CPT 49421
Peritoneal Dialysis
Current code40 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,781 – $4,120 | $4,565 | $11,412 |
| Cascade Medical Center | $695 – $1,044 | $999 | $1,249 |
| Deaconess Medical Center | $2,544 – $2,694 | — | — |
| Harborview Medical Center | — | $11,889 | $16,985 |
| Highline Medical Center | — | $1,927 | $6,311 |
| Island Hospital | $2,625 – $2,848 | — | — |
| Kadlec Regional Medical Center | — | $15,104 | $21,577 |
| Legacy Salmon Creek Medical Center | — | $144 – $411 | $221 – $632 |
| Mary Bridge Children's Hospital | $2,632 – $2,842 | $2,984 | $7,459 |
| MultiCare Auburn Medical Center | $2,584 – $2,791 | $2,984 | $7,459 |
| MultiCare Covington Medical Center | $2,584 – $2,791 | $2,984 | $7,459 |
| MultiCare Good Samaritan Hospital | $2,644 – $2,855 | $2,984 | $7,459 |
| MultiCare Valley Hospital | $2,526 – $2,675 | — | — |
| Olympic Medical Center | $3,252 – $3,562 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth St Joseph Medical Center | $4,465 | $18,052 | $27,773 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,681 – $7,719 | $6,687 – $11,027 |
| Providence Centralia Hospital | — | $7,400 | $14,231 |
| Providence Holy Family Hospital | — | $5,807 | $8,295 |
| Providence Mount Carmel Hospital | — | $8,197 | $11,710 |
| Providence Regional Medical Center Everett | — | $5,634 | $10,835 |
| Providence St Joseph Hospital | — | $6,818 | $9,740 |
| Providence St Mary Medical Center | — | $7,119 | $10,170 |
| Providence St Peter Hospital | — | $7,400 | $14,231 |
| Seattle Children's Hospital | $131 – $140 | — | $940 |
| St Anthony Hospital | — | $1,919 | $6,311 |
| St Clare Hospital | — | $1,819 | $6,311 |
| St Elizabeth Hospital | $1,073 – $1,306 | $2,230 | $6,311 |
| St Francis Community Hospital | — | $1,980 | $6,311 |
| St Joseph Medical Center | — | $2,090 | $6,311 |
| St Michael Medical Center | — | $2,785 | $6,311 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $4,996 – $10,097 | $10,408 – $21,036 |
| Swedish Medical Center | — | $4,996 – $10,097 | $10,408 – $21,036 |
| Swedish Medical Center / Cherry Hill | — | $4,996 – $10,097 | $10,408 – $21,036 |
| Tacoma General Allenmore Hospital | $2,645 – $2,856 | $2,984 | $7,459 |
| University of Washington Medical Ctr | — | $12,906 | $18,437 |
| Virginia Mason Medical Center | — | $5,253 | $10,300 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,527 – $2,936 | — | — |
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.
- Doctor's fee, Seattle (King County)
- $215 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $202 in a hospital or surgery center
- 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 49421:
- 49421P (with a letter after it, P; 2 price lines)
- 49421T (with a letter after it, T; 1 price line)