CPT 21925

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

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

Prices for CPT 21925 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27	—	$2,150	$5,374
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$2,482	$6,204
EvergreenHealth Medical CenterKirkland	—	$5,754	$7,192
Island HospitalAnacortes	—	$727 – $3,193	$727 – $3,193
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$911	$1,402
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	—	$2,482	$6,204
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$6,075	$8,679
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: $837	Doctor’s fee: $1,196	Doctor’s fee: $1,196

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): $626 in an office; $417 in a hospital or surgery center
Doctor's fee, rest of Washington: $556 in an office; $376 in a hospital or surgery center
Hospital outpatient payment (national): $1,687 (APC 5072)
Surgery center payment (national): $742