CPT 25260

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

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

Prices for CPT 25260 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$7,645 – $7,8612 plans$4,307$10,768
Harborview Medical CenterSeattleFile dated 2026-04-01—$9,344$13,348
Island HospitalAnacortes$636 – $7,02915 plans$961$961
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$4,172$5,960
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$417 – $1,193Doctor’s fee: $775 – $1,193$642 – $1,835Doctor’s fee: $1,193 – $1,835
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$7,7532 plans$4,307$10,768
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$8,166$11,666
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$6,876$13,224
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$7,602$10,860
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,090 – $3,463$1,557 – $4,947
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$5,240$10,077
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,090 – $2,890$1,557 – $4,129
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,049$1,498
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$6,876$13,224
Seattle Children's HospitalSeattle$1,069 – $2,18358 plans$2,729$2,729
Swedish IssaquahIssaquahFile dated 2026-04-01—$8,670$18,062
Swedish Medical CenterSeattleFile dated 2026-04-01—$8,670$18,062
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$8,670$18,062
University of Washington Medical CtrSeattleFile dated 2026-04-01—$4,845$6,922
Virginia Mason Medical CenterSeattle$4,790 – $5,9834 plans$3,814$7,479

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)
$668 in a hospital or surgery center
Doctor's fee, rest of Washington
$606 in a hospital or surgery center
Hospital outpatient payment (national)
$3,343 (APC 5113)
Surgery center payment (national)
$1,645

How hospitals also write this code

Some price files write it differently. These are counted as CPT 25260:

  • 25260P (with a letter after it, P; 2 price lines)
  • 25260T (with a letter after it, T; 1 price line)