CareNavIQ

Every billing code / Procedures and surgery / Musculoskeletal

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

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)
Capital Medical CenterOlympiaFile dated 2026-08-27—$3,666$9,164
Coulee Medical CenterGrand Coulee—$1,021$1,134
EvergreenHealth Medical CenterKirkland—$4,048$5,060
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,731$3,902
Island HospitalAnacortes$934 – $1,0133 plans$683$683
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$1,071Doctor’s fee: $359 – $1,071$1,647Doctor’s fee: $553 – $1,647
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$3,666$9,164
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$3,666$9,164
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$3,666$9,164
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$3,666$9,164
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$4,749$6,784
Seattle Children's HospitalSeattle$183 – $1969 plans—$1,265
Swedish IssaquahIssaquahFile dated 2026-04-01—$2,058$4,287
Swedish Medical CenterSeattleFile dated 2026-04-01—$2,058$4,287
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$2,058$4,287
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$3,666$9,164
Three Rivers HospitalBrewsterDoctor’s fee: $199 – $990Doctor’s fee: $284 – $1,414Doctor’s fee: $284 – $1,414
Trios HealthKennewick——$10,461
Virginia Mason Medical CenterSeattle—$2,680$5,254

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)
$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)