CPT 46220

Digestive/Gastrointestinal

Current code43 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 46220 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$243 – $3654 plans	$350	$437
Coulee Medical CenterGrand Coulee	—	$393	$437
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$4,405	$6,293
Island HospitalAnacortes	$1,038 – $1,1273 plans	$191 – $2,538	$191 – $2,538
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$159 – $454Doctor’s fee: $295 – $454	$244 – $698Doctor’s fee: $454 – $698
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$872	$1,676
Seattle Children's HospitalSeattle	—	$5,226	$5,226
Trios HealthKennewick	—	—	$10,596
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,424	$3,464
Virginia Mason Medical CenterSeattle	—	$2,172	$4,259
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$1,155	$2,887

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): $325 in an office; $133 in a hospital or surgery center
Doctor's fee, rest of Washington: $285 in an office; $121 in a hospital or surgery center
Hospital outpatient payment (national): $1,223 (APC 5312)
Surgery center payment (national): $657

How hospitals also write this code

Some price files write it differently. These are counted as CPT 46220:

46220P (with a letter after it, P; 4 price lines)
46220T (with a letter after it, T; 2 price lines)