CareNavIQ

Every billing code / Procedures and surgery / Musculoskeletal

CPT 20999

Musculoskeletal

Current code40 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)
EvergreenHealth Medical CenterKirkland$48.00 – $7,84326 plans$120 – $6,746$150 – $8,433
Harborview Medical CenterSeattleFile dated 2026-04-01—$9,031$12,901
Island HospitalAnacortes$54.30 – $53015 plans$82.00$82.00
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$173 – $866Doctor’s fee: $693 – $866$267 – $1,333Doctor’s fee: $1,066 – $1,333
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$4,548$6,497
Swedish IssaquahIssaquahFile dated 2026-04-01—$869 – $3,914$1,811 – $8,155
Swedish Medical CenterSeattleFile dated 2026-04-01—$869 – $3,914$1,811 – $8,155
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$869 – $3,914$1,811 – $8,155
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,599 – $10,068$2,285 – $14,383
Virginia Mason Medical CenterSeattle$4,639 – $5,7944 plans$3,693$7,242

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.

Hospital outpatient payment (national)
$252 (APC 5111)

How hospitals also write this code

Some price files write it differently. These are counted as CPT 20999:

  • 20999P (with a letter after it, P; 2 price lines)
  • 20999T (with a letter after it, T; 1 price line)