CPT 21315
Musculoskeletal
Current code53 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Medical Center | $372 – $395 | $504 | $630 |
| Deaconess Medical Center | $3,688 – $3,792 | $2,078 | $5,194 |
| EvergreenHealth Medical Center | $93.82 – $4,707 | $2,572 | $3,215 |
| EvergreenHealth Monroe | $93.82 – $4,441 | $2,358 | $2,947 |
| Harborview Medical Center | — | $5,493 | $7,847 |
| Highline Medical Center | $1,159 – $2,425 | $823 | $2,695 |
| Island Hospital | $183 – $3,333 | $276 – $1,087 | $276 – $1,087 |
| Kadlec Regional Medical Center | — | $3,216 | $4,594 |
| Kittitas Valley Community Hospital | $3,437 | $3,437 | $4,044 |
| Legacy Salmon Creek Medical Center | — | $98.80 – $2,775 | $152 – $4,269 |
| MultiCare Valley Hospital | $3,740 | $2,078 | $5,194 |
| Olympic Medical Center | $1,585 – $2,835 | $2,268 | $2,835 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $3,968 | $5,669 |
| Providence Centralia Hospital | — | $3,480 | $6,693 |
| Providence Holy Family Hospital | — | $5,148 | $7,354 |
| Providence Mount Carmel Hospital | — | $312 – $1,803 | $446 – $2,576 |
| Providence Regional Medical Center Everett | — | $4,926 | $9,473 |
| Providence St Joseph Hospital | — | $312 – $1,506 | $446 – $2,151 |
| Providence St Mary Medical Center | — | $530 – $2,520 | $757 – $3,600 |
| Providence St Peter Hospital | — | $3,480 | $6,693 |
| St Anthony Hospital | $1,940 – $2,021 | $820 | $2,695 |
| St Clare Hospital | $1,940 – $2,021 | $777 | $2,695 |
| St Elizabeth Hospital | $1,078 – $2,425 | $952 | $2,695 |
| St Francis Community Hospital | $1,940 – $2,021 | $846 | $2,695 |
| St Joseph Medical Center | $1,940 – $2,021 | $893 | $2,695 |
| St Michael Medical Center | $1,698 – $2,425 | $1,189 | $2,695 |
| Swedish Issaquah | — | $3,698 | $7,704 |
| Swedish Medical Center | — | $3,698 | $7,704 |
| Swedish Medical Center / Cherry Hill | — | $3,698 | $7,704 |
| Three Rivers Hospital | — | ||
| Trios Health | — | — | $38,275 |
| University of Washington Medical Ctr | — | $1,803 | $2,576 |
| Virginia Mason Medical Center | $2,930 – $3,660 | $2,333 | $4,575 |
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)
- $189 in an office; $58.23 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $166 in an office; $53.81 in a hospital or surgery center
- Hospital outpatient payment (national)
- $1,585 (APC 5163)
- Surgery center payment (national)
- $659
How hospitals also write this code
Some price files write it differently. These are counted as CPT 21315:
- 21315P (with a letter after it, P; 2 price lines)
- 21315T (with a letter after it, T; 1 price line)