CPT 49255

Digestive/Gastrointestinal

Current code37 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

Unknown: The source file doesn't say which population this rate applies to.

Prices for CPT 49255 by hospital
Hospital	Unknown rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	$2,972 – $8,1133 plans	$325 – $1,551	$325 – $1,551
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$512 – $1,461Doctor’s fee: $950 – $1,461	$787 – $2,248Doctor’s fee: $1,461 – $2,248
Three Rivers HospitalBrewster	Doctor’s fee: $892 – $1,345	Doctor’s fee: $1,640	Doctor’s fee: $1,640
Virginia Mason Medical CenterSeattle	—	$3,185	$6,246

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): $811 in a hospital or surgery center
Doctor's fee, rest of Washington: $747 in a hospital or surgery center
Hospital outpatient payment (national): $6,614 (APC 5342)
Surgery center payment (national): $3,365

How hospitals also write this code

Some price files write it differently. These are counted as CPT 49255:

49255P (with a letter after it, P; 2 price lines)
49255T (with a letter after it, T; 1 price line)