CPT 12055

Wound Repair - All Levels

Current code48 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 12055 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$7531 planDoctor’s fee: $918	$1,127Doctor’s fee: $1,374	$1,409Doctor’s fee: $1,718
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$607	$1,518
EvergreenHealth Medical CenterKirkland	—	$1,896	$2,370
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$1,879	$2,684
Highline Medical CenterBurienFile dated 2026-02-28	—	$428	$1,401
Island HospitalAnacortes	—	$676 – $700	$676 – $700
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$1,036	$1,480
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$912	$1,403
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	—	$607	$1,518
Olympic Medical CenterPort AngelesFile dated 2026-06-24	—	$652	$815
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$1,405	$2,809
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$702	$1,003
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$1,072	$2,062
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$760	$1,086
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$392 – $522	$560 – $745
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$1,425	$2,741
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$310 – $828	$443 – $1,183
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$275 – $923	$393 – $1,319
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$1,072	$2,062
Seattle Children's HospitalSeattle	$1751 plan	$1,264 – $1,752	$1,264 – $1,752
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$426	$1,401
St Clare HospitalLakewoodFile dated 2026-02-28	—	$404	$1,401
St Elizabeth HospitalEnumclawFile dated 2026-02-28	—	$495	$1,401
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$440	$1,401
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$464	$1,401
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$618	$1,401
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$1,035	$2,157
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$1,035	$2,157
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$1,035	$2,157
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,310	$1,871
Virginia Mason Medical CenterSeattle	—	$609	$1,195

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): $632 in an office; $323 in a hospital or surgery center
Doctor's fee, rest of Washington: $560 in an office; $295 in a hospital or surgery center
Hospital outpatient payment (national): $415 (APC 5052)
Surgery center payment (national): $223