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Every billing code / Procedures and surgery / Musculoskeletal

CPT 28490

Musculoskeletal

Current code48 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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$204 – $3057 plansDoctor’s fee: $153 – $600$292Doctor’s fee: $574$365Doctor’s fee: $718
EvergreenHealth Medical CenterKirkland$263 – $2685 plans$587$734
EvergreenHealth MonroeMonroe$258 – $2635 plans$587$734
Harborview Medical CenterSeattleFile dated 2026-04-01—$593 – $889$847 – $1,270
Highline Medical CenterBurienFile dated 2026-02-28—$206$674
Island HospitalAnacortes$294 – $31211 plans$171$171
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$363$519
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$94.90 – $271Doctor’s fee: $176 – $271$146 – $417Doctor’s fee: $271 – $417
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$436$623
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$478$920
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$471$673
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$161 – $249$230 – $355
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$615$1,182
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$134 – $249$192 – $355
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$273 – $369$390 – $527
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$478$920
St Anthony HospitalGig HarborFile dated 2026-02-28—$205$674
St Clare HospitalLakewoodFile dated 2026-02-28—$194$674
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$238$674
St Francis Community HospitalFederal WayFile dated 2026-02-28—$212$674
St Joseph Medical CenterTacomaFile dated 2026-02-28—$223$674
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$298$674
Swedish IssaquahIssaquahFile dated 2026-04-01—$706$1,470
Swedish Medical CenterSeattleFile dated 2026-04-01—$706$1,470
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$706$1,470
Three Rivers HospitalBrewster—Doctor’s fee: $365Doctor’s fee: $365
University of Washington Medical CtrSeattleFile dated 2026-04-01—$450 – $675$643 – $964
Virginia Mason Medical CenterSeattle—$416$816
Yakima Valley MemorialYakimaFile dated 2026-08-27—$290$725

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)
$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)