CPT 58120
Other Organ Systems
Current code46 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $500 | $500 |
| Coulee Medical Center | — | $621 | $690 |
| EvergreenHealth Medical Center | — | $7,518 | $9,398 |
| Harborview Medical Center | — | $5,816 | $8,309 |
| Highline Medical Center | — | $2,274 | $7,447 |
| Island Hospital | — | $380 – $489 | $380 – $489 |
| Kadlec Regional Medical Center | — | $4,740 | $6,772 |
| Legacy Salmon Creek Medical Center | — | ||
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,831 | $6,902 |
| Providence Centralia Hospital | — | $6,532 | $12,561 |
| Providence Holy Family Hospital | — | $5,223 | $7,462 |
| Providence Mount Carmel Hospital | — | $2,206 | $3,151 |
| Providence Regional Medical Center Everett | — | $5,669 | $10,901 |
| Providence St Joseph Hospital | — | $1,842 | $2,632 |
| Providence St Mary Medical Center | — | $4,819 | $6,884 |
| Providence St Peter Hospital | — | $6,532 | $12,561 |
| Seattle Children's Hospital | $136 | — | $980 |
| St Anthony Hospital | — | $2,265 | $7,447 |
| St Clare Hospital | — | $2,147 | $7,447 |
| St Elizabeth Hospital | — | $2,632 | $7,447 |
| St Francis Community Hospital | — | $2,337 | $7,447 |
| St Joseph Medical Center | — | $2,466 | $7,447 |
| St Michael Medical Center | — | $3,287 | $7,447 |
| Swedish Issaquah | — | $7,416 | $15,450 |
| Swedish Medical Center | — | $7,416 | $15,450 |
| Swedish Medical Center / Cherry Hill | — | $7,416 | $15,450 |
| Three Rivers Hospital | |||
| Trios Health | — | — | $86,264 |
| University of Washington Medical Ctr | — | $1,968 | $2,811 |
| Virginia Mason Medical Center | — | $3,418 | $6,701 |
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)
- $336 in an office; $228 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $303 in an office; $210 in a hospital or surgery center
- Hospital outpatient payment (national)
- $3,307 (APC 5414)
- Surgery center payment (national)
- $1,738
How hospitals also write this code
Some price files write it differently. These are counted as CPT 58120:
- 58120P (with a letter after it, P; 4 price lines)