CPT 40804
Other Organ Systems
Current code45 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 | $1,029 – $1,132 | — | — |
| Cascade Medical Center | $240 – $359 | $343 | $429 |
| Cascade Valley Hospital | $938 – $984 | $1,490 | $1,863 |
| Deaconess Medical Center | $990 – $1,090 | $1,331 | $3,328 |
| Harborview Medical Center | $1,050 – $1,155 | $728 | $1,040 |
| Highline Medical Center | $1,044 – $1,200 | $356 | $1,166 |
| Island Hospital | $1,082 – $1,147 | $1,751 | $1,751 |
| Kadlec Regional Medical Center | $1,011 – $1,213 | $374 | $534 |
| Legacy Salmon Creek Medical Center | $1,041 – $1,132 | $126 – $360 | $194 – $554 |
| Mary Bridge Children's Hospital | $1,037 – $1,141 | — | — |
| MultiCare Auburn Medical Center | $1,032 – $1,135 | — | — |
| MultiCare Covington Medical Center | $1,032 – $1,135 | — | — |
| MultiCare Good Samaritan Hospital | $1,037 – $1,141 | — | — |
| MultiCare Valley Hospital | $1,020 – $1,090 | $1,331 | $3,328 |
| Olympic Medical Center | $1,137 – $1,461 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,053 – $1,095 | — | — |
| PeaceHealth Peace Island Medical Center | — | $887 | $1,365 |
| PeaceHealth Southwest Medical Cente | $1,006 – $1,157 | $1,100 | $1,692 |
| PeaceHealth St John Medical Center | $841 – $1,186 | $1,110 | $1,707 |
| PeaceHealth St Joseph Medical Center | $1,077 – $1,185 | $1,074 | $1,653 |
| PeaceHealth United General Medical Center | — | $934 | $1,437 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,011 – $1,213 | $347 | $496 |
| Providence Centralia Hospital | $1,050 – $1,680 | $805 | $1,548 |
| Providence Holy Family Hospital | $1,011 – $1,112 | $376 | $537 |
| Providence Mount Carmel Hospital | — | $70.00 – $239 | $100 – $341 |
| Providence Regional Medical Center Everett | $1,033 – $1,136 | $479 | $921 |
| Providence St Joseph Hospital | — | $58.10 – $239 | $83.00 – $341 |
| Providence St Mary Medical Center | $1,011 – $1,112 | $251 – $740 | $358 – $1,057 |
| Providence St Peter Hospital | $1,043 – $1,669 | $805 | $1,548 |
| Skagit Valley Hospital | $938 – $984 | $841 | $1,051 |
| St Anthony Hospital | $1,063 – $1,222 | $355 | $1,166 |
| St Clare Hospital | $1,063 – $1,222 | $336 | $1,166 |
| St Elizabeth Hospital | $210 – $256 | $412 | $1,166 |
| St Francis Community Hospital | $1,044 – $1,200 | $366 | $1,166 |
| St Joseph Medical Center | $1,035 – $1,222 | $386 | $1,166 |
| St Michael Medical Center | $1,073 – $1,180 | $514 | $1,166 |
| Swedish Edmonds Hospital | $1,033 – $1,239 | — | — |
| Swedish Issaquah | $1,053 – $1,264 | $950 | $1,979 |
| Swedish Medical Center | $1,050 – $1,260 | $950 | $1,979 |
| Swedish Medical Center / Cherry Hill | $1,050 – $1,260 | $950 | $1,979 |
| Tacoma General Allenmore Hospital | $1,037 – $1,141 | — | — |
| University of Washington Medical Ctr | $1,050 – $1,155 | $684 | $978 |
| Virginia Mason Medical Center | $12.05 – $1,072 | $1,118 | $2,192 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,061 – $1,188 | — | — |
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)