CPT 12055 at Summit Pacific Medical Center

Wound Repair - All Levels

Summit Pacific Medical Center, Elma

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 Summit Pacific Medical Center publishes for this code: as an outpatient

Summit Pacific Medical Center’s prices for CPT 12055, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$1,163 – $1,4963 plans	$532
Medicare AdvantageInsurer rates	$416 – $4403 plans	$295 – $313
Medicaid managed careInsurer rates	$384 – $4223 plans	$296 – $325
Other government programInsurer rates	$4161 plan	$295
UnknownInsurer rates	$384 – $1,4133 plans	$296 – $409
Cash pricePaying yourself, without insurance	$897	$336
List priceBefore any discount; few people pay it	$1,662	$623

Lowest and highest amounts Summit Pacific Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-31. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 12055 at Summit Pacific Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The operating or procedure room, nursing, supplies and recovery	—	The price above
Surgeon or doctor doing itThe doctor's practice	The procedure, and routine follow-up visits for 10 days	$295	$349 – $529
AnesthesiaAn anesthesia group (only sometimes)	Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 12055 at every Washington hospital, with Medicare’s reference amounts.