CPT 54235

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

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

Prices for CPT 54235 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$284 – $3126 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$273 – $3008 plans——
EvergreenHealth Medical CenterKirkland$276 – $2815 plans$758$947
EvergreenHealth MonroeMonroe$270 – $2765 plans$758$947
Harborview Medical CenterSeattleFile dated 2026-04-01$289 – $3185 plans$1,379$1,970
Highline Medical CenterBurienFile dated 2026-02-28$271 – $31111 plans$159$522
Island HospitalAnacortes$298 – $31611 plans$139 – $455$139 – $455
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$278 – $3347 plans$232$332
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$287 – $3126 plans$168$259
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$286 – $3147 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$284 – $3137 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$284 – $3137 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$286 – $3147 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$281 – $3007 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$313 – $4035 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$290 – $3023 plans$308$615
PeaceHealth Southwest Medical CenteVancouver$277 – $31913 plans$384 – $395$590 – $608
PeaceHealth St Joseph Medical CenterBellingham$297 – $3268 plans$407$626
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$278 – $3347 plans$737$1,053
Providence Centralia HospitalCentraliaFile dated 2026-04-01$289 – $4637 plans$496$954
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$278 – $3065 plans$799$1,141
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$167 – $209$239 – $298
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$285 – $3136 plans$251$483
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$174$249
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$278 – $3066 plans$69.30 – $480$99.00 – $686
Providence St Peter HospitalOlympiaFile dated 2026-04-01$287 – $4607 plans$496$954
Skagit Valley HospitalMount Vernon$243 – $2554 plans$220 – $503$275 – $629
St Anthony HospitalGig HarborFile dated 2026-02-28$276 – $31712 plans$159$522
St Clare HospitalLakewoodFile dated 2026-02-28$276 – $31712 plans$150$522
St Elizabeth HospitalEnumclawFile dated 2026-02-28$93.93 – $11512 plans$184$522
St Francis Community HospitalFederal WayFile dated 2026-02-28$271 – $31112 plans$164$522
St Joseph Medical CenterTacomaFile dated 2026-02-28$269 – $31712 plans$173$522
St Michael Medical CenterSilverdaleFile dated 2026-02-28$283 – $30610 plans$230$522
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$285 – $3418 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$290 – $3488 plans$771$1,607
Swedish Medical CenterSeattleFile dated 2026-04-01$289 – $3478 plans$771$1,607
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$289 – $3478 plans$771$1,607
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$286 – $3147 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$289 – $3185 plans$681$973
Virginia Mason Medical CenterSeattle$7.71 – $27813 plans$428$839
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$240 – $745$240 – $745
Yakima Valley MemorialYakimaFile dated 2026-08-27$292 – $3278 plans——

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

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)
$107 in an office; $74.69 in a hospital or surgery center
Doctor's fee, rest of Washington
$96.87 in an office; $68.74 in a hospital or surgery center
Hospital outpatient payment (national)
$255 (APC 5371)
Surgery center payment (national)
$51.36