CPT 30901
Other Organ Systems
Current code51 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $82.96 – $123 | $238 | $595 |
| Cascade Medical Center | $180 – $599 | $258 – $573 | $323 – $716 |
| Cascade Valley Hospital | $69.61 – $1,271 | $508 – $1,016 | $635 – $1,270 |
| Coulee Medical Center | — | $106 – $401 | $118 – $445 |
| Deaconess Medical Center | $75.91 – $80.37 | $200 | $500 |
| EvergreenHealth Medical Center | — | $309 | $386 |
| EvergreenHealth Monroe | $140 | $309 – $565 | $386 – $706 |
| Harborview Medical Center | — | $887 – $1,330 | $1,266 – $1,900 |
| Highline Medical Center | — | — | — |
| Island Hospital | $78.32 – $84.97 | $122 – $210 | $122 – $210 |
| Kadlec Regional Medical Center | — | $788 | $1,126 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $78.51 – $84.79 | $238 | $595 |
| MultiCare Auburn Medical Center | $77.09 – $83.26 | $238 | $595 |
| MultiCare Covington Medical Center | $77.09 – $83.26 | $238 | $595 |
| MultiCare Good Samaritan Hospital | $78.87 – $85.18 | $238 | $595 |
| MultiCare Valley Hospital | $75.37 – $79.80 | $200 | $500 |
| Olympic Medical Center | $97.03 – $106 | $194 | $242 |
| Overlake Hospital Medical Center & Clinics | — | $402 | $804 |
| PeaceHealth Peace Island Medical Center | — | $185 – $299 | $285 – $460 |
| PeaceHealth Southwest Medical Cente | $153 | $305 – $5,764 | $469 – $8,867 |
| PeaceHealth St John Medical Center | $123 – $166 | $305 – $3,053 | $469 – $4,697 |
| PeaceHealth St Joseph Medical Center | $166 | $315 – $471 | $484 – $724 |
| PeaceHealth United General Medical Center | — | $231 – $308 | $355 – $474 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $333 | $475 |
| Providence Centralia Hospital | — | $482 | $927 |
| Providence Holy Family Hospital | — | $403 – $431 | $576 – $616 |
| Providence Mount Carmel Hospital | — | $115 – $116 | $164 – $165 |
| Providence Regional Medical Center Everett | — | $479 | $921 |
| Providence St Joseph Hospital | — | $95.90 – $116 | $137 – $165 |
| Providence St Mary Medical Center | — | $176 – $583 | $252 – $833 |
| Providence St Peter Hospital | — | $482 | $927 |
| Seattle Children's Hospital | $32.92 – $131 | $374 – $19,012 | $235 – $840 |
| Skagit Valley Hospital | $109 – $208 | $124 – $1,096 | $155 – $1,370 |
| St Anthony Hospital | — | — | — |
| St Clare Hospital | — | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | — | — | — |
| St Joseph Medical Center | — | — | — |
| St Michael Medical Center | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $342 | $713 |
| Swedish Medical Center | — | $342 | $713 |
| Swedish Medical Center / Cherry Hill | — | $342 | $713 |
| Tacoma General Allenmore Hospital | $78.90 – $85.22 | $238 | $595 |
| Three Rivers Hospital | $77.49 – $321 | $111 – $459 | $111 – $459 |
| University of Washington Medical Ctr | — | $643 – $965 | $919 – $1,378 |
| Virginia Mason Medical Center | — | $315 | $617 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $300 – $1,685 | $300 – $1,685 |
| Yakima Valley Memorial | $75.40 – $87.60 | $252 | $630 |
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)