CPT 0421T

Other Organ Systems

Retired code25 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.

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.

Prices for CPT 0421T by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$16,031 – $30,02213 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$15,557 – $38,1676 plans——
Island HospitalAnacortes$3,4782 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,750 – $29,9325 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$6,073 – $33,3328 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$16,031 – $67,3057 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$13,469 – $43,14114 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$13,469 – $43,14114 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$13,469 – $43,1419 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$15,126 – $38,0817 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$7,297 – $36,30613 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$5,419 – $25,0116 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$9,575 – $67,5466 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,985 – $34,4905 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$6,914 – $30,5776 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$8,163 – $50,9666 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3,484 – $37,9197 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,225 – $40,8249 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$7,277 – $41,3888 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$7,277 – $41,38813 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$7,277 – $39,4527 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$13,469 – $43,14114 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$28,246 – $38,5495 plans——
Virginia Mason Medical CenterSeattle$1,076 – $34,11610 plans$12,191$23,903
Yakima Valley MemorialYakimaFile dated 2026-08-27$13,386 – $30,77612 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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

CMS publishes no national amount for this code.

How hospitals also write this code

Some price files write it differently. These are counted as CPT 0421T:

  • 421T (leading zeros left off; 44 price lines)