CPT 86904

Immunoassay

Current code34 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 86904 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	$17.65 – $1244 plans	$98.80	$124
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$44.80	$64.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$3.75 – $4.115 plans	$98.40	$123
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$63.96	$123
Skagit Valley HospitalMount Vernon	$2.201 plan	$98.80	$124
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01	—	$72.48	$151
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$72.48	$151
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$72.48	$151
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$72.48	$151
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$83.60	$209

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.

Hospital outpatient payment (national): $60.27 (APC 5733)
Lab fee schedule (national limit): $16.34