CPT 21556

Musculoskeletal

Current code40 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 (traditional): Traditional Medicare. Applies only to people on original Medicare.

Prices for CPT 21556 by hospital
Hospital	Medicare (traditional) rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$6,330	$7,033
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$8,689	$12,413
Island HospitalAnacortes	—	$730	$730
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$980Doctor’s fee: $547 – $980	$1,508Doctor’s fee: $841 – $1,508
Seattle Children's HospitalSeattle	—	—	$2,242
Three Rivers HospitalBrewster	Doctor’s fee: $524 – $603	Doctor’s fee: $2,053	Doctor’s fee: $2,053
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,983	$2,833
Virginia Mason Medical CenterSeattle	—	$3,677	$7,210

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): $538 in a hospital or surgery center
Doctor's fee, rest of Washington: $493 in a hospital or surgery center
Hospital outpatient payment (national): $2,968 (APC 5073)
Surgery center payment (national): $1,248

How hospitals also write this code

Some price files write it differently. These are counted as CPT 21556:

21556P (with a letter after it, P; 4 price lines)