CPT 59012

Other Organ Systems

Current code37 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 59012 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$514	$1,285
EvergreenHealth Medical CenterKirkland	—	$686	$857
Island HospitalAnacortes	—	$484	$484
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$128 – $367Doctor’s fee: $238 – $367	$197 – $564Doctor’s fee: $366 – $564
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	—	$514	$1,285
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$5,629	$8,042
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$765	$1,471
Seattle Children's HospitalSeattle	$2341 plan	$929	$929
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
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$931	$1,331

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): $186 in a hospital or surgery center
Doctor's fee, rest of Washington: $174 in a hospital or surgery center
Hospital outpatient payment (national): $311 (APC 5412)
Surgery center payment (national): $167

How hospitals also write this code

Some price files write it differently. These are counted as CPT 59012:

59012P (with a letter after it, P; 2 price lines)
59012T (with a letter after it, T; 1 price line)