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CPT 54162

Other Organ Systems

Current code41 hospitals with prices

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 Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$3971 plan$594$743
Coulee Medical CenterGrand Coulee—$2,363$2,626
Harborview Medical CenterSeattleFile dated 2026-04-01—$7,697$10,996
Island HospitalAnacortes—$377 – $5,119$377 – $5,119
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$164 – $469Doctor’s fee: $305 – $469$253 – $722Doctor’s fee: $469 – $722
Seattle Children's HospitalSeattle$117 – $2051 plan$813$813 – $842
Swedish IssaquahIssaquahFile dated 2026-04-01—$5,869$12,228
Swedish Medical CenterSeattleFile dated 2026-04-01—$5,869$12,228
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$5,869$12,228
University of Washington Medical CtrSeattleFile dated 2026-04-01—$4,646$6,637
Virginia Mason Medical CenterSeattle—$3,208$6,291

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)
$299 in an office; $201 in a hospital or surgery center
Doctor's fee, rest of Washington
$270 in an office; $186 in a hospital or surgery center
Hospital outpatient payment (national)
$2,136 (APC 5373)
Surgery center payment (national)
$1,002

How hospitals also write this code

Some price files write it differently. These are counted as CPT 54162:

  • 54162P (with a letter after it, P; 2 price lines)
  • 54162T (with a letter after it, T; 1 price line)