CPT 28490
Musculoskeletal
Current code48 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) |
|---|---|---|---|
| Capital Medical Center | $332 – $491 | — | — |
| Cascade Medical Center | $203 – $305 | $292 | $365 |
| Coulee Medical Center | — | $1,316 | $1,463 |
| Deaconess Medical Center | $304 – $321 | — | — |
| EvergreenHealth Medical Center | — | $587 | $734 |
| EvergreenHealth Monroe | $258 | $587 | $734 |
| Harborview Medical Center | — | $593 – $889 | $847 – $1,270 |
| Highline Medical Center | — | $206 | $674 |
| Island Hospital | $313 – $340 | $171 | $171 |
| Kadlec Regional Medical Center | — | $363 | $519 |
| Legacy Salmon Creek Medical Center | — | $94.90 – $271 | $146 – $417 |
| Mary Bridge Children's Hospital | $314 – $339 | — | — |
| MultiCare Auburn Medical Center | $308 – $333 | — | — |
| MultiCare Covington Medical Center | $308 – $333 | — | — |
| MultiCare Good Samaritan Hospital | $315 – $341 | — | — |
| MultiCare Valley Hospital | $301 – $319 | — | — |
| Olympic Medical Center | $388 – $425 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | $284 | $703 | $1,081 |
| PeaceHealth St John Medical Center | $229 – $308 | $709 | $1,091 |
| PeaceHealth St Joseph Medical Center | $308 | $701 – $806 | $1,078 – $1,240 |
| PeaceHealth United General Medical Center | — | $701 | $1,078 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $436 | $623 |
| Providence Centralia Hospital | — | $478 | $920 |
| Providence Holy Family Hospital | — | $471 | $673 |
| Providence Mount Carmel Hospital | — | $161 – $249 | $230 – $355 |
| Providence Regional Medical Center Everett | — | $615 | $1,182 |
| Providence St Joseph Hospital | — | $134 – $249 | $192 – $355 |
| Providence St Mary Medical Center | — | $273 – $369 | $390 – $527 |
| Providence St Peter Hospital | — | $478 | $920 |
| Skagit Valley Hospital | $443 – $1,592 | $215 – $811 | $269 – $1,014 |
| St Anthony Hospital | — | $205 | $674 |
| St Clare Hospital | — | $194 | $674 |
| St Elizabeth Hospital | $115 – $140 | $238 | $674 |
| St Francis Community Hospital | — | $212 | $674 |
| St Joseph Medical Center | — | $223 | $674 |
| St Michael Medical Center | — | $298 | $674 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $706 | $1,470 |
| Swedish Medical Center | — | $706 | $1,470 |
| Swedish Medical Center / Cherry Hill | — | $706 | $1,470 |
| Tacoma General Allenmore Hospital | $315 – $341 | — | — |
| Three Rivers Hospital | |||
| University of Washington Medical Ctr | — | $450 – $675 | $643 – $964 |
| Virginia Mason Medical Center | — | $416 | $816 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $338 – $900 | $338 – $900 |
| Yakima Valley Memorial | $301 – $350 | $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)