CPT 20938

Arthrodesis - Spine

Current code25 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 20938 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$7,655 – $11,3415 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$7,004 – $7,4165 plans——
Island HospitalAnacortes$7,227 – $7,8413 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$117 – $333Doctor’s fee: $217 – $333$180 – $513Doctor’s fee: $334 – $513
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$7,244 – $7,8245 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$7,113 – $7,6825 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$7,113 – $7,6825 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$7,278 – $7,8605 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$6,954 – $7,3635 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$8,953 – $9,8065 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Seattle Children's HospitalSeattle$106 – $113at least 9 plans—$763
St Elizabeth HospitalEnumclawFile dated 2026-02-28———
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$7,281 – $7,8635 plans——
Virginia Mason Medical CenterSeattle———
Yakima Valley MemorialYakimaFile dated 2026-08-27$6,957 – $8,0835 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$170 in a hospital or surgery center
Doctor's fee, rest of Washington
$159 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 20938:

  • 20938P (with a letter after it, P; 2 price lines)
  • 20938T (with a letter after it, T; 1 price line)