CPT 95028

Test - Miscellaneous

Current code36 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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 95028 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$79.70	$114
Highline Medical CenterBurienFile dated 2026-02-28	—	$31.16	$102
Island HospitalAnacortes	$30.00 – $32.553 plans	$21.00	$21.00
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$22.75	$35.00
Seattle Children's HospitalSeattle	—	$42.30	$42.30
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$31.03	$102
St Clare HospitalLakewoodFile dated 2026-02-28	—	$29.41	$102
St Elizabeth HospitalEnumclawFile dated 2026-02-28	$28.57 – $33.855 plans	$36.06	$102
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$32.02	$102
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$33.79	$102
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$45.03	$102
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$77.62	$111
Virginia Mason Medical CenterSeattle	—	$19.89	$39.00

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): $15.03 in an office; $15.03 in a hospital or surgery center
Doctor's fee, rest of Washington: $12.92 in an office; $12.92 in a hospital or surgery center
Hospital outpatient payment (national): $38.16 (APC 5732)