CPT 28495
Musculoskeletal
Current code48 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Deaconess Medical Center | — | $393 | $982 |
| EvergreenHealth Medical Center | $231 | $864 | $1,080 |
| EvergreenHealth Monroe | $231 | $1,200 | $1,500 |
| Harborview Medical Center | — | $1,206 – $1,809 | $1,723 – $2,584 |
| Highline Medical Center | — | $216 | $706 |
| Island Hospital | $294 – $310 | $224 – $393 | $224 – $393 |
| Kadlec Regional Medical Center | — | $549 | $784 |
| Legacy Salmon Creek Medical Center | — | $120 – $343 | $185 – $527 |
| MultiCare Valley Hospital | — | $393 | $982 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $611 | $873 |
| Providence Centralia Hospital | — | $641 | $1,233 |
| Providence Holy Family Hospital | — | $662 | $946 |
| Providence Mount Carmel Hospital | — | $161 – $302 | $230 – $432 |
| Providence Regional Medical Center Everett | — | $527 | $1,014 |
| Providence St Joseph Hospital | — | $134 – $302 | $192 – $432 |
| Providence St Mary Medical Center | — | $127 – $249 | $182 – $356 |
| Providence St Peter Hospital | — | $641 | $1,233 |
| Seattle Children's Hospital | $200 | — | $653 |
| St Anthony Hospital | — | $215 | $706 |
| St Clare Hospital | — | $204 | $706 |
| St Elizabeth Hospital | — | $250 | $706 |
| St Francis Community Hospital | — | $222 | $706 |
| St Joseph Medical Center | — | $234 | $706 |
| St Michael Medical Center | — | $312 | $706 |
| Swedish Issaquah | — | $706 | $1,470 |
| Swedish Medical Center | — | $706 | $1,470 |
| Swedish Medical Center / Cherry Hill | — | $706 | $1,470 |
| Three Rivers Hospital | — | ||
| University of Washington Medical Ctr | — | $530 – $796 | $758 – $1,136 |
| Virginia Mason Medical Center | — | $416 – $437 | $816 – $857 |
| Yakima Valley Memorial | — | $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)