choice	$8,901	1.8×	3
Kaiser Permanente	$18,500	3.8×	1
Premera Blue Cross	$15,190	3.1×	4
UnitedHealthcare	$2,471	0.5×	1
Multicare Auburn Medical Center median $9,898 · local Medicare $4,800 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,173	1.1×	2
Coordinated Care	$2,415	0.5×	1
Elevance/Anthem/Empire	$2,415	0.5×	1
First Choice	$8,901	1.9×	3
Kaiser Permanente	$18,500	3.9×	1
Premera Blue Cross	$15,190	3.2×	4
Regence BlueShield	$13,539	2.8×	4
Uniform Medical	$9,898	2.1×	1
UnitedHealthcare	$2,415	0.5×	1
Tacoma General Allenmore Hospital median $9,898 · local Medicare $4,824 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,221	1.1×	2
Coordinated Care	$2,472	0.5×	1
Elevance/Anthem/Empire	$2,472	0.5×	1
First Choice	$6,375	1.3×	3
Kaiser Permanente	$18,500	3.8×	1
Premera Blue Cross	$15,190	3.1×	4
Regence BlueShield	$13,539	2.8×	4
Uniform Medical	$9,898	2.1×	1
UnitedHealthcare	$2,472	0.5×	1
Multicare Covington Medical Center median $9,898 · local Medicare $4,800 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,173	1.1×	2
Coordinated Care	$2,415	0.5×	1
Elevance/Anthem/Empire	$2,415	0.5×	1
First Choice	$8,901	1.9×	3
Kaiser Permanente	$18,500	3.9×	1
Premera Blue Cross	$15,190	3.2×	4
Regence BlueShield	$13,539	2.8×	4
Uniform Medical	$9,898	2.1×	1
UnitedHealthcare	$2,415	0.5×	1
Swedish Issaquah median $10,699 · local Medicare $4,800 · file 2026-04-01
Aetna	$14,253	3.0×	1
Cigna	$7,277	1.5×	1
First Choice	$19,092	4.0×	2
Kaiser Permanente	$7,200	1.5×	1
Premera Blue Cross	$10,699	2.2×	2
Providence Health Plan	$10,656	2.2×	1
UnitedHealthcare	$18,144	3.8×	2
Overlake Hospital Medical Center median $11,204 · local Medicare $4,800 · file 2026-04-01
Aetna	$12,271	2.6×	1
Cigna	$9,999	2.1×	3
First Choice	$11,455	2.4×	12
Kaiser Permanente	$12,624	2.6×	1
Premera Blue Cross	$10,953	2.3×	5
UnitedHealthcare	$8,872	1.8×	2
Swedish Edmonds Hospital median $11,345 · local Medicare $4,606 · file 2026-04-01
Aetna	$4,108	0.9×	2
Cigna	$7,277	1.6×	1
First Choice	$18,901	4.1×	2
Kaiser Permanente	$7,061	1.5×	1
Premera Blue Cross	$11,345	2.5×	2
Providence Health Plan	$11,956	2.6×	1
UnitedHealthcare	$15,648	3.4×	2
Providence Regional Medical Center Everett median $11,555 · local Medicare $4,606 · file 2026-04-01
Aetna	$14,234	3.1×	2
Cigna	$24,031	5.2×	1
First Choice	$14,471	3.1×	1
Kaiser Permanente	$7,061	1.5×	1
Premera Blue Cross	$9,377	2.0×	2
Providence Health Plan	$10,921	2.4×	1
UnitedHealthcare	$11,555	2.5×	3
St Anne Hospital median $13,289 · local Medicare $4,800 · file 2026-02-28
Aetna	$16,970	3.5×	2
Cigna	$16,415	3.4×	1
First Choice	$14,249	3.0×	1
Premera Blue Cross	$12,329	2.6×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$8,507	1.8×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$18,056	3.8×	2
St Clare Hospital median $13,606 · local Medicare $4,824 · file 2026-02-28
Aetna	$18,558	3.8×	2
Cigna	$16,415	3.4×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$8,663	1.8×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$15,146	3.1×	3
St Joseph Medical Center median $13,606 · local Medicare $4,824 · file 2026-02-28
Aetna	$18,558	3.8×	2
Cigna	$16,415	3.4×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$9,119	1.9×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$15,146	3.1×	3
St Francis Community Hospital median $13,606 · local Medicare $4,800 · file 2026-02-28
Aetna	$18,558	3.9×	2
Cigna	$16,415	3.4×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$8,507	1.8×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$15,146	3.2×	3
St Anthony Hospital median $13,606 · local Medicare $4,824 · file 2026-02-28
Aetna	$18,558	3.8×	2
Cigna	$16,415	3.4×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,966	2.5×	1
Sound Family Medicine	$8,663	1.8×	1
Uniform Medical Plan	$10,387	2.2×	1
UnitedHealthcare	$15,146	3.1×	3
Virginia Mason Medical Center median $13,892 · local Medicare $4,800 · file 2026-01-01
Aetna	$19,900	4.1×	1
Cigna	$13,951	2.9×	2
Kaiser Permanente	$11,835	2.5×	1
Premera Blue Cross	$13,832	2.9×	1
Regence BlueShield	$11,566	2.4×	2
UnitedHealthcare	$14,816	3.1×	1
Swedish Medical Center / Cherry Hill median $14,392 · local Medicare $4,800 · file 2026-04-01
Aetna	$15,055	3.1×	2
Cigna	$7,277	1.5×	1
First Choice	$18,290	3.8×	2
Kaiser Permanente	$7,180	1.5×	1
Premera Blue Cross	$14,392	3.0×	2
Providence Health Plan	$11,200	2.3×	1
UnitedHealthcare	$18,093	3.8×	2
Swedish Medical Center median $14,541 · local Medicare $4,800 · file 2026-04-01
Aetna	$15,055	3.1×	2
Cigna	$7,277	1.5×	1
First Choice	$19,092	4.0×	2
Kaiser Permanente	$7,180	1.5×	1
Premera Blue Cross	$14,527	3.0×	5
Providence Health Plan	$14,541	3.0×	1
UnitedHealthcare	$18,093	3.8×	2

CPT 67041

Hospital · insurer	Rate	× Medicare	Plans
Multicare Good Samaritan Hospital median $8,901 · local Medicare $4,824 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,221	1.1×	2
Coordinated Care	$2,471	0.5×	1
Elevance/Anthem/Empire	$2,471	0.5×	1
First Choice	$8,901	1.8×	3
Kaiser Permanente	$18,500	3.8×	1
Premera Blue Cross	$15,190	3.1×	4
UnitedHealthcare	$2,471	0.5×	1
Multicare Auburn Medical Center median $9,898 · local Medicare $4,800 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,173	1.1×	2
Coordinated Care	$2,415	0.5×	1
Elevance/Anthem/Empire	$2,415	0.5×	1
First Choice	$8,901	1.9×	3
Kaiser Permanente	$18,500	3.9×	1
Premera Blue Cross	$15,190	3.2×	4
Regence BlueShield	$13,539	2.8×	4
Uniform Medical	$9,898	2.1×	1
UnitedHealthcare	$2,415	0.5×	1
Tacoma General Allenmore Hospital median $9,898 · local Medicare $4,824 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,221	1.1×	2
Coordinated Care	$2,472	0.5×	1
Elevance/Anthem/Empire	$2,472	0.5×	1
First Choice	$6,375	1.3×	3
Kaiser Permanente	$18,500	3.8×	1
Premera Blue Cross	$15,190	3.1×	4
Regence BlueShield	$13,539	2.8×	4
Uniform Medical	$9,898	2.1×	1
UnitedHealthcare	$2,472	0.5×	1
Multicare Covington Medical Center median $9,898 · local Medicare $4,800 · file 2026-08-27
Aetna	$18,768	3.9×	1
Cigna	$19,841	4.1×	1
Community Health Plan of Washington	$5,173	1.1×	2
Coordinated Care	$2,415	0.5×	1
Elevance/Anthem/Empire	$2,415	0.5×	1
First Choice	$8,901	1.9×	3
Kaiser Permanente	$18,500	3.9×	1
Premera Blue Cross	$15,190	3.2×	4
Regence BlueShield	$13,539	2.8×	4
Uniform Medical	$9,898	2.1×	1
UnitedHealthcare	$2,415	0.5×	1
Swedish Issaquah median $10,699 · local Medicare $4,800 · file 2026-04-01
Aetna	$14,253	3.0×	1
Cigna	$7,277	1.5×	1
First Choice	$19,092	4.0×	2
Kaiser Permanente	$7,200	1.5×	1
Premera Blue Cross	$10,699	2.2×	2
Providence Health Plan	$10,656	2.2×	1
UnitedHealthcare	$18,144	3.8×	2
Overlake Hospital Medical Center median $11,204 · local Medicare $4,800 · file 2026-04-01
Aetna	$12,271	2.6×	1
Cigna	$9,999	2.1×	3
First Choice	$11,455	2.4×	12
Kaiser Permanente	$12,624	2.6×	1
Premera Blue Cross	$10,953	2.3×	5
UnitedHealthcare	$8,872	1.8×	2
Swedish Edmonds Hospital median $11,345 · local Medicare $4,606 · file 2026-04-01
Aetna	$4,108	0.9×	2
Cigna	$7,277	1.6×	1
First Choice	$18,901	4.1×	2
Kaiser Permanente	$7,061	1.5×	1
Premera Blue Cross	$11,345	2.5×	2
Providence Health Plan	$11,956	2.6×	1
UnitedHealthcare	$15,648	3.4×	2
Providence Regional Medical Center Everett median $11,555 · local Medicare $4,606 · file 2026-04-01
Aetna	$14,234	3.1×	2
Cigna	$24,031	5.2×	1
First Choice	$14,471	3.1×	1
Kaiser Permanente	$7,061	1.5×	1
Premera Blue Cross	$9,377	2.0×	2
Providence Health Plan	$10,921	2.4×	1
UnitedHealthcare	$11,555	2.5×	3
St Anne Hospital median $13,289 · local Medicare $4,800 · file 2026-02-28
Aetna	$16,970	3.5×	2
Cigna	$16,415	3.4×	1
First Choice	$14,249	3.0×	1
Premera Blue Cross	$12,329	2.6×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$8,507	1.8×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$18,056	3.8×	2
St Clare Hospital median $13,606 · local Medicare $4,824 · file 2026-02-28
Aetna	$18,558	3.8×	2
Cigna	$16,415	3.4×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$8,663	1.8×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$15,146	3.1×	3
St Joseph Medical Center median $13,606 · local Medicare $4,824 · file 2026-02-28
Aetna	$18,558	3.8×	2
Cigna	$16,415	3.4×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$9,119	1.9×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$15,146	3.1×	3
St Francis Community Hospital median $13,606 · local Medicare $4,800 · file 2026-02-28
Aetna	$18,558	3.9×	2
Cigna	$16,415	3.4×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,522	2.4×	1
Sound Family Medicine	$8,507	1.8×	1
Uniform Medical Plan	$10,049	2.1×	1
UnitedHealthcare	$15,146	3.2×	3
St Anthony Hospital median $13,606 · local Medicare $4,824 · file 2026-02-28
Aetna	$18,558	3.8×	2
Cigna	$16,415	3.4×	1
First Choice	$15,568	3.2×	1
Kaiser Permanente	$10,872	2.3×	2
Premera Blue Cross	$13,606	2.8×	1
Regence BlueShield	$11,966	2.5×	1
Sound Family Medicine	$8,663	1.8×	1
Uniform Medical Plan	$10,387	2.2×	1
UnitedHealthcare	$15,146	3.1×	3
Virginia Mason Medical Center median $13,892 · local Medicare $4,800 · file 2026-01-01
Aetna	$19,900	4.1×	1
Cigna	$13,951	2.9×	2
Kaiser Permanente	$11,835	2.5×	1
Premera Blue Cross	$13,832	2.9×	1
Regence BlueShield	$11,566	2.4×	2
UnitedHealthcare	$14,816	3.1×	1
Swedish Medical Center / Cherry Hill median $14,392 · local Medicare $4,800 · file 2026-04-01
Aetna	$15,055	3.1×	2
Cigna	$7,277	1.5×	1
First Choice	$18,290	3.8×	2
Kaiser Permanente	$7,180	1.5×	1
Premera Blue Cross	$14,392	3.0×	2
Providence Health Plan	$11,200	2.3×	1
UnitedHealthcare	$18,093	3.8×	2
Swedish Medical Center median $14,541 · local Medicare $4,800 · file 2026-04-01
Aetna	$15,055	3.1×	2
Cigna	$7,277	1.5×	1
First Choice	$19,092	4.0×	2
Kaiser Permanente	$7,180	1.5×	1
Premera Blue Cross	$14,527	3.0×	5
Providence Health Plan	$14,541	3.0×	1
UnitedHealthcare	$18,093	3.8×	2

Questions

How much does vitrectomy (retina surgery) cost with commercial insurance in Seattle-Tacoma WA?

16 Seattle-Tacoma WA hospitals post usable commercial rates for CPT 67036, hospital outpatient. The median across hospitals is $11,434; hospital medians range from $8,901 to $14,541. Your cost depends on your plan's deductible and coinsurance.