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Every billing code / Procedures and surgery / Surgery (CPT section)

CPT 11040

Unverified code (Surgery range)

Not in CMS's lists9 hospitals with prices

No list we have names this code; hospitals report it in their price files.

We can’t confirm this code. It isn’t in any CMS code list we have, though Washington hospitals list it. It may be a code retired before 2024, or a hospital’s own number.

What Washington hospitals publish for this code

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

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$7,9201 planDoctor’s fee: $52.00 – $81.25Doctor’s fee: $80.00 – $125
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$33,6031 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$10,1221 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$11,2411 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$13,908 – $19,8852 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$27,9821 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$4,912 – $6,1912 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$17,2571 plan——
Three Rivers HospitalBrewster—Doctor’s fee: $157Doctor’s fee: $157

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.

How hospitals also write this code

Some price files write it differently. These are counted as CPT 11040:

  • 11040P (with a letter after it, P; 4 price lines)