CPT 26235
Musculoskeletal
Current code41 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| EvergreenHealth Medical Center | $796 – $4,961 | $3,764 | $4,705 |
| Kadlec Regional Medical Center | — | $2,872 | $4,103 |
| Legacy Salmon Creek Medical Center | — | $324 – $927 | $499 – $1,426 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $3,396 | $4,851 |
| Providence Centralia Hospital | — | $3,314 | $6,373 |
| Providence Holy Family Hospital | — | $3,560 | $5,085 |
| Providence Mount Carmel Hospital | — | $2,510 | $3,586 |
| Providence St Joseph Hospital | — | $2,146 | $3,066 |
| Providence St Mary Medical Center | — | $2,920 | $4,171 |
| Providence St Peter Hospital | — | $3,314 | $6,373 |
| Swedish Issaquah | — | $4,357 | $9,077 |
| Swedish Medical Center | — | $4,357 | $9,077 |
| Swedish Medical Center / Cherry Hill | — | $4,357 | $9,077 |
| Virginia Mason Medical Center | $3,059 – $3,821 | $2,436 | $4,776 |
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)
- $517 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $469 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 26235:
- 26235P (with a letter after it, P; 4 price lines)
- 26235T (with a letter after it, T; 2 price lines)