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CPT 26952

Musculoskeletal

Current code45 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$2,092$2,325
Harborview Medical CenterSeattleFile dated 2026-04-01—$7,546$10,780
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$7,326$10,465
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$442 – $1,263Doctor’s fee: $821 – $1,263$680 – $1,943Doctor’s fee: $1,263 – $1,943
Olympic Medical CenterPort AngelesFile dated 2026-06-24$2,754 – $4,9276 plans$3,942$4,927
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$4,424$6,320
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$6,876$13,224
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$5,739$8,198
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,837$2,624
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$4,450$8,557
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,534$2,192
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$4,856$6,937
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$6,876$13,224
Swedish IssaquahIssaquahFile dated 2026-04-01—$8,670$18,062
Swedish Medical CenterSeattleFile dated 2026-04-01—$8,670$18,062
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$8,670$18,062
Three Rivers HospitalBrewster—Doctor’s fee: $501 – $2,506Doctor’s fee: $501 – $2,506
Trios HealthKennewick——$39,984
University of Washington Medical CtrSeattleFile dated 2026-04-01—$3,243$4,633
Virginia Mason Medical CenterSeattle$5,245 – $6,5514 plans$4,176$8,189

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)
$765 in a hospital or surgery center
Doctor's fee, rest of Washington
$683 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 26952:

  • 26952P (with a letter after it, P; 2 price lines)
  • 26952T (with a letter after it, T; 1 price line)