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) |
|---|---|---|---|
| Capital Medical Center | $82.96 – $123 | — | — |
| Cascade Medical Center | $280 – $433 | $402 – $414 | $503 – $518 |
| Cascade Valley Hospital | $139 – $887 | $710 | $887 |
| Coulee Medical Center | — | $351 | $390 |
| Deaconess Medical Center | $75.91 – $80.37 | $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 |
| Highline Medical Center | — | — | — |
| 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 |
| Mary Bridge Children's Hospital | $78.51 – $84.79 | — | — |
| MultiCare Auburn Medical Center | $77.09 – $83.26 | — | — |
| MultiCare Covington Medical Center | $77.09 – $83.26 | — | — |
| MultiCare Good Samaritan Hospital | $78.87 – $85.18 | — | — |
| MultiCare Valley Hospital | $75.37 – $79.80 | $192 | $480 |
| Olympic Medical Center | $97.03 – $106 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $659 | $1,317 |
| PeaceHealth Peace Island Medical Center | — | $541 | $832 |
| PeaceHealth Southwest Medical Cente | $153 – $230 | $597 – $4,816 | $919 – $7,409 |
| PeaceHealth St John Medical Center | $123 – $166 | $1,036 – $1,067 | $1,594 – $1,642 |
| PeaceHealth St Joseph Medical Center | $166 – $249 | $756 – $779 | $1,163 – $1,198 |
| PeaceHealth United General Medical Center | — | $607 | $934 |
| 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 – $9,541 | $214 |
| Skagit Valley Hospital | $106 – $159 | $110 – $906 | $138 – $1,133 |
| 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 | — | — |
| Three Rivers Hospital | |||
| University of Washington Medical Ctr | — | $562 – $844 | $804 – $1,205 |
| Virginia Mason Medical Center | — | $315 | $617 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $291 – $2,842 | $291 – $2,842 |
| Yakima Valley Memorial | $75.40 – $87.60 | $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)