Every billing code / CPT 21247 / Seattle Children's Hospital
CPT 21247 at Seattle Children's Hospital
Musculoskeletal
Seattle Children's Hospital, Seattle
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 Seattle Children's Hospital publishes for this code: as an outpatient
Seattle Children's Hospital’s prices for CPT 21247, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $2,486 – $5,417at least 58 plans | — |
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| Medicaid managed careInsurer rates | $950 – $1,041at least 9 plans | — |
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| Medicaid (state program)Insurer rates | $922 – $946at least 1 plan | — |
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| Other government programInsurer rates | $1,961 – $2,015at least 1 plan | — |
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| UnknownInsurer rates | $922 – $4,382at least 21 plans | — |
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| Cash pricePaying yourself, without insurance | $6,600 – $170,963 | — |
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| List priceBefore any discount; few people pay it | $6,600 – $6,771 | — |
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Lowest and highest amounts Seattle Children's Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.
What Seattle Children's Hospital publishes for this code: during a hospital stay
Seattle Children's Hospital’s prices for CPT 21247, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $497 – $7,920at least 58 plans | — |
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| Medicaid managed careInsurer rates | $190 – $1,521at least 9 plans | — |
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| Medicaid (state program)Insurer rates | $184 – $1,383at least 1 plan | — |
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| Other government programInsurer rates | $392 – $2,941at least 1 plan | — |
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| UnknownInsurer rates | $184 – $6,193at least 21 plans | — |
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| Cash pricePaying yourself, without insurance | $1,320 – $9,900 | — |
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| List priceBefore any discount; few people pay it | $1,320 – $9,900 | — |
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Lowest and highest amounts Seattle Children's Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for CPT 21247 at Seattle Children's Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The operating or procedure room, nursing, supplies and recovery | — | The price above |
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| Surgeon or doctor doing itThe doctor's practice | The procedure, and routine follow-up visits for 90 days | $1,554 | $1,833 – $2,781 |
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| AnesthesiaAn anesthesia group (only sometimes) | Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes. | — | — |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 21247 at every Washington hospital, with Medicare’s reference amounts.