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Every billing code / Procedures and surgery / Musculoskeletal

CPT 26115

Musculoskeletal

Current code42 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

Unknown: The source file doesn't say which population this rate applies to.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$3,714$4,127
EvergreenHealth Medical CenterKirkland$4,5041 plan$4,003$5,004
Harborview Medical CenterSeattleFile dated 2026-04-01—$5,143$7,346
Island HospitalAnacortes$1,057 – $2,0703 plans$775$775
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$352 – $1,006Doctor’s fee: $654 – $1,006$542 – $1,547Doctor’s fee: $1,006 – $1,547
Seattle Children's HospitalSeattle$201 – $88121 plans—$1,436
Swedish IssaquahIssaquahFile dated 2026-04-01—$2,174$4,530
Swedish Medical CenterSeattleFile dated 2026-04-01—$2,174$4,530
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$2,174$4,530
Trios HealthKennewick$1,761 – $3,7403 plans—$60,591
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,902$4,145
Virginia Mason Medical CenterSeattle—$2,356$4,619

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)
$689 in an office; $361 in a hospital or surgery center
Doctor's fee, rest of Washington
$607 in an office; $326 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 26115:

  • 26115P (with a letter after it, P; 2 price lines)
  • 26115T (with a letter after it, T; 1 price line)