CPT 0428T
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 | $6,568 – $10,768 | — | — |
| Deaconess Medical Center | $14,485 | — | — |
| Kadlec Regional Medical Center | $11,681 | — | — |
| Legacy Salmon Creek Medical Center | $8,874 – $13,008 | — | — |
| Mary Bridge Children's Hospital | $25,543 | — | — |
| MultiCare Auburn Medical Center | $5,256 – $15,037 | — | — |
| MultiCare Covington Medical Center | $5,256 – $15,037 | — | — |
| MultiCare Good Samaritan Hospital | $5,256 – $15,037 | — | — |
| MultiCare Valley Hospital | $14,452 | — | — |
| Overlake Hospital Medical Center & Clinics | $4,723 – $14,168 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $9,760 | — | — |
| Providence Centralia Hospital | $18,419 | — | — |
| Providence Regional Medical Center Everett | $11,933 | — | — |
| Providence St Peter Hospital | $14,798 | — | — |
| Swedish Edmonds Hospital | $15,239 – $15,931 | — | — |
| Swedish Issaquah | $15,333 – $16,152 | — | — |
| Swedish Medical Center | $15,333 – $16,152 | — | — |
| Swedish Medical Center / Cherry Hill | $14,766 – $15,396 | — | — |
| Tacoma General Allenmore Hospital | $5,256 – $15,037 | — | — |
| Virginia Mason Medical Center | $9,620 | — | — |
| Yakima Valley Memorial | $5,224 – $9,029 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.