CPT 26055

Musculoskeletal

Current code48 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.

Prices for CPT 26055 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,687 – $9,16720 plans$3,666$9,164
Cascade Valley HospitalArlington$363 – $6,09911 plans$3,416$4,270
Coulee Medical CenterGrand Coulee—$1,021$1,134
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,608 – $6,3989 plans——
EvergreenHealth Medical CenterKirkland$477 – $4,96127 plans$4,048$5,060
Harborview Medical CenterSeattleFile dated 2026-04-01$2,979 – $3,9643 plans$2,731$3,902
Highline Medical CenterBurienFile dated 2026-02-28$3,385 – $7,30313 plans——
Island HospitalAnacortes$452 – $3,454at least 15 plans$683$683
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$499 – $10,0139 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3,584 – $7,56910 plans$1,071Doctor’s fee: $359 – $1,071$1,647Doctor’s fee: $553 – $1,647
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,687 – $15,12720 plans$3,666$9,164
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,263 – $8,20620 plans$3,666$9,164
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,263 – $8,20620 plans$3,666$9,164
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,263 – $8,20620 plans$3,666$9,164
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,536 – $6,38410 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,033 – $6,09916 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—$843 – $1,988$1,297 – $3,059
PeaceHealth Southwest Medical CenteVancouver$713 – $5,7856 plans$1,032 – $6,290$1,588 – $9,677
PeaceHealth St John Medical CenterLongview$765 – $11,0023 plans$1,283 – $5,931$1,973 – $9,125
PeaceHealth St Joseph Medical CenterBellingham$3,6831 plan$994 – $9,416$1,530 – $14,486
PeaceHealth United General Medical CenterSedro Woolley—$1,246 – $3,348$1,918 – $5,150
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,028 – $16,50813 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,147 – $11,78410 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$2,150 – $6,56913 plans$4,749$6,784
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,197 – $8,84614 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,424 – $13,8098 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,572 – $7,22513 plans——
Seattle Children's HospitalSeattle$523 – $1,01258 plans$14,714 – $15,593$1,265
Skagit Valley HospitalMount Vernon$2,561 – $7,27811 plans$3,068$3,835
St Anthony HospitalGig HarborFile dated 2026-02-28$3,447 – $7,98116 plans——
St Clare HospitalLakewoodFile dated 2026-02-28$3,447 – $7,98116 plans——
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,712 – $6,80210 plans——
St Francis Community HospitalFederal WayFile dated 2026-02-28$3,385 – $7,98116 plans——
St Joseph Medical CenterTacomaFile dated 2026-02-28$3,483 – $7,98116 plans——
St Michael Medical CenterSilverdaleFile dated 2026-02-28$3,730 – $6,9748 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,225 – $7,27716 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,801 – $10,40316 plans$2,058$4,287
Swedish Medical CenterSeattleFile dated 2026-04-01$2,793 – $7,89823 plans$2,058$4,287
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,793 – $7,89817 plans$2,058$4,287
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,263 – $8,20620 plans$3,666$9,164
Three Rivers HospitalBrewster—Doctor’s fee: $284 – $1,414Doctor’s fee: $284 – $1,414
Trios HealthKennewick——$10,461
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,979 – $6,72511 plans——
Virginia Mason Medical CenterSeattle$17.49 – $8,50010 plans$2,680$5,254
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4,7361 plan——
WhidbeyHealth Medical CenterCoupeville—$1,600$1,600
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,249 – $6,85714 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$747 in an office; $327 in a hospital or surgery center
Doctor's fee, rest of Washington
$653 in an office; $293 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 26055:

  • 26055P (with a letter after it, P; 4 price lines)