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CPT 27235

Musculoskeletal

Current code42 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)
Island HospitalAnacortes$1,374 – $15,58815 plans$2,074$2,074
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$10,385$14,836
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$588Doctor’s fee: $1,092 – $1,680$905Doctor’s fee: $1,680 – $2,585
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$14,415$20,593
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$13,820$26,577
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$15,340$21,914
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$15,310$21,871
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$4,024$7,738
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$12,734$18,191
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$8,642$12,345
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$13,820$26,577
Seattle Children's HospitalSeattle$1,464 – $3,07458 plans—$3,843
Three Rivers HospitalBrewster—Doctor’s fee: $713 – $1,880Doctor’s fee: $713 – $1,880
Trios HealthKennewick——$79,032
Virginia Mason Medical CenterSeattle$10,586 – $13,2224 plans$8,429$16,528

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)
$915 in a hospital or surgery center
Doctor's fee, rest of Washington
$838 in a hospital or surgery center
Hospital outpatient payment (national)
$7,413 (APC 5114)
Surgery center payment (national)
$3,696

How hospitals also write this code

Some price files write it differently. These are counted as CPT 27235:

  • 27235P (with a letter after it, P; 2 price lines)
  • 27235T (with a letter after it, T; 1 price line)