CPT 21085

Musculoskeletal

Current code37 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.

Prices for CPT 21085 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$389 – $1,26317 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$378 – $9279 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$439 – $5843 plans$1,020$1,457
Highline Medical CenterBurienFile dated 2026-02-28$491 – $5,86816 plans$563$1,844
Island HospitalAnacortes$366 – $6487 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$446 – $7,9099 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$528 – $19,1279 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$129 – $1,6359 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$389 – $1,29517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$389 – $1,29517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$389 – $1,29512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$367 – $92510 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$303 – $8,68516 plans——
PeaceHealth St Joseph Medical CenterBellingham$5431 plan$1,370$2,108
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$446 – $33,60313 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$464 – $10,12210 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$317 – $11,24114 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$324 – $19,88514 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$216 – $1,0998 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$232 – $27,98211 plans——
Seattle Children's HospitalSeattle$738 – $3,500152 plans$3,646 – $133,133$2,045 – $3,646
St Anthony HospitalGig HarborFile dated 2026-02-28$500 – $6,41117 plans$561$1,844
St Clare HospitalLakewoodFile dated 2026-02-28$500 – $6,41117 plans$532$1,844
St Elizabeth HospitalEnumclawFile dated 2026-02-28$565 – $4,62814 plans$652$1,844
St Francis Community HospitalFederal WayFile dated 2026-02-28$491 – $6,41117 plans$579$1,844
St Joseph Medical CenterTacomaFile dated 2026-02-28$505 – $6,41117 plans$611$1,844
St Michael Medical CenterSilverdaleFile dated 2026-02-28$541 – $1,66018 plans$814$1,844
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$405 – $7,27716 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$413 – $17,25716 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$411 – $7,27723 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$411 – $7,27717 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$389 – $1,13717 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$439 – $1,02211 plans——
Virginia Mason Medical CenterSeattle$616 – $18,7118 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$6981 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$373 – $5,79314 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)
$805 in an office; $461 in a hospital or surgery center
Doctor's fee, rest of Washington
$726 in an office; $431 in a hospital or surgery center
Hospital outpatient payment (national)
$242 (APC 5161)
Surgery center payment (national)
$130