CPT 20900
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) |
|---|---|---|---|
| Legacy Salmon Creek Medical Center | — | $242 | $373 |
| Seattle Children's Hospital | $277 – $602 | $753 | $753 |
| Three Rivers Hospital | — | ||
| Trios Health | — | — | $52,291 |
| Virginia Mason Medical Center | $11,603 – $14,492 | $9,239 | $18,115 |
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)
- $465 in an office; $173 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $411 in an office; $161 in a hospital or surgery center
- Hospital outpatient payment (national)
- $7,413 (APC 5114)
- Surgery center payment (national)
- $4,682
How hospitals also write this code
Some price files write it differently. These are counted as CPT 20900:
- 20900P (with a letter after it, P; 4 price lines)
- 20900T (with a letter after it, T; 2 price lines)