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
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,949 – $4,3685 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,698 – $2,8575 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$2,444$8,005
Island HospitalAnacortes$2,784 – $3,0203 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,790 – $3,0145 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,740 – $2,9595 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,740 – $2,9595 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,803 – $3,0285 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,679 – $2,8365 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$3,449 – $3,7775 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
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$223 – $2389 plans$1,537 – $71,364$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$1,361 – $1,6575 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
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Swedish Medical CenterSeattleFile dated 2026-04-01———
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,804 – $3,0295 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,680 – $3,1135 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)
$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