CPT 86078

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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 86078 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$19.86 – $29.425 plans——
Cascade Valley HospitalArlington$185 – $2244 plans$179$224
Deaconess Medical CenterSpokaneFile dated 2026-08-27$18.17 – $19.245 plans$262$654
EvergreenHealth Medical CenterKirkland—$85.60$107
Harborview Medical CenterSeattleFile dated 2026-04-01—$273$389
Highline Medical CenterBurienFile dated 2026-02-28—$68.37$224
Island HospitalAnacortes$18.75 – $20.343 plans$285$285
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$18.79 – $20.305 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$18.45 – $19.935 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$18.45 – $19.935 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$18.88 – $20.395 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$18.04 – $19.105 plans$262$654
Olympic Medical CenterPort AngelesFile dated 2026-06-24$23.23 – $25.445 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$131$263
PeaceHealth St Joseph Medical CenterBellingham$2122 plans$173$266
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$381 – $428$544 – $612
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$252$360
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$237$339
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Seattle Children's HospitalSeattle—$251$251
Skagit Valley HospitalMount Vernon$1101 plan$181$226
St Anthony HospitalGig HarborFile dated 2026-02-28—$68.10$224
St Clare HospitalLakewoodFile dated 2026-02-28—$64.54$224
St Elizabeth HospitalEnumclawFile dated 2026-02-28$38.06 – $46.355 plans$79.12$224
St Francis Community HospitalFederal WayFile dated 2026-02-28—$70.26$224
St Joseph Medical CenterTacomaFile dated 2026-02-28—$74.15$224
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$98.81$224
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Swedish Medical CenterSeattleFile dated 2026-04-01———
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$18.895 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01—$273$389
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—Doctor’s fee: $477Doctor’s fee: $477
Yakima Valley MemorialYakimaFile dated 2026-08-27$18.05 – $20.975 plans——

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.

Doctor's fee, Seattle (King County)
$56.99 in an office; $42.65 in a hospital or surgery center
Doctor's fee, rest of Washington
$52.45 in an office; $40.14 in a hospital or surgery center
Hospital outpatient payment (national)
$174 (APC 5672)