CPT 30905
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 | $172 – $660 | $247 – $632 | $309 – $790 |
| Cascade Valley Hospital | $139 – $1,160 | $927 | $1,159 |
| Coulee Medical Center | — | $275 – $475 | $306 – $528 |
| Deaconess Medical Center | $75.91 – $80.37 | $192 | $480 |
| EvergreenHealth Medical Center | — | $803 | $1,004 |
| EvergreenHealth Monroe | $140 | $803 | $1,004 |
| Harborview Medical Center | — | $1,088 | $1,554 |
| Highline Medical Center | — | $284 | $930 |
| Island Hospital | $78.32 – $84.97 | $191 – $341 | $191 – $341 |
| Kadlec Regional Medical Center | — | $974 | $1,392 |
| Legacy Salmon Creek Medical Center | — | $630 | $969 |
| 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 | — | $756 | $1,511 |
| PeaceHealth Peace Island Medical Center | — | $315 – $374 | $485 – $575 |
| PeaceHealth Southwest Medical Cente | $153 | $382 – $543 | $587 – $836 |
| PeaceHealth St John Medical Center | $123 – $166 | $382 – $1,067 | $587 – $1,642 |
| PeaceHealth St Joseph Medical Center | $166 | $393 – $828 | $605 – $1,274 |
| PeaceHealth United General Medical Center | — | $385 | $593 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $480 | $686 |
| Providence Centralia Hospital | — | $321 | $617 |
| Providence Holy Family Hospital | — | $623 | $890 |
| Providence Mount Carmel Hospital | — | $115 – $206 | $164 – $294 |
| Providence Regional Medical Center Everett | — | $1,346 | $2,589 |
| Providence St Joseph Hospital | — | $95.90 – $206 | $137 – $294 |
| Providence St Mary Medical Center | — | $312 – $483 | $446 – $690 |
| Providence St Peter Hospital | — | $321 | $617 |
| Seattle Children's Hospital | — | $284 | $284 |
| Skagit Valley Hospital | $147 – $1,592 | $110 – $1,091 | $138 – $1,364 |
| St Anthony Hospital | — | $283 | $930 |
| St Clare Hospital | — | $268 | $930 |
| St Elizabeth Hospital | $158 – $193 | $329 | $930 |
| St Francis Community Hospital | — | $292 | $930 |
| St Joseph Medical Center | — | $308 | $930 |
| St Michael Medical Center | — | $411 | $930 |
| 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 | — | — |
| Trios Health | — | — | $474 |
| University of Washington Medical Ctr | — | $801 | $1,144 |
| Virginia Mason Medical Center | — | $315 | $617 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $546 – $1,009 | $546 – $1,009 |
| Yakima Valley Memorial | $75.40 – $87.60 | $159 | $397 |
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)