CPT 56405

Other Organ Systems

Current code51 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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 56405 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$147 – $2185 plans——
Cascade Medical CenterLeavenworth$563 – $8464 plansDoctor’s fee: $315 – $473$810Doctor’s fee: $453$1,012Doctor’s fee: $566
Cascade Valley HospitalArlington$329 – $1,1504 plans$920$1,150
Coulee Medical CenterGrand Coulee—$352 – $948$392 – $1,053
Deaconess Medical CenterSpokaneFile dated 2026-08-27$135 – $1435 plans$490$1,224
EvergreenHealth Medical CenterKirkland—$635$794
EvergreenHealth MonroeMonroe$3511 plan$582$728
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,237$1,767
Highline Medical CenterBurienFile dated 2026-02-28—$384$1,259
Island HospitalAnacortes$139 – $1513 plans$204 – $336$204 – $336
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$755$1,078
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—Doctor’s fee: $173 – $267Doctor’s fee: $266 – $410
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$139 – $1515 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$137 – $1485 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$137 – $1485 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$140 – $1515 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$134 – $1425 plans$490$1,224
Olympic Medical CenterPort AngelesFile dated 2026-06-24$172 – $1895 plans$521$651
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$638$1,275
PeaceHealth Peace Island Medical CenterFriday Harbor—$731$1,124
PeaceHealth Southwest Medical CenteVancouver$3511 plan$746 – $13,766$1,148 – $21,179
PeaceHealth St John Medical CenterLongview$283 – $3803 plans$768$1,182
PeaceHealth St Joseph Medical CenterBellingham$3802 plans$775 – $4,739$1,193 – $7,290
PeaceHealth United General Medical CenterSedro Woolley—$769$1,183
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,002$1,432
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$821$1,578
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,303$1,861
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$170 – $191$243 – $273
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$821$1,579
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$141 – $191$202 – $273
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$202 – $583$289 – $833
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$821$1,578
Seattle Children's HospitalSeattle$77.39 – $26513 plans$815$535 – $815
Skagit Valley HospitalMount Vernon$53.64 – $2,0535 plans$278 – $1,299$347 – $1,624
St Anthony HospitalGig HarborFile dated 2026-02-28—$383$1,259
St Clare HospitalLakewoodFile dated 2026-02-28—$363$1,259
St Elizabeth HospitalEnumclawFile dated 2026-02-28$214 – $2615 plans$445$1,259
St Francis Community HospitalFederal WayFile dated 2026-02-28—$395$1,259
St Joseph Medical CenterTacomaFile dated 2026-02-28—$417$1,259
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$556$1,259
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$989$2,061
Swedish Medical CenterSeattleFile dated 2026-04-01—$989$2,061
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$989$2,061
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$140 – $1515 plans——
Three Rivers HospitalBrewsterDoctor’s fee: $299 – $322Doctor’s fee: $427 – $460Doctor’s fee: $427 – $460
University of Washington Medical CtrSeattleFile dated 2026-04-01—$565$807
Virginia Mason Medical CenterSeattle—$555$1,088
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$274 – $2,625$274 – $2,625
Yakima Valley MemorialYakimaFile dated 2026-08-27$134 – $1565 plans$358$894

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)
$167 in an office; $131 in a hospital or surgery center
Doctor's fee, rest of Washington
$149 in an office; $119 in a hospital or surgery center
Hospital outpatient payment (national)
$311 (APC 5412)
Surgery center payment (national)
$89.29

How hospitals also write this code

Some price files write it differently. These are counted as CPT 56405:

  • 56405P (with a letter after it, P; 6 price lines)