CPT 21315
Musculoskeletal
Current code50 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Cascade Medical Center | $337 | $504 | $630 |
| Cascade Valley Hospital | — | $3,520 | $4,400 |
| Coulee Medical Center | — | $1,395 | $1,550 |
| Deaconess Medical Center | — | $2,078 | $5,194 |
| EvergreenHealth Medical Center | — | $2,572 | $3,215 |
| EvergreenHealth Monroe | — | $2,358 | $2,947 |
| Harborview Medical Center | — | $5,493 | $7,847 |
| Highline Medical Center | — | $823 | $2,695 |
| Island Hospital | — | $276 – $1,087 | $276 – $1,087 |
| Kadlec Regional Medical Center | — | $3,216 | $4,594 |
| Legacy Salmon Creek Medical Center | — | $98.80 – $281 | $152 – $433 |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | $2,078 | $5,194 |
| Olympic Medical Center | — | $2,268 | $2,835 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | — | $3,042 – $5,648 | $4,680 – $8,689 |
| PeaceHealth St Joseph Medical Center | — | $2,693 | $4,143 |
| PeaceHealth United General Medical Center | — | $2,614 | $4,022 |
| 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 |
| Seattle Children's Hospital | — | $10,330 | — |
| Skagit Valley Hospital | — | $3,709 | $4,636 |
| St Anthony Hospital | — | $820 | $2,695 |
| St Clare Hospital | — | $777 | $2,695 |
| St Elizabeth Hospital | — | $952 | $2,695 |
| St Francis Community Hospital | — | $846 | $2,695 |
| St Joseph Medical Center | — | $893 | $2,695 |
| St Michael Medical Center | — | $1,189 | $2,695 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $3,698 | $7,704 |
| Swedish Medical Center | — | $3,698 | $7,704 |
| Swedish Medical Center / Cherry Hill | — | $3,698 | $7,704 |
| Tacoma General Allenmore Hospital | — | — | — |
| Three Rivers Hospital | |||
| Trios Health | — | — | $38,275 |
| University of Washington Medical Ctr | — | $1,803 | $2,576 |
| Virginia Mason Medical Center | — | $2,333 | $4,575 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $1,229 – $4,061 | $1,229 – $4,061 |
| Yakima Valley Memorial | — | — | — |
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)