CPT 95004

Test - Miscellaneous

Current code30 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 95004 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$22.47	$32.10
Island HospitalAnacortes	$9.93 – $1,84515 plans	$15.00	$15.00
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$6.50	$10.00
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$7.28	$14.00
Seattle Children's HospitalSeattle	Doctor’s fee: $25.60 – $45.50	Doctor’s fee: $47.40	Doctor’s fee: $47.40
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$59.40	$84.85
Virginia Mason Medical CenterSeattle	$19.22 – $24.004 plans	$15.30	$30.00

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): $4.31 in an office; $4.31 in a hospital or surgery center
Doctor's fee, rest of Washington: $3.76 in an office; $3.76 in a hospital or surgery center
Hospital outpatient payment (national): $877 (APC 5724)