CareNavIQ

Every billing code / Procedures and surgery / Other Organ Systems

CPT 55100

Other Organ Systems

Current code50 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$1,558$1,731
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$2,561$6,402
EvergreenHealth Medical CenterKirkland—$4,038$5,048
Harborview Medical CenterSeattleFile dated 2026-04-01—$5,861$8,373
Highline Medical CenterBurienFile dated 2026-02-28—$802$2,628
Island HospitalAnacortes$1,451 – $1,5753 plans$317 – $374$317 – $374
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$2,368$3,383
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$424$652
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$2,561$6,402
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,798 – $1,9695 plans$2,400$3,000
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1,334$2,668
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$5,118$7,311
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$4,123$7,928
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$6,638$9,483
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$288 – $1,403$411 – $2,004
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$2,871$5,521
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$288 – $1,171$411 – $1,673
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$143 – $2,100$204 – $3,000
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$4,123$7,928
Seattle Children's HospitalSeattle$102 – $1099 plans$710$710
St Anthony HospitalGig HarborFile dated 2026-02-28—$799$2,628
St Clare HospitalLakewoodFile dated 2026-02-28—$757$2,628
St Elizabeth HospitalEnumclawFile dated 2026-02-28$736 – $8725 plans$929$2,628
St Francis Community HospitalFederal WayFile dated 2026-02-28—$825$2,628
St Joseph Medical CenterTacomaFile dated 2026-02-28—$870$2,628
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,160$2,628
Swedish IssaquahIssaquahFile dated 2026-04-01—$4,420$9,209
Swedish Medical CenterSeattleFile dated 2026-04-01—$4,420$9,209
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4,420$9,209
Three Rivers HospitalBrewsterDoctor’s fee: $367 – $426Doctor’s fee: $524 – $608Doctor’s fee: $524 – $608
Trios HealthKennewick——$28,640
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,029$2,898
Virginia Mason Medical CenterSeattle—$2,027 – $2,128$3,974 – $4,173

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)
$285 in an office; $182 in a hospital or surgery center
Doctor's fee, rest of Washington
$254 in an office; $166 in a hospital or surgery center
Hospital outpatient payment (national)
$1,687 (APC 5072)
Surgery center payment (national)
$742