CPT 28234

Musculoskeletal

Current code37 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 28234 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth Medical CenterKirkland	—	$3,562	$4,453
Highline Medical CenterBurienFile dated 2026-02-28	—	$1,056	$3,457
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$261 – $747Doctor’s fee: $486 – $747	$402 – $1,149Doctor’s fee: $747 – $1,149
Seattle Children's HospitalSeattle	$1621 plan	$1,154 – $3,169	$1,154 – $3,169
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$1,052	$3,457
St Clare HospitalLakewoodFile dated 2026-02-28	—	$997	$3,457
St Elizabeth HospitalEnumclawFile dated 2026-02-28	—	$1,222	$3,457
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$1,085	$3,457
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$1,145	$3,457
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$1,526	$3,457
Virginia Mason Medical CenterSeattle	—	$2,428	$4,761

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): $480 in an office; $295 in a hospital or surgery center
Doctor's fee, rest of Washington: $425 in an office; $266 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 28234:

28234P (with a letter after it, P; 2 price lines)
28234T (with a letter after it, T; 1 price line)