CPT 27238
Musculoskeletal
Current code42 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| EvergreenHealth Medical Center | — | $3,442 | $4,303 |
| Harborview Medical Center | — | $2,395 – $3,593 | $3,422 – $5,133 |
| Kadlec Regional Medical Center | — | $2,089 | $2,984 |
| Legacy Salmon Creek Medical Center | — | $309 – $882 | $475 – $1,357 |
| Olympic Medical Center | — | $1,596 | $1,995 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $611 | $873 |
| Providence Centralia Hospital | — | $3,314 | $6,373 |
| Providence Holy Family Hospital | — | $662 | $946 |
| Providence Mount Carmel Hospital | — | $544 – $802 | $777 – $1,145 |
| Providence St Joseph Hospital | — | $455 – $802 | $650 – $1,145 |
| Providence St Mary Medical Center | — | $3,344 | $4,777 |
| Providence St Peter Hospital | — | $3,314 | $6,373 |
| Seattle Children's Hospital | $282 | $2,017 | $2,017 |
| Swedish Issaquah | — | $4,357 | $9,077 |
| Swedish Medical Center | — | $4,357 | $9,077 |
| Swedish Medical Center / Cherry Hill | — | $4,357 | $9,077 |
| University of Washington Medical Ctr | — | $1,418 – $2,127 | $2,025 – $3,038 |
| Virginia Mason Medical Center | — | $2,030 | $3,980 |
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)
- $512 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $463 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 27238:
- 27238P (with a letter after it, P; 2 price lines)
- 27238T (with a letter after it, T; 1 price line)