CPT 27538

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.

Prices for CPT 27538 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$770 – $1,155	$1,100 – $1,649
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$4,127	$5,896
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$322 – $919Doctor’s fee: $597 – $919	$495 – $1,414Doctor’s fee: $919 – $1,414
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$388 – $4255 plans	$387	$484
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$626	$894
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$478	$920
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$676	$965
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$161	$230
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$134	$192
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$4,196	$5,994
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$478	$920
Seattle Children's HospitalSeattle	$283 – $3029 plans	$815	$1,956
Trios HealthKennewick	—	—	$31,927
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$706 – $1,059	$1,009 – $1,513
Virginia Mason Medical CenterSeattle	—	$416	$816

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): $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)