CPT 25520

Musculoskeletal

Current code42 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 25520 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$3,638	$4,547
EvergreenHealth MonroeMonroe	$1,7581 plan	$3,638	$4,547
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$1,064 – $1,596	$1,520 – $2,281
Highline Medical CenterBurienFile dated 2026-02-28	—	$646	$2,117
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$1,380	$1,971
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$384 – $1,097Doctor’s fee: $713 – $1,097	$591 – $1,688Doctor’s fee: $1,097 – $1,688
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$388 – $4255 plans	$1,920	$2,400
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$613	$876
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$3,170	$6,097
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$769	$1,098
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$1,011	$1,444
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$375	$721
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$732	$1,045
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$451 – $498	$644 – $712
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$2,997	$5,763
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$644	$2,117
St Clare HospitalLakewoodFile dated 2026-02-28	—	$610	$2,117
St Elizabeth HospitalEnumclawFile dated 2026-02-28	$593 – $7025 plans	$748	$2,117
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$664	$2,117
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$701	$2,117
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$934	$2,117
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$4,150	$8,645
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$4,150	$8,645
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$4,150	$8,645
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,155 – $1,733	$1,650 – $2,476

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): $725 in an office; $597 in a hospital or surgery center
Doctor's fee, rest of Washington: $649 in an office; $539 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 25520:

25520P (with a letter after it, P; 2 price lines)
25520T (with a letter after it, T; 1 price line)