CPT 28104
Musculoskeletal
Current code40 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 | $1,611 – $2,386 | — | — |
| Deaconess Medical Center | $1,474 – $1,560 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | — | — |
| Island Hospital | $1,521 – $1,650 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $337 – $963 | $518 – $1,481 |
| Mary Bridge Children's Hospital | $1,524 – $1,646 | — | — |
| MultiCare Auburn Medical Center | $1,497 – $1,616 | — | — |
| MultiCare Covington Medical Center | $1,497 – $1,616 | — | — |
| MultiCare Good Samaritan Hospital | $1,531 – $1,654 | — | — |
| MultiCare Valley Hospital | $1,463 – $1,549 | — | — |
| Olympic Medical Center | $1,884 – $2,063 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | $3,773 | $3,677 | $5,656 |
| PeaceHealth St John Medical Center | $3,035 – $4,085 | $4,753 | $7,313 |
| PeaceHealth St Joseph Medical Center | $4,080 | $1,864 – $9,537 | $2,868 – $14,673 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| 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 | $1,532 – $1,654 | — | — |
| Three Rivers Hospital | |||
| Trios Health | — | — | $11,403 – $16,192 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $3,977 | $7,799 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,464 – $1,701 | — | — |
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)
- $624 in an office; $377 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $556 in an office; $344 in a hospital or surgery center
- Hospital outpatient payment (national)
- $3,343 (APC 5113)
- Surgery center payment (national)
- $1,645
How hospitals also write this code
Some price files write it differently. These are counted as CPT 28104:
- 28104P (with a letter after it, P; 2 price lines)
- 28104T (with a letter after it, T; 1 price line)