CPT 67904
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Current code36 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 | $2,698 – $2,968 | — | — |
| Deaconess Medical Center | $2,596 – $2,856 | — | — |
| Harborview Medical Center | $2,753 – $3,028 | $11,712 – $17,569 | $16,732 – $25,098 |
| Highline Medical Center | $2,597 – $2,986 | — | — |
| Island Hospital | $2,837 – $3,008 | — | — |
| Kadlec Regional Medical Center | $2,649 – $3,179 | — | — |
| Legacy Salmon Creek Medical Center | $2,729 – $2,967 | $467 – $1,333 | $718 – $2,050 |
| Mary Bridge Children's Hospital | $2,719 – $2,991 | — | — |
| MultiCare Auburn Medical Center | $2,706 – $2,976 | — | — |
| MultiCare Covington Medical Center | $2,706 – $2,976 | — | — |
| MultiCare Good Samaritan Hospital | $2,719 – $2,991 | — | — |
| MultiCare Valley Hospital | $2,674 – $2,856 | — | — |
| Olympic Medical Center | $2,979 – $3,831 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,761 – $2,871 | — | — |
| PeaceHealth Southwest Medical Cente | $2,636 – $3,032 | $3,156 – $11,048 | $4,855 – $16,997 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,649 – $3,179 | — | — |
| Providence Centralia Hospital | $2,753 – $4,405 | — | — |
| Providence Holy Family Hospital | $2,649 – $2,914 | — | — |
| Providence Regional Medical Center Everett | $2,707 – $2,978 | — | — |
| Providence St Mary Medical Center | $2,649 – $2,914 | — | — |
| Providence St Peter Hospital | $2,734 – $4,375 | — | — |
| St Anthony Hospital | $2,644 – $3,041 | — | — |
| St Clare Hospital | $2,644 – $3,041 | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | $2,597 – $2,986 | — | — |
| St Joseph Medical Center | $2,644 – $3,041 | — | — |
| St Michael Medical Center | $2,719 – $2,936 | — | — |
| Swedish Edmonds Hospital | $2,707 – $3,249 | — | — |
| Swedish Issaquah | $2,761 – $3,313 | — | — |
| Swedish Medical Center | $2,753 – $3,304 | — | — |
| Swedish Medical Center / Cherry Hill | $2,753 – $3,304 | — | — |
| Tacoma General Allenmore Hospital | $2,719 – $2,991 | — | — |
| University of Washington Medical Ctr | $2,753 – $3,028 | — | — |
| Virginia Mason Medical Center | $3.59 – $2,668 | $4,655 | $9,128 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,781 – $3,114 | — | — |
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)
- $859 in an office; $569 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $768 in an office; $518 in a hospital or surgery center
- Hospital outpatient payment (national)
- $2,429 (APC 5503)
- Surgery center payment (national)
- $1,088
How hospitals also write this code
Some price files write it differently. These are counted as CPT 67904:
- 67904P (with a letter after it, P; 2 price lines)
- 67904T (with a letter after it, T; 1 price line)