CareNavIQ

Every billing code / Procedures and surgery / Musculoskeletal

CPT 26860

Musculoskeletal

Current code44 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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$7,184$7,982
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$6,004$8,577
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$395 – $1,128Doctor’s fee: $733 – $1,128$607 – $1,735Doctor’s fee: $1,128 – $1,735
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$7,350$10,500
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$6,876$13,224
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$7,946$11,352
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$3,083$4,404
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$2,574$3,677
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$6,103$8,719
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$6,876$13,224
Seattle Children's HospitalSeattle$7981 plan$2,580$2,580
Three Rivers HospitalBrewster—Doctor’s fee: $231 – $1,154Doctor’s fee: $231 – $1,154
Virginia Mason Medical CenterSeattle—$4,594$9,007

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)
$704 in a hospital or surgery center
Doctor's fee, rest of Washington
$623 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 26860:

  • 26860P (with a letter after it, P; 2 price lines)
  • 26860T (with a letter after it, T; 1 price line)