CPT 91037

Test - Miscellaneous

Current code37 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 91037 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$535$1,337
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,094$1,563
Highline Medical CenterBurienFile dated 2026-02-28—$419$1,371
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$87.75 – $301Doctor’s fee: $301$135 – $463Doctor’s fee: $463
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$535$1,337
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$306$611
Seattle Children's HospitalSeattle$537 – $68012 plans$2,090$2,090
Skagit Valley HospitalMount Vernon$1471 plan$2,634$3,293
St Anthony HospitalGig HarborFile dated 2026-02-28—$417$1,371
St Clare HospitalLakewoodFile dated 2026-02-28—$395$1,371
St Elizabeth HospitalEnumclawFile dated 2026-02-28$384 – $4555 plans$484$1,371
St Francis Community HospitalFederal WayFile dated 2026-02-28—$430$1,371
St Joseph Medical CenterTacomaFile dated 2026-02-28—$454$1,371
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$605$1,371
Swedish IssaquahIssaquahFile dated 2026-04-01—$829$1,727
Swedish Medical CenterSeattleFile dated 2026-04-01—$829$1,727
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$829$1,727
University of Washington Medical CtrSeattleFile dated 2026-04-01—$824$1,177
Virginia Mason Medical CenterSeattle—$577$1,132

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)
$223 in an office; $223 in a hospital or surgery center
Doctor's fee, rest of Washington
$195 in an office; $195 in a hospital or surgery center
Hospital outpatient payment (national)
$221 (APC 5722)
Surgery center payment (national)
$119

How hospitals also write this code

Some price files write it differently. These are counted as CPT 91037:

  • 91037P (with a letter after it, P; 1 price line)
  • 91037T (with a letter after it, T; 1 price line)