CPT 56405 at Kittitas Valley Community Hospital
Other Organ Systems
What Kittitas Valley Community Hospital publishes for this code: as an outpatient
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $225 – $727 | $225 – $263 |
| Medicare Advantage | $308 – $345 | $119 |
| Unknown | $223 – $812 | $156 – $197 |
| Cash price | $225 – $727 | $225 – $263 |
| List price | $265 – $855 | $265 – $310 |
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.
| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|---|---|---|
| Hospital's fee | The operating or procedure room, nursing, supplies and recovery | — | The price above |
| Surgeon or doctor doing it | The procedure, and routine follow-up visits for 10 days | $119 | $140 – $212 |
| Anesthesia | Anesthesia or deep sedation, if you need it | — | — |
Compare CPT 56405 at every Washington hospital, with Medicare’s reference amounts.