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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 58301 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$219$219
Capital Medical CenterOlympiaFile dated 2026-08-27$346 – $3806 plans$420$1,050
Cascade Medical CenterLeavenworth$199 – $2987 plans$286$357
Cascade Valley HospitalArlington$304 – $3193 plans$878$1,098
Coulee Medical CenterGrand Coulee—$220 – $860$245 – $956
Deaconess Medical CenterSpokaneFile dated 2026-08-27$333 – $3668 plans$305$763
EvergreenHealth Medical CenterKirkland$358 – $3655 plans$662$828
EvergreenHealth MonroeMonroe$351 – $3585 plans$354$443
Harborview Medical CenterSeattleFile dated 2026-04-01$353 – $3885 plans$320$457
Highline Medical CenterBurienFile dated 2026-02-28$339 – $38911 plans$197$646
Island HospitalAnacortes$364 – $38611 plans$151 – $537$151 – $537
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$340 – $4077 plans$475$678
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$350 – $3806 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$349 – $3837 plans$420$1,050
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$347 – $3817 plans$420$1,050
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$347 – $3817 plans$420$1,050
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$349 – $3837 plans$420$1,050
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$343 – $3667 plans$305$763
Olympic Medical CenterPort AngelesFile dated 2026-06-24$382 – $4915 plans$318$397
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$354 – $3683 plans$380$759
PeaceHealth Southwest Medical CenteVancouver$338 – $38913 plans$469 – $3,373$722 – $5,189
PeaceHealth St John Medical CenterLongview$283 – $39914 plans$469 – $3,278$722 – $5,042
PeaceHealth St Joseph Medical CenterBellingham$362 – $3988 plans$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$340 – $4077 plans$669$956
Providence Centralia HospitalCentraliaFile dated 2026-04-01$353 – $5657 plans$491$944
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$340 – $3745 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$347 – $3826 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$340 – $3746 plans$176 – $839$251 – $1,199
Providence St Peter HospitalOlympiaFile dated 2026-04-01$350 – $5617 plans$491$944
Seattle Children's HospitalSeattle—$1,138 – $13,258$275 – $1,138
Skagit Valley HospitalMount Vernon$304 – $3194 plans$278 – $1,006$347 – $1,258
St Anthony HospitalGig HarborFile dated 2026-02-28$345 – $39712 plans$197$646
St Clare HospitalLakewoodFile dated 2026-02-28$345 – $39712 plans$186$646
St Elizabeth HospitalEnumclawFile dated 2026-02-28$116 – $14212 plans$228$646
St Francis Community HospitalFederal WayFile dated 2026-02-28$339 – $38912 plans$203$646
St Joseph Medical CenterTacomaFile dated 2026-02-28$345 – $39712 plans$214$646
St Michael Medical CenterSilverdaleFile dated 2026-02-28$355 – $38310 plans$285$646
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$347 – $4168 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$354 – $4258 plans$989$2,061
Swedish Medical CenterSeattleFile dated 2026-04-01$353 – $4238 plans$989$2,061
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$353 – $4238 plans$989$2,061
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$349 – $3837 plans$420$1,050
Three Rivers HospitalBrewster—Doctor’s fee: $195 – $223Doctor’s fee: $195 – $223
Trios HealthKennewick$3241 plan—$18,828
University of Washington Medical CtrSeattleFile dated 2026-04-01$353 – $3885 plans$299$427
Virginia Mason Medical CenterSeattle$32.05 – $34813 plans$353$692
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$236 – $2,250$236 – $2,250
Yakima Valley MemorialYakimaFile dated 2026-08-27$356 – $3998 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