CPT 40831

Other Organ Systems

Current code43 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 40831 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$839$2,098
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,312$1,875
Highline Medical CenterBurienFile dated 2026-02-28—$528$1,730
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,828$2,612
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$190 – $544Doctor’s fee: $354 – $544$293 – $837Doctor’s fee: $544 – $837
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$839$2,098
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,910$2,729
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,371$2,637
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,884$2,692
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$404 – $797$577 – $1,139
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$2,601$5,001
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$404 – $665$577 – $950
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$248 – $781$354 – $1,116
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,371$2,637
Seattle Children's HospitalSeattle—$1,567$1,567
St Anthony HospitalGig HarborFile dated 2026-02-28—$526$1,730
St Clare HospitalLakewoodFile dated 2026-02-28—$499$1,730
St Elizabeth HospitalEnumclawFile dated 2026-02-28$484 – $5745 plans$611$1,730
St Francis Community HospitalFederal WayFile dated 2026-02-28—$543$1,730
St Joseph Medical CenterTacomaFile dated 2026-02-28—$573$1,730
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$764$1,730
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,584$3,301
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,584$3,301
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,584$3,301
University of Washington Medical CtrSeattleFile dated 2026-04-01—$922$1,317
Virginia Mason Medical CenterSeattle—$1,293$2,535

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)
$364 in an office; $218 in a hospital or surgery center
Doctor's fee, rest of Washington
$323 in an office; $197 in a hospital or surgery center
Hospital outpatient payment (national)
$551 (APC 5162)
Surgery center payment (national)
$295

How hospitals also write this code

Some price files write it differently. These are counted as CPT 40831:

  • 40831P (with a letter after it, P; 2 price lines)
  • 40831T (with a letter after it, T; 1 price line)