CPT 53865

Other Organ Systems

Current code28 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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 53865 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Virginia Mason Medical CenterSeattle	—	$14,436	$28,305
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$13,886	$34,714

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): $3,764 in an office; $155 in a hospital or surgery center
Doctor's fee, rest of Washington: $3,242 in an office; $146 in a hospital or surgery center
Hospital outpatient payment (national): $9,672 (APC 5376)
Surgery center payment (national): $7,734