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CPT 91122

Test - Miscellaneous

Retired code28 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.

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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$525 – $1,45613 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$509 – $1,2496 plans——
Island HospitalAnacortes$6482 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$472 – $8764 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$662 – $6,2164 plans$157 – $497$241 – $764
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$304 – $2,2039 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$525 – $1,49414 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$525 – $1,49414 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$525 – $1,4949 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$495 – $1,2467 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$709 – $2,24110 plans$1,124$2,248
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$630 – $8153 plans$767 – $1,196$1,095 – $1,708
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,093 – $2,3015 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$697 – $1,1754 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$660 – $9163 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$624$891
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$278 – $1,4134 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,1041 plan——
Seattle Children's HospitalSeattle$180 – $28747 plansDoctor’s fee: $145 – $268$359$359Doctor’s fee: $268
Skagit Valley HospitalMount Vernon$498 – $1,42111 plans$1,100$1,375
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$785 – $1,1756 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$694 – $1,1756 plans$344 – $790$716 – $1,646
Swedish Medical CenterSeattleFile dated 2026-04-01$836 – $1,17512 plans$344 – $790$716 – $1,646
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$836 – $1,1216 plans$344 – $790$716 – $1,646
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$525 – $1,45314 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$962 – $1,3135 plans——
Virginia Mason Medical CenterSeattle$7.99 – $18,71110 plans$652$1,279
Yakima Valley MemorialYakimaFile dated 2026-08-27$430 – $5,79312 plans——

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

CMS publishes no national amount for this code.