CareNavIQ

Every billing code / Procedures and surgery / Musculoskeletal

CPT 27265

Musculoskeletal

Current code51 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$764 – $1,1494 plansDoctor’s fee: $1,102 – $1,656$1,099Doctor’s fee: $1,585$1,374Doctor’s fee: $1,981
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$393$982
EvergreenHealth Medical CenterKirkland—$1,537$1,921
EvergreenHealth MonroeMonroe$2581 plan$695$869
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,262 – $1,893$1,802 – $2,704
Island HospitalAnacortes$313 – $3403 plans$275 – $976$275 – $976
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,630$2,329
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$790Doctor’s fee: $514 – $790$1,216Doctor’s fee: $791 – $1,216
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$393$982
Olympic Medical CenterPort AngelesFile dated 2026-06-24$388 – $4255 plans$387$484
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$1,036$2,072
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$386 – $492$551 – $703
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$657$1,264
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$757$1,081
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$161 – $799$230 – $1,141
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$577$1,109
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$151 – $799$215 – $1,141
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$503 – $737$718 – $1,053
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$657$1,264
Swedish IssaquahIssaquahFile dated 2026-04-01—$777$1,619
Swedish Medical CenterSeattleFile dated 2026-04-01—$777$1,619
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$777$1,619
Three Rivers HospitalBrewsterDoctor’s fee: $900Doctor’s fee: $1,286Doctor’s fee: $1,286
Trios HealthKennewick——$36,062
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,072 – $1,607$1,531 – $2,296
Virginia Mason Medical CenterSeattle—$795$1,558
Yakima Valley MemorialYakimaFile dated 2026-08-27—$352$879

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)
$558 in a hospital or surgery center
Doctor's fee, rest of Washington
$501 in a hospital or surgery center
Hospital outpatient payment (national)
$252 (APC 5111)
Surgery center payment (national)
$136

How hospitals also write this code

Some price files write it differently. These are counted as CPT 27265:

  • 27265P (with a letter after it, P; 2 price lines)