CPT 21243

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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 21243 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$33,267 – $140,38417 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$39,809 – $97,6639 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$50,273 – $66,8873 plans——
Highline Medical CenterBurienFile dated 2026-02-28$9,113 – $83,92213 plans——
Island HospitalAnacortes$3,478 – $58,2907 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,712 – $84,9359 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$10,615 – $65,88010 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$20,752 – $172,2259 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$26,622 – $130,25017 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$26,622 – $130,25017 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$26,622 – $130,25012 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$38,706 – $97,44410 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$8,624 – $82,86916 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$12,967 – $100,31013 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$31,765 – $136,64210 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$7,132 – $110,85313 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$12,522 – $95,83414 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$16,513 – $88,9568 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$8,319 – $121,91513 plans——
Seattle Children's HospitalSeattle$2,561 – $5,41758 plans$6,771$6,771
St Anthony HospitalGig HarborFile dated 2026-02-28$9,113 – $91,71416 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$9,113 – $91,71416 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$9,113 – $78,86910 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$9,113 – $91,71416 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$9,113 – $91,71416 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$42,864 – $103,2048 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$3,304 – $111,26116 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$7,277 – $133,65016 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$7,277 – $133,27623 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$7,277 – $133,27617 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$26,622 – $130,25017 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$50,273 – $98,53911 plans——
Virginia Mason Medical CenterSeattle$10,063 – $67,8479 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$79,9121 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$16,315 – $62,25914 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)
$1,601 in a hospital or surgery center
Doctor's fee, rest of Washington
$1,470 in a hospital or surgery center
Hospital outpatient payment (national)
$27,722 (APC 5117)
Surgery center payment (national)
$19,507