CPT 54055

Other Organ Systems

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

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

Prices for CPT 54055 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,233 – $10,67517 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3,138 – $7,6979 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$3,823 – $5,0863 plans$3,182$4,546
Highline Medical CenterBurienFile dated 2026-02-28$3,868 – $8,34812 plans——
Island HospitalAnacortes$151 – $4,432at least 15 plans$228 – $3,012$228 – $3,012
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$158 – $7,9099 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4,574 – $19,1279 plans$89.70 – $256Doctor’s fee: $166 – $256$138 – $394Doctor’s fee: $256 – $394
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,233 – $13,5749 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,233 – $10,32117 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,233 – $10,32117 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,233 – $10,32112 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3,051 – $7,68010 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,636 – $15,48116 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,663 – $33,60313 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$4,038 – $13,37110 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,759 – $11,24114 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,820 – $19,88514 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,616 – $8,2088 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2,017 – $27,98211 plans——
Skagit Valley HospitalMount Vernon$1,632 – $8,25911 plans$1,640$2,050
St Anthony HospitalGig HarborFile dated 2026-02-28$3,939 – $9,12315 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$3,939 – $9,12315 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,712 – $7,7189 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$3,868 – $9,12315 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$3,981 – $9,12315 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,264 – $8,1348 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$3,525 – $8,46016 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,594 – $17,25716 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$3,584 – $10,13423 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,584 – $10,13417 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,233 – $9,90417 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$3,823 – $7,63111 plans$2,462$3,517
Virginia Mason Medical CenterSeattle$3.93 – $18,71110 plans$3,004$5,891
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$6,0771 plan——
WhidbeyHealth Medical CenterCoupeville—$287 – $717$287 – $717
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,970 – $6,85714 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)
$162 in an office; $97.43 in a hospital or surgery center
Doctor's fee, rest of Washington
$144 in an office; $88.45 in a hospital or surgery center
Hospital outpatient payment (national)
$2,108 (APC 5054)
Surgery center payment (national)
$94.32

How hospitals also write this code

Some price files write it differently. These are counted as CPT 54055:

  • 54055P (with a letter after it, P; 4 price lines)
  • 54055T (with a letter after it, T; 2 price lines)