CPT 95816

Neurologic

Current code43 hospitals with prices

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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 95816 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$806$2,016
Cascade Medical CenterLeavenworth$36.321 plan$54.40$68.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$477$1,193
EvergreenHealth Medical CenterKirkland—$1,090$1,362
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,232$1,760
Highline Medical CenterBurienFile dated 2026-02-28—$721$2,360
Island HospitalAnacortes———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,421$2,030
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$101 – $706Doctor’s fee: $459 – $706$155 – $1,086Doctor’s fee: $706 – $1,086
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$657$1,642
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$657$1,642
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$657$1,642
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$657$1,642
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$477$1,193
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$539$674
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1,017$2,033
PeaceHealth Southwest Medical CenteVancouver—$846 – $852$1,301 – $1,311
PeaceHealth St John Medical CenterLongview—$850 – $852$1,308 – $1,311
PeaceHealth St Joseph Medical CenterBellingham—$1,105 – $1,138$1,700 – $1,751
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$521 – $1,282$744 – $1,831
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$782$1,503
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$519 – $988$742 – $1,411
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$300$428
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$765$1,472
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,062$1,517
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$782$1,503
Seattle Children's HospitalSeattle$103 – $5701 planDoctor’s fee: $32.15$229 – $2,264$229 – $2,264Doctor’s fee: $206
Skagit Valley HospitalMount Vernon—$1,182$1,478
St Anthony HospitalGig HarborFile dated 2026-02-28—$718$2,360
St Clare HospitalLakewoodFile dated 2026-02-28—$680$2,360
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$834$2,360
St Francis Community HospitalFederal WayFile dated 2026-02-28—$741$2,360
St Joseph Medical CenterTacomaFile dated 2026-02-28—$782$2,360
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,041$2,360
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$578 – $1,156$1,204 – $2,408
Swedish Medical CenterSeattleFile dated 2026-04-01—$578 – $1,156$1,204 – $2,408
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$578 – $1,156$1,204 – $2,408
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$657$1,642
University of Washington Medical CtrSeattleFile dated 2026-04-01—$985$1,408
Virginia Mason Medical CenterSeattle—$732$1,436
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27—$323$808

Lowest and highest amounts each hospital lists for this code as an outpatient, 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.

Doctor's fee, Seattle (King County)
$500 in an office; $500 in a hospital or surgery center
Doctor's fee, rest of Washington
$433 in an office; $433 in a hospital or surgery center
Hospital outpatient payment (national)
$221 (APC 5722)

How hospitals also write this code

Some price files write it differently. These are counted as CPT 95816:

  • 95816P (with a letter after it, P; 2 price lines)
  • 95816T (with a letter after it, T; 1 price line)