CPT 21554

Musculoskeletal

Current code44 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 21554 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$6,274	$6,971
Island HospitalAnacortes	$1,581 – $1,7153 plans	$1,785	$1,785
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$1,351	$2,079
Seattle Children's HospitalSeattle	$439 – $4699 plans	$3,091	$3,091
Three Rivers HospitalBrewster	Doctor’s fee: $1,044	Doctor’s fee: $1,491	Doctor’s fee: $1,491
Trios HealthKennewick	—	—	$10,574
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$5,303	$7,575
Virginia Mason Medical CenterSeattle	—	$5,269	$10,332

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): $738 in a hospital or surgery center
Doctor's fee, rest of Washington: $679 in a hospital or surgery center
Hospital outpatient payment (national): $2,968 (APC 5073)
Surgery center payment (national): $1,248