CPT 46255

Digestive/Gastrointestinal

Current code46 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 46255 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$699 – $8222 plans$1,049$1,311
Coulee Medical CenterGrand Coulee—$1,163$1,293
Highline Medical CenterBurienFile dated 2026-02-28$4,172 – $8,7324 plans$2,963$9,702
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$4,936$7,052
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—Doctor’s fee: $619 – $952Doctor’s fee: $952 – $1,465
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$6,210$8,871
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$5,936$11,415
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$6,376$9,108
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$4,497$6,424
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$3,845$5,493
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$5,018$7,169
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$5,936$11,415
St Anthony HospitalGig HarborFile dated 2026-02-28$6,985 – $7,2772 plans$2,951$9,702
St Clare HospitalLakewoodFile dated 2026-02-28$6,985 – $7,2772 plans$2,797$9,702
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3,881 – $8,7325 plans$3,428$9,702
St Francis Community HospitalFederal WayFile dated 2026-02-28$6,985 – $7,2772 plans$3,045$9,702
St Joseph Medical CenterTacomaFile dated 2026-02-28$6,985 – $7,2772 plans$3,213$9,702
St Michael Medical CenterSilverdaleFile dated 2026-02-28$6,112 – $8,73210 plans$4,282$9,702
Swedish IssaquahIssaquahFile dated 2026-04-01—$7,704$16,051
Swedish Medical CenterSeattleFile dated 2026-04-01—$7,704$16,051
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$7,704$16,051
Three Rivers HospitalBrewster—Doctor’s fee: $2,153Doctor’s fee: $2,153
Trios HealthKennewick——$13,242
Virginia Mason Medical CenterSeattle$4,509 – $5,6324 plans$3,590$7,040

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)
$672 in an office; $389 in a hospital or surgery center
Doctor's fee, rest of Washington
$596 in an office; $354 in a hospital or surgery center
Hospital outpatient payment (national)
$2,836 (APC 5313)
Surgery center payment (national)
$1,433

How hospitals also write this code

Some price files write it differently. These are counted as CPT 46255:

  • 46255P (with a letter after it, P; 2 price lines)