CPT 21931

Musculoskeletal

Current code51 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 21931 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$1,543	$1,715
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$9,273	$13,247
Island HospitalAnacortes	$2,115 – $3,54815 plansDoctor’s fee: $719 – $3,548	$3,193Doctor’s fee: $1,085	$3,193Doctor’s fee: $1,085
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$306Doctor’s fee: $567 – $874	$470Doctor’s fee: $873 – $1,344
Seattle Children's HospitalSeattle	$791 – $1,59858 plans	—	$1,997
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: $942	Doctor’s fee: $942
Trios HealthKennewick	—	—	$123,018
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$4,709	$6,727
Virginia Mason Medical CenterSeattle	$1,325 – $7,1924 plans	$1,055 – $4,585	$2,068 – $8,990

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): $494 in a hospital or surgery center
Doctor's fee, rest of Washington: $452 in a hospital or surgery center
Hospital outpatient payment (national): $1,687 (APC 5072)
Surgery center payment (national): $742

How hospitals also write this code

Some price files write it differently. These are counted as CPT 21931:

21931P (with a letter after it, P; 4 price lines)
21931T (with a letter after it, T; 2 price lines)