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Every billing code / Procedures and surgery / Musculoskeletal

CPT 25111

Musculoskeletal

Current code44 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—$1,055$1,172
Island HospitalAnacortes$934 – $1,0133 plans$550 – $762$550 – $762
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$4,146$5,923
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$618$950
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$3,396$4,851
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$3,314$6,373
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$3,560$5,085
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$2,510$3,586
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$2,146$3,066
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$4,215$6,021
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$3,314$6,373
Seattle Children's HospitalSeattle$205 – $2199 plans—$1,412
Swedish IssaquahIssaquahFile dated 2026-04-01—$4,357$9,077
Swedish Medical CenterSeattleFile dated 2026-04-01—$4,357$9,077
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4,357$9,077
Three Rivers HospitalBrewsterDoctor’s fee: $138 – $690Doctor’s fee: $197 – $986Doctor’s fee: $197 – $986
Trios HealthKennewick——$41,133
Virginia Mason Medical CenterSeattle—$3,632$7,121

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)
$364 in a hospital or surgery center
Doctor's fee, rest of Washington
$327 in a hospital or surgery center
Hospital outpatient payment (national)
$1,643 (APC 5112)
Surgery center payment (national)
$873