CPT 86490
Test - Miscellaneous
Retired code25 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $108 – $349 | — | — |
| Deaconess Medical Center | $104 – $256 | — | — |
| Harborview Medical Center | $182 | — | — |
| Kadlec Regional Medical Center | $142 – $215 | — | — |
| Legacy Salmon Creek Medical Center | $155 – $227 | — | — |
| Mary Bridge Children's Hospital | $108 – $452 | — | — |
| MultiCare Auburn Medical Center | $108 – $350 | — | — |
| MultiCare Covington Medical Center | $108 – $350 | — | — |
| MultiCare Good Samaritan Hospital | $108 – $350 | — | — |
| MultiCare Valley Hospital | $102 – $256 | — | — |
| Overlake Hospital Medical Center & Clinics | $77.98 – $525 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $123 – $198 | — | — |
| Providence Centralia Hospital | $213 – $448 | — | — |
| Providence Holy Family Hospital | $136 – $229 | — | — |
| Providence Regional Medical Center Everett | $129 – $231 | — | — |
| Providence St Mary Medical Center | $54.20 – $338 | — | — |
| Providence St Peter Hospital | $136 – $308 | — | — |
| Swedish Edmonds Hospital | $146 – $275 | — | — |
| Swedish Issaquah | $135 – $275 | — | — |
| Swedish Medical Center | $146 – $275 | — | — |
| Swedish Medical Center / Cherry Hill | $146 – $253 | — | — |
| Tacoma General Allenmore Hospital | $108 – $266 | — | — |
| University of Washington Medical Ctr | $182 – $197 | — | — |
| Virginia Mason Medical Center | $158 – $208 | — | — |
| Yakima Valley Memorial | $101 – $190 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.