Medical Procedure Costs in Washington

Washington medical procedure costs are generally above the national average. Medicare divides Washington into 2 pricing localities, so costs can vary within the state.

Cost vs National Avg
+8.6%
Higher than average
Pricing Localities
2
Medicare pricing regions
Procedures Covered
7,500+
CPT codes with pricing

Pricing Regions in Washington

LocalityWork GPCIPE GPCI
seattle (king cnty)1.0501.227
rest of washington1.0131.053

GPCI (Geographic Practice Cost Index) values adjust Medicare payments for regional cost differences. Higher values mean higher costs. A GPCI of 1.000 equals the national average.

Procedure Costs in Washington

ProcedureWashington
Incision & Drainage of Abscess$141
Skin Biopsy (Tangential)$106
Skin Biopsy (Punch)$134
Destruction of Skin Lesion$73
Partial Mastectomy$656
Total Hip Replacement$1,208
Total Knee Replacement$1,205
Knee Arthroscopy$547
Upper Endoscopy (EGD)$358
Upper Endoscopy (EGD) With Biopsy$466
Colonoscopy (Diagnostic)$415
Colonoscopy With Biopsy$530
Colonoscopy With Polyp Removal$548
Laparoscopic Cholecystectomy$652
Laparoscopic Inguinal Hernia Repair$442
Laparoscopic Removal of Ovarian Cyst$603
Vaginal Delivery (Global)$2,267
Cesarean Delivery (Global)$2,518
Lumbar Discectomy$936
Cataract Surgery$495
MRI Brain Without Contrast$216
MRI Brain With Contrast$299
MRI Brain$351
Chest X-Ray$37
CT Chest Without Contrast$147
CT Chest With Contrast$185
MRI Cervical Spine$211
MRI Lumbar Spine$212
Shoulder X-Ray$40
MRI Shoulder$228
Knee X-Ray$38
MRI Knee$227
CT Abdomen & Pelvis Without Contrast$201
CT Abdomen & Pelvis With Contrast$334
Ultrasound Abdomen$127
Ultrasound Transvaginal$131
Ultrasound Pelvis$117
Diagnostic Mammogram$174
Screening Mammogram$141
Nuclear Stress Test$481
Psychiatric Evaluation$183
Psychiatric Evaluation With Medical Services$213
Psychotherapy (45 min)$120
Psychotherapy (60 min)$176
ECG/EKG$17
Echocardiogram$218
Stress Echocardiogram$205
Carotid Ultrasound$212
Laser Treatment for Skin$154
Physical Therapy (Therapeutic Exercise)$31
Physical Therapy (Manual Therapy)$30
PT Evaluation (Low Complexity)$106
PT Evaluation (Moderate Complexity)$106
Office Visit (New, Low)$126
Office Visit (New, Moderate-High)$190
Office Visit (New, High)$253
Office Visit (Established, Moderate)$103
Office Visit (Established, Moderate-High)$146
Office Visit (Established, High)$207

Prices shown are Medicare office (non-facility) rates. Click any procedure for full details including hospital rates and savings tips.

Understanding Medical Costs in Washington

Medical procedure costs in Washington are determined by Medicare's Geographic Practice Cost Indices (GPCIs), which account for differences in physician work, practice expenses, and malpractice insurance across regions. Because Washington has 2 different pricing localities, costs can vary significantly depending on where within the state the procedure is performed.

The prices listed above represent Medicare reimbursement rates, which serve as a baseline for what healthcare costs in Washington. Private insurance companies typically negotiate rates between 130% and 200% of these Medicare amounts. If you are paying out of pocket, many providers in Washington offer cash discounts of 20% to 40% off their standard charges.

For the most accurate pricing, enter your ZIP code on any procedure page to see costs adjusted for your specific locality within Washington.

Ways to Save on Medical Costs in Washington

Compare Insurance Plans

Comparing marketplace plans in Washington could save you thousands on procedures.

Compare plans on eHealth

Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

Book on Sesame Care

Save on Prescriptions

If a procedure leads to a prescription, discount cards can save up to 80% at pharmacies.

Check prices on GoodRx

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Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations.