CPT 28455
Musculoskeletal
Current code38 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) |
|---|---|---|---|
| Harborview Medical Center | — | $2,837 | $4,052 |
| Kadlec Regional Medical Center | — | $7,550 | $10,786 |
| Legacy Salmon Creek Medical Center | — | $168 – $480 | $259 – $739 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $3,814 | $5,449 |
| Providence Centralia Hospital | — | $3,314 | $6,373 |
| Providence Holy Family Hospital | — | $5,032 | $7,189 |
| Providence Mount Carmel Hospital | — | $172 – $412 | $245 – $588 |
| Providence Regional Medical Center Everett | — | $3,341 | $6,425 |
| Providence St Joseph Hospital | — | $412 – $1,077 | $588 – $1,539 |
| Providence St Mary Medical Center | — | $7,676 | $10,965 |
| Providence St Peter Hospital | — | $3,314 | $6,373 |
| Swedish Issaquah | — | $8,670 | $18,062 |
| Swedish Medical Center | — | $8,670 | $18,062 |
| Swedish Medical Center / Cherry Hill | — | $8,670 | $18,062 |
| University of Washington Medical Ctr | — | $1,235 | $1,765 |
| Virginia Mason Medical Center | — | $2,030 | $3,980 |
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)