CPT 58301
Other Organ Systems
Current code52 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 | — | $219 | $219 |
| Capital Medical Center | — | $420 | $1,050 |
| Cascade Medical Center | $191 | $286 | $357 |
| Cascade Valley Hospital | — | $878 | $1,098 |
| Coulee Medical Center | — | $220 – $860 | $245 – $956 |
| Deaconess Medical Center | — | $305 | $763 |
| EvergreenHealth Medical Center | — | $662 | $828 |
| EvergreenHealth Monroe | — | $354 | $443 |
| Harborview Medical Center | — | $320 | $457 |
| Highline Medical Center | — | $197 | $646 |
| Island Hospital | — | $151 – $537 | $151 – $537 |
| Kadlec Regional Medical Center | — | $475 | $678 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $420 | $1,050 |
| MultiCare Auburn Medical Center | — | $420 | $1,050 |
| MultiCare Covington Medical Center | — | $420 | $1,050 |
| MultiCare Good Samaritan Hospital | — | $420 | $1,050 |
| MultiCare Valley Hospital | — | $305 | $763 |
| Olympic Medical Center | — | $318 | $397 |
| Overlake Hospital Medical Center & Clinics | — | $380 | $759 |
| PeaceHealth Southwest Medical Cente | — | $469 – $3,373 | $722 – $5,189 |
| PeaceHealth St John Medical Center | — | $469 – $3,278 | $722 – $5,042 |
| PeaceHealth St Joseph Medical Center | — | $470 – $3,404 | $723 – $5,236 |
| PeaceHealth United General Medical Center | — | $470 – $1,857 | $723 – $2,857 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $669 | $956 |
| Providence Centralia Hospital | — | $491 | $944 |
| Providence Holy Family Hospital | — | $722 | $1,031 |
| Providence Mount Carmel Hospital | — | $118 – $170 | $169 – $243 |
| Providence Regional Medical Center Everett | — | $821 | $1,579 |
| Providence St Joseph Hospital | — | $118 – $141 | $169 – $202 |
| Providence St Mary Medical Center | — | $176 – $839 | $251 – $1,199 |
| Providence St Peter Hospital | — | $491 | $944 |
| Seattle Children's Hospital | $37.57 – $287 | $1,138 – $13,258 | $275 – $1,138 |
| Skagit Valley Hospital | — | $278 – $1,006 | $347 – $1,258 |
| St Anthony Hospital | — | $197 | $646 |
| St Clare Hospital | — | $186 | $646 |
| St Elizabeth Hospital | — | $228 | $646 |
| St Francis Community Hospital | — | $203 | $646 |
| St Joseph Medical Center | — | $214 | $646 |
| St Michael Medical Center | — | $285 | $646 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $989 | $2,061 |
| Swedish Medical Center | — | $989 | $2,061 |
| Swedish Medical Center / Cherry Hill | — | $989 | $2,061 |
| Tacoma General Allenmore Hospital | — | $420 | $1,050 |
| Three Rivers Hospital | |||
| Trios Health | — | — | $18,828 |
| University of Washington Medical Ctr | — | $299 | $427 |
| Virginia Mason Medical Center | — | $353 | $692 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $236 – $2,250 | $236 – $2,250 |
| Yakima Valley Memorial | — | $358 | $894 |
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