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CPT 26020

Musculoskeletal

Current code44 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.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$4,516$5,018
EvergreenHealth Medical CenterKirkland—$7,811$9,764
Island HospitalAnacortes$934 – $1,0133 plans$1,290$1,290
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$3,620$5,172
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$366 – $1,045Doctor’s fee: $679 – $1,045$563 – $1,607Doctor’s fee: $1,045 – $1,607
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$7,047$10,067
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$6,876$13,224
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$7,386$10,551
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$5,209$7,442
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$4,454$6,363
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$3,681$5,258
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$6,876$13,224
Seattle Children's HospitalSeattle$344 – $3689 plans$2,389$2,389
Three Rivers HospitalBrewsterDoctor’s fee: $99.40 – $497Doctor’s fee: $142 – $710Doctor’s fee: $142 – $710
University of Washington Medical CtrSeattleFile dated 2026-04-01—$6,497$9,282
Virginia Mason Medical CenterSeattle—$3,977$7,799

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)
$595 in a hospital or surgery center
Doctor's fee, rest of Washington
$539 in a hospital or surgery center
Hospital outpatient payment (national)
$3,343 (APC 5113)
Surgery center payment (national)
$1,645

How hospitals also write this code

Some price files write it differently. These are counted as CPT 26020:

  • 26020P (with a letter after it, P; 2 price lines)
  • 26020T (with a letter after it, T; 1 price line)