CPT 28495
Musculoskeletal
Current code48 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 | $280 – $308 | — | — |
| Cascade Valley Hospital | $240 – $252 | $464 | $580 |
| Deaconess Medical Center | $269 – $296 | $393 | $982 |
| EvergreenHealth Medical Center | $263 – $268 | $864 | $1,080 |
| EvergreenHealth Monroe | $258 – $263 | $1,200 | $1,500 |
| Harborview Medical Center | $286 – $314 | $1,206 – $1,809 | $1,723 – $2,584 |
| Highline Medical Center | $267 – $307 | $216 | $706 |
| Island Hospital | $294 – $312 | $224 – $393 | $224 – $393 |
| Kadlec Regional Medical Center | $275 – $330 | $549 | $784 |
| Legacy Salmon Creek Medical Center | $283 – $308 | $120 – $343 | $185 – $527 |
| Mary Bridge Children's Hospital | $282 – $310 | — | — |
| MultiCare Auburn Medical Center | $281 – $309 | — | — |
| MultiCare Covington Medical Center | $281 – $309 | — | — |
| MultiCare Good Samaritan Hospital | $282 – $310 | — | — |
| MultiCare Valley Hospital | $277 – $296 | $393 | $982 |
| Olympic Medical Center | $309 – $397 | — | — |
| Overlake Hospital Medical Center & Clinics | $286 – $298 | — | — |
| PeaceHealth Southwest Medical Cente | $274 – $315 | $635 | $977 |
| PeaceHealth St John Medical Center | $229 – $323 | $641 | $986 |
| PeaceHealth St Joseph Medical Center | $293 – $322 | $623 | $959 |
| PeaceHealth United General Medical Center | — | $690 | $1,061 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $275 – $330 | $611 | $873 |
| Providence Centralia Hospital | $286 – $457 | $641 | $1,233 |
| Providence Holy Family Hospital | $275 – $302 | $662 | $946 |
| Providence Mount Carmel Hospital | — | $161 – $302 | $230 – $432 |
| Providence Regional Medical Center Everett | $281 – $309 | $527 | $1,014 |
| Providence St Joseph Hospital | — | $134 – $302 | $192 – $432 |
| Providence St Mary Medical Center | $275 – $302 | $127 – $249 | $182 – $356 |
| Providence St Peter Hospital | $284 – $454 | $641 | $1,233 |
| Seattle Children's Hospital | — | — | $653 |
| Skagit Valley Hospital | $240 – $252 | $474 | $592 |
| St Anthony Hospital | $272 – $313 | $215 | $706 |
| St Clare Hospital | $272 – $313 | $204 | $706 |
| St Elizabeth Hospital | $127 – $155 | $250 | $706 |
| St Francis Community Hospital | $267 – $307 | $222 | $706 |
| St Joseph Medical Center | $259 – $313 | $234 | $706 |
| St Michael Medical Center | $279 – $302 | $312 | $706 |
| Swedish Edmonds Hospital | $281 – $337 | — | — |
| Swedish Issaquah | $286 – $344 | $706 | $1,470 |
| Swedish Medical Center | $286 – $343 | $706 | $1,470 |
| Swedish Medical Center / Cherry Hill | $286 – $343 | $706 | $1,470 |
| Tacoma General Allenmore Hospital | $282 – $310 | — | — |
| Three Rivers Hospital | — | ||
| University of Washington Medical Ctr | $286 – $314 | $530 – $796 | $758 – $1,136 |
| Virginia Mason Medical Center | $90.17 – $443 | $416 – $437 | $816 – $857 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $402 – $647 | $402 – $647 |
| Yakima Valley Memorial | $289 – $323 | $348 | $870 |
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)
- $228 in an office; $177 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $202 in an office; $158 in a hospital or surgery center
- Hospital outpatient payment (national)
- $252 (APC 5111)
- Surgery center payment (national)
- $135
How hospitals also write this code
Some price files write it differently. These are counted as CPT 28495:
- 28495P (with a letter after it, P; 6 price lines)
- 28495T (with a letter after it, T; 3 price lines)