CPT 69005 at Seattle Children's Hospital

Other Organ Systems

Seattle Children's Hospital, Seattle

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 Seattle Children's Hospital publishes for this code: as an outpatient

Seattle Children's Hospital’s prices for CPT 69005, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$260 – $54558 plans	—
Medicaid managed careInsurer rates	$98.19 – $1059 plans	—
Medicaid (state program)Insurer rates	$95.331 plan	—
Other government programInsurer rates	$2041 plan	—
UnknownInsurer rates	$95.33 – $42121 plans	—
Cash pricePaying yourself, without insurance	—	—
List priceBefore any discount; few people pay it	$681	—

Lowest and highest amounts Seattle Children's Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 69005 at Seattle Children's Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The operating or procedure room, nursing, supplies and recovery	—	The price above
Surgeon or doctor doing itThe doctor's practice	The procedure, and routine follow-up visits for 10 days	$163	$192 – $291
AnesthesiaAn anesthesia group (only sometimes)	Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 69005 at every Washington hospital, with Medicare’s reference amounts.