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Every billing code / Procedures and surgery / Musculoskeletal

CPT 21280

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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01—$6,134 – $9,201$8,763 – $13,144
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$378 – $1,078Doctor’s fee: $701 – $1,078$581 – $1,659Doctor’s fee: $1,078 – $1,659
Seattle Children's HospitalSeattle$948 – $2,95957 plans$2,466 – $3,699$2,466 – $3,699
University of Washington Medical CtrSeattleFile dated 2026-04-01—$3,470 – $5,205$4,957 – $7,435
Virginia Mason Medical CenterSeattle$6,866 – $8,5764 plans$5,467$10,720

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)
$593 in a hospital or surgery center
Doctor's fee, rest of Washington
$536 in a hospital or surgery center
Hospital outpatient payment (national)
$3,387 (APC 5164)
Surgery center payment (national)
$1,481

How hospitals also write this code

Some price files write it differently. These are counted as CPT 21280:

  • 21280P (with a letter after it, P; 2 price lines)
  • 21280T (with a letter after it, T; 1 price line)