CPT 67516

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Current code28 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 67516 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$623 – $1,70914 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$605 – $1,4419 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$612 – $8143 plans$966$1,380
Island HospitalAnacortes$511 – $7105 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$622 – $1,0346 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$736 – $14,7557 plans$76.05 – $218Doctor’s fee: $142 – $218$117 – $335Doctor’s fee: $218 – $335
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$623 – $2,5417 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$623 – $1,58614 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$623 – $1,58614 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$623 – $1,5869 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$588 – $1,43710 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$422 – $1,0129 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$622 – $33,60311 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$646 – $10,1229 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$442 – $11,24112 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$451 – $19,88512 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$300 – $1,5247 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$323 – $27,9829 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$564 – $6,19113 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$575 – $17,25713 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$574 – $1,62220 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$574 – $1,62214 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$623 – $1,58614 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$612 – $1,41711 plans$830$1,185
Virginia Mason Medical CenterSeattle$338 – $1,22410 plans$453$889
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$9731 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$618 – $5,79312 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$138 in an office; $87.50 in a hospital or surgery center
Doctor's fee, rest of Washington
$125 in an office; $80.90 in a hospital or surgery center
Hospital outpatient payment (national)
$337 (APC 5694)
Surgery center payment (national)
$67.81

How hospitals also write this code

Some price files write it differently. These are counted as CPT 67516:

  • 67516P (with a letter after it, P; 4 price lines)
  • 67516T (with a letter after it, T; 2 price lines)