CPT 26236

Musculoskeletal

Current code45 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 26236 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4,429 – $4,5542 plans$2,495$6,238
EvergreenHealth Medical CenterKirkland$716 – $4,96127 plans$3,747$4,684
EvergreenHealth MonroeMonroe$716 – $4,58917 plans$3,344$4,180
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,360$3,372
Highline Medical CenterBurienFile dated 2026-02-28$3,250 – $6,8024 plans$2,308$7,558
Island HospitalAnacortes$682 – $3,45415 plans$1,029 – $2,723$1,029 – $2,723
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$3,175$4,536
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$292 – $833Doctor’s fee: $541 – $833$449 – $1,282Doctor’s fee: $833 – $1,282
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4,4912 plans$2,495$6,238
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—$3,560$6,846
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$2,146$3,066
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$3,227$4,610
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$3,314$6,373
Seattle Children's HospitalSeattle$2,965 – $5,27298 plans$5,492$5,492
St Anthony HospitalGig HarborFile dated 2026-02-28$5,442 – $5,6682 plans$2,299$7,558
St Clare HospitalLakewoodFile dated 2026-02-28$5,442 – $5,6682 plans$2,178$7,558
St Elizabeth HospitalEnumclawFile dated 2026-02-28$3,023 – $6,8025 plans$2,671$7,558
St Francis Community HospitalFederal WayFile dated 2026-02-28$5,442 – $5,6682 plans$2,372$7,558
St Joseph Medical CenterTacomaFile dated 2026-02-28$5,442 – $5,6682 plans$2,503$7,558
St Michael Medical CenterSilverdaleFile dated 2026-02-28$4,761 – $6,80210 plans$3,336$7,558
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,331$3,330
Virginia Mason Medical CenterSeattle$2,549 – $3,1844 plans$2,030$3,980

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)
$472 in a hospital or surgery center
Doctor's fee, rest of Washington
$427 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 26236:

  • 26236P (with a letter after it, P; 2 price lines)
  • 26236T (with a letter after it, T; 1 price line)