CPT 15260

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

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)

$1,143 in an office; $808 in a hospital or surgery center

Doctor's fee, rest of Washington

$1,026 in an office; $738 in a hospital or surgery center

Hospital outpatient payment (national)

$2,108 (APC 5054)

Surgery center payment (national)

$1,129

How hospitals also write this code

Some price files write it differently. These are counted as CPT 15260:

• 15260P (with a letter after it, P; 2 price lines)
• 15260T (with a letter after it, T; 1 price line)