CPT 28160
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) |
|---|---|---|---|
| Coulee Medical Center | — | $7,184 | $7,982 |
| Kadlec Regional Medical Center | — | $4,346 | $6,209 |
| Legacy Salmon Creek Medical Center | — | $259 – $741 | $399 – $1,140 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $7,047 | $10,067 |
| Providence Centralia Hospital | — | $6,876 | $13,224 |
| Providence Holy Family Hospital | — | $7,386 | $10,551 |
| Providence Mount Carmel Hospital | — | $5,209 | $7,442 |
| Providence Regional Medical Center Everett | — | $7,126 | $13,704 |
| Providence St Joseph Hospital | — | $4,454 | $6,363 |
| Providence St Mary Medical Center | — | $4,418 | $6,312 |
| Providence St Peter Hospital | — | $6,876 | $13,224 |
| Virginia Mason Medical Center | — | $3,977 | $7,799 |
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)
- $471 in an office; $286 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $420 in an office; $260 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 28160:
- 28160P (with a letter after it, P; 2 price lines)
- 28160T (with a letter after it, T; 1 price line)