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CPT 28193

Musculoskeletal

Current code41 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$731 – $8012 plansDoctor’s fee: $731 – $762$1,022Doctor’s fee: $973$1,277Doctor’s fee: $1,216
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$3,231$4,615
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$331 – $945Doctor’s fee: $614 – $945$509 – $1,454Doctor’s fee: $945 – $1,454
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$3,550$5,072
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$3,464$6,661
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$3,721$5,316
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$643 – $2,624$919 – $3,749
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$4,308$8,285
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$643 – $2,244$919 – $3,206
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$3,284$4,692
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$3,464$6,661
Swedish IssaquahIssaquahFile dated 2026-04-01—$4,553$9,486
Swedish Medical CenterSeattleFile dated 2026-04-01—$4,553$9,486
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$4,553$9,486
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,692 – $4,038$3,846 – $5,768
Virginia Mason Medical CenterSeattle$2,545 – $3,1794 plans$2,027$3,974

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)
$586 in an office; $377 in a hospital or surgery center
Doctor's fee, rest of Washington
$525 in an office; $346 in a hospital or surgery center
Hospital outpatient payment (national)
$1,687 (APC 5072)
Surgery center payment (national)
$742

How hospitals also write this code

Some price files write it differently. These are counted as CPT 28193:

  • 28193P (with a letter after it, P; 4 price lines)
  • 28193T (with a letter after it, T; 2 price lines)