CPT 53400 at Forks Community Hospital

Other Organ Systems

Forks Community Hospital, Forks

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 Forks Community Hospital publishes for this code: as an outpatient

Forks Community Hospital’s prices for CPT 53400, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$4,005 – $9,3314 plans	$726 – $1,100
Medicare AdvantageInsurer rates	$557 – $4,0055 plans	$690 – $842
Medicaid managed careInsurer rates	$3,227 – $4,1535 plans	$463 – $491
Other government programInsurer rates	$3,452 – $4,1992 plans	$726 – $733
UnknownInsurer rates	$5,373 – $9,3315 plans	$1,006 – $7,659
Cash pricePaying yourself, without insurance	$7,465	$6,450
List priceBefore any discount; few people pay it	$9,331	$8,062

Lowest and highest amounts Forks Community Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-10-27. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 53400 at Forks Community Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The operating or procedure room, nursing, supplies and recovery	—	The price above
Surgeon or doctor doing itThe doctor's practice	The procedure, and routine follow-up visits for 90 days	$726	$857 – $1,299
AnesthesiaAn anesthesia group (only sometimes)	Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 53400 at every Washington hospital, with Medicare’s reference amounts.