CPT 86038

Immunoassay

Current code52 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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 86038 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$29.00$29.00
Capital Medical CenterOlympiaFile dated 2026-08-27—$56.00$140
Cascade Medical CenterLeavenworth$87.601 plan$131$164
Cascade Valley HospitalArlington—$96.80$121
Coulee Medical CenterGrand Coulee—$102 – $159$113 – $176
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$53.20$133
EvergreenHealth Medical CenterKirkland—$129$161
EvergreenHealth MonroeMonroe—$129$161
Harborview Medical CenterSeattleFile dated 2026-04-01—$88.27$126
Highline Medical CenterBurienFile dated 2026-02-28—$40.21$132
Island HospitalAnacortes—$100 – $138$100 – $138
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$79.10$113
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$26.00$65.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$26.00$65.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$26.00$65.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$26.00$65.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$53.20$133
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$44.80$56.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$11.10 – $61.50$22.20 – $123
PeaceHealth Peace Island Medical CenterFriday Harbor—$51.35$79.00
PeaceHealth Southwest Medical CenteVancouver—$192 – $198$295 – $304
PeaceHealth St John Medical CenterLongview—$183 – $189$282 – $290
PeaceHealth St Joseph Medical CenterBellingham—$97.50 – $101$150 – $155
PeaceHealth United General Medical CenterSedro Woolley—$70.20$108
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$97.30 – $216$139 – $309
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$63.96 – $68.12$123 – $131
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$127 – $131$181 – $187
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$149$213
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$68.64$132
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$106$152
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$11.20 – $131$16.00 – $187
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$44.72 – $71.24$86.00 – $137
Seattle Children's HospitalSeattle$35.38 – $35.631 plan$140 – $141$140 – $141
Skagit Valley HospitalMount Vernon—$113$141
St Anthony HospitalGig HarborFile dated 2026-02-28—$40.05$132
St Clare HospitalLakewoodFile dated 2026-02-28—$37.96$132
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$46.53$132
St Francis Community HospitalFederal WayFile dated 2026-02-28—$41.33$132
St Joseph Medical CenterTacomaFile dated 2026-02-28—$43.61$132
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$58.12$132
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$63.36$132
Swedish IssaquahIssaquahFile dated 2026-04-01—$63.36$132
Swedish Medical CenterSeattleFile dated 2026-04-01—$63.36$132
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$63.36$132
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$26.00$65.00
Three Rivers HospitalBrewster$60.901 plan$87.00$87.00
Trios HealthKennewick——$40.85
University of Washington Medical CtrSeattleFile dated 2026-04-01—$79.75$114
Virginia Mason Medical CenterSeattle—$51.51$101
WhidbeyHealth Medical CenterCoupeville—$93.00$93.00
Yakima Valley MemorialYakimaFile dated 2026-08-27—$18.00$45.00

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.

Lab fee schedule (national limit)
$12.09