CPT 54164
Other Organ Systems
Current code39 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 | $2,372 – $2,609 | — | — |
| Deaconess Medical Center | $2,283 – $2,511 | — | — |
| EvergreenHealth Medical Center | $2,272 – $2,316 | $4,855 | $6,069 |
| Harborview Medical Center | $2,421 – $2,663 | $7,757 | $11,082 |
| Highline Medical Center | $2,280 – $2,622 | — | — |
| Island Hospital | $2,495 – $2,644 | $281 – $2,119 | $281 – $2,119 |
| Kadlec Regional Medical Center | $2,329 – $2,795 | — | — |
| Legacy Salmon Creek Medical Center | $2,399 – $2,609 | $126 – $360 | $194 – $554 |
| Mary Bridge Children's Hospital | $2,391 – $2,630 | — | — |
| MultiCare Auburn Medical Center | $2,379 – $2,617 | — | — |
| MultiCare Covington Medical Center | $2,379 – $2,617 | — | — |
| MultiCare Good Samaritan Hospital | $2,391 – $2,630 | — | — |
| MultiCare Valley Hospital | $2,351 – $2,511 | — | — |
| Olympic Medical Center | $2,620 – $3,368 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,427 – $2,525 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,329 – $2,795 | — | — |
| Providence Centralia Hospital | $2,421 – $3,873 | — | — |
| Providence Holy Family Hospital | $2,329 – $2,562 | — | — |
| Providence Regional Medical Center Everett | $2,381 – $2,619 | — | — |
| Providence St Mary Medical Center | $2,329 – $2,562 | — | — |
| Providence St Peter Hospital | $2,404 – $3,847 | — | — |
| Seattle Children's Hospital | — | — | $824 |
| St Anthony Hospital | $2,322 – $2,670 | — | — |
| St Clare Hospital | $2,322 – $2,670 | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | $2,280 – $2,622 | — | — |
| St Joseph Medical Center | $2,322 – $2,670 | — | — |
| St Michael Medical Center | $2,387 – $2,578 | — | — |
| Swedish Edmonds Hospital | $2,381 – $2,857 | — | — |
| Swedish Issaquah | $2,427 – $2,913 | — | — |
| Swedish Medical Center | $2,421 – $2,905 | — | — |
| Swedish Medical Center / Cherry Hill | $2,421 – $2,905 | — | — |
| Tacoma General Allenmore Hospital | $2,391 – $2,630 | — | — |
| Three Rivers Hospital | — | ||
| University of Washington Medical Ctr | $2,421 – $2,663 | $2,722 | $3,888 |
| Virginia Mason Medical Center | $3.24 – $2,343 | $2,789 | $5,469 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $463 – $1,665 | $463 – $1,665 |
| Yakima Valley Memorial | $2,445 – $2,738 | — | — |
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)
- $206 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $188 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 54164:
- 54164P (with a letter after it, P; 2 price lines)
- 54164T (with a letter after it, T; 1 price line)