CareNavIQ

Every billing code / Procedures and surgery / Other Organ Systems

CPT 54164

Other Organ Systems

Current code39 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

Unknown: The source file doesn't say which population this rate applies to.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland$5,4621 plan$4,855$6,069
Harborview Medical CenterSeattleFile dated 2026-04-01—$7,757$11,082
Island HospitalAnacortes$1,567 – $2,6203 plans$281 – $2,119$281 – $2,119
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$126 – $360Doctor’s fee: $234 – $360$194 – $554Doctor’s fee: $360 – $554
Seattle Children's HospitalSeattle$115 – $50421 plans—$824
Three Rivers HospitalBrewsterDoctor’s fee: $222 – $421Doctor’s fee: $514Doctor’s fee: $514
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,722$3,888
Virginia Mason Medical CenterSeattle—$2,789$5,469

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)
$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)