CPT 26720

Musculoskeletal

Current code50 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 26720 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$1371 planDoctor’s fee: $290$205Doctor’s fee: $434$256Doctor’s fee: $543
Coulee Medical CenterGrand Coulee—$641$712
EvergreenHealth Medical CenterKirkland—$864$1,080
EvergreenHealth MonroeMonroe—$792$990
Harborview Medical CenterSeattleFile dated 2026-04-01—$848$1,212
Highline Medical CenterBurienFile dated 2026-02-28—$280$918
Island HospitalAnacortes—$243 – $454$243 – $454
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$470$672
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$755$1,078
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$620$1,193
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$565$807
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$324 – $363$463 – $518
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$527$1,014
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$310 – $349$443 – $499
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$367 – $478$524 – $683
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$620$1,193
St Anthony HospitalGig HarborFile dated 2026-02-28—$279$918
St Clare HospitalLakewoodFile dated 2026-02-28—$265$918
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$324$918
St Francis Community HospitalFederal WayFile dated 2026-02-28—$288$918
St Joseph Medical CenterTacomaFile dated 2026-02-28—$304$918
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$405$918
Swedish IssaquahIssaquahFile dated 2026-04-01—$706$1,470
Swedish Medical CenterSeattleFile dated 2026-04-01—$706$1,470
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$706$1,470
Three Rivers HospitalBrewsterDoctor’s fee: $280 – $284Doctor’s fee: $400 – $406Doctor’s fee: $400 – $406
Trios HealthKennewick——$52,921
University of Washington Medical CtrSeattleFile dated 2026-04-01—$554$792
Virginia Mason Medical CenterSeattle—$416$816
Yakima Valley MemorialYakimaFile dated 2026-08-27—$272$679

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)
$274 in an office; $237 in a hospital or surgery center
Doctor's fee, rest of Washington
$242 in an office; $210 in a hospital or surgery center
Hospital outpatient payment (national)
$252 (APC 5111)
Surgery center payment (national)
$136