CPT 87169
General Laboratory
Current code48 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4.22 – $4.65 | $86.40 | $216 |
| Cascade Medical Center | $4.22 – $66.88 | $64.00 | $80.00 |
| Cascade Valley Hospital | $4.53 – $1,169 | $112 | $140 |
| Deaconess Medical Center | $4.22 – $4.65 | — | — |
| EvergreenHealth Medical Center | $4.31 – $4.46 | $86.40 | $108 |
| EvergreenHealth Monroe | $4.31 – $4.46 | $86.40 | $108 |
| Harborview Medical Center | $4.31 – $4.74 | $98.48 | $141 |
| Highline Medical Center | $4.31 – $4.96 | $45.59 | $149 |
| Island Hospital | $4.62 – $4.90 | $27.00 – $44.00 | $27.00 – $44.00 |
| Kadlec Regional Medical Center | $4.31 – $5.17 | $74.90 | $107 |
| Legacy Salmon Creek Medical Center | $4.44 – $4.83 | — | — |
| Mary Bridge Children's Hospital | $4.22 – $4.65 | $9.20 | $23.00 |
| MultiCare Auburn Medical Center | $4.22 – $4.65 | $9.20 | $23.00 |
| MultiCare Covington Medical Center | $4.22 – $4.65 | $9.20 | $23.00 |
| MultiCare Good Samaritan Hospital | $4.22 – $4.65 | $9.20 | $23.00 |
| MultiCare Valley Hospital | $4.35 – $4.65 | — | — |
| Olympic Medical Center | $4.85 – $6.24 | $29.60 | $37.00 |
| Overlake Hospital Medical Center & Clinics | $4.31 – $4.48 | $53.00 | $106 |
| PeaceHealth Peace Island Medical Center | — | $50.05 | $77.00 |
| PeaceHealth Southwest Medical Cente | $4.31 – $4.96 | $55.90 – $57.85 | $86.00 – $89.00 |
| PeaceHealth St John Medical Center | $3.36 – $4.74 | $57.85 | $89.00 |
| PeaceHealth St Joseph Medical Center | $4.31 – $4.74 | $53.95 | $83.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4.31 – $4.74 | $39.20 – $225 | $56.00 – $321 |
| Providence Centralia Hospital | $4.31 – $6.90 | $142 | $274 |
| Providence Holy Family Hospital | $4.31 – $4.74 | $67.90 | $97.00 |
| Providence Mount Carmel Hospital | — | $109 | $156 |
| Providence Regional Medical Center Everett | $4.44 – $4.74 | $29.64 | $57.00 |
| Providence St Joseph Hospital | — | $93.80 | $134 |
| Providence St Mary Medical Center | $4.31 – $4.74 | $63.70 – $127 | $91.00 – $181 |
| Providence St Peter Hospital | $4.31 – $6.90 | $142 | $274 |
| Seattle Children's Hospital | — | $79.00 | $79.00 |
| Skagit Valley Hospital | $4.31 – $4.65 | $53.60 | $67.00 |
| St Anthony Hospital | $4.31 – $4.96 | $45.41 | $149 |
| St Clare Hospital | $4.31 – $4.96 | $43.03 | $149 |
| St Elizabeth Hospital | $4.31 – $4.96 | $52.75 | $149 |
| St Francis Community Hospital | $4.31 – $4.96 | $46.85 | $149 |
| St Joseph Medical Center | $4.31 – $4.96 | $49.44 | $149 |
| St Michael Medical Center | $4.31 – $4.65 | $65.89 | $149 |
| Swedish Edmonds Hospital | $4.44 – $4.74 | $27.36 | $57.00 |
| Swedish Issaquah | $4.44 – $4.74 | $27.36 | $57.00 |
| Swedish Medical Center | $4.44 – $4.74 | $27.36 | $57.00 |
| Swedish Medical Center / Cherry Hill | $4.44 – $4.74 | $27.36 | $57.00 |
| Tacoma General Allenmore Hospital | $4.22 – $4.65 | $9.20 | $23.00 |
| Three Rivers Hospital | — | $48.00 | $48.00 |
| University of Washington Medical Ctr | $4.31 – $4.74 | $44.56 | $63.65 |
| Virginia Mason Medical Center | $3.02 – $4.53 | $14.28 | $28.00 |
| WhidbeyHealth Medical Center | — | $265 | $265 |
| Yakima Valley Memorial | $4.52 – $5.07 | $8.40 | $21.00 |
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.
- Lab fee schedule (national limit)
- $4.31