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CPT 55040

Other Organ Systems

Current code44 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.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$649$649
EvergreenHealth Medical CenterKirkland$9,3551 plan$8,315$10,394
Island HospitalAnacortes$1,567 – $4,4873 plans$639 – $798$639 – $798
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$624Doctor’s fee: $406 – $624$960Doctor’s fee: $624 – $960
Seattle Children's HospitalSeattle$198 – $87921 plans$1,428$1,428
Three Rivers HospitalBrewsterDoctor’s fee: $385 – $1,936Doctor’s fee: $2,361Doctor’s fee: $2,361
Trios HealthKennewick$3,836 – $6,5943 plans—$20,236 – $30,936
Virginia Mason Medical CenterSeattle—$5,064$9,930

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)
$345 in a hospital or surgery center
Doctor's fee, rest of Washington
$318 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 55040:

  • 55040P (with a letter after it, P; 2 price lines)