CPT 27538
Musculoskeletal
Current code42 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $332 – $491 | — | — |
| Deaconess Medical Center | $304 – $321 | — | — |
| Harborview Medical Center | — | $770 – $1,155 | $1,100 – $1,649 |
| Highline Medical Center | — | — | — |
| Island Hospital | $313 – $340 | — | — |
| Kadlec Regional Medical Center | — | $4,127 | $5,896 |
| Legacy Salmon Creek Medical Center | — | $322 – $919 | $495 – $1,414 |
| Mary Bridge Children's Hospital | $314 – $339 | — | — |
| MultiCare Auburn Medical Center | $308 – $333 | — | — |
| MultiCare Covington Medical Center | $308 – $333 | — | — |
| MultiCare Good Samaritan Hospital | $315 – $341 | — | — |
| MultiCare Valley Hospital | $301 – $319 | — | — |
| Olympic Medical Center | $388 – $425 | $387 | $484 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | $284 | $1,158 | $1,782 |
| PeaceHealth St Joseph Medical Center | $308 | $622 – $716 | $957 – $1,101 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $626 | $894 |
| Providence Centralia Hospital | — | $478 | $920 |
| Providence Holy Family Hospital | — | $676 | $965 |
| Providence Mount Carmel Hospital | — | $161 | $230 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $134 | $192 |
| Providence St Mary Medical Center | — | $4,196 | $5,994 |
| Providence St Peter Hospital | — | $478 | $920 |
| Seattle Children's Hospital | $283 – $302 | $815 | $1,956 |
| Skagit Valley Hospital | $39.29 | $215 | $269 |
| St Anthony Hospital | — | — | — |
| St Clare Hospital | — | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | — | — | — |
| St Joseph Medical Center | — | — | — |
| St Michael Medical Center | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $315 – $341 | — | — |
| University of Washington Medical Ctr | — | $706 – $1,059 | $1,009 – $1,513 |
| Virginia Mason Medical Center | — | $416 | $816 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $301 – $350 | — | — |
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)