CPT 21451

Musculoskeletal

Current code41 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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 21451 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
EvergreenHealth Medical CenterKirkland—$3,764$4,705
Harborview Medical CenterSeattleFile dated 2026-04-01—$7,738$11,055
Highline Medical CenterBurienFile dated 2026-02-28—$862$2,822
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$9,809$14,013
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,679 – $1,8395 plans$1,848$2,310
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$3,287$4,695
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$3,207$6,167
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$3,445$4,921
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$2,429$3,470
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$2,076$2,966
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,990$4,272
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$3,207$6,167
St Anthony HospitalGig HarborFile dated 2026-02-28—$858$2,822
St Clare HospitalLakewoodFile dated 2026-02-28—$813$2,822
St Elizabeth HospitalEnumclawFile dated 2026-02-28$790 – $9365 plans$997$2,822
St Francis Community HospitalFederal WayFile dated 2026-02-28—$886$2,822
St Joseph Medical CenterTacomaFile dated 2026-02-28—$935$2,822
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,245$2,822
Swedish IssaquahIssaquahFile dated 2026-04-01—$3,698$7,704
Swedish Medical CenterSeattleFile dated 2026-04-01—$3,698$7,704
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$3,698$7,704
Three Rivers HospitalBrewsterDoctor’s fee: $3,174Doctor’s fee: $4,534Doctor’s fee: $4,534
Virginia Mason Medical CenterSeattle—$2,062$4,043

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)
$916 in an office; $705 in a hospital or surgery center
Doctor's fee, rest of Washington
$808 in an office; $627 in a hospital or surgery center
Hospital outpatient payment (national)
$1,585 (APC 5163)
Surgery center payment (national)
$659