CPT 91038
Test - Miscellaneous
Current code37 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 | $423 – $466 | — | — |
| Deaconess Medical Center | $408 – $448 | — | — |
| Harborview Medical Center | $432 – $475 | $1,959 | $2,799 |
| Highline Medical Center | $591 – $679 | $415 | $1,358 |
| Island Hospital | $445 – $472 | — | — |
| Kadlec Regional Medical Center | $416 – $499 | — | — |
| Legacy Salmon Creek Medical Center | $428 – $466 | $98.80 – $705 | $152 – $1,084 |
| Mary Bridge Children's Hospital | $427 – $469 | — | — |
| MultiCare Auburn Medical Center | $425 – $467 | — | — |
| MultiCare Covington Medical Center | $425 – $467 | — | — |
| MultiCare Good Samaritan Hospital | $427 – $469 | — | — |
| MultiCare Valley Hospital | $420 – $448 | — | — |
| Olympic Medical Center | $468 – $601 | — | — |
| Overlake Hospital Medical Center & Clinics | $433 – $451 | $903 | $1,806 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $416 – $499 | — | — |
| Providence Centralia Hospital | $432 – $691 | — | — |
| Providence Holy Family Hospital | $416 – $457 | — | — |
| Providence Regional Medical Center Everett | $425 – $467 | — | — |
| Providence St Mary Medical Center | $416 – $457 | — | — |
| Providence St Peter Hospital | $429 – $687 | — | — |
| Seattle Children's Hospital | — | $225 – $21,235 | $225 – $4,866 |
| Skagit Valley Hospital | $531 – $557 | $3,256 | $4,070 |
| St Anthony Hospital | $601 – $692 | $413 | $1,358 |
| St Clare Hospital | $601 – $692 | $392 | $1,358 |
| St Elizabeth Hospital | $245 – $299 | $480 | $1,358 |
| St Francis Community Hospital | $591 – $679 | $426 | $1,358 |
| St Joseph Medical Center | $601 – $692 | $450 | $1,358 |
| St Michael Medical Center | $618 – $668 | $599 | $1,358 |
| Swedish Edmonds Hospital | $425 – $510 | — | — |
| Swedish Issaquah | $433 – $520 | $801 – $1,467 | $1,668 – $3,056 |
| Swedish Medical Center | $432 – $519 | $801 – $1,467 | $1,668 – $3,056 |
| Swedish Medical Center / Cherry Hill | $432 – $519 | $801 – $1,467 | $1,668 – $3,056 |
| Tacoma General Allenmore Hospital | $427 – $469 | — | — |
| University of Washington Medical Ctr | $432 – $475 | $1,616 | $2,309 |
| Virginia Mason Medical Center | $181 – $3,600 | $1,253 | $2,457 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $436 – $489 | $620 | $1,550 |
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)