CPT 55250

Other Organ Systems

Current code47 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.

Prices for CPT 55250 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
BHC Fairfax HospitalKirkland	—	$500 – $1,800	$500 – $1,800
Capital Medical CenterOlympiaFile dated 2026-08-27	—	$1,371	$3,428
Cascade Medical CenterLeavenworth	$1,483 – $2,2294 plans	$2,133	$2,666
Coulee Medical CenterGrand Coulee	—	$1,244	$1,382
EvergreenHealth Medical CenterKirkland	—	$4,867	$6,084
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$3,580	$5,114
Island HospitalAnacortes	$1,451 – $1,5753 plans	$431 – $3,501	$431 – $3,501
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27	—	$1,371	$3,428
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27	—	$1,371	$3,428
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27	—	$1,371	$3,428
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27	—	$1,371	$3,428
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27	—	$1,371	$3,428
Three Rivers HospitalBrewster	Doctor’s fee: $767	Doctor’s fee: $1,096	Doctor’s fee: $1,096
Trios HealthKennewick	—	—	$28,341
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,310	$3,300
Virginia Mason Medical CenterSeattle	—	$2,811	$5,512

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): $400 in an office; $242 in a hospital or surgery center
Doctor's fee, rest of Washington: $357 in an office; $221 in a hospital or surgery center
Hospital outpatient payment (national): $2,136 (APC 5373)
Surgery center payment (national): $1,002