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CPT 54056

Other Organ Systems

Current code39 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.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$2851 plan$427$534
Harborview Medical CenterSeattleFile dated 2026-04-01—$305$436
Highline Medical CenterBurienFile dated 2026-02-28—$96.33$315
Island HospitalAnacortes—$152 – $390$152 – $390
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—Doctor’s fee: $175 – $268Doctor’s fee: $269 – $413
Seattle Children's HospitalSeattle—$236$236
St Anthony HospitalGig HarborFile dated 2026-02-28—$95.95$315
St Clare HospitalLakewoodFile dated 2026-02-28—$90.93$315
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$111$315
St Francis Community HospitalFederal WayFile dated 2026-02-28—$99.00$315
St Joseph Medical CenterTacomaFile dated 2026-02-28—$104$315
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$139$315
University of Washington Medical CtrSeattleFile dated 2026-04-01—$298$425
Virginia Mason Medical CenterSeattle—$294$577

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)
$167 in an office; $112 in a hospital or surgery center
Doctor's fee, rest of Washington
$149 in an office; $102 in a hospital or surgery center
Hospital outpatient payment (national)
$205 (APC 5051)

How hospitals also write this code

Some price files write it differently. These are counted as CPT 54056:

  • 54056P (with a letter after it, P; 4 price lines)