CPT 54360 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 54360, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$3,263 – $7,6034 plans	$655 – $989
Medicare AdvantageInsurer rates	$557 – $3,2635 plans	$622 – $760
Medicaid managed careInsurer rates	$2,629 – $3,3845 plans	$417 – $442
Other government programInsurer rates	$2,813 – $3,4212 plans	$655 – $662
UnknownInsurer rates	$4,378 – $7,6035 plans	$908 – $6,241
Cash pricePaying yourself, without insurance	$6,082	$5,255
List priceBefore any discount; few people pay it	$7,603	$6,569

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 54360 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	$655	$773 – $1,173
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 54360 at every Washington hospital, with Medicare’s reference amounts.