CPT 91122
Test - Miscellaneous
Retired code28 hospitals with prices
This code is retired. Some hospitals still list it.
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 | — | — | — |
| Deaconess Medical Center | — | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $157 – $497 | $241 – $764 |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | $1,124 | $2,248 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $767 – $1,196 | $1,095 – $1,708 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $624 | $891 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | — | $359 | $359 |
| Skagit Valley Hospital | $311 – $327 | $1,100 | $1,375 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $344 – $790 | $716 – $1,646 |
| Swedish Medical Center | — | $344 – $790 | $716 – $1,646 |
| Swedish Medical Center / Cherry Hill | — | $344 – $790 | $716 – $1,646 |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | $38.95 – $2,230 | $652 | $1,279 |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.