CPT 28465

Musculoskeletal

Current code39 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 28465 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$419 – $1,196Doctor’s fee: $777 – $1,196	$644 – $1,840Doctor’s fee: $1,196 – $1,840
Seattle Children's HospitalSeattle	$394 – $4219 plans	$2,736	$2,736
Three Rivers HospitalBrewster	Doctor’s fee: $1,448	Doctor’s fee: $2,068	Doctor’s fee: $2,068
Virginia Mason Medical CenterSeattle	—	$8,429	$16,528

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): $691 in a hospital or surgery center
Doctor's fee, rest of Washington: $628 in a hospital or surgery center
Hospital outpatient payment (national): $7,413 (APC 5114)
Surgery center payment (national): $4,671

How hospitals also write this code

Some price files write it differently. These are counted as CPT 28465:

28465P (with a letter after it, P; 2 price lines)
28465T (with a letter after it, T; 1 price line)