CPT 86901 at EvergreenHealth Monroe

Immunoassay

EvergreenHealth Monroe, Monroe

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 EvergreenHealth Monroe publishes for this code: as an outpatient

EvergreenHealth Monroe’s prices for CPT 86901, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$51.11 – $13016 plans	—
Medicare AdvantageInsurer rates	$43.87 – $44.725 plans	—
Medicaid managed careInsurer rates	$43.871 plan	—
Other government programInsurer rates	$37.901 plan	—
UnknownInsurer rates	$66.56 – $1499 plans	—
Cash pricePaying yourself, without insurance	$76.80	—
List priceBefore any discount; few people pay it	$96.00	—

Lowest and highest amounts EvergreenHealth Monroe lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 86901 at EvergreenHealth Monroe
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The lab test, including drawing the sample	—	The price above

A lab test usually comes as one bill from the lab that runs it.

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 86901 at every Washington hospital, with Medicare’s reference amounts.