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

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

Prices for CPT 46255 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,678 – $2,4855 plans——
Cascade Medical CenterLeavenworth$729 – $1,0964 plans$1,049$1,311
Coulee Medical CenterGrand Coulee—$1,163$1,293
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,535 – $1,6255 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$2,963$9,702
Island HospitalAnacortes$1,584 – $1,7183 plans——
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
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,588 – $1,7155 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,559 – $1,6845 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,559 – $1,6845 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,595 – $1,7235 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,524 – $1,6145 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,962 – $2,1495 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Peace Island Medical CenterFriday Harbor—$1,572Doctor’s fee: $844$2,419Doctor’s fee: $1,298
PeaceHealth Southwest Medical CenteVancouver$3,2011 plan$8,712$13,403
PeaceHealth St John Medical CenterLongview$2,574 – $3,4653 plans$6,990$10,754
PeaceHealth St Joseph Medical CenterBellingham$3,4612 plans$7,469$11,490
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 Regional Medical Center EverettEverettFile dated 2026-04-01———
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—$2,951$9,702
St Clare HospitalLakewoodFile dated 2026-02-28—$2,797$9,702
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,649 – $2,0085 plans$3,428$9,702
St Francis Community HospitalFederal WayFile dated 2026-02-28—$3,045$9,702
St Joseph Medical CenterTacomaFile dated 2026-02-28—$3,213$9,702
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$4,282$9,702
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$4,202 – $7,704$8,755 – $16,051
Swedish Medical CenterSeattleFile dated 2026-04-01—$4,202 – $7,704$8,755 – $16,051
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4,202 – $7,704$8,755 – $16,051
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,596 – $1,7235 plans——
Three Rivers HospitalBrewsterDoctor’s fee: $1,507Doctor’s fee: $2,153Doctor’s fee: $2,153
Trios HealthKennewick——$13,242
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$3,590$7,040
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$2,400$2,400
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,525 – $1,7715 plans——

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)
$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)