CPT 0864T
Treatment - Miscellaneous
Current code28 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $284 – $312 | — | — |
| Deaconess Medical Center | $273 – $300 | — | — |
| Harborview Medical Center | $289 – $318 | — | — |
| Island Hospital | $298 – $316 | — | — |
| Kadlec Regional Medical Center | $278 – $334 | — | — |
| Legacy Salmon Creek Medical Center | $287 – $312 | — | — |
| Mary Bridge Children's Hospital | $286 – $314 | — | — |
| MultiCare Auburn Medical Center | $284 – $313 | — | — |
| MultiCare Covington Medical Center | $284 – $313 | — | — |
| MultiCare Good Samaritan Hospital | $286 – $314 | — | — |
| MultiCare Valley Hospital | $281 – $300 | — | — |
| Olympic Medical Center | $313 – $403 | — | — |
| Overlake Hospital Medical Center & Clinics | $290 – $302 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $278 – $334 | — | — |
| Providence Centralia Hospital | $289 – $463 | — | — |
| Providence Holy Family Hospital | $278 – $306 | — | — |
| Providence Regional Medical Center Everett | $285 – $313 | — | — |
| Providence St Mary Medical Center | $278 – $306 | — | — |
| Providence St Peter Hospital | $287 – $460 | — | — |
| Swedish Edmonds Hospital | $285 – $341 | — | — |
| Swedish Issaquah | $290 – $348 | — | — |
| Swedish Medical Center | $289 – $347 | — | — |
| Swedish Medical Center / Cherry Hill | $289 – $347 | — | — |
| Tacoma General Allenmore Hospital | $286 – $314 | — | — |
| University of Washington Medical Ctr | $289 – $318 | — | — |
| Virginia Mason Medical Center | $185 – $278 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $292 – $327 | — | — |
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.
- Hospital outpatient payment (national)
- $255 (APC 5371)
- Surgery center payment (national)
- $138
How hospitals also write this code
Some price files write it differently. These are counted as CPT 0864T:
- 864T (leading zeros left off; 59 price lines)