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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 58301 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$219$219
Capital Medical CenterOlympiaFile dated 2026-08-27—$420$1,050
Cascade Medical CenterLeavenworth$1911 plan$286$357
Coulee Medical CenterGrand Coulee—$220$245
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$305$763
EvergreenHealth Medical CenterKirkland—$662$828
EvergreenHealth MonroeMonroe—$354$443
Harborview Medical CenterSeattleFile dated 2026-04-01—$320$457
Highline Medical CenterBurienFile dated 2026-02-28—$197$646
Island HospitalAnacortes—$151 – $537$151 – $537
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$475$678
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$420$1,050
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$420$1,050
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$420$1,050
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$420$1,050
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$305$763
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$318$397
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$380$759
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$669$956
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$491$944
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$722$1,031
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$118 – $170$169 – $243
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$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—$176 – $839$251 – $1,199
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$491$944
Seattle Children's HospitalSeattle$37.57 – $2871 plan$1,138$275 – $1,138
St Anthony HospitalGig HarborFile dated 2026-02-28—$197$646
St Clare HospitalLakewoodFile dated 2026-02-28—$186$646
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$228$646
St Francis Community HospitalFederal WayFile dated 2026-02-28—$203$646
St Joseph Medical CenterTacomaFile dated 2026-02-28—$214$646
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$285$646
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—$420$1,050
Three Rivers HospitalBrewsterDoctor’s fee: $137 – $156Doctor’s fee: $195 – $223Doctor’s fee: $195 – $223
Trios HealthKennewick——$18,828
University of Washington Medical CtrSeattleFile dated 2026-04-01—$299$427
Virginia Mason Medical CenterSeattle—$353$692
Yakima Valley MemorialYakimaFile dated 2026-08-27—$358$894

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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