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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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,959$2,799
Highline Medical CenterBurienFile dated 2026-02-28$584 – $1,2224 plans$415$1,358
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$98.80 – $705Doctor’s fee: $458 – $705$152 – $1,084Doctor’s fee: $704 – $1,084
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$903$1,806
Seattle Children's HospitalSeattle$113 – $4,671142 plansDoctor’s fee: $92.08 – $142$225 – $4,866$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 – $1,0192 plans$413$1,358
St Clare HospitalLakewoodFile dated 2026-02-28$978 – $1,0192 plans$392$1,358
St Elizabeth HospitalEnumclawFile dated 2026-02-28$543 – $1,2225 plans$480$1,358
St Francis Community HospitalFederal WayFile dated 2026-02-28$978 – $1,0192 plans$426$1,358
St Joseph Medical CenterTacomaFile dated 2026-02-28$978 – $1,0192 plans$450$1,358
St Michael Medical CenterSilverdaleFile dated 2026-02-28$856 – $1,22210 plans$599$1,358
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,467$3,056
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,467$3,056
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,467$3,056
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,616$2,309
Virginia Mason Medical CenterSeattle$1,574 – $1,9664 plans$1,253$2,457
Yakima Valley MemorialYakimaFile dated 2026-08-27$8681 plan$620$1,550

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)
$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)