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Every billing code / CPT 92540 / Seattle Children's Hospital

CPT 92540 at Seattle Children's Hospital

Vision, Hearing, and Speech Services

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$159 – $629142 plans$78.32 – $254
Medicaid managed careInsurer rates$120 – $21313 plans$45.43 – $48.52
Medicaid (state program)Insurer rates$118 – $1651 plan$44.11
Other government programInsurer rates$192 – $2691 plan$92.87
UnknownInsurer rates$118 – $59014 plans$44.11 – $201
Cash pricePaying yourself, without insurance$318 – $655—
List priceBefore any discount; few people pay it$318 – $655$318

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 test or scan: equipment and staff—The price above
Reading doctorThe doctor who reads it (often a radiology group)Reading the results and writing the report$82.62$97.49 – $148

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

Compare CPT 92540 at every Washington hospital, with Medicare’s reference amounts.