CPT 28090

Musculoskeletal

Current code43 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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 28090 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$1,014	$1,127
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$296 – $846Doctor’s fee: $551 – $846	$456 – $1,302Doctor’s fee: $847 – $1,302
Seattle Children's HospitalSeattle	$1841 plan	$1,314	$1,314
Skagit Valley HospitalMount Vernon	—	$1,882	$2,353
Three Rivers HospitalBrewster	Doctor’s fee: $800	Doctor’s fee: $1,143	Doctor’s fee: $1,143
Trios HealthKennewick	—	—	$9,177 – $310,200
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$5,592 – $8,388	$7,988 – $11,983
Virginia Mason Medical CenterSeattle	—	$4,233	$8,300

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): $543 in an office; $329 in a hospital or surgery center
Doctor's fee, rest of Washington: $484 in an office; $300 in a hospital or surgery center
Hospital outpatient payment (national): $1,643 (APC 5112)
Surgery center payment (national): $873

How hospitals also write this code

Some price files write it differently. These are counted as CPT 28090:

28090P (with a letter after it, P; 2 price lines)
28090T (with a letter after it, T; 1 price line)