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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 21085 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$1,020	$1,457
Highline Medical CenterBurienFile dated 2026-02-28	—	$563	$1,844
Seattle Children's HospitalSeattle	$291 – $3119 plans	$3,646	$2,045 – $3,646
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$561	$1,844
St Clare HospitalLakewoodFile dated 2026-02-28	—	$532	$1,844
St Elizabeth HospitalEnumclawFile dated 2026-02-28	$516 – $6125 plans	$652	$1,844
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$579	$1,844
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$611	$1,844
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$814	$1,844

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): $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