CPT 26540

Musculoskeletal

Current code41 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 26540 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$8,062	$10,078
Island HospitalAnacortes	—	$1,593	$1,593
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$5,044	$7,205
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$452Doctor’s fee: $839 – $1,290	$695Doctor’s fee: $1,290 – $1,985
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$4,393	$6,275
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$6,876	$13,224
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$4,470	$6,386
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$1,837	$2,624
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$7,298	$14,034
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$1,534	$2,192
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$5,127	$7,324
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$6,876	$13,224
Seattle Children's HospitalSeattle	$4171 plan	—	$2,951
Three Rivers HospitalBrewster	Doctor’s fee: $72.10 – $920	Doctor’s fee: $103 – $1,314	Doctor’s fee: $103 – $1,314
Virginia Mason Medical CenterSeattle	—	$4,773	$9,359

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): $779 in a hospital or surgery center
Doctor's fee, rest of Washington: $695 in a hospital or surgery center
Hospital outpatient payment (national): $3,343 (APC 5113)
Surgery center payment (national): $1,645

How hospitals also write this code

Some price files write it differently. These are counted as CPT 26540:

26540P (with a letter after it, P; 2 price lines)
26540T (with a letter after it, T; 1 price line)