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CPT 30901

Other Organ Systems

Current code51 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$238$595
Cascade Medical CenterLeavenworth$180 – $5994 plansDoctor’s fee: $210 – $315$258 – $573Doctor’s fee: $302$323 – $716Doctor’s fee: $377
Coulee Medical CenterGrand Coulee—$401$445
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$200$500
EvergreenHealth Medical CenterKirkland—$309$386
EvergreenHealth MonroeMonroe$1401 plan$309 – $565$386 – $706
Harborview Medical CenterSeattleFile dated 2026-04-01—$887 – $1,330$1,266 – $1,900
Island HospitalAnacortes$78.32 – $84.973 plans$122 – $210$122 – $210
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$788$1,126
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$238$595
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$238$595
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$238$595
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$238$595
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$200$500
Olympic Medical CenterPort AngelesFile dated 2026-06-24$97.03 – $1065 plans$194$242
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$402$804
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$333$475
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$482$927
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$403 – $431$576 – $616
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$115 – $116$164 – $165
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$479$921
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$95.90 – $116$137 – $165
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$176 – $583$252 – $833
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$482$927
Seattle Children's HospitalSeattle$32.92 – $122at least 13 plans$374$235 – $374
Skagit Valley HospitalMount Vernon$109 – $1304 plans$548 – $1,096$685 – $1,370
Swedish IssaquahIssaquahFile dated 2026-04-01—$342$713
Swedish Medical CenterSeattleFile dated 2026-04-01—$342$713
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$342$713
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$238$595
Three Rivers HospitalBrewster$77.49 – $3211 planDoctor’s fee: $134$111 – $459Doctor’s fee: $192$111 – $459Doctor’s fee: $192
University of Washington Medical CtrSeattleFile dated 2026-04-01—$643 – $965$919 – $1,378
Virginia Mason Medical CenterSeattle—$315$617
Yakima Valley MemorialYakimaFile dated 2026-08-27—$252$630

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)
$194 in an office; $52.14 in a hospital or surgery center
Doctor's fee, rest of Washington
$171 in an office; $49.12 in a hospital or surgery center
Hospital outpatient payment (national)
$136 (APC 5734)