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Every billing code / Procedures and surgery / Musculoskeletal

CPT 23075

Musculoskeletal

Current code41 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.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$2,674$2,972
Harborview Medical CenterSeattleFile dated 2026-04-01—$3,318 – $4,977$4,740 – $7,110
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$329 – $939Doctor’s fee: $610 – $939$506 – $1,445Doctor’s fee: $939 – $1,445
Seattle Children's HospitalSeattle$202 – $2159 plans—$1,405
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
Trios HealthKennewick——$105,157
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,687 – $4,031$3,839 – $5,759
Virginia Mason Medical CenterSeattle—$1,067 – $3,398$2,092 – $6,662

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)
$644 in an office; $357 in a hospital or surgery center
Doctor's fee, rest of Washington
$570 in an office; $324 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 23075:

  • 23075P (with a letter after it, P; 4 price lines)
  • 23075T (with a letter after it, T; 2 price lines)