CPT 20240
Musculoskeletal
Current code44 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Valley Hospital | — | $5,642 | $7,052 |
| Coulee Medical Center | — | $446 | $496 |
| EvergreenHealth Medical Center | — | $8,535 | $10,669 |
| Harborview Medical Center | — | $8,546 | $12,208 |
| Highline Medical Center | — | $1,469 | $4,811 |
| Kadlec Regional Medical Center | — | $3,514 | $5,020 |
| Legacy Salmon Creek Medical Center | — | $89.05 – $255 | $137 – $393 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $6,116 | $8,737 |
| Providence Centralia Hospital | — | $5,968 | $11,476 |
| Providence Holy Family Hospital | — | $6,410 | $9,157 |
| Providence Mount Carmel Hospital | — | $4,521 | $6,458 |
| Providence Regional Medical Center Everett | — | $6,132 | $11,792 |
| Providence St Joseph Hospital | — | $3,865 | $5,522 |
| Providence St Mary Medical Center | — | $3,572 | $5,103 |
| Providence St Peter Hospital | — | $5,968 | $11,476 |
| Seattle Children's Hospital | $80.56 | $238 – $584 | $584 |
| St Anthony Hospital | — | $1,463 | $4,811 |
| St Clare Hospital | — | $1,387 | $4,811 |
| St Elizabeth Hospital | — | $1,700 | $4,811 |
| St Francis Community Hospital | — | $1,510 | $4,811 |
| St Joseph Medical Center | — | $1,593 | $4,811 |
| St Michael Medical Center | — | $2,123 | $4,811 |
| Swedish Issaquah | — | $5,054 | $10,530 |
| Swedish Medical Center | — | $5,054 | $10,530 |
| Swedish Medical Center / Cherry Hill | — | $5,054 | $10,530 |
| Three Rivers Hospital | |||
| University of Washington Medical Ctr | — | $3,203 | $4,575 |
| Virginia Mason Medical Center | — | $3,496 | $6,854 |
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)
- $136 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $127 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 20240:
- 20240P (with a letter after it, P; 2 price lines)
- 20240T (with a letter after it, T; 1 price line)