CPT 95004
Test - Miscellaneous
Current code30 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $31.78 – $47.08 | — | — |
| Deaconess Medical Center | $29.07 – $30.78 | — | — |
| Harborview Medical Center | — | $22.47 | $32.10 |
| Island Hospital | $30.00 – $32.55 | $15.00 | $15.00 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $6.50 | $10.00 |
| Mary Bridge Children's Hospital | $30.07 – $32.48 | — | — |
| MultiCare Auburn Medical Center | $29.53 – $31.89 | — | — |
| MultiCare Covington Medical Center | $29.53 – $31.89 | — | — |
| MultiCare Good Samaritan Hospital | $30.21 – $32.63 | — | — |
| MultiCare Valley Hospital | $28.87 – $30.57 | — | — |
| Olympic Medical Center | $37.16 – $40.70 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | $7.28 | $14.00 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | |||
| Skagit Valley Hospital | $1.26 – $71.32 | $28.00 | $35.00 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $30.22 – $32.64 | — | — |
| University of Washington Medical Ctr | — | $59.40 | $84.85 |
| Virginia Mason Medical Center | — | $15.30 | $30.00 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $28.88 – $33.55 | — | — |
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)