CPT 40804
Other Organ Systems
Current code45 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,450 – $4,873 | — | — |
| Cascade Medical Center | $260 – $269 | $343 | $429 |
| Cascade Valley Hospital | $158 – $3,440 | $1,490 | $1,863 |
| Deaconess Medical Center | $1,236 – $3,682 | $1,331 | $3,328 |
| Harborview Medical Center | $1,680 – $2,236 | $728 | $1,040 |
| Highline Medical Center | $269 – $4,279 | $356 | $1,166 |
| Island Hospital | $1,120 – $1,948 | $1,751 | $1,751 |
| Kadlec Regional Medical Center | $219 – $2,916 | $374 | $534 |
| Legacy Salmon Creek Medical Center | $2,021 – $14,755 | $126 – $360 | $194 – $554 |
| Mary Bridge Children's Hospital | $247 – $6,493 | — | — |
| MultiCare Auburn Medical Center | $1,450 – $4,998 | — | — |
| MultiCare Covington Medical Center | $1,450 – $4,998 | — | — |
| MultiCare Good Samaritan Hospital | $1,450 – $4,998 | — | — |
| MultiCare Valley Hospital | $1,236 – $3,674 | $1,331 | $3,328 |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $1,159 – $7,498 | — | — |
| PeaceHealth Peace Island Medical Center | — | $887 | $1,365 |
| PeaceHealth Southwest Medical Cente | $116 – $3,263 | $1,100 | $1,692 |
| PeaceHealth St John Medical Center | $431 – $6,206 | $1,110 | $1,707 |
| PeaceHealth St Joseph Medical Center | $2,078 | $1,074 | $1,653 |
| PeaceHealth United General Medical Center | — | $934 | $1,437 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,708 – $33,603 | $347 | $496 |
| Providence Centralia Hospital | $1,775 – $10,122 | $805 | $1,548 |
| Providence Holy Family Hospital | $1,213 – $11,241 | $376 | $537 |
| Providence Mount Carmel Hospital | — | $70.00 – $239 | $100 – $341 |
| Providence Regional Medical Center Everett | $1,239 – $19,885 | $479 | $921 |
| Providence St Joseph Hospital | — | $58.10 – $239 | $83.00 – $341 |
| Providence St Mary Medical Center | $803 – $4,080 | $251 – $740 | $358 – $1,057 |
| Providence St Peter Hospital | $887 – $27,982 | $805 | $1,548 |
| Skagit Valley Hospital | $837 – $4,105 | $841 | $1,051 |
| St Anthony Hospital | $158 – $4,676 | $355 | $1,166 |
| St Clare Hospital | $158 – $4,676 | $336 | $1,166 |
| St Elizabeth Hospital | $269 – $3,836 | $412 | $1,166 |
| St Francis Community Hospital | $158 – $4,676 | $366 | $1,166 |
| St Joseph Medical Center | $158 – $4,676 | $386 | $1,166 |
| St Michael Medical Center | $746 – $3,934 | $514 | $1,166 |
| Swedish Edmonds Hospital | $1,549 – $6,191 | — | — |
| Swedish Issaquah | $1,580 – $17,257 | $950 | $1,979 |
| Swedish Medical Center | $1,575 – $4,455 | $950 | $1,979 |
| Swedish Medical Center / Cherry Hill | $1,575 – $4,455 | $950 | $1,979 |
| Tacoma General Allenmore Hospital | $1,450 – $4,374 | — | — |
| University of Washington Medical Ctr | $1,680 – $3,793 | $684 | $978 |
| Virginia Mason Medical Center | $5.79 – $18,711 | $1,118 | $2,192 |
| Wellfound Behavioral Health Hospital | $2,671 | — | — |
| Yakima Valley Memorial | $1,438 – $6,857 | — | — |
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)
- $246 in an office; $132 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $217 in an office; $118 in a hospital or surgery center
- Hospital outpatient payment (national)
- $927 (APC 5301)
How hospitals also write this code
Some price files write it differently. These are counted as CPT 40804:
- 40804P (with a letter after it, P; 4 price lines)
- 40804T (with a letter after it, T; 2 price lines)