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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 25260 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,292 – $1,9135 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,182 – $1,2515 plans$4,307$10,768
Harborview Medical CenterSeattleFile dated 2026-04-01—$9,344$13,348
Highline Medical CenterBurienFile dated 2026-02-28———
Island HospitalAnacortes$1,219 – $1,3233 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
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,222 – $1,3205 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,200 – $1,2965 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,200 – $1,2965 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,228 – $1,3265 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,173 – $1,2425 plans$4,307$10,768
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,511 – $1,6545 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth St Joseph Medical CenterBellingham$4,0802 plans$5,007 – $5,564$7,703 – $8,560
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$393 – $4199 plans$2,729$2,729
St Anthony HospitalGig HarborFile dated 2026-02-28———
St Clare HospitalLakewoodFile dated 2026-02-28———
St Elizabeth HospitalEnumclawFile dated 2026-02-28———
St Francis Community HospitalFederal WayFile dated 2026-02-28———
St Joseph Medical CenterTacomaFile dated 2026-02-28———
St Michael Medical CenterSilverdaleFile dated 2026-02-28———
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
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
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,228 – $1,3275 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01—$4,845$6,922
Virginia Mason Medical CenterSeattle—$3,814$7,479
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$1,361 – $8,167$1,361 – $8,167
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,174 – $1,3645 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)