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CPT 25500

Musculoskeletal

Current code53 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$374 – $4562 plansDoctor’s fee: $374 – $581$582Doctor’s fee: $741$728Doctor’s fee: $926
EvergreenHealth Medical CenterKirkland$294 – $1,55227 plans$1,335$1,669
Forks Community HospitalForksFile dated 2026-10-27$461 – $1,0734 plans$858$1,073
Harborview Medical CenterSeattleFile dated 2026-04-01—$755 – $1,132$1,078 – $1,617
Island HospitalAnacortes$308 – $53015 plans$465$465
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$442$631
Kittitas Valley Community HospitalEllensburgFile dated 2026-10-07$6761 plan$676$795
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$193 – $1,696Doctor’s fee: $358 – $551$297 – $2,609Doctor’s fee: $551 – $848
Lincoln HospitalDavenportFile dated 2026-09-14$631 – $76910 plans$714$793
Olympic Medical CenterPort AngelesFile dated 2026-06-24$271 – $4846 plans$387$484
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$424$605
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$478$920
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$458$654
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$161 – $437$230 – $624
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$527$1,014
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$134 – $437$192 – $624
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$662$946
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$478$920
Quincy Valley Medical CenterQuincyFile dated 2026-05-27$1,0912 plans$1,284$1,284
Summit Pacific Medical CenterElmaFile dated 2026-08-31$3,303 – $4,2463 plans$2,548$4,718
Three Rivers HospitalBrewster—Doctor’s fee: $1,057Doctor’s fee: $1,057
University of Washington Medical CtrSeattleFile dated 2026-04-01—$536 – $804$765 – $1,148
Virginia Mason Medical CenterSeattle$523 – $6534 plans$416$816
Yakima Valley MemorialYakimaFile dated 2026-08-27$3791 plan$270$676

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)
$379 in an office; $313 in a hospital or surgery center
Doctor's fee, rest of Washington
$336 in an office; $279 in a hospital or surgery center
Hospital outpatient payment (national)
$252 (APC 5111)
Surgery center payment (national)
$136

How hospitals also write this code

Some price files write it differently. These are counted as CPT 25500:

  • 25500P (with a letter after it, P; 4 price lines)
  • 25500T (with a letter after it, T; 2 price lines)