CPT 28490
Musculoskeletal
Current code48 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 | $388 – $1,337 | — | — |
| Cascade Medical Center | $196 – $229 | $292 | $365 |
| Coulee Medical Center | — | $1,316 | $1,463 |
| Deaconess Medical Center | $376 – $923 | — | — |
| EvergreenHealth Medical Center | $208 – $728 | $587 | $734 |
| EvergreenHealth Monroe | $208 – $683 | $587 | $734 |
| Harborview Medical Center | $457 – $608 | $593 – $889 | $847 – $1,270 |
| Highline Medical Center | $290 – $1,095 | $206 | $674 |
| Island Hospital | $113 – $648 | $171 | $171 |
| Kadlec Regional Medical Center | $212 – $800 | $363 | $519 |
| Legacy Salmon Creek Medical Center | $550 – $7,246 | $94.90 – $271 | $146 – $417 |
| Mary Bridge Children's Hospital | $388 – $1,641 | — | — |
| MultiCare Auburn Medical Center | $388 – $1,371 | — | — |
| MultiCare Covington Medical Center | $388 – $1,371 | — | — |
| MultiCare Good Samaritan Hospital | $388 – $1,371 | — | — |
| MultiCare Valley Hospital | $366 – $921 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $315 – $2,057 | — | — |
| PeaceHealth Southwest Medical Cente | $109 – $4,569 | $703 | $1,081 |
| PeaceHealth St John Medical Center | $117 – $1,688 | $709 | $1,091 |
| PeaceHealth St Joseph Medical Center | $565 | $701 – $806 | $1,078 – $1,240 |
| PeaceHealth United General Medical Center | — | $701 | $1,078 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $465 – $13,212 | $436 | $623 |
| Providence Centralia Hospital | $483 – $7,985 | $478 | $920 |
| Providence Holy Family Hospital | $330 – $3,379 | $471 | $673 |
| Providence Mount Carmel Hospital | — | $161 – $249 | $230 – $355 |
| Providence Regional Medical Center Everett | $337 – $2,704 | $615 | $1,182 |
| Providence St Joseph Hospital | — | $134 – $249 | $192 – $355 |
| Providence St Mary Medical Center | $209 – $6,522 | $273 – $369 | $390 – $527 |
| Providence St Peter Hospital | $241 – $2,770 | $478 | $920 |
| Skagit Valley Hospital | $214 – $1,068 | $215 – $811 | $269 – $1,014 |
| St Anthony Hospital | $465 – $1,196 | $205 | $674 |
| St Clare Hospital | $465 – $1,196 | $194 | $674 |
| St Elizabeth Hospital | $225 – $2,077 | $238 | $674 |
| St Francis Community Hospital | $465 – $1,196 | $212 | $674 |
| St Joseph Medical Center | $465 – $1,196 | $223 | $674 |
| St Michael Medical Center | $431 – $1,023 | $298 | $674 |
| Swedish Edmonds Hospital | $421 – $2,192 | — | — |
| Swedish Issaquah | $430 – $9,339 | $706 | $1,470 |
| Swedish Medical Center | $428 – $1,212 | $706 | $1,470 |
| Swedish Medical Center / Cherry Hill | $428 – $1,212 | $706 | $1,470 |
| Tacoma General Allenmore Hospital | $388 – $1,184 | — | — |
| Three Rivers Hospital | — | ||
| University of Washington Medical Ctr | $457 – $987 | $450 – $675 | $643 – $964 |
| Virginia Mason Medical Center | $4.15 – $4,497 | $416 | $816 |
| Wellfound Behavioral Health Hospital | $726 | — | — |
| WhidbeyHealth Medical Center | — | $338 – $900 | $338 – $900 |
| Yakima Valley Memorial | $355 – $5,793 | $290 | $725 |
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)
- $186 in an office; $153 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $164 in an office; $136 in a hospital or surgery center
- Hospital outpatient payment (national)
- $252 (APC 5111)
- Surgery center payment (national)
- $115
How hospitals also write this code
Some price files write it differently. These are counted as CPT 28490:
- 28490P (with a letter after it, P; 6 price lines)
- 28490T (with a letter after it, T; 3 price lines)