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Every billing code / CPT 95816 / Seattle Children's Hospital

CPT 95816 at Seattle Children's Hospital

Neurologic

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$115 – $2,173142 plans$94.16 – $165
Medicaid managed careInsurer rates$108 – $73613 plans$33.11 – $35.37
Medicaid (state program)Insurer rates$103 – $5701 plan$32.15
Other government programInsurer rates$160 – $9281 plan$67.69
UnknownInsurer rates$103 – $2,03714 plans$32.15 – $145
Cash pricePaying yourself, without insurance$229 – $2,264—
List priceBefore any discount; few people pay it$229 – $2,264$206

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$62.37$73.60 – $112

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

Compare CPT 95816 at every Washington hospital, with Medicare’s reference amounts.