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CPT 28430

Musculoskeletal

Current code43 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)
EvergreenHealth Medical CenterKirkland$217 – $72827 plans$543$679
Harborview Medical CenterSeattleFile dated 2026-04-01—$988 – $1,482$1,412 – $2,118
Island HospitalAnacortes$260 – $53015 plans$393$393
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$414$592
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$160 – $457Doctor’s fee: $297 – $457$246 – $703Doctor’s fee: $457 – $703
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$465$664
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$478$920
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$503$719
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$161 – $369$230 – $527
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$527$1,014
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$134 – $369$192 – $527
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$421$602
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$478$920
Seattle Children's HospitalSeattle$391 – $73658 plans—$920
Swedish IssaquahIssaquahFile dated 2026-04-01—$706$1,470
Swedish Medical CenterSeattleFile dated 2026-04-01—$706$1,470
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$706$1,470
Three Rivers HospitalBrewster—Doctor’s fee: $814Doctor’s fee: $814
University of Washington Medical CtrSeattleFile dated 2026-04-01—$474 – $712$678 – $1,017
Virginia Mason Medical CenterSeattle$549 – $6864 plans$437$857

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)
$308 in an office; $248 in a hospital or surgery center
Doctor's fee, rest of Washington
$273 in an office; $222 in a hospital or surgery center
Hospital outpatient payment (national)
$252 (APC 5111)
Surgery center payment (national)
$136

How hospitals also write this code

Some price files write it differently. These are counted as CPT 28430:

  • 28430P (with a letter after it, P; 4 price lines)
  • 28430T (with a letter after it, T; 2 price lines)