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Every billing code / CPT 91010 / Seattle Children's Hospital

CPT 91010 at Seattle Children's Hospital

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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

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$132 – $3,596142 plans$107 – $166
Medicaid managed careInsurer rates$124 – $1,21813 plans$37.54 – $40.10
Medicaid (state program)Insurer rates$118 – $9441 plan$36.45
Other government programInsurer rates$184 – $1,5361 plan$76.66
UnknownInsurer rates$118 – $3,37214 plans$36.45 – $166
Cash pricePaying yourself, without insurance$263 – $3,746—
List priceBefore any discount; few people pay it$263 – $3,746$197

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.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe operating or procedure room, nursing, supplies and recovery—The price above
Surgeon or doctor doing itThe doctor's practiceThe procedure$74.85$88.32 – $134
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 91010 at every Washington hospital, with Medicare’s reference amounts.