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

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

Prices for CPT 86078 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Cascade Valley HospitalArlington$180 – $1,9593 plans$179$224
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$262$654
EvergreenHealth Medical CenterKirkland$191 – $1945 plans$85.60$107
Harborview Medical CenterSeattleFile dated 2026-04-01—$273$389
Highline Medical CenterBurienFile dated 2026-02-28—$68.37$224
Island HospitalAnacortes$203 – $21611 plans$285$285
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$262$654
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$131$263
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$428$612
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$252$360
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$237$339
Seattle Children's HospitalSeattle—$251$251
Skagit Valley HospitalMount Vernon$171 – $1804 plans$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—$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
University of Washington Medical CtrSeattleFile dated 2026-04-01—$273$389

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)
$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)