CPT 20225
Musculoskeletal
Current code47 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 | $1,874 – $2,062 | $1,973 | $4,932 |
| Cascade Medical Center | $3,172 – $4,747 | $4,542 | $5,678 |
| Cascade Valley Hospital | $1,620 – $1,701 | $3,591 | $4,489 |
| Deaconess Medical Center | $1,804 – $1,984 | $1,280 | $3,201 |
| EvergreenHealth Medical Center | $1,808 – $1,844 | $3,974 | $4,968 |
| Harborview Medical Center | $1,913 – $2,104 | $4,162 | $5,945 |
| Highline Medical Center | $1,803 – $2,074 | $867 | $2,838 |
| Island Hospital | $1,971 – $2,089 | $268 – $2,500 | $268 – $2,500 |
| Kadlec Regional Medical Center | $1,840 – $2,209 | $3,431 | $4,901 |
| Legacy Salmon Creek Medical Center | $1,896 – $2,061 | $81.90 – $234 | $126 – $360 |
| Mary Bridge Children's Hospital | $1,889 – $2,078 | $1,268 | $3,169 |
| MultiCare Auburn Medical Center | $1,880 – $2,067 | $1,268 | $3,169 |
| MultiCare Covington Medical Center | $1,880 – $2,067 | $1,268 | $3,169 |
| MultiCare Good Samaritan Hospital | $1,889 – $2,078 | $1,268 | $3,169 |
| MultiCare Valley Hospital | $1,858 – $1,984 | $1,280 | $3,201 |
| Olympic Medical Center | $2,070 – $2,661 | $2,040 | $2,550 |
| Overlake Hospital Medical Center & Clinics | $1,918 – $1,995 | $1,587 | $3,174 |
| PeaceHealth Southwest Medical Cente | $1,831 – $2,106 | $5,298 – $5,457 | $8,151 – $8,396 |
| PeaceHealth St John Medical Center | $1,532 – $2,160 | $6,197 – $6,383 | $9,534 – $9,820 |
| PeaceHealth St Joseph Medical Center | $1,961 – $2,158 | $2,848 – $4,701 | $4,381 – $7,233 |
| PeaceHealth United General Medical Center | — | $3,663 | $5,635 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,840 – $2,209 | $3,425 – $4,145 | $4,893 – $5,922 |
| Providence Centralia Hospital | $1,913 – $3,060 | — | — |
| Providence Holy Family Hospital | $1,840 – $2,024 | $4,353 | $6,218 |
| Providence Mount Carmel Hospital | — | $1,655 | $2,364 |
| Providence Regional Medical Center Everett | $1,881 – $2,069 | $4,308 | $8,285 |
| Providence St Mary Medical Center | $1,840 – $2,024 | $2,780 | $3,972 |
| Providence St Peter Hospital | $1,899 – $3,039 | $3,591 | $6,906 |
| Seattle Children's Hospital | — | $24,817 – $29,919 | $535 |
| Skagit Valley Hospital | $1,620 – $1,701 | $4,045 | $5,056 |
| St Anthony Hospital | $1,836 – $2,112 | $863 | $2,838 |
| St Clare Hospital | $1,836 – $2,112 | $818 | $2,838 |
| St Elizabeth Hospital | $511 – $624 | $1,003 | $2,838 |
| St Francis Community Hospital | $1,803 – $2,074 | $891 | $2,838 |
| St Joseph Medical Center | $1,836 – $2,112 | $940 | $2,838 |
| St Michael Medical Center | $1,888 – $2,039 | $1,253 | $2,838 |
| Swedish Edmonds Hospital | $1,881 – $2,257 | — | — |
| Swedish Issaquah | $1,918 – $2,301 | $2,411 – $4,420 | $5,023 – $9,209 |
| Swedish Medical Center | $1,913 – $2,295 | $2,411 – $4,420 | $5,023 – $9,209 |
| Swedish Medical Center / Cherry Hill | $1,913 – $2,295 | $2,411 – $4,420 | $5,023 – $9,209 |
| Tacoma General Allenmore Hospital | $1,889 – $2,078 | $1,268 | $3,169 |
| Three Rivers Hospital | — | $140 | $140 |
| University of Washington Medical Ctr | $1,913 – $2,104 | $3,677 | $5,252 |
| Virginia Mason Medical Center | $128 – $2,533 | $2,235 | $4,382 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $302 – $6,747 | $302 – $6,747 |
| Yakima Valley Memorial | $1,932 – $2,164 | $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)