CPT 91038

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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 91038 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$714 – $3,08416 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$687 – $2,1569 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$691 – $9203 plans$1,959$2,799
Highline Medical CenterBurienFile dated 2026-02-28$584 – $2,42116 plans$415$1,358
Island HospitalAnacortes$577 – $8027 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$703 – $1,8998 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$832 – $6,2165 plans$98.80 – $705Doctor’s fee: $458 – $705$152 – $1,084Doctor’s fee: $704 – $1,084
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$906 – $3,8029 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$716 – $3,08817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$716 – $3,08817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$720 – $3,08812 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$687 – $2,15110 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$477 – $4,63312 plans$903$1,806
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$703 – $1,74812 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$730 – $3,9309 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$499 – $2,00711 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$510 – $2,04011 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$475 – $2,9659 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$365 – $2,71913 plans——
Seattle Children's HospitalSeattle$113 – $4,671142 plansDoctor’s fee: $92.08 – $142$225 – $21,235$225 – $4,866Doctor’s fee: $170
Skagit Valley HospitalMount Vernon$849 – $3,86711 plans$3,256$4,070
St Anthony HospitalGig HarborFile dated 2026-02-28$978 – $2,64617 plans$413$1,358
St Clare HospitalLakewoodFile dated 2026-02-28$978 – $2,64617 plans$392$1,358
St Elizabeth HospitalEnumclawFile dated 2026-02-28$452 – $2,26814 plans$480$1,358
St Francis Community HospitalFederal WayFile dated 2026-02-28$978 – $2,64617 plans$426$1,358
St Joseph Medical CenterTacomaFile dated 2026-02-28$978 – $2,64617 plans$450$1,358
St Michael Medical CenterSilverdaleFile dated 2026-02-28$869 – $2,32618 plans$599$1,358
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$637 – $2,42813 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$650 – $2,42814 plans$801 – $1,467$1,668 – $3,056
Swedish Medical CenterSeattleFile dated 2026-04-01$648 – $2,42822 plans$801 – $1,467$1,668 – $3,056
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$648 – $2,23416 plans$801 – $1,467$1,668 – $3,056
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$720 – $2,47517 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$691 – $2,24311 plans$1,616$2,309
Virginia Mason Medical CenterSeattle$13.23 – $18,71110 plans$1,253$2,457
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,0991 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$698 – $5,79319 plans$620$1,550

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$540 in an office; $540 in a hospital or surgery center
Doctor's fee, rest of Washington
$467 in an office; $467 in a hospital or surgery center
Hospital outpatient payment (national)
$381 (APC 5723)
Surgery center payment (national)
$205

How hospitals also write this code

Some price files write it differently. These are counted as CPT 91038:

  • 91038P (with a letter after it, P; 2 price lines)
  • 91038T (with a letter after it, T; 1 price line)