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CPT 85097

Test - Miscellaneous

Current code42 hospitals with prices

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 Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—Doctor’s fee: $347Doctor’s fee: $868
Cascade Valley HospitalArlingtonDoctor’s fee: $817 – $858Doctor’s fee: $1,394Doctor’s fee: $1,743
Deaconess Medical CenterSpokaneFile dated 2026-08-27—Doctor’s fee: $1,202Doctor’s fee: $3,005
Highline Medical CenterBurienFile dated 2026-02-28—$317$1,039
Island HospitalAnacortesDoctor’s fee: $962 – $1,019Doctor’s fee: $10.00Doctor’s fee: $10.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—Doctor’s fee: $434Doctor’s fee: $1,085
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—Doctor’s fee: $434Doctor’s fee: $1,085
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—Doctor’s fee: $434Doctor’s fee: $1,085
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—Doctor’s fee: $434Doctor’s fee: $1,085
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—Doctor’s fee: $1,202Doctor’s fee: $3,005
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—Doctor’s fee: $207Doctor’s fee: $414
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—Doctor’s fee: $82.60Doctor’s fee: $118
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—Doctor’s fee: $82.60Doctor’s fee: $118
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—Doctor’s fee: $186Doctor’s fee: $265
Seattle Children's HospitalSeattle—$490$490
Skagit Valley HospitalMount VernonDoctor’s fee: $817 – $882Doctor’s fee: $1,394Doctor’s fee: $1,743
St Anthony HospitalGig HarborFile dated 2026-02-28—$316$1,039
St Clare HospitalLakewoodFile dated 2026-02-28—$299$1,039
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$367$1,039
St Francis Community HospitalFederal WayFile dated 2026-02-28—$326$1,039
St Joseph Medical CenterTacomaFile dated 2026-02-28—$344$1,039
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$459$1,039
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—Doctor’s fee: $434Doctor’s fee: $1,085
Yakima Valley MemorialYakimaFile dated 2026-08-27—Doctor’s fee: $392Doctor’s fee: $979

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$77.07 in an office; $41.83 in a hospital or surgery center
Doctor's fee, rest of Washington
$69.68 in an office; $39.43 in a hospital or surgery center
Hospital outpatient payment (national)
$823 (APC 5674)