CPT 28122

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

Prices for CPT 28122 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$378 – $1,080Doctor’s fee: $703 – $1,080	$582 – $1,662Doctor’s fee: $1,081 – $1,662
Seattle Children's HospitalSeattle	$2611 plan	$1,864	$1,864
Skagit Valley HospitalMount Vernon	—	$5,475	$6,844
Three Rivers HospitalBrewster	Doctor’s fee: $1,196	Doctor’s fee: $1,709	Doctor’s fee: $1,709
Trios HealthKennewick	—	—	$18,304 – $52,291
Virginia Mason Medical CenterSeattle	—	$4,698	$9,211
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$3,600	$8,999

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): $686 in an office; $462 in a hospital or surgery center
Doctor's fee, rest of Washington: $615 in an office; $422 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 28122:

28122P (with a letter after it, P; 2 price lines)
28122T (with a letter after it, T; 1 price line)