CareNavIQ

Every billing code / Procedures and surgery / Musculoskeletal

CPT 27385

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

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)
Coulee Medical CenterGrand Coulee—$1,886$2,096
Island HospitalAnacortes$2,413 – $2,6183 plans$279 – $1,395$279 – $1,395
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$395 – $1,130Doctor’s fee: $735 – $1,130$608 – $1,738Doctor’s fee: $1,130 – $1,738
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,404 – $12,004$2,006 – $17,148
Three Rivers HospitalBrewsterDoctor’s fee: $837Doctor’s fee: $1,195Doctor’s fee: $1,195
Virginia Mason Medical CenterSeattle—$10,115$19,834

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)
$663 in a hospital or surgery center
Doctor's fee, rest of Washington
$597 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 27385:

  • 27385P (with a letter after it, P; 2 price lines)
  • 27385T (with a letter after it, T; 1 price line)