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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 30901 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$151 – $1666 plans$238$595
Cascade Medical CenterLeavenworth$180 – $5997 plansDoctor’s fee: $55.36 – $315$258 – $573Doctor’s fee: $302$323 – $716Doctor’s fee: $377
Cascade Valley HospitalArlington$64.45 – $1353 plans$508 – $1,016$635 – $1,270
Coulee Medical CenterGrand Coulee—$106 – $401$118 – $445
Deaconess Medical CenterSpokaneFile dated 2026-08-27$145 – $1608 plans$200$500
EvergreenHealth Medical CenterKirkland$142 – $1455 plans$309$386
EvergreenHealth MonroeMonroe$140 – $1425 plans$309 – $565$386 – $706
Harborview Medical CenterSeattleFile dated 2026-04-01$154 – $1695 plans$887 – $1,330$1,266 – $1,900
Highline Medical CenterBurienFile dated 2026-02-28$143 – $16511 plans——
Island HospitalAnacortes$159 – $16811 plans$122 – $210$122 – $210
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$148 – $1787 plans$788$1,126
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$153 – $1666 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$152 – $1677 plans$238$595
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$151 – $1677 plans$238$595
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$151 – $1677 plans$238$595
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$152 – $1677 plans$238$595
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$150 – $1607 plans$200$500
Olympic Medical CenterPort AngelesFile dated 2026-06-24$167 – $2145 plans$194$242
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$155 – $1613 plans$402$804
PeaceHealth Peace Island Medical CenterFriday Harbor—$185 – $299Doctor’s fee: $124$285 – $460Doctor’s fee: $190
PeaceHealth Southwest Medical CenteVancouver$148 – $17013 plans$305 – $5,764$469 – $8,867
PeaceHealth St John Medical CenterLongview$123 – $17414 plans$305 – $3,053$469 – $4,697
PeaceHealth St Joseph Medical CenterBellingham$158 – $1748 plans$315 – $471$484 – $724
PeaceHealth United General Medical CenterSedro Woolley—$231 – $308$355 – $474
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$148 – $1787 plans$333$475
Providence Centralia HospitalCentraliaFile dated 2026-04-01$154 – $2477 plans$482$927
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$148 – $1635 plans$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$152 – $1676 plans$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$148 – $1636 plans$176 – $583$252 – $833
Providence St Peter HospitalOlympiaFile dated 2026-04-01$153 – $2457 plans$482$927
Seattle Children's HospitalSeattle—$374 – $19,012$235 – $840
Skagit Valley HospitalMount Vernon$129 – $135at least 4 plans$124 – $1,096$155 – $1,370
St Anthony HospitalGig HarborFile dated 2026-02-28$146 – $16812 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$146 – $16812 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28———
St Francis Community HospitalFederal WayFile dated 2026-02-28$143 – $16512 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$146 – $16812 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$150 – $16210 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$152 – $1828 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$155 – $1858 plans$342$713
Swedish Medical CenterSeattleFile dated 2026-04-01$154 – $1858 plans$342$713
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$154 – $1858 plans$342$713
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$152 – $1677 plans$238$595
Three Rivers HospitalBrewster—$111 – $459Doctor’s fee: $192$111 – $459Doctor’s fee: $192
University of Washington Medical CtrSeattleFile dated 2026-04-01$154 – $1695 plans$643 – $965$919 – $1,378
Virginia Mason Medical CenterSeattle$13.73 – $14713 plans$315$617
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$300 – $1,685$300 – $1,685
Yakima Valley MemorialYakimaFile dated 2026-08-27$156 – $1748 plans$252$630

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)
$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)