CPT 95250
Test - Miscellaneous
Current code43 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 | $50.99 – $75.54 | $420 | $1,049 |
| Cascade Medical Center | $154 – $231 | $221 | $276 |
| Cascade Valley Hospital | $139 – $606 | $485 | $606 |
| Coulee Medical Center | — | $519 | $576 |
| Deaconess Medical Center | $46.66 – $49.40 | — | — |
| EvergreenHealth Medical Center | — | $616 | $770 |
| Harborview Medical Center | — | $1,187 | $1,696 |
| Highline Medical Center | — | $54.43 – $211 | $178 – $690 |
| Island Hospital | $48.14 – $52.23 | $230 | $230 |
| Kadlec Regional Medical Center | — | $554 | $792 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $48.26 – $52.12 | $420 | $1,049 |
| MultiCare Auburn Medical Center | $47.38 – $51.17 | $420 | $1,049 |
| MultiCare Covington Medical Center | $47.38 – $51.17 | $420 | $1,049 |
| MultiCare Good Samaritan Hospital | $48.48 – $52.36 | $420 | $1,049 |
| MultiCare Valley Hospital | $46.32 – $49.05 | — | — |
| Olympic Medical Center | $59.64 – $65.32 | $404 | $505 |
| Overlake Hospital Medical Center & Clinics | — | $782 | $1,563 |
| PeaceHealth Peace Island Medical Center | — | $305 | $469 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | $104 | $200 |
| Providence St Mary Medical Center | — | $810 | $1,157 |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | — | $537 | $537 |
| Skagit Valley Hospital | $30.13 | $532 | $665 |
| St Anthony Hospital | — | $54.22 – $210 | $178 – $690 |
| St Clare Hospital | — | $51.38 – $199 | $178 – $690 |
| St Elizabeth Hospital | $30.31 – $143 | $62.99 – $244 | $178 – $690 |
| St Francis Community Hospital | — | $55.94 – $217 | $178 – $690 |
| St Joseph Medical Center | — | $59.04 – $229 | $178 – $690 |
| St Michael Medical Center | — | $78.68 – $305 | $178 – $690 |
| Swedish Edmonds Hospital | — | $96.00 | $200 |
| Swedish Issaquah | — | $96.00 | $200 |
| Swedish Medical Center | — | $96.00 | $200 |
| Swedish Medical Center / Cherry Hill | — | $96.00 | $200 |
| Tacoma General Allenmore Hospital | $48.50 – $52.38 | $420 | $1,049 |
| University of Washington Medical Ctr | — | $732 | $1,046 |
| Virginia Mason Medical Center | — | $309 | $605 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | ||
| Yakima Valley Memorial | $46.34 – $53.84 | $174 | $434 |
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)
- $187 in an office; $187 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $160 in an office; $160 in a hospital or surgery center
- Hospital outpatient payment (national)
- $136 (APC 5012)