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

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

Prices for CPT 56405 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$346 – $3806 plans——
Cascade Medical CenterLeavenworth$565 – $8467 plansDoctor’s fee: $134 – $473$810Doctor’s fee: $453$1,012Doctor’s fee: $566
Cascade Valley HospitalArlington$304 – $3193 plans$920$1,150
Coulee Medical CenterGrand Coulee—$352 – $948$392 – $1,053
Deaconess Medical CenterSpokaneFile dated 2026-08-27$333 – $3668 plans$490$1,224
EvergreenHealth Medical CenterKirkland$358 – $3655 plans$635$794
EvergreenHealth MonroeMonroe$351 – $3585 plans$582$728
Harborview Medical CenterSeattleFile dated 2026-04-01$353 – $3885 plans$1,237$1,767
Highline Medical CenterBurienFile dated 2026-02-28$339 – $38911 plans$384$1,259
Island HospitalAnacortes$364 – $38611 plans$204 – $336$204 – $336
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$340 – $4077 plans$755$1,078
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$350 – $3806 plansDoctor’s fee: $173 – $267Doctor’s fee: $266 – $410
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$349 – $3837 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$347 – $3817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$347 – $3817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$349 – $3837 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$343 – $3667 plans$490$1,224
Olympic Medical CenterPort AngelesFile dated 2026-06-24$382 – $4915 plans$521$651
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$354 – $3683 plans$638$1,275
PeaceHealth Peace Island Medical CenterFriday Harbor—$731$1,124
PeaceHealth Southwest Medical CenteVancouver$338 – $38913 plans$746 – $13,766$1,148 – $21,179
PeaceHealth St John Medical CenterLongview$283 – $39914 plans$768$1,182
PeaceHealth St Joseph Medical CenterBellingham$362 – $3988 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$340 – $4077 plans$1,002$1,432
Providence Centralia HospitalCentraliaFile dated 2026-04-01$353 – $5657 plans$821$1,578
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$340 – $3745 plans$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$347 – $3826 plans$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$340 – $3746 plans$202 – $583$289 – $833
Providence St Peter HospitalOlympiaFile dated 2026-04-01$350 – $5617 plans$821$1,578
Seattle Children's HospitalSeattle—$815$535 – $815
Skagit Valley HospitalMount Vernon$304 – $3194 plans$278 – $1,299$347 – $1,624
St Anthony HospitalGig HarborFile dated 2026-02-28$345 – $39712 plans$383$1,259
St Clare HospitalLakewoodFile dated 2026-02-28$345 – $39712 plans$363$1,259
St Elizabeth HospitalEnumclawFile dated 2026-02-28$227 – $27712 plans$445$1,259
St Francis Community HospitalFederal WayFile dated 2026-02-28$339 – $38912 plans$395$1,259
St Joseph Medical CenterTacomaFile dated 2026-02-28$345 – $39712 plans$417$1,259
St Michael Medical CenterSilverdaleFile dated 2026-02-28$355 – $38310 plans$556$1,259
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$347 – $4168 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$354 – $4258 plans$989$2,061
Swedish Medical CenterSeattleFile dated 2026-04-01$353 – $4238 plans$989$2,061
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$353 – $4238 plans$989$2,061
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$349 – $3837 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $427 – $460Doctor’s fee: $427 – $460
University of Washington Medical CtrSeattleFile dated 2026-04-01$353 – $3885 plans$565$807
Virginia Mason Medical CenterSeattle$26.78 – $34813 plans$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$356 – $3998 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)