CPT 46922

Digestive/Gastrointestinal

Current code41 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 46922 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$446$496
Harborview Medical CenterSeattleFile dated 2026-04-01—$7,837$11,195
Island HospitalAnacortes$1,038 – $1,1273 plans$315 – $4,880$315 – $4,880
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$566Doctor’s fee: $367 – $566$870Doctor’s fee: $565 – $870
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 HospitalBrewsterDoctor’s fee: $442Doctor’s fee: $631Doctor’s fee: $631
University of Washington Medical CtrSeattleFile dated 2026-04-01—$4,272$6,103
Virginia Mason Medical CenterSeattle—$3,802$7,455

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)
$407 in an office; $149 in a hospital or surgery center
Doctor's fee, rest of Washington
$357 in an office; $135 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 46922:

  • 46922P (with a letter after it, P; 2 price lines)