CPT 30903
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) |
|---|---|---|---|
| Cascade Medical Center | $280 – $433 | $402 – $414 | $503 – $518 |
| Deaconess Medical Center | — | $192 | $480 |
| EvergreenHealth Medical Center | — | $862 | $1,078 |
| EvergreenHealth Monroe | $140 | $862 | $1,078 |
| Harborview Medical Center | — | $1,022 – $1,534 | $1,461 – $2,191 |
| Island Hospital | $78.32 – $84.97 | $80.00 – $243 | $80.00 – $243 |
| Kadlec Regional Medical Center | — | $767 | $1,096 |
| Legacy Salmon Creek Medical Center | — | $439 | $675 |
| MultiCare Valley Hospital | — | $192 | $480 |
| Overlake Hospital Medical Center & Clinics | — | $659 | $1,317 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $328 | $468 |
| Providence Centralia Hospital | — | $482 | $927 |
| Providence Holy Family Hospital | — | $397 – $425 | $567 – $607 |
| Providence Mount Carmel Hospital | — | $115 – $137 | $164 – $196 |
| Providence Regional Medical Center Everett | — | $472 | $907 |
| Providence St Joseph Hospital | — | $95.90 – $137 | $137 – $196 |
| Providence St Mary Medical Center | — | $312 – $388 | $446 – $554 |
| Providence St Peter Hospital | — | $482 | $927 |
| Seattle Children's Hospital | — | $214 | $214 |
| Swedish Issaquah | — | $342 | $713 |
| Swedish Medical Center | — | $342 | $713 |
| Swedish Medical Center / Cherry Hill | — | $342 | $713 |
| Three Rivers Hospital | |||
| University of Washington Medical Ctr | — | $562 – $844 | $804 – $1,205 |
| Virginia Mason Medical Center | — | $315 | $617 |
| Yakima Valley Memorial | — | $346 | $864 |
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)
- $314 in an office; $72.95 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $275 in an office; $68.77 in a hospital or surgery center
- Hospital outpatient payment (national)
- $136 (APC 5734)
- Surgery center payment (national)
- $73.54
How hospitals also write this code
Some price files write it differently. These are counted as CPT 30903:
- 30903P (with a letter after it, P; 2 price lines)