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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
Prices for CPT 81216 by hospital
Hospital
Medicaid managed care rates (lowest – highest)
Cash price
List price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01
—
$893
$1,275
Providence Regional Medical Center EverettEverettFile dated 2026-04-01
—
$99.84
$192
University of Washington Medical CtrSeattleFile dated 2026-04-01
—
$893
$1,275
Virginia Mason Medical CenterSeattle
—
$281
$550
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.