CPT 0404T
Other Organ Systems
Retired code21 hospitals with prices
This code is retired. Some hospitals still list it.
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 | $13,985 – $22,926 | — | — |
| Deaconess Medical Center | $30,888 | — | — |
| Kadlec Regional Medical Center | $24,870 | — | — |
| Legacy Salmon Creek Medical Center | $18,895 – $27,695 | — | — |
| Mary Bridge Children's Hospital | $54,470 | — | — |
| MultiCare Auburn Medical Center | $11,192 – $32,065 | — | — |
| MultiCare Covington Medical Center | $11,192 – $32,065 | — | — |
| MultiCare Good Samaritan Hospital | $11,192 – $32,065 | — | — |
| MultiCare Valley Hospital | $30,819 | — | — |
| Overlake Hospital Medical Center & Clinics | $7,297 – $30,166 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $20,781 | — | — |
| Providence Centralia Hospital | $39,216 | — | — |
| Providence Regional Medical Center Everett | $25,407 | — | — |
| Providence St Peter Hospital | $31,507 | — | — |
| Swedish Edmonds Hospital | $32,445 – $33,920 | — | — |
| Swedish Issaquah | $32,647 – $34,389 | — | — |
| Swedish Medical Center | $32,647 – $34,389 | — | — |
| Swedish Medical Center / Cherry Hill | $31,440 – $32,781 | — | — |
| Tacoma General Allenmore Hospital | $11,192 – $32,065 | — | — |
| Virginia Mason Medical Center | $20,514 | — | — |
| Yakima Valley Memorial | $11,123 – $19,253 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.