CPT 49553

Digestive/Gastrointestinal

Current code42 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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 49553 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$6,053	$6,725
Island HospitalAnacortes	—	$1,558	$1,558
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$1,169Doctor’s fee: $760 – $1,169	$1,799Doctor’s fee: $1,169 – $1,799
Three Rivers HospitalBrewster	Doctor’s fee: $1,259	Doctor’s fee: $1,799	Doctor’s fee: $1,799
Trios HealthKennewick	—	—	$106,024
Virginia Mason Medical CenterSeattle	—	$5,901	$11,571

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): $655 in a hospital or surgery center
Doctor's fee, rest of Washington: $604 in a hospital or surgery center
Hospital outpatient payment (national): $3,658 (APC 5341)
Surgery center payment (national): $1,744

How hospitals also write this code

Some price files write it differently. These are counted as CPT 49553:

49553P (with a letter after it, P; 2 price lines)