CPT 20225
Musculoskeletal
Current code47 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $3,946 – $4,192 | $1,973 | $4,932 |
| Cascade Medical Center | $699 – $3,560 | $4,542 | $5,678 |
| Cascade Valley Hospital | $382 – $6,152 | $3,591 | $4,489 |
| Deaconess Medical Center | $2,273 – $2,337 | $1,280 | $3,201 |
| EvergreenHealth Medical Center | $200 – $5,004 | $3,974 | $4,968 |
| Harborview Medical Center | — | $4,162 | $5,945 |
| Highline Medical Center | $1,220 – $2,554 | $867 | $2,838 |
| Island Hospital | $177 – $3,548 | $268 – $2,500 | $268 – $2,500 |
| Kadlec Regional Medical Center | — | $3,431 | $4,901 |
| Legacy Salmon Creek Medical Center | — | $81.90 – $234 | $126 – $360 |
| Mary Bridge Children's Hospital | $2,073 – $2,535 | $1,268 | $3,169 |
| MultiCare Auburn Medical Center | $2,313 | $1,268 | $3,169 |
| MultiCare Covington Medical Center | $2,313 | $1,268 | $3,169 |
| MultiCare Good Samaritan Hospital | $2,313 | $1,268 | $3,169 |
| MultiCare Valley Hospital | $2,305 | $1,280 | $3,201 |
| Olympic Medical Center | $1,425 – $2,550 | $2,040 | $2,550 |
| Overlake Hospital Medical Center & Clinics | — | $1,587 | $3,174 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,145 | $5,922 |
| Providence Holy Family Hospital | — | $4,353 | $6,218 |
| Providence Mount Carmel Hospital | — | $1,655 | $2,364 |
| Providence Regional Medical Center Everett | — | $4,308 | $8,285 |
| Providence St Mary Medical Center | — | $2,780 | $3,972 |
| Providence St Peter Hospital | — | $3,591 | $6,906 |
| Seattle Children's Hospital | $194 – $428 | — | $535 |
| Skagit Valley Hospital | $2,592 – $7,342 | $4,045 | $5,056 |
| St Anthony Hospital | $2,044 – $2,129 | $863 | $2,838 |
| St Clare Hospital | $2,044 – $2,129 | $818 | $2,838 |
| St Elizabeth Hospital | $1,135 – $2,554 | $1,003 | $2,838 |
| St Francis Community Hospital | $2,044 – $2,129 | $891 | $2,838 |
| St Joseph Medical Center | $2,044 – $2,129 | $940 | $2,838 |
| St Michael Medical Center | $1,788 – $2,554 | $1,253 | $2,838 |
| Swedish Issaquah | — | $4,420 | $9,209 |
| Swedish Medical Center | — | $4,420 | $9,209 |
| Swedish Medical Center / Cherry Hill | — | $4,420 | $9,209 |
| Tacoma General Allenmore Hospital | $2,313 | $1,268 | $3,169 |
| Three Rivers Hospital | — | $140 | $140 |
| University of Washington Medical Ctr | — | $3,677 | $5,252 |
| Virginia Mason Medical Center | $2,807 – $3,506 | $2,235 | $4,382 |
| Yakima Valley Memorial | $1,362 | $973 | $2,433 |
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)
- $430 in an office; $121 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $378 in an office; $114 in a hospital or surgery center
- Hospital outpatient payment (national)
- $1,687 (APC 5072)
- Surgery center payment (national)
- $742
How hospitals also write this code
Some price files write it differently. These are counted as CPT 20225:
- 20225P (with a letter after it, P; 2 price lines)
- 20225T (with a letter after it, T; 1 price line)