CPT 67255

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Current code35 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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 67255 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$4,691 – $5,1606 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4,514 – $4,9658 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$4,786 – $5,2655 plans$4,987 – $7,481$7,125 – $10,687
Highline Medical CenterBurienFile dated 2026-02-28$4,478 – $5,14911 plans——
Island HospitalAnacortes$4,933 – $5,22911 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$4,606 – $5,5277 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$4,744 – $5,1596 plans$1,242$1,911
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$4,727 – $5,2007 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$4,704 – $5,1747 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$4,704 – $5,1747 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$4,727 – $5,2007 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4,649 – $4,9657 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$5,180 – $6,6605 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$4,800 – $4,9923 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$4,606 – $5,5277 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$4,786 – $7,6587 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$4,606 – $5,0675 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$4,707 – $5,1786 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$4,606 – $5,0676 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$4,754 – $7,6067 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$4,560 – $5,24412 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$4,560 – $5,24412 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28———
St Francis Community HospitalFederal WayFile dated 2026-02-28$4,478 – $5,14912 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$2,706 – $5,24412 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,688 – $5,06310 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$4,707 – $5,6498 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$4,800 – $5,7608 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$4,786 – $5,7448 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$4,786 – $5,7448 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$4,727 – $5,2007 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$4,786 – $5,2655 plans——
Virginia Mason Medical CenterSeattle$6.09 – $4,60113 plans$2,889$5,664
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$4,834 – $5,4158 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$675 in a hospital or surgery center
Doctor's fee, rest of Washington
$611 in a hospital or surgery center
Hospital outpatient payment (national)
$4,223 (APC 5492)
Surgery center payment (national)
$2,204