CPT 28455
Musculoskeletal
Current code38 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,687 – $8,319 | — | — |
| Deaconess Medical Center | $2,608 – $6,398 | — | — |
| Harborview Medical Center | $2,979 – $3,964 | $2,837 | $4,052 |
| Highline Medical Center | $522 – $7,303 | — | — |
| Island Hospital | $648 – $3,454 | — | — |
| Kadlec Regional Medical Center | $442 – $5,033 | $7,550 | $10,786 |
| Legacy Salmon Creek Medical Center | $3,395 – $7,246 | $168 – $480 | $259 – $739 |
| Mary Bridge Children's Hospital | $989 – $11,283 | — | — |
| MultiCare Auburn Medical Center | $2,263 – $7,719 | — | — |
| MultiCare Covington Medical Center | $2,263 – $7,719 | — | — |
| MultiCare Good Samaritan Hospital | $2,263 – $7,719 | — | — |
| MultiCare Valley Hospital | $2,536 – $6,384 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $2,033 – $6,099 | — | — |
| PeaceHealth St John Medical Center | $765 – $11,002 | $4,446 | $6,840 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,028 – $13,212 | $3,814 | $5,449 |
| Providence Centralia Hospital | $3,147 – $11,784 | $3,314 | $6,373 |
| Providence Holy Family Hospital | $2,150 – $6,569 | $5,032 | $7,189 |
| Providence Mount Carmel Hospital | — | $172 – $412 | $245 – $588 |
| Providence Regional Medical Center Everett | $1,985 – $5,679 | $3,341 | $6,425 |
| Providence St Joseph Hospital | — | $412 – $1,077 | $588 – $1,539 |
| Providence St Mary Medical Center | $1,424 – $7,234 | $7,676 | $10,965 |
| Providence St Peter Hospital | $1,572 – $7,225 | $3,314 | $6,373 |
| St Anthony Hospital | $571 – $7,981 | — | — |
| St Clare Hospital | $571 – $7,981 | — | — |
| St Elizabeth Hospital | $412 – $6,802 | — | — |
| St Francis Community Hospital | $571 – $7,981 | — | — |
| St Joseph Medical Center | $571 – $7,981 | — | — |
| St Michael Medical Center | $3,730 – $6,974 | — | — |
| Swedish Edmonds Hospital | $1,638 – $6,858 | — | — |
| Swedish Issaquah | $2,801 – $9,339 | $8,670 | $18,062 |
| Swedish Medical Center | $2,793 – $7,898 | $8,670 | $18,062 |
| Swedish Medical Center / Cherry Hill | $2,793 – $7,898 | $8,670 | $18,062 |
| Tacoma General Allenmore Hospital | $2,263 – $7,719 | — | — |
| University of Washington Medical Ctr | $2,979 – $6,725 | $1,235 | $1,765 |
| Virginia Mason Medical Center | $8.54 – $5,905 | $2,030 | $3,980 |
| Wellfound Behavioral Health Hospital | $4,736 | — | — |
| Yakima Valley Memorial | $2,249 – $5,793 | — | — |
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)
- $297 in an office; $249 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $267 in an office; $226 in a hospital or surgery center
- Hospital outpatient payment (national)
- $1,643 (APC 5112)
- Surgery center payment (national)
- $147
How hospitals also write this code
Some price files write it differently. These are counted as CPT 28455:
- 28455P (with a letter after it, P; 4 price lines)
- 28455T (with a letter after it, T; 2 price lines)