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

Prices for CPT 21920 by hospital
HospitalMedicaid managed care 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
Island HospitalAnacortes$1,230 – $1,3343 plans$342$342
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$1,524 – $1,6695 plans$2,143$2,679
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$2,253$3,218
Seattle Children's HospitalSeattle$93.95 – $1009 plans$653$653
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$3,832$9,579
Virginia Mason Medical CenterSeattle—$2,027$3,974

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)
$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