CPT 21820

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

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

Prices for CPT 21820 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,147$1,639
Highline Medical CenterBurienFile dated 2026-02-28—$117$384
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,481$2,116
Olympic Medical CenterPort AngelesFile dated 2026-06-24$388 – $4255 plans$370$462
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$357$510
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$433$832
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$448$640
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$258 – $299$368 – $427
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$373$718
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$216 – $251$308 – $358
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$255 – $257$364 – $367
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$433$832
St Anthony HospitalGig HarborFile dated 2026-02-28—$117$384
St Clare HospitalLakewoodFile dated 2026-02-28—$111$384
St Elizabeth HospitalEnumclawFile dated 2026-02-28$108 – $1275 plans$136$384
St Francis Community HospitalFederal WayFile dated 2026-02-28—$121$384
St Joseph Medical CenterTacomaFile dated 2026-02-28—$127$384
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$170$384
Swedish IssaquahIssaquahFile dated 2026-04-01—$698$1,455
Swedish Medical CenterSeattleFile dated 2026-04-01—$698$1,455
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$698$1,455
University of Washington Medical CtrSeattleFile dated 2026-04-01—$609$870

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)
$209 in an office; $196 in a hospital or surgery center
Doctor's fee, rest of Washington
$185 in an office; $173 in a hospital or surgery center
Hospital outpatient payment (national)
$252 (APC 5111)
Surgery center payment (national)
$136