CPT 43258

Unverified code (Surgery range)

Not in CMS's lists10 hospitals with prices

No list we have names this code; hospitals report it in their price files.

We can’t confirm this code. It isn’t in any CMS code list we have, though Washington hospitals list it. It may be a code retired before 2024, or a hospital’s own number.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 43258 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$181 – $517Doctor’s fee: $336 – $517	$278 – $795Doctor’s fee: $517 – $795
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	—	—
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	—	—
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	—	—
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	—	—
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	—	—
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01	—	—	—
Swedish IssaquahIssaquahFile dated 2026-04-01	—	—	—
Three Rivers HospitalBrewster	Doctor’s fee: $1,310	Doctor’s fee: $1,872	Doctor’s fee: $1,872
Virginia Mason Medical CenterSeattle	—	—	—

Lowest and highest amounts each hospital lists for this code as an outpatient, 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

CMS publishes no national amount for this code.

How hospitals also write this code

Some price files write it differently. These are counted as CPT 43258:

43258P (with a letter after it, P; 2 price lines)
43258T (with a letter after it, T; 1 price line)