CPT 84255

Clinical Chemistry

Current code48 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 84255 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$25.02 – $27.526 plans$101$252
Cascade Medical CenterLeavenworth$25.02 – $1257 plans$120$150
Cascade Valley HospitalArlington$26.81 – $1,6443 plans$154$193
Deaconess Medical CenterSpokaneFile dated 2026-08-27$25.02 – $27.528 plans$112$281
EvergreenHealth Medical CenterKirkland$25.53 – $26.425 plans$114$142
EvergreenHealth MonroeMonroe$25.53 – $26.425 plans$114$142
Harborview Medical CenterSeattleFile dated 2026-04-01$25.53 – $28.085 plans$27.30$39.00
Highline Medical CenterBurienFile dated 2026-02-28$25.53 – $29.3611 plans$67.51$221
Island HospitalAnacortes$27.34 – $28.9811 plans$130$130
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$25.53 – $30.647 plans$154$220
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$26.30 – $28.596 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$25.02 – $27.527 plans$47.20$118
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$25.02 – $27.527 plans$47.20$118
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$25.02 – $27.527 plans$47.20$118
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$25.02 – $27.527 plans$47.20$118
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$25.77 – $27.527 plans$112$281
Olympic Medical CenterPort AngelesFile dated 2026-06-24$28.71 – $36.915 plans$93.60$117
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$25.53 – $26.553 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$88.40$136
PeaceHealth Southwest Medical CenteVancouver$25.53 – $29.3613 plans$92.95$143
PeaceHealth St John Medical CenterLongview$19.91 – $28.0814 plans$92.95$143
PeaceHealth St Joseph Medical CenterBellingham$25.53 – $28.088 plans$92.95 – $97.50$143 – $150
PeaceHealth United General Medical CenterSedro Woolley—$92.95$143
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$25.53 – $28.086 plans$142 – $172$203 – $245
Providence Centralia HospitalCentraliaFile dated 2026-04-01$25.53 – $40.857 plans$61.36$118
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$25.53 – $28.085 plans$146$208
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$200$285
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$26.30 – $28.085 plans$200$385
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$181$258
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$25.53 – $28.086 plans$35.70 – $79.10$51.00 – $113
Providence St Peter HospitalOlympiaFile dated 2026-04-01$25.53 – $40.857 plans$61.36$118
Skagit Valley HospitalMount Vernon$25.53 – $27.573 plans$154$193
St Anthony HospitalGig HarborFile dated 2026-02-28$25.53 – $29.3612 plans$67.24$221
St Clare HospitalLakewoodFile dated 2026-02-28$25.53 – $29.3612 plans$63.72$221
St Elizabeth HospitalEnumclawFile dated 2026-02-28$25.53 – $29.3612 plans$78.12$221
St Francis Community HospitalFederal WayFile dated 2026-02-28$25.53 – $29.3612 plans$69.38$221
St Joseph Medical CenterTacomaFile dated 2026-02-28$25.53 – $29.3612 plans$73.22$221
St Michael Medical CenterSilverdaleFile dated 2026-02-28$25.53 – $27.5710 plans$97.57$221
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$26.30 – $28.086 plans$185$385
Swedish IssaquahIssaquahFile dated 2026-04-01$26.30 – $28.086 plans$185$385
Swedish Medical CenterSeattleFile dated 2026-04-01$26.30 – $28.086 plans$185$385
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$26.30 – $28.086 plans$185$385
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$25.02 – $27.527 plans$47.20$118
Three Rivers HospitalBrewster—$219$219
University of Washington Medical CtrSeattleFile dated 2026-04-01$25.53 – $28.085 plans$27.30$39.00
Virginia Mason Medical CenterSeattle$17.87 – $26.819 plans$72.93$143
WhidbeyHealth Medical CenterCoupeville—$59.00$59.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$26.80 – $30.018 plans$51.60$129

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.

Lab fee schedule (national limit)
$25.53