CPT 26160

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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 26160 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$3,589	$3,988
EvergreenHealth Medical CenterKirkland	—	$4,048	$5,060
Island HospitalAnacortes	—	$250 – $738	$250 – $738
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$3,477	$4,967
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$1,118Doctor’s fee: $727 – $1,118	$1,720Doctor’s fee: $1,118 – $1,720
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$3,396	$4,851
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$3,314	$6,373
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$3,560	$5,085
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$2,510	$3,586
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$4,434	$8,527
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$2,146	$3,066
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$3,534	$5,049
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$3,314	$6,373
Seattle Children's HospitalSeattle	$1921 plan	—	$1,368
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$4,357	$9,077
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$4,357	$9,077
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$4,357	$9,077
Three Rivers HospitalBrewster	Doctor’s fee: $879	Doctor’s fee: $1,256	Doctor’s fee: $1,256
Trios HealthKennewick	—	—	$41,133
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,910	$2,729
Virginia Mason Medical CenterSeattle	—	$2,491	$4,884

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): $777 in an office; $349 in a hospital or surgery center
Doctor's fee, rest of Washington: $681 in an office; $314 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 26160:

26160P (with a letter after it, P; 2 price lines)