CPT 27538
Musculoskeletal
Current code42 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $388 – $1,337 | — | — |
| Deaconess Medical Center | $376 – $923 | — | — |
| Harborview Medical Center | $457 – $608 | $770 – $1,155 | $1,100 – $1,649 |
| Highline Medical Center | $507 – $4,556 | — | — |
| Island Hospital | $382 – $648 | — | — |
| Kadlec Regional Medical Center | $465 – $7,475 | $4,127 | $5,896 |
| Legacy Salmon Creek Medical Center | $550 – $7,246 | $322 – $919 | $495 – $1,414 |
| Mary Bridge Children's Hospital | $388 – $1,641 | — | — |
| MultiCare Auburn Medical Center | $388 – $1,371 | — | — |
| MultiCare Covington Medical Center | $388 – $1,371 | — | — |
| MultiCare Good Samaritan Hospital | $388 – $1,371 | — | — |
| MultiCare Valley Hospital | $366 – $921 | — | — |
| Olympic Medical Center | $271 – $484 | $387 | $484 |
| Overlake Hospital Medical Center & Clinics | $315 – $3,157 | — | — |
| PeaceHealth Southwest Medical Cente | $109 – $4,569 | $1,158 | $1,782 |
| PeaceHealth St Joseph Medical Center | $565 | $622 – $716 | $957 – $1,101 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $465 – $13,212 | $626 | $894 |
| Providence Centralia Hospital | $483 – $7,985 | $478 | $920 |
| Providence Holy Family Hospital | $330 – $3,379 | $676 | $965 |
| Providence Mount Carmel Hospital | — | $161 | $230 |
| Providence Regional Medical Center Everett | $337 – $5,987 | — | — |
| Providence St Joseph Hospital | — | $134 | $192 |
| Providence St Mary Medical Center | $209 – $6,522 | $4,196 | $5,994 |
| Providence St Peter Hospital | $241 – $3,870 | $478 | $920 |
| Seattle Children's Hospital | $814 – $1,565 | $815 | $1,956 |
| Skagit Valley Hospital | $214 – $1,068 | $215 | $269 |
| St Anthony Hospital | $517 – $4,556 | — | — |
| St Clare Hospital | $517 – $4,556 | — | — |
| St Elizabeth Hospital | $412 – $4,556 | — | — |
| St Francis Community Hospital | $507 – $4,556 | — | — |
| St Joseph Medical Center | $522 – $4,556 | — | — |
| St Michael Medical Center | $559 – $1,023 | — | — |
| Swedish Edmonds Hospital | $421 – $7,277 | — | — |
| Swedish Issaquah | $430 – $9,339 | — | — |
| Swedish Medical Center | $428 – $7,277 | — | — |
| Swedish Medical Center / Cherry Hill | $428 – $7,277 | — | — |
| Tacoma General Allenmore Hospital | $388 – $1,184 | — | — |
| University of Washington Medical Ctr | $457 – $987 | $706 – $1,059 | $1,009 – $1,513 |
| Virginia Mason Medical Center | $14.34 – $4,497 | $416 | $816 |
| Wellfound Behavioral Health Hospital | $726 | — | — |
| Yakima Valley Memorial | $395 – $5,793 | — | — |
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)
- $617 in an office; $509 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $550 in an office; $457 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 27538:
- 27538P (with a letter after it, P; 2 price lines)
- 27538T (with a letter after it, T; 1 price line)