Every billing code / CPT 58100 / Virginia Mason Medical Center
CPT 58100 at Virginia Mason Medical Center
Other Organ Systems
Virginia Mason Medical Center, Seattle
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 Virginia Mason Medical Center publishes for this code: as an outpatient
Virginia Mason Medical Center’s prices for CPT 58100, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $3.01 – $4,49710 plans | — |
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| Medicare AdvantageInsurer rates | $16.85 – $23013 plans | — |
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| Cash pricePaying yourself, without insurance | $356 | — |
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| List priceBefore any discount; few people pay it | $698 | — |
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Lowest and highest amounts Virginia Mason Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.
What Virginia Mason Medical Center publishes for this code: during a hospital stay
Virginia Mason Medical Center’s prices for CPT 58100, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $447 – $5584 plans | — |
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| Cash pricePaying yourself, without insurance | $356 | — |
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| List priceBefore any discount; few people pay it | $698 | — |
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Lowest and highest amounts Virginia Mason Medical Center lists for this code during a hospital stay, including lines it lists for both settings or without saying which. 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 Seattle (King County) 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 58100 at Virginia Mason Medical Center| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The operating or procedure room, nursing, supplies and recovery | — | The price above |
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| Surgeon or doctor doing itThe doctor's practice | The procedure | $57.77 | $68.17 – $103 |
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| 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. | — | — |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 58100 at every Washington hospital, with Medicare’s reference amounts.