CPT 26742

Musculoskeletal

Current code49 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 26742 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27———
Cascade Medical CenterLeavenworth$2,7061 planDoctor’s fee: $820$4,053Doctor’s fee: $1,228$5,066Doctor’s fee: $1,535
Cascade Valley HospitalArlington—$2,347$2,934
Coulee Medical CenterGrand Coulee—$2,884$3,205
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$2,564$6,410
EvergreenHealth Medical CenterKirkland—$4,003$5,004
EvergreenHealth MonroeMonroe—$455$569
Harborview Medical CenterSeattleFile dated 2026-04-01—$959$1,371
Highline Medical CenterBurienFile dated 2026-02-28—$776$2,540
Island HospitalAnacortes—$2,579$2,579
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$911$1,301
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$715Doctor’s fee: $465 – $715$1,100Doctor’s fee: $715 – $1,100
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27———
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27———
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27———
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27———
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$2,564$6,410
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$1,920$2,400
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$528$1,055
PeaceHealth Southwest Medical CenteVancouver—$2,039$3,137
PeaceHealth St John Medical CenterLongview—$1,804 – $2,057$2,776 – $3,165
PeaceHealth St Joseph Medical CenterBellingham—$1,860 – $2,139$2,862 – $3,291
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$611$873
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$3,722$7,158
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$662$946
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$668 – $1,260$954 – $1,800
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$3,341$6,425
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$668 – $1,077$954 – $1,539
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$602 – $865$860 – $1,235
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$3,722$7,158
Seattle Children's HospitalSeattle$2061 plan$31,409$1,466
Skagit Valley HospitalMount Vernon—$2,632$3,290
St Anthony HospitalGig HarborFile dated 2026-02-28—$772$2,540
St Clare HospitalLakewoodFile dated 2026-02-28—$732$2,540
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$897$2,540
St Francis Community HospitalFederal WayFile dated 2026-02-28—$797$2,540
St Joseph Medical CenterTacomaFile dated 2026-02-28—$841$2,540
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,121$2,540
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$4,357$9,077
Swedish Medical CenterSeattleFile dated 2026-04-01—$4,357$9,077
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4,357$9,077
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27———
Three Rivers HospitalBrewsterDoctor’s fee: $540Doctor’s fee: $772Doctor’s fee: $772
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,377$3,395
Virginia Mason Medical CenterSeattle—$2,030$3,980
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$1,812 – $2,372$1,812 – $2,372
Yakima Valley MemorialYakimaFile dated 2026-08-27———

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$484 in an office; $384 in a hospital or surgery center
Doctor's fee, rest of Washington
$432 in an office; $346 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 26742:

  • 26742P (with a letter after it, P; 4 price lines)