CPT 21421

Musculoskeletal

Current code38 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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 21421 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01—$9,215$13,165
Highline Medical CenterBurienFile dated 2026-02-28—$1,586$5,194
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$12,923$18,461
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$1,189$1,829
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$6,201$8,858
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$5,944$11,431
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$6,598$9,426
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$6,585$9,407
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$5,477$7,824
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$10,753$15,362
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$5,944$11,431
St Anthony HospitalGig HarborFile dated 2026-02-28—$1,580$5,194
St Clare HospitalLakewoodFile dated 2026-02-28—$1,497$5,194
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$1,835$5,194
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1,630$5,194
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1,720$5,194
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$2,292$5,194

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)
$766 in an office; $587 in a hospital or surgery center
Doctor's fee, rest of Washington
$681 in an office; $527 in a hospital or surgery center
Hospital outpatient payment (national)
$3,387 (APC 5164)
Surgery center payment (national)
$1,481