CPT 21040

Musculoskeletal

Current code36 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 21040 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28	—	$2,444	$8,005
Seattle Children's HospitalSeattle	$223 – $2389 plans	$1,537	$1,537
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$2,435	$8,005
St Clare HospitalLakewoodFile dated 2026-02-28	—	$2,307	$8,005
St Elizabeth HospitalEnumclawFile dated 2026-02-28	$2,241 – $2,6555 plans	$2,829	$8,005
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$2,512	$8,005
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$2,651	$8,005
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$3,533	$8,005

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.

Doctor's fee, Seattle (King County): $553 in an office; $378 in a hospital or surgery center
Doctor's fee, rest of Washington: $493 in an office; $343 in a hospital or surgery center
Hospital outpatient payment (national): $3,387 (APC 5164)
Surgery center payment (national): $1,481