CPT 0874T
Other Organ Systems
Current code26 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 | $4,063 – $4,469 | — | — |
| Deaconess Medical Center | $3,910 – $4,301 | — | — |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | $3,990 – $4,788 | — | — |
| Legacy Salmon Creek Medical Center | $4,109 – $4,469 | — | — |
| Mary Bridge Children's Hospital | $4,095 – $4,504 | — | — |
| MultiCare Auburn Medical Center | $4,075 – $4,482 | — | — |
| MultiCare Covington Medical Center | $4,075 – $4,482 | — | — |
| MultiCare Good Samaritan Hospital | $4,095 – $4,504 | — | — |
| MultiCare Valley Hospital | $4,027 – $4,301 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $4,158 – $4,324 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,990 – $4,788 | — | — |
| Providence Centralia Hospital | $4,146 – $6,634 | — | — |
| Providence Holy Family Hospital | $3,990 – $4,389 | — | — |
| Providence Regional Medical Center Everett | $4,077 – $4,485 | — | — |
| Providence St Mary Medical Center | $3,990 – $4,389 | — | — |
| Providence St Peter Hospital | $4,118 – $6,588 | — | — |
| Swedish Edmonds Hospital | $4,077 – $4,893 | — | — |
| Swedish Issaquah | $4,158 – $4,989 | — | — |
| Swedish Medical Center | $4,146 – $4,975 | — | — |
| Swedish Medical Center / Cherry Hill | $4,146 – $4,975 | — | — |
| Tacoma General Allenmore Hospital | $4,095 – $4,504 | — | — |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $4,188 – $4,690 | — | — |
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)
- $3,658 (APC 5341)
- Surgery center payment (national)
- $1,744
How hospitals also write this code
Some price files write it differently. These are counted as CPT 0874T:
- 874T (leading zeros left off; 38 price lines)