CPT 26111

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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for CPT 26111 by hospital
Hospital	Other government program rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$2,660	$2,956
EvergreenHealth Medical CenterKirkland	—	$5,706	$7,132
Island HospitalAnacortes	$1,971 – $2,0753 plans	$964	$964
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$274 – $781Doctor’s fee: $508 – $781	$421 – $1,201Doctor’s fee: $781 – $1,201
Seattle Children's HospitalSeattle	$107 – $533at least 1 plan	$357	$357 – $1,786
Three Rivers HospitalBrewster	—	Doctor’s fee: $1,447	Doctor’s fee: $1,447
Trios HealthKennewick	$1,6776 plans	—	$60,591
Virginia Mason Medical CenterSeattle	—	$3,685	$7,225

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): $437 in a hospital or surgery center
Doctor's fee, rest of Washington: $397 in a hospital or surgery center
Hospital outpatient payment (national): $1,687 (APC 5072)
Surgery center payment (national): $742

How hospitals also write this code

Some price files write it differently. These are counted as CPT 26111:

26111P (with a letter after it, P; 4 price lines)
26111T (with a letter after it, T; 2 price lines)