CPT 58301

Other Organ Systems

Current code52 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 58301 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$142 – $1492 plans$219$219
Capital Medical CenterOlympiaFile dated 2026-08-27$547 – $1,73720 plans$420$1,050
Cascade Medical CenterLeavenworth$128 – $2242 plans$286$357
Cascade Valley HospitalArlington$93.33 – $1,21711 plans$878$1,098
Coulee Medical CenterGrand Coulee—$220 – $860$245 – $956
Deaconess Medical CenterSpokaneFile dated 2026-08-27$283 – $1,30216 plans$305$763
EvergreenHealth Medical CenterKirkland$102 – $99027 plans$662$828
EvergreenHealth MonroeMonroe$102 – $93417 plans$354$443
Harborview Medical CenterSeattleFile dated 2026-04-01$565 – $7513 plans$320$457
Highline Medical CenterBurienFile dated 2026-02-28$278 – $4,55617 plans$197$646
Island HospitalAnacortes$100 – $655at least 15 plans$151 – $537$151 – $537
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$112 – $7,4759 plans$475$678
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$679 – $7,24610 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$439 – $2,86720 plans$420$1,050
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$547 – $1,72220 plans$420$1,050
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$547 – $1,72220 plans$420$1,050
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$547 – $1,72220 plans$420$1,050
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$283 – $1,29916 plans$305$763
Olympic Medical CenterPort AngelesFile dated 2026-06-24$222 – $3976 plans$318$397
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$389 – $3,15714 plans$380$759
PeaceHealth Southwest Medical CenteVancouver$135 – $4,5696 plans$469 – $3,373$722 – $5,189
PeaceHealth St John Medical CenterLongview$145 – $2,0853 plans$469 – $3,278$722 – $5,042
PeaceHealth St Joseph Medical CenterBellingham$6981 plan$470 – $3,404$723 – $5,236
PeaceHealth United General Medical CenterSedro Woolley—$470 – $1,857$723 – $2,857
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$574 – $13,21213 plans$669$956
Providence Centralia HospitalCentraliaFile dated 2026-04-01$596 – $7,98510 plans$491$944
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$407 – $3,37914 plans$722$1,031
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$118 – $170$169 – $243
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$416 – $5,98714 plans$821$1,579
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$118 – $141$169 – $202
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$284 – $6,5228 plans$176 – $839$251 – $1,199
Providence St Peter HospitalOlympiaFile dated 2026-04-01$298 – $3,87011 plans$491$944
Seattle Children's HospitalSeattle$97.10 – $1,092152 plans$1,138 – $13,258$275 – $1,138
Skagit Valley HospitalMount Vernon$276 – $1,45311 plans$278 – $1,006$347 – $1,258
St Anthony HospitalGig HarborFile dated 2026-02-28$465 – $4,55618 plans$197$646
St Clare HospitalLakewoodFile dated 2026-02-28$465 – $4,55618 plans$186$646
St Elizabeth HospitalEnumclawFile dated 2026-02-28$215 – $4,55615 plans$228$646
St Francis Community HospitalFederal WayFile dated 2026-02-28$465 – $4,55618 plans$203$646
St Joseph Medical CenterTacomaFile dated 2026-02-28$465 – $4,55618 plans$214$646
St Michael Medical CenterSilverdaleFile dated 2026-02-28$414 – $1,39218 plans$285$646
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$521 – $7,27716 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$531 – $9,33916 plans$989$2,061
Swedish Medical CenterSeattleFile dated 2026-04-01$529 – $7,27723 plans$989$2,061
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$529 – $7,27717 plans$989$2,061
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$547 – $1,55520 plans$420$1,050
Three Rivers HospitalBrewster—Doctor’s fee: $195 – $223Doctor’s fee: $195 – $223
Trios HealthKennewick——$18,828
University of Washington Medical CtrSeattleFile dated 2026-04-01$565 – $1,34211 plans$299$427
Virginia Mason Medical CenterSeattle$3.19 – $4,49710 plans$353$692
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$8971 plan——
WhidbeyHealth Medical CenterCoupeville—$236 – $2,250$236 – $2,250
Yakima Valley MemorialYakimaFile dated 2026-08-27$438 – $5,79319 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)
$127 in an office; $60.69 in a hospital or surgery center
Doctor's fee, rest of Washington
$114 in an office; $57.14 in a hospital or surgery center
Hospital outpatient payment (national)
$311 (APC 5412)
Surgery center payment (national)
$63.44