CPT 25535

Musculoskeletal

Current code49 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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 25535 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$779 – $1,1657 plansDoctor’s fee: $518 – $1,109	$1,115Doctor’s fee: $1,062	$1,394Doctor’s fee: $1,327
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$359	$897
EvergreenHealth Medical CenterKirkland	$263 – $2685 plans	$702	$878
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$2,272 – $3,407	$3,245 – $4,868
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$2,197	$3,139
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$941Doctor’s fee: $612 – $941	$1,448Doctor’s fee: $941 – $1,448
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	—	$359	$897
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$309 – $3975 plans	$387	$484
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$564	$1,128
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$633	$904
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$516	$992
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$685	$979
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$172 – $789	$245 – $1,127
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$726	$1,396
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$359 – $854	$513 – $1,220
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$1,156	$1,652
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$516	$992
Seattle Children's HospitalSeattle	—	—	$1,986
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$706	$1,470
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$706	$1,470
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$706	$1,470
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,068 – $1,602	$1,525 – $2,288
Virginia Mason Medical CenterSeattle	—	$412	$808

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): $627 in an office; $510 in a hospital or surgery center
Doctor's fee, rest of Washington: $560 in an office; $460 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 25535:

25535P (with a letter after it, P; 2 price lines)