CPT 55875
Other Organ Systems
Current code36 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $8,210 | $20,524 |
| Highline Medical Center | — | $3,840 | $12,577 |
| Legacy Salmon Creek Medical Center | — | $1,434 | $2,206 |
| Mary Bridge Children's Hospital | — | $8,210 | $20,524 |
| MultiCare Auburn Medical Center | — | $8,210 | $20,524 |
| MultiCare Covington Medical Center | — | $8,210 | $20,524 |
| MultiCare Good Samaritan Hospital | — | $8,210 | $20,524 |
| Providence Regional Medical Center Everett | — | $4,839 | $9,306 |
| St Anthony Hospital | — | $3,825 | $12,577 |
| St Clare Hospital | — | $3,625 | $12,577 |
| St Elizabeth Hospital | $3,522 – $4,172 | $4,444 | $12,577 |
| St Francis Community Hospital | — | $3,947 | $12,577 |
| St Joseph Medical Center | — | $4,165 | $12,577 |
| St Michael Medical Center | — | $5,551 | $12,577 |
| Swedish Issaquah | — | $8,951 | $18,648 |
| Swedish Medical Center | — | $8,951 | $18,648 |
| Swedish Medical Center / Cherry Hill | — | $8,951 | $18,648 |
| Tacoma General Allenmore Hospital | — | $8,210 | $20,524 |
| University of Washington Medical Ctr | — | $8,105 | $11,579 |
| Virginia Mason Medical Center | — | $6,420 | $12,589 |
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)
- $747 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $693 in a hospital or surgery center
- Hospital outpatient payment (national)
- $5,478 (APC 5375)
- Surgery center payment (national)
- $2,730