CPT 20205

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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 20205 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$4,416	$11,041
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$6,181	$8,830
Island HospitalAnacortes	—	$342 – $687	$342 – $687
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$192 – $549Doctor’s fee: $357 – $549	$296 – $845Doctor’s fee: $549 – $845
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	—	$4,416	$11,041
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$4,026	$5,752
Seattle Children's HospitalSeattle	$88.971 plan	$651	$651
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$3,902	$5,574
Virginia Mason Medical CenterSeattle	—	$4,195	$8,225

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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): $393 in an office; $158 in a hospital or surgery center
Doctor's fee, rest of Washington: $347 in an office; $145 in a hospital or surgery center
Hospital outpatient payment (national): $2,968 (APC 5073)
Surgery center payment (national): $1,248

How hospitals also write this code

Some price files write it differently. These are counted as CPT 20205:

20205P (with a letter after it, P; 2 price lines)
20205T (with a letter after it, T; 1 price line)