CPT 28455
Musculoskeletal
Current code38 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,825 – $2,007 | — | — |
| Deaconess Medical Center | $1,756 – $1,932 | — | — |
| Harborview Medical Center | $1,862 – $2,048 | $2,837 | $4,052 |
| Highline Medical Center | $1,781 – $2,049 | — | — |
| Island Hospital | $1,919 – $2,034 | — | — |
| Kadlec Regional Medical Center | $1,792 – $2,150 | $7,550 | $10,786 |
| Legacy Salmon Creek Medical Center | $1,846 – $2,007 | $168 – $480 | $259 – $739 |
| Mary Bridge Children's Hospital | $1,839 – $2,023 | — | — |
| MultiCare Auburn Medical Center | $1,830 – $2,013 | — | — |
| MultiCare Covington Medical Center | $1,830 – $2,013 | — | — |
| MultiCare Good Samaritan Hospital | $1,839 – $2,023 | — | — |
| MultiCare Valley Hospital | $1,809 – $1,932 | — | — |
| Olympic Medical Center | $2,015 – $2,591 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,867 – $1,942 | — | — |
| PeaceHealth St John Medical Center | $1,491 – $2,103 | $4,446 | $6,840 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,792 – $2,150 | $3,814 | $5,449 |
| Providence Centralia Hospital | $1,862 – $2,979 | $3,314 | $6,373 |
| Providence Holy Family Hospital | $1,792 – $1,971 | $5,032 | $7,189 |
| Providence Mount Carmel Hospital | — | $172 – $412 | $245 – $588 |
| Providence Regional Medical Center Everett | $1,831 – $2,014 | $3,341 | $6,425 |
| Providence St Joseph Hospital | — | $412 – $1,077 | $588 – $1,539 |
| Providence St Mary Medical Center | $1,792 – $1,971 | $7,676 | $10,965 |
| Providence St Peter Hospital | $1,849 – $2,959 | $3,314 | $6,373 |
| St Anthony Hospital | $1,814 – $2,086 | — | — |
| St Clare Hospital | $1,814 – $2,086 | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | $1,781 – $2,049 | — | — |
| St Joseph Medical Center | $1,798 – $2,086 | — | — |
| St Michael Medical Center | $1,865 – $2,014 | — | — |
| Swedish Edmonds Hospital | $1,831 – $2,197 | — | — |
| Swedish Issaquah | $1,867 – $2,241 | $8,670 | $18,062 |
| Swedish Medical Center | $1,862 – $2,234 | $8,670 | $18,062 |
| Swedish Medical Center / Cherry Hill | $1,862 – $2,234 | $8,670 | $18,062 |
| Tacoma General Allenmore Hospital | $1,839 – $2,023 | — | — |
| University of Washington Medical Ctr | $1,862 – $2,048 | $1,235 | $1,765 |
| Virginia Mason Medical Center | $59.38 – $1,830 | $2,030 | $3,980 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,881 – $2,106 | — | — |
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)