CPT 27538
Musculoskeletal
Current code42 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $280 – $308 | — | — |
| Deaconess Medical Center | $269 – $296 | — | — |
| Harborview Medical Center | $286 – $314 | $770 – $1,155 | $1,100 – $1,649 |
| Highline Medical Center | $267 – $307 | — | — |
| Island Hospital | $294 – $312 | — | — |
| Kadlec Regional Medical Center | $275 – $330 | $4,127 | $5,896 |
| Legacy Salmon Creek Medical Center | $283 – $308 | $322 – $919 | $495 – $1,414 |
| Mary Bridge Children's Hospital | $282 – $310 | — | — |
| MultiCare Auburn Medical Center | $281 – $309 | — | — |
| MultiCare Covington Medical Center | $281 – $309 | — | — |
| MultiCare Good Samaritan Hospital | $282 – $310 | — | — |
| MultiCare Valley Hospital | $277 – $296 | — | — |
| Olympic Medical Center | $309 – $397 | $387 | $484 |
| Overlake Hospital Medical Center & Clinics | $286 – $298 | — | — |
| PeaceHealth Southwest Medical Cente | $274 – $315 | $1,158 | $1,782 |
| PeaceHealth St Joseph Medical Center | $293 – $322 | $622 – $716 | $957 – $1,101 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $275 – $330 | $626 | $894 |
| Providence Centralia Hospital | $286 – $457 | $478 | $920 |
| Providence Holy Family Hospital | $275 – $302 | $676 | $965 |
| Providence Mount Carmel Hospital | — | $161 | $230 |
| Providence Regional Medical Center Everett | $281 – $309 | — | — |
| Providence St Joseph Hospital | — | $134 | $192 |
| Providence St Mary Medical Center | $275 – $302 | $4,196 | $5,994 |
| Providence St Peter Hospital | $284 – $454 | $478 | $920 |
| Seattle Children's Hospital | — | $815 | $1,956 |
| Skagit Valley Hospital | $240 – $252 | $215 | $269 |
| St Anthony Hospital | $272 – $313 | — | — |
| St Clare Hospital | $272 – $313 | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | $267 – $307 | — | — |
| St Joseph Medical Center | $259 – $313 | — | — |
| St Michael Medical Center | $279 – $302 | — | — |
| Swedish Edmonds Hospital | $281 – $337 | — | — |
| Swedish Issaquah | $286 – $344 | — | — |
| Swedish Medical Center | $286 – $343 | — | — |
| Swedish Medical Center / Cherry Hill | $286 – $343 | — | — |
| Tacoma General Allenmore Hospital | $282 – $310 | — | — |
| University of Washington Medical Ctr | $286 – $314 | $706 – $1,059 | $1,009 – $1,513 |
| Virginia Mason Medical Center | $26.27 – $1,448 | $416 | $816 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $289 – $323 | — | — |
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)