Every billing code / CPT 69209 / Seattle Children's Hospital
CPT 69209 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 69209, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $29.49 – $836at least 152 plans | — |
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| Medicaid managed careInsurer rates | $9.82 – $154at least 13 plans | — |
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| Medicaid (state program)Insurer rates | $9.53 – $140at least 1 plan | — |
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| Other government programInsurer rates | $21.19 – $294at least 1 plan | — |
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| UnknownInsurer rates | $9.53 – $642at least 23 plans | — |
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| Cash pricePaying yourself, without insurance | $102 – $1,045 | — |
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| List priceBefore any discount; few people pay it | $65.00 – $1,045 | — |
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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.
What Seattle Children's Hospital publishes for this code: during a hospital stay
Seattle Children's Hospital’s prices for CPT 69209, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $29.49 – $147at least 152 plans | — |
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| Medicaid managed careInsurer rates | $9.82 – $49.70at least 13 plans | — |
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| Medicaid (state program)Insurer rates | $9.53 – $38.53at least 1 plan | — |
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| Other government programInsurer rates | $21.19 – $62.69at least 1 plan | — |
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| UnknownInsurer rates | $9.53 – $138at least 23 plans | — |
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| Cash pricePaying yourself, without insurance | $97.50 – $153 | — |
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| List priceBefore any discount; few people pay it | $65.00 – $153 | — |
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Lowest and highest amounts Seattle Children's Hospital lists for this code during a hospital stay, 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 69209 at Seattle Children's Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The operating or procedure room, nursing, supplies and recovery | — | The price above |
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| Surgeon or doctor doing itThe doctor's practice | The procedure | $20.76 | $24.50 – $37.16 |
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| 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. | — | — |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 69209 at every Washington hospital, with Medicare’s reference amounts.