CPT 21920

Musculoskeletal

Current code42 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 21920 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$4,057$10,143
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$2,482$6,204
EvergreenHealth Medical CenterKirkland—$3,123$3,904
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28———
Island HospitalAnacortes—$342$342
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$464$714
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$3,832$9,579
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$3,832$9,579
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$3,832$9,579
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$3,832$9,579
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$2,482$6,204
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$2,143$2,679
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Southwest Medical CenteVancouver—$1,732 – $1,957$2,664 – $3,010
PeaceHealth St John Medical CenterLongview—$1,974$3,037
PeaceHealth St Joseph Medical CenterBellingham—$2,053$3,158
PeaceHealth United General Medical CenterSedro Woolley—$1,785$2,746
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,861 – $2,253$2,659 – $3,218
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Seattle Children's HospitalSeattle$91.211 plan$653 – $29,636$653
Skagit Valley HospitalMount Vernon—$1,452$1,815
St Anthony HospitalGig HarborFile dated 2026-02-28———
St Clare HospitalLakewoodFile dated 2026-02-28———
St Elizabeth HospitalEnumclawFile dated 2026-02-28———
St Francis Community HospitalFederal WayFile dated 2026-02-28———
St Joseph Medical CenterTacomaFile dated 2026-02-28———
St Michael Medical CenterSilverdaleFile dated 2026-02-28———
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Swedish Medical CenterSeattleFile dated 2026-04-01———
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$3,832$9,579
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$2,027$3,974
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27———

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$307 in an office; $158 in a hospital or surgery center
Doctor's fee, rest of Washington
$272 in an office; $144 in a hospital or surgery center
Hospital outpatient payment (national)
$1,687 (APC 5072)
Surgery center payment (national)
$186