CPT 38525 at Island Hospital

Lymph Node Biopsy

Island Hospital, Anacortes

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Island Hospital publishes for this code: as an outpatient

Island Hospital’s prices for CPT 38525, as an outpatient
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$1,8622 plans$412 – $8,411
Medicare AdvantageInsurer rates—$4,673 – $4,953
Medicaid managed careInsurer rates—$2,038 – $2,211
Other government programInsurer rates—$4,673 – $4,919
UnknownInsurer rates—$2,307 – $4,907
Cash pricePaying yourself, without insurance—$167 – $1,228
List priceBefore any discount; few people pay it—$167 – $1,228

Lowest and highest amounts Island Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 38525 at Island Hospital
BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe operating or procedure room, nursing, supplies and recovery—The price above
Surgeon or doctor doing itThe doctor's practiceThe procedure, and routine follow-up visits for 90 days$429$507 – $768
AnesthesiaAn anesthesia group (only sometimes)Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.——

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 38525 at every Washington hospital, with Medicare’s reference amounts.