CPT 0058T

Treatment - Miscellaneous

Retired code18 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.

This code is retired. Some hospitals still list it.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 0058T by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$556 – $9113 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$5611 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$404 – $5933 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$484 – $9133 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$484 – $9133 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$484 – $9133 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$456 – $1,3694 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$5171 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$8941 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$6031 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$8041 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$646 – $7182 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$674 – $7182 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$674 – $7182 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$653 – $6602 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$484 – $6753 plans——
Virginia Mason Medical CenterSeattle$3231 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$263 – $4312 plans——

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

CMS publishes no national amount for this code.