CPT 20100
Musculoskeletal
Current code41 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) |
|---|---|---|---|
| Harborview Medical Center | — | $3,820 – $5,731 | $5,458 – $8,186 |
| Highline Medical Center | — | $582 | $1,906 |
| Kadlec Regional Medical Center | — | $5,741 | $8,202 |
| Legacy Salmon Creek Medical Center | — | $384 – $1,099 | $591 – $1,690 |
| Olympic Medical Center | $676 – $869 | $815 | $1,019 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,910 | $2,729 |
| Providence Centralia Hospital | — | $1,055 | $2,029 |
| Providence Holy Family Hospital | — | $2,064 | $2,948 |
| Providence Mount Carmel Hospital | — | $797 – $1,033 | $1,139 – $1,476 |
| Providence Regional Medical Center Everett | — | $2,102 | $4,042 |
| Providence St Joseph Hospital | — | $665 – $1,033 | $950 – $1,476 |
| Providence St Mary Medical Center | — | $662 | $946 |
| Providence St Peter Hospital | — | $1,055 | $2,029 |
| St Anthony Hospital | — | $580 | $1,906 |
| St Clare Hospital | — | $550 | $1,906 |
| St Elizabeth Hospital | — | $674 | $1,906 |
| St Francis Community Hospital | — | $598 | $1,906 |
| St Joseph Medical Center | — | $631 | $1,906 |
| St Michael Medical Center | — | $841 | $1,906 |
| Swedish Issaquah | — | $1,584 | $3,301 |
| Swedish Medical Center | — | $1,584 | $3,301 |
| Swedish Medical Center / Cherry Hill | — | $1,584 | $3,301 |
| Three Rivers Hospital | — | ||
| Trios Health | $543 | — | $11,836 |
| University of Washington Medical Ctr | — | $3,591 – $5,387 | $5,130 – $7,695 |
| Virginia Mason Medical Center | — | $901 | $1,767 |
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)
- $579 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $540 in a hospital or surgery center
- Hospital outpatient payment (national)
- $551 (APC 5162)
- Surgery center payment (national)
- $295
How hospitals also write this code
Some price files write it differently. These are counted as CPT 20100:
- 20100P (with a letter after it, P; 2 price lines)
- 20100T (with a letter after it, T; 1 price line)