CPT 30905
Other Organ Systems
Current code51 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $151 – $166 | — | — |
| Cascade Medical Center | $173 – $660 | $247 – $632 | $309 – $790 |
| Cascade Valley Hospital | $129 – $135 | $927 | $1,159 |
| Coulee Medical Center | — | $275 – $475 | $306 – $528 |
| Deaconess Medical Center | $145 – $160 | $192 | $480 |
| EvergreenHealth Medical Center | $142 – $145 | $803 | $1,004 |
| EvergreenHealth Monroe | $140 – $142 | $803 | $1,004 |
| Harborview Medical Center | $154 – $169 | $1,088 | $1,554 |
| Highline Medical Center | $143 – $165 | $284 | $930 |
| Island Hospital | $159 – $168 | $191 – $341 | $191 – $341 |
| Kadlec Regional Medical Center | $148 – $178 | $974 | $1,392 |
| Legacy Salmon Creek Medical Center | $153 – $166 | $630 | $969 |
| Mary Bridge Children's Hospital | $152 – $167 | — | — |
| MultiCare Auburn Medical Center | $151 – $167 | — | — |
| MultiCare Covington Medical Center | $151 – $167 | — | — |
| MultiCare Good Samaritan Hospital | $152 – $167 | — | — |
| MultiCare Valley Hospital | $150 – $160 | $192 | $480 |
| Olympic Medical Center | $167 – $214 | — | — |
| Overlake Hospital Medical Center & Clinics | $155 – $161 | $756 | $1,511 |
| PeaceHealth Peace Island Medical Center | — | $315 – $374 | $485 – $575 |
| PeaceHealth Southwest Medical Cente | $148 – $170 | $382 – $543 | $587 – $836 |
| PeaceHealth St John Medical Center | $123 – $174 | $382 – $1,067 | $587 – $1,642 |
| PeaceHealth St Joseph Medical Center | $158 – $174 | $393 – $828 | $605 – $1,274 |
| PeaceHealth United General Medical Center | — | $385 | $593 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $148 – $178 | $480 | $686 |
| Providence Centralia Hospital | $154 – $247 | $321 | $617 |
| Providence Holy Family Hospital | $148 – $163 | $623 | $890 |
| Providence Mount Carmel Hospital | — | $115 – $206 | $164 – $294 |
| Providence Regional Medical Center Everett | $152 – $167 | $1,346 | $2,589 |
| Providence St Joseph Hospital | — | $95.90 – $206 | $137 – $294 |
| Providence St Mary Medical Center | $148 – $163 | $312 – $483 | $446 – $690 |
| Providence St Peter Hospital | $153 – $245 | $321 | $617 |
| Seattle Children's Hospital | — | $284 | $284 |
| Skagit Valley Hospital | $129 – $135 | $110 – $1,091 | $138 – $1,364 |
| St Anthony Hospital | $146 – $168 | $283 | $930 |
| St Clare Hospital | $146 – $168 | $268 | $930 |
| St Elizabeth Hospital | $167 – $205 | $329 | $930 |
| St Francis Community Hospital | $143 – $165 | $292 | $930 |
| St Joseph Medical Center | $146 – $168 | $308 | $930 |
| St Michael Medical Center | $150 – $162 | $411 | $930 |
| Swedish Edmonds Hospital | $152 – $182 | — | — |
| Swedish Issaquah | $155 – $185 | $342 | $713 |
| Swedish Medical Center | $154 – $185 | $342 | $713 |
| Swedish Medical Center / Cherry Hill | $154 – $185 | $342 | $713 |
| Tacoma General Allenmore Hospital | $152 – $167 | — | — |
| Trios Health | $137 | — | $474 |
| University of Washington Medical Ctr | $154 – $169 | $801 | $1,144 |
| Virginia Mason Medical Center | $9.03 – $147 | $315 | $617 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $546 – $1,009 | $546 – $1,009 |
| Yakima Valley Memorial | $156 – $174 | $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)