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CPT 25609

Musculoskeletal

Current code45 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)
Coulee Medical CenterGrand Coulee—$1,541$1,713
Island HospitalAnacortes$1,603 – $15,58815 plans$485 – $2,421$485 – $2,421
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$10,642$15,203
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$686 – $1,962Doctor’s fee: $1,275 – $1,962$1,056 – $3,018Doctor’s fee: $1,962 – $3,018
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$14,415$20,593
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$13,820$26,577
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$15,340$21,914
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$15,310$21,871
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$12,734$18,191
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$8,856$12,651
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$13,820$26,577
Seattle Children's HospitalSeattle$1,708 – $3,59058 plans—$4,487
Swedish IssaquahIssaquahFile dated 2026-04-01—$9,349$19,478
Swedish Medical CenterSeattleFile dated 2026-04-01—$9,349$19,478
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$9,349$19,478
Three Rivers HospitalBrewster—Doctor’s fee: $633 – $3,165Doctor’s fee: $633 – $3,165
Trios HealthKennewick——$71,674
Virginia Mason Medical CenterSeattle$12,704 – $15,8674 plans$10,115$19,834

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)
$1,068 in a hospital or surgery center
Doctor's fee, rest of Washington
$974 in a hospital or surgery center
Hospital outpatient payment (national)
$7,413 (APC 5114)
Surgery center payment (national)
$5,014

How hospitals also write this code

Some price files write it differently. These are counted as CPT 25609:

  • 25609P (with a letter after it, P; 2 price lines)
  • 25609T (with a letter after it, T; 1 price line)