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Every billing code / CPT 10021 / Summit Pacific Medical Center

CPT 10021 at Summit Pacific Medical Center

Other Organ Systems

Summit Pacific Medical Center, Elma

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.

What Summit Pacific Medical Center publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$199 – $1,193at least 3 plans$56.52
Medicare AdvantageInsurer rates$266 – $387at least 3 plans$45.83 – $48.58
Medicaid managed careInsurer rates$65.60 – $337at least 3 plans$31.40 – $34.54
Other government programInsurer rates$266 – $375at least 1 plan$45.83
UnknownInsurer rates$65.60 – $1,060at least 2 plans$31.40 – $240
Cash pricePaying yourself, without insurance$153 – $716$232 – $324
List priceBefore any discount; few people pay it$284 – $1,325$430 – $600

Lowest and highest amounts Summit Pacific Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-31. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe service—The price above

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 10021 at every Washington hospital, with Medicare’s reference amounts.