CPT 25071

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 25071 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$3,647$4,052
Harborview Medical CenterSeattleFile dated 2026-04-01—$10,132 – $15,198$14,474 – $21,712
Island HospitalAnacortes$1,219 – $1,3233 plans$943 – $983$943 – $983
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$277 – $791Doctor’s fee: $514 – $791$426 – $1,217Doctor’s fee: $791 – $1,217
Seattle Children's HospitalSeattle$258 – $2769 plans$1,810$1,810
Three Rivers HospitalBrewsterDoctor’s fee: $599Doctor’s fee: $856Doctor’s fee: $856
University of Washington Medical CtrSeattleFile dated 2026-04-01—$4,752 – $7,129$6,789 – $10,184
Virginia Mason Medical CenterSeattle—$3,873$7,594

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)
$445 in a hospital or surgery center
Doctor's fee, rest of Washington
$406 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 25071:

  • 25071P (with a letter after it, P; 2 price lines)
  • 25071T (with a letter after it, T; 1 price line)