CPT 91120
Test - Miscellaneous
Retired code25 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $525 – $1,011 | — | — |
| Deaconess Medical Center | $509 – $1,249 | — | — |
| Island Hospital | $648 | — | — |
| Kadlec Regional Medical Center | $541 – $911 | — | — |
| Legacy Salmon Creek Medical Center | $390 – $6,216 | $870 | $1,339 |
| Mary Bridge Children's Hospital | $304 – $2,203 | — | — |
| MultiCare Auburn Medical Center | $466 – $1,453 | — | — |
| MultiCare Covington Medical Center | $466 – $1,453 | — | — |
| MultiCare Good Samaritan Hospital | $466 – $1,453 | — | — |
| MultiCare Valley Hospital | $495 – $1,246 | — | — |
| Overlake Hospital Medical Center & Clinics | $440 – $1,320 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $498 – $828 | $232 – $690 | $331 – $986 |
| Providence Centralia Hospital | $862 – $2,301 | — | — |
| Providence Holy Family Hospital | $697 – $1,175 | — | — |
| Providence Regional Medical Center Everett | $581 – $794 | — | — |
| Providence St Mary Medical Center | $278 – $1,736 | — | — |
| Providence St Peter Hospital | $698 – $1,070 | — | — |
| Swedish Edmonds Hospital | $623 – $935 | — | — |
| Swedish Issaquah | $650 – $839 | $248 – $456 | $517 – $950 |
| Swedish Medical Center | $650 – $1,121 | $248 – $456 | $517 – $950 |
| Swedish Medical Center / Cherry Hill | $629 – $1,121 | $248 – $456 | $517 – $950 |
| Tacoma General Allenmore Hospital | $466 – $1,453 | — | — |
| University of Washington Medical Ctr | $962 – $1,313 | — | — |
| Virginia Mason Medical Center | $15.71 – $18,711 | $373 | $732 |
| Yakima Valley Memorial | $253 – $5,793 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.