CPT 95004
Test - Miscellaneous
Current code30 hospitals with prices
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 | $1,643 – $5,772 | — | — |
| Deaconess Medical Center | $1,581 – $4,167 | — | — |
| Harborview Medical Center | $1,591 – $2,117 | $22.47 | $32.10 |
| Island Hospital | $9.93 – $1,845 | $15.00 | $15.00 |
| Kadlec Regional Medical Center | $6.88 – $3,554 | — | — |
| Legacy Salmon Creek Medical Center | $1,914 – $3,755 | $6.50 | $10.00 |
| Mary Bridge Children's Hospital | $94.72 – $7,349 | — | — |
| MultiCare Auburn Medical Center | $1,648 – $5,781 | — | — |
| MultiCare Covington Medical Center | $1,648 – $5,781 | — | — |
| MultiCare Good Samaritan Hospital | $1,656 – $5,781 | — | — |
| MultiCare Valley Hospital | $1,581 – $4,158 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $1,097 – $8,671 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,617 – $3,272 | — | — |
| Providence Centralia Hospital | $1,681 – $7,666 | — | — |
| Providence Holy Family Hospital | $1,148 – $3,914 | — | — |
| Providence Regional Medical Center Everett | $1,174 – $3,818 | $7.28 | $14.00 |
| Providence St Mary Medical Center | $926 – $5,784 | — | — |
| Providence St Peter Hospital | $839 – $5,090 | — | — |
| Seattle Children's Hospital | |||
| Skagit Valley Hospital | $27.86 – $4,735 | $28.00 | $35.00 |
| Swedish Edmonds Hospital | $1,467 – $4,545 | — | — |
| Swedish Issaquah | $1,496 – $4,545 | — | — |
| Swedish Medical Center | $1,492 – $4,545 | — | — |
| Swedish Medical Center / Cherry Hill | $1,492 – $4,218 | — | — |
| Tacoma General Allenmore Hospital | $1,656 – $4,801 | — | — |
| University of Washington Medical Ctr | $1,591 – $4,375 | $59.40 | $84.85 |
| Virginia Mason Medical Center | $4.50 – $3,754 | $15.30 | $30.00 |
| Wellfound Behavioral Health Hospital | $2,529 | — | — |
| Yakima Valley Memorial | $1,607 – $3,493 | — | — |
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)