CPT 21011
Musculoskeletal
Current code39 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,874 – $2,062 | — | — |
| Deaconess Medical Center | $1,804 – $1,984 | — | — |
| Harborview Medical Center | $1,913 – $2,104 | $2,464 | $3,520 |
| Highline Medical Center | $1,803 – $2,074 | — | — |
| Island Hospital | $1,971 – $2,089 | — | — |
| Kadlec Regional Medical Center | $1,840 – $2,209 | — | — |
| Legacy Salmon Creek Medical Center | $1,896 – $2,061 | $241 – $687 | $370 – $1,057 |
| Mary Bridge Children's Hospital | $1,889 – $2,078 | — | — |
| MultiCare Auburn Medical Center | $1,880 – $2,067 | — | — |
| MultiCare Covington Medical Center | $1,880 – $2,067 | — | — |
| MultiCare Good Samaritan Hospital | $1,889 – $2,078 | — | — |
| MultiCare Valley Hospital | $1,858 – $1,984 | — | — |
| Olympic Medical Center | $2,070 – $2,661 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,918 – $1,995 | — | — |
| PeaceHealth Southwest Medical Cente | $1,831 – $2,106 | $3,435 – $12,877 | $5,284 – $19,811 |
| PeaceHealth St John Medical Center | $1,532 – $2,160 | $7,343 | $11,297 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,840 – $2,209 | — | — |
| Providence Centralia Hospital | $1,913 – $3,060 | — | — |
| Providence Holy Family Hospital | $1,840 – $2,024 | — | — |
| Providence Regional Medical Center Everett | $1,881 – $2,069 | — | — |
| Providence St Mary Medical Center | $1,840 – $2,024 | — | — |
| Providence St Peter Hospital | $1,899 – $3,039 | — | — |
| Seattle Children's Hospital | — | $25,266 | $1,115 |
| Skagit Valley Hospital | $1,620 – $1,701 | $1,452 | $1,815 |
| St Anthony Hospital | $1,836 – $2,112 | — | — |
| St Clare Hospital | $1,836 – $2,112 | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | $1,803 – $2,074 | — | — |
| St Joseph Medical Center | $1,836 – $2,112 | — | — |
| St Michael Medical Center | $1,888 – $2,039 | — | — |
| Swedish Edmonds Hospital | $1,881 – $2,257 | — | — |
| Swedish Issaquah | $1,918 – $2,301 | — | — |
| Swedish Medical Center | $1,913 – $2,295 | — | — |
| Swedish Medical Center / Cherry Hill | $1,913 – $2,295 | — | — |
| Tacoma General Allenmore Hospital | $1,889 – $2,078 | — | — |
| University of Washington Medical Ctr | $1,913 – $2,104 | $1,548 | $2,211 |
| Virginia Mason Medical Center | $123 – $1,853 | $2,140 | $4,197 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,932 – $2,164 | — | — |
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)
- $460 in an office; $282 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $407 in an office; $254 in a hospital or surgery center
- Hospital outpatient payment (national)
- $1,687 (APC 5072)
- Surgery center payment (national)
- $281
How hospitals also write this code
Some price files write it differently. These are counted as CPT 21011:
- 21011P (with a letter after it, P; 2 price lines)
- 21011T (with a letter after it, T; 1 price line)