CareNavIQ

Every billing code / Procedures and surgery / Musculoskeletal

CPT 25505

Musculoskeletal

Current code50 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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$7491 planDoctor’s fee: $1,374$1,122Doctor’s fee: $2,058$1,403Doctor’s fee: $2,572
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$2,564$6,410
EvergreenHealth Medical CenterKirkland—$2,814$3,517
EvergreenHealth MonroeMonroe—$802$1,002
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,214 – $1,822$1,735 – $2,602
Island HospitalAnacortes—$896 – $1,020$896 – $1,020
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,309$1,870
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$339 – $968Doctor’s fee: $629 – $968$521 – $1,489Doctor’s fee: $968 – $1,489
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$2,564$6,410
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$1,596$1,995
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$920$1,839
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,562$2,232
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$4,128$7,939
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,691$2,415
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$544 – $919$777 – $1,313
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$3,341$6,425
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$455 – $919$650 – $1,313
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$804 – $993$1,148 – $1,418
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$4,128$7,939
Seattle Children's HospitalSeattle$2811 plan$2,004$2,004
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: $929 – $1,023Doctor’s fee: $1,327 – $1,461Doctor’s fee: $1,327 – $1,461
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,618 – $2,427$2,312 – $3,467
Virginia Mason Medical CenterSeattle—$2,132$4,181
Yakima Valley MemorialYakimaFile dated 2026-08-27—$1,769$4,422

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)
$676 in an office; $554 in a hospital or surgery center
Doctor's fee, rest of Washington
$603 in an office; $498 in a hospital or surgery center
Hospital outpatient payment (national)
$1,643 (APC 5112)
Surgery center payment (national)
$873

How hospitals also write this code

Some price files write it differently. These are counted as CPT 25505:

  • 25505P (with a letter after it, P; 2 price lines)
  • 25505T (with a letter after it, T; 1 price line)