CPT 57455
Other Organ Systems
Current code39 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 | — | $377 | $943 |
| Coulee Medical Center | — | $1,265 | $1,406 |
| Harborview Medical Center | — | $624 | $891 |
| Island Hospital | $323 – $350 | $330 | $330 |
| Mary Bridge Children's Hospital | — | $377 | $943 |
| MultiCare Auburn Medical Center | — | $377 | $943 |
| MultiCare Covington Medical Center | — | $377 | $943 |
| MultiCare Good Samaritan Hospital | — | $377 | $943 |
| Overlake Hospital Medical Center & Clinics | — | $359 | $717 |
| Seattle Children's Hospital | — | $876 | $876 |
| Swedish Issaquah | — | $849 | $1,768 |
| Swedish Medical Center | — | $849 | $1,768 |
| Swedish Medical Center / Cherry Hill | — | $849 | $1,768 |
| Tacoma General Allenmore Hospital | — | $377 | $943 |
| University of Washington Medical Ctr | — | $460 | $658 |
| Virginia Mason Medical Center | — | $584 | $1,146 |
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)
- $181 in an office; $102 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $163 in an office; $95.54 in a hospital or surgery center
- Hospital outpatient payment (national)
- $311 (APC 5412)
- Surgery center payment (national)
- $84.59