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Common Medical Costs: The Cost of Care
Below are estimated costs for Providence Health Plan members only.
- Members do not necessarily pay the average costs listed on this page.
- Members are responsible for deductible amounts, copayments, and coinsurances.
- Members pay up to the amount of their maximum out-of pocket limit on covered charges.
- See your specific plan benefit summary for details, or contact Customer Service.
| Procedure Name | Average Cost |
|---|---|
| Abdominal ultrasound | $200.00 |
| Breast biopsy | $2,356.00 |
| C-section delivery ( includes prenatal care) | $11,948.00 |
| Chest X-ray ( front and back views) | $60.00 |
| Cholesterol Screening ( lipid panel) | $26.00 |
| Colonoscopy | $1,779.00 |
| Complete Blood Count ( CBC) | $15.00 |
| Coronary artery bypass graft ( one vessel) | $50,878.00 |
| Coronary artery stent ( one vessel) | $27,061.00 |
| CT of brain | $574.00 |
| CT of pelvis | $549.00 |
| Hysterectomy | $10,892.00 |
| Juvenile ear tubes ( typanostomy with tubes) | $2,135.00 |
| Knee surgery ( arthroscopy with meniscectomy) | $3,538.00 |
| Laparoscopic gallbladder removal | $6,693.00 |
| Lumbar disk surgery ( laminectomy) | $8,098.00 |
| Mammography ( bilateral) | $141.00 |
| MRI of brain | $1,840.00 |
| MRI of lumbar spine | $945.00 |
| Sigmoidoscopy office procedure | $208.00 |
| Tonsils, adenoids ( juvenile) | $3,434.00 |
| Urinalysis | $6.00 |
| Vaginal delivery ( includes prenatal care) | $7,069.00 |
| Medical/surgical inpatient day | $4,199.00 |
| Emergency Room | $840.00 |
| Personal physician/provider office visit | $87.00 |
| Specialist office visit | $87.00 |
| Specialist office visit ( complex) | $136.00 |
| Specialist office visit ( highly complex) | $198.00 |
Quality and Costs
Featuring a wide variety of resources to evaluate health services.
Additional Information
Costs include physician fees associated with routine performance of the procedure described. Costs provided are not intended to represent fees charged by any specific facility or provider.