Samaritan Hospital

801 East Wheeler Road, Moses Lake, WA 98837 · (509) 765-5606

Acute Care HospitalsProprietaryCMS rating 2/5Moses Lake, WA metro Website ↗

Price file

Prices published

File dated 2026-01-04

7,149 price rows for 54 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $91

$91

cash

$11 to $86

58 negotiated rates

$91

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 4 lines · metro median $155

$155

cash

$86 to $4,743

116 negotiated rates

$155

list

CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $73

$73

cash

$41 to $1,556

116 negotiated rates

$73

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $99

$99

cash

$55 to $3,008

116 negotiated rates

$99

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 4 lines · metro median $5,874

$5,874

cash

$4,699 to $5,287

32 negotiated rates

$5,874

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $281

$281

cash

$47 to $409

195 negotiated rates

$281

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 4 lines · metro median $787

$787

cash

$108 to $553

104 negotiated rates

$787

list

Colonoscopy with biopsy

CPT 45380 · lowest of 4 lines · metro median $1,010

$1,010

cash

$117 to $684

104 negotiated rates

$1,010

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $1,061

$1,061

cash

$149 to $717

104 negotiated rates

$1,061

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $110

$110

cash

$10 to $105

174 negotiated rates

$110

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $117

$117

cash

$14 to $111

58 negotiated rates

$117

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $83

$83

cash

$46 to $449

116 negotiated rates

$83

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 8 lines · metro median $60

$60

cash

$33 to $258

257 negotiated rates

$60

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $327

$327

cash

$190 to $273

108 negotiated rates

$327

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $273

$273

cash

—

$273

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $264

$264

cash

—

$264

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $1,798

$1,798

cash

$384 to $979

52 negotiated rates

$1,798

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $256

$256

cash

$47 to $409

195 negotiated rates

$256

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $1,245

$1,245

cash

$305 to $774

52 negotiated rates

$1,245

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines · metro median $2,436

$2,436

cash

$317 to $801

52 negotiated rates

$2,436

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $161

$161

cash

$18 to $153

290 negotiated rates

$161

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $88

$88

cash

$11 to $84

58 negotiated rates

$88

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines · metro median $195

$195

cash

$108 to $4,070

116 negotiated rates

$195

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $116

$116

cash

$64 to $1,327

174 negotiated rates

$116

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 4 lines · metro median $126

$126

cash

$70 to $1,362

174 negotiated rates

$126

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $126

$126

cash

$70 to $2,145

174 negotiated rates

$126

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $551

$551

cash

$65 to $322

52 negotiated rates

$551

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $247

$247

cash

$142 to $273

108 negotiated rates

$247

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 6 lines · metro median $150

$150

cash

$211 to $273

162 negotiated rates

$150

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $364

$364

cash

$258 to $299

108 negotiated rates

$364

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $207

$207

cash

$25 to $258

248 negotiated rates

$207

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $83

$83

cash

$8 to $79

290 negotiated rates

$83

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $245

$245

cash

$136 to $233

58 negotiated rates

$245

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $87

$87

cash

$48 to $920

116 negotiated rates

$87

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $258

$258

cash

$173 to $273

54 negotiated rates

$258

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines · metro median $301

$301

cash

$200 to $273

54 negotiated rates

$301

list

Prostate biopsy

CPT 55700 · lowest of 4 lines · metro median $607

$607

cash

$258 to $357

108 negotiated rates

$607

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $11

$11

cash

$6 to $39

290 negotiated rates

$11

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $159

$159

cash

$69 to $273

108 negotiated rates

$159

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines · metro median $212

$212

cash

$114 to $273

108 negotiated rates

$212

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines · metro median $326

$326

cash

$139 to $273

108 negotiated rates

$326

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 4 lines · metro median $1,363

$1,363

cash

$242 to $725

104 negotiated rates

$1,363

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $63

$63

cash

$35 to $443

174 negotiated rates

$63

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines · metro median $419

$419

cash

$101 to $262

52 negotiated rates

$419

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $609

$609

cash

$58 to $356

104 negotiated rates

$609

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $105

$105

cash

$22 to $100

348 negotiated rates

$105

list

Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $59

$59

cash

$33 to $1,010

116 negotiated rates

$59

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $69

$69

cash

$38 to $851

116 negotiated rates

$69

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 4 lines · metro median $651

$651

cash

$72 to $454

104 negotiated rates

$651

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 4 lines · metro median $873

$873

cash

$81 to $580

104 negotiated rates

$873

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $38

$38

cash

$4 to $36

232 negotiated rates

$38

list

Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 2 lines · metro median $5,539

$5,539

cash

$4,431 to $4,985

16 negotiated rates

$5,539

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 4 lines · metro median $5,318

$5,318

cash

$4,254 to $4,786

32 negotiated rates

$5,318

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $28

$28

cash

$16 to $605

126 negotiated rates

$28

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://wearesamaritan.org/wp-content/uploads/2026/06/916001698_grant-county-public-hospital-district-1-dba-samaritan_standardcharges.zip
Grant County Public Hospital District 1 dba Samaritan · parsed · tall v3.0.0 · file dated 2026-01-04 · 10.3 MB · 7149 price rows read · read Nov 2026