CPT 30905

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.

Prices for CPT 30905 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$172 – $6604 plansDoctor’s fee: $466 – $700$247 – $632Doctor’s fee: $670$309 – $790Doctor’s fee: $837
Coulee Medical CenterGrand Coulee—$275$306
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$192$480
EvergreenHealth Medical CenterKirkland—$803$1,004
EvergreenHealth MonroeMonroe$1401 plan$803$1,004
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,088$1,554
Highline Medical CenterBurienFile dated 2026-02-28—$284$930
Island HospitalAnacortes$78.32 – $84.973 plans$191 – $341$191 – $341
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$974$1,392
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$630Doctor’s fee: $410 – $630$969Doctor’s fee: $630 – $969
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$192$480
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$756$1,511
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$480$686
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$321$617
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$623$890
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$115 – $206$164 – $294
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$1,346$2,589
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$95.90 – $206$137 – $294
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$312 – $483$446 – $690
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$321$617
Seattle Children's HospitalSeattle—$284$284
Skagit Valley HospitalMount Vernon$159 – $1,5922 plans$164$205
St Anthony HospitalGig HarborFile dated 2026-02-28—$283$930
St Clare HospitalLakewoodFile dated 2026-02-28—$268$930
St Elizabeth HospitalEnumclawFile dated 2026-02-28$261 – $3095 plans$329$930
St Francis Community HospitalFederal WayFile dated 2026-02-28—$292$930
St Joseph Medical CenterTacomaFile dated 2026-02-28—$308$930
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$411$930
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
Trios HealthKennewick——$474
University of Washington Medical CtrSeattleFile dated 2026-04-01—$801$1,144
Virginia Mason Medical CenterSeattle—$315$617
Yakima Valley MemorialYakimaFile dated 2026-08-27—$159$397

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)
$469 in an office; $105 in a hospital or surgery center
Doctor's fee, rest of Washington
$410 in an office; $98.09 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 30905:

  • 30905P (with a letter after it, P; 6 price lines)