CareNavIQ

Every billing code / Procedures and surgery / Musculoskeletal

CPT 26725

Musculoskeletal

Current code52 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.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$1581 planDoctor’s fee: $526$237Doctor’s fee: $787$296Doctor’s fee: $984
Coulee Medical CenterGrand Coulee—$820$911
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$393$982
EvergreenHealth Medical CenterKirkland—$1,440$1,800
EvergreenHealth MonroeMonroe—$1,320$1,650
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,207$1,725
Highline Medical CenterBurienFile dated 2026-02-28—$364$1,192
Island HospitalAnacortes—$261 – $448$261 – $448
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$755$1,078
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$657Doctor’s fee: $427 – $657$1,011Doctor’s fee: $657 – $1,011
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$393$982
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$370$462
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$921$1,842
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$834$1,191
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$657$1,264
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$662$946
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$385 – $608$550 – $868
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$777$1,494
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$329 – $608$470 – $868
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$590 – $662$843 – $946
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$657$1,264
Seattle Children's HospitalSeattle$1881 plan$567$567 – $1,339
St Anthony HospitalGig HarborFile dated 2026-02-28—$363$1,192
St Clare HospitalLakewoodFile dated 2026-02-28—$344$1,192
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$421$1,192
St Francis Community HospitalFederal WayFile dated 2026-02-28—$374$1,192
St Joseph Medical CenterTacomaFile dated 2026-02-28—$395$1,192
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$526$1,192
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: $488 – $968Doctor’s fee: $697 – $1,384Doctor’s fee: $697 – $1,384
Trios HealthKennewick——$52,921
University of Washington Medical CtrSeattleFile dated 2026-04-01—$872$1,245
Virginia Mason Medical CenterSeattle—$649$1,272
Yakima Valley MemorialYakimaFile dated 2026-08-27—$335$837

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)
$456 in an office; $365 in a hospital or surgery center
Doctor's fee, rest of Washington
$405 in an office; $328 in a hospital or surgery center
Hospital outpatient payment (national)
$252 (APC 5111)
Surgery center payment (national)
$136

How hospitals also write this code

Some price files write it differently. These are counted as CPT 26725:

  • 26725P (with a letter after it, P; 4 price lines)