HCPCS G0455
Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen
Current code30 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,055 – $1,161 | — | — |
| Deaconess Medical Center | $1,016 – $1,117 | — | — |
| EvergreenHealth Medical Center | $1,019 – $1,039 | $2,276 | $2,845 |
| Harborview Medical Center | $1,077 – $1,185 | $760 – $1,677 | $1,086 – $2,395 |
| Island Hospital | $1,110 – $1,176 | — | — |
| Kadlec Regional Medical Center | $1,036 – $1,244 | — | — |
| Legacy Salmon Creek Medical Center | $1,067 – $1,161 | $239 | $368 |
| Mary Bridge Children's Hospital | $1,064 – $1,170 | — | — |
| MultiCare Auburn Medical Center | $1,058 – $1,164 | — | — |
| MultiCare Covington Medical Center | $1,058 – $1,164 | — | — |
| MultiCare Good Samaritan Hospital | $1,064 – $1,170 | — | — |
| MultiCare Valley Hospital | $1,046 – $1,117 | — | — |
| Olympic Medical Center | $1,165 – $1,498 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,080 – $1,123 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,036 – $1,244 | — | — |
| Providence Centralia Hospital | $1,077 – $1,723 | — | — |
| Providence Holy Family Hospital | $1,036 – $1,140 | — | — |
| Providence Regional Medical Center Everett | $1,059 – $1,165 | — | — |
| Providence St Mary Medical Center | $1,036 – $1,140 | — | — |
| Providence St Peter Hospital | $1,070 – $1,711 | — | — |
| Seattle Children's Hospital | — | $9,254 | $9,254 |
| Swedish Edmonds Hospital | $1,059 – $1,271 | — | — |
| Swedish Issaquah | $1,080 – $1,296 | — | — |
| Swedish Medical Center | $1,077 – $1,292 | — | — |
| Swedish Medical Center / Cherry Hill | $1,077 – $1,292 | — | — |
| Tacoma General Allenmore Hospital | $1,064 – $1,170 | — | — |
| University of Washington Medical Ctr | $1,077 – $1,185 | $882 – $1,744 | $1,261 – $2,492 |
| Virginia Mason Medical Center | $73.30 – $1,698 | $1,292 | $2,534 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,088 – $1,218 | — | — |
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)
- $170 in an office; $65.75 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $151 in an office; $61.60 in a hospital or surgery center
- Hospital outpatient payment (national)
- $950 (APC 5311)