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Every billing code / CPT 25535 / Cascade Medical Center

CPT 25535 at Cascade Medical Center

Musculoskeletal

Cascade Medical Center, Leavenworth

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 Cascade Medical Center publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$666 – $8742 plans$666 – $832
Medicare AdvantageInsurer rates$779 – $1,1657 plans$518 – $1,109
Medicaid managed careInsurer rates$775 – $1,1654 plans$738 – $1,109
Medicaid (state program)Insurer rates$7451 plan$709
Medicare (traditional)Insurer rates$8061 plan$518
Other government programInsurer rates$519 – $1,2432 plans$519 – $1,184
UnknownInsurer rates$666 – $1,2556 plans$666 – $1,194
Cash pricePaying yourself, without insurance$1,115$1,062
List priceBefore any discount; few people pay it$1,394$1,327

Lowest and highest amounts Cascade Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe operating or procedure room, nursing, supplies and recovery—The price above
Surgeon or doctor doing itThe doctor's practiceThe procedure, and routine follow-up visits for 90 days$460$543 – $823
AnesthesiaAn anesthesia group (only sometimes)Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.——

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 25535 at every Washington hospital, with Medicare’s reference amounts.