HCPCS G6040 at Skyline Hospital

Alcohol (ethanol); any specimen except breath

Skyline Hospital, White Salmon

Description from CMS's HCPCS Level II code file.

What Skyline Hospital publishes for this code: as an outpatient

Skyline Hospital’s prices for HCPCS G6040, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$115 – $1272 plans	—
Medicare AdvantageInsurer rates	$64.803 plans	—
Medicaid managed careInsurer rates	$67.27 – $79.393 plans	—
Other government programInsurer rates	$97.201 plan	—
UnknownInsurer rates	$71.31 – $1356 plans	—
Cash pricePaying yourself, without insurance	$97.20	—
List priceBefore any discount; few people pay it	$135	—

Lowest and highest amounts Skyline Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-21. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS G6040 at Skyline Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G6040 at every Washington hospital, with Medicare’s reference amounts.