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CPT 20985

Musculoskeletal

Current code18 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Island HospitalAnacortes$6482 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2461 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3,395 – $7,2464 plans$92.30 – $263Doctor’s fee: $171 – $263$142 – $405Doctor’s fee: $263 – $405
PeaceHealth Southwest Medical CenteVancouver$48.94 – $4,5695 plans$12,998$1.00 – $19,997
PeaceHealth St John Medical CenterLongview$48.94 – $2843 plans—$1.00
PeaceHealth St Joseph Medical CenterBellingham$213 – $4052 plans—$1.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$13,2121 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$7,9851 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$3,3791 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,985 – $2,7042 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$6,5221 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2,7701 plan——
Seattle Children's HospitalSeattle$209 – $48258 plans—$602
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,815 – $2,0773 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,638 – $2,1922 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$9,3391 plan——
Virginia Mason Medical CenterSeattle$4,4971 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$5,7931 plan——

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)
$131 in a hospital or surgery center
Doctor's fee, rest of Washington
$122 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 20985:

  • 20985P (with a letter after it, P; 2 price lines)
  • 20985T (with a letter after it, T; 1 price line)