CPT 20100

Musculoskeletal

Current code41 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 20100 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$612 – $6736 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$589 – $6488 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$625 – $6875 plans$3,820 – $5,731$5,458 – $8,186
Highline Medical CenterBurienFile dated 2026-02-28$567 – $65211 plans$582$1,906
Island HospitalAnacortes$644 – $68211 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$601 – $7217 plans$5,741$8,202
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$619 – $6736 plans$384 – $1,099Doctor’s fee: $714 – $1,099$591 – $1,690Doctor’s fee: $1,098 – $1,690
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$617 – $6797 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$614 – $6757 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$614 – $6757 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$617 – $6797 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$607 – $6487 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$676 – $8695 plans$815$1,019
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$626 – $6513 plans——
PeaceHealth Southwest Medical CenteVancouver$598 – $68813 plans$4,093 – $4,562$6,297 – $7,018
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$601 – $7217 plans$1,910$2,729
Providence Centralia HospitalCentraliaFile dated 2026-04-01$625 – $9997 plans$1,055$2,029
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$601 – $6615 plans$2,064$2,948
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$797 – $1,033$1,139 – $1,476
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$614 – $6766 plans$2,102$4,042
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$665 – $1,033$950 – $1,476
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$601 – $6616 plans$662$946
Providence St Peter HospitalOlympiaFile dated 2026-04-01$620 – $9927 plans$1,055$2,029
St Anthony HospitalGig HarborFile dated 2026-02-28$577 – $66412 plans$580$1,906
St Clare HospitalLakewoodFile dated 2026-02-28$577 – $66412 plans$550$1,906
St Elizabeth HospitalEnumclawFile dated 2026-02-28$343 – $41912 plans$674$1,906
St Francis Community HospitalFederal WayFile dated 2026-02-28$567 – $65212 plans$598$1,906
St Joseph Medical CenterTacomaFile dated 2026-02-28$573 – $66412 plans$631$1,906
St Michael Medical CenterSilverdaleFile dated 2026-02-28$593 – $65110 plans$841$1,906
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$614 – $7378 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$626 – $7528 plans$1,584$3,301
Swedish Medical CenterSeattleFile dated 2026-04-01$625 – $7498 plans$1,584$3,301
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$625 – $7498 plans$1,584$3,301
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$617 – $6797 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $3,748Doctor’s fee: $3,748
Trios HealthKennewick$5431 plan—$11,836
University of Washington Medical CtrSeattleFile dated 2026-04-01$625 – $6875 plans$3,591 – $5,387$5,130 – $7,695
Virginia Mason Medical CenterSeattle$29.52 – $2,81113 plans$901$1,767
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$1,320 – $1,849$1,320 – $1,849
Yakima Valley MemorialYakimaFile dated 2026-08-27$631 – $7068 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)
$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)