CPT 91040

Test - Miscellaneous

Current code29 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 91040 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$1,690	$2,415
Seattle Children's HospitalSeattle	$95.92 – $1,97913 plansDoctor’s fee: $28.49 – $30.43	$203 – $6,088	$203 – $6,088Doctor’s fee: $150
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,690	$2,415
Virginia Mason Medical CenterSeattle	—	$1,017	$1,995

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): $701 in an office; $701 in a hospital or surgery center
Doctor's fee, rest of Washington: $605 in an office; $605 in a hospital or surgery center
Hospital outpatient payment (national): $381 (APC 5723)
Surgery center payment (national): $205