CPT 21555

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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 21555 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$3,647	$4,052
EvergreenHealth Medical CenterKirkland	—	$3,935	$4,919
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$8,018	$11,454
Island HospitalAnacortes	—	$711 – $2,848	$711 – $2,848
Seattle Children's HospitalSeattle	$1821 plan	—	$1,309
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$4,420	$9,209
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$4,420	$9,209
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$4,420	$9,209
Three Rivers HospitalBrewster	Doctor’s fee: $801	Doctor’s fee: $1,145	Doctor’s fee: $1,145
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,808	$4,012
Virginia Mason Medical CenterSeattle	—	$1,069 – $3,143	$2,096 – $6,162

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): $534 in an office; $331 in a hospital or surgery center
Doctor's fee, rest of Washington: $474 in an office; $300 in a hospital or surgery center
Hospital outpatient payment (national): $1,687 (APC 5072)
Surgery center payment (national): $742