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CPT 61020

Other Organ Systems

Current code40 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.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland$1,017 – $1,0365 plans$2,236$2,795
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,728$2,469
Island HospitalAnacortes$1,056 – $1,11911 plans$225$225
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$977 – $1,108$1,395 – $1,583
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$68.25 – $196Doctor’s fee: $127 – $196$105 – $301Doctor’s fee: $196 – $301
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,952 – $2,328$2,789 – $3,325
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,985$3,817
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,952$2,789
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,520$2,171
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$1,230 – $1,575$2,365 – $3,029
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,520$2,171
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$977$1,395
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,948$3,746
Seattle Children's HospitalSeattle—$1,609$448 – $1,609
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$1,135$2,365
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,191 – $2,048$2,481 – $4,266
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,191 – $2,048$2,481 – $4,266
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,191 – $2,048$2,481 – $4,266
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,262$1,802
Virginia Mason Medical CenterSeattle—$1,561$3,061

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)
$105 in a hospital or surgery center
Doctor's fee, rest of Washington
$96.82 in a hospital or surgery center
Hospital outpatient payment (national)
$904 (APC 5443)
Surgery center payment (national)
$486

How hospitals also write this code

Some price files write it differently. These are counted as CPT 61020:

  • 61020P (with a letter after it, P; 2 price lines)
  • 61020T (with a letter after it, T; 1 price line)