CPT 28630
Musculoskeletal
Current code49 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) |
|---|---|---|---|
| BHC Fairfax Hospital | $113 – $188 | $161 – $269 | $161 – $269 |
| Capital Medical Center | $388 – $1,337 | — | — |
| Cascade Medical Center | $213 – $255 | $325 | $406 |
| Cascade Valley Hospital | $43.69 – $895 | $411 | $514 |
| Coulee Medical Center | — | $707 | $785 |
| Deaconess Medical Center | $365 – $923 | $393 | $982 |
| EvergreenHealth Medical Center | $177 – $802 | $690 | $862 |
| Harborview Medical Center | $457 – $608 | $909 | $1,299 |
| Highline Medical Center | $259 – $1,095 | $184 | $602 |
| Island Hospital | $148 – $648 | $224 – $448 | $224 – $448 |
| Kadlec Regional Medical Center | $187 – $800 | $549 | $784 |
| Legacy Salmon Creek Medical Center | $550 – $7,246 | $288 | $443 |
| 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 | $365 – $921 | $393 | $982 |
| Olympic Medical Center | $258 – $462 | $370 | $462 |
| Overlake Hospital Medical Center & Clinics | $315 – $2,057 | $537 | $1,073 |
| PeaceHealth Peace Island Medical Center | — | $566 | $870 |
| PeaceHealth Southwest Medical Cente | $109 – $4,569 | $716 | $1,101 |
| PeaceHealth St John Medical Center | $117 – $1,688 | $722 | $1,110 |
| PeaceHealth St Joseph Medical Center | $565 | $787 | $1,211 |
| PeaceHealth United General Medical Center | — | $595 | $916 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $465 – $13,212 | $611 | $873 |
| Providence Centralia Hospital | $483 – $7,985 | $478 | $920 |
| Providence Holy Family Hospital | $330 – $3,379 | $662 | $946 |
| Providence Mount Carmel Hospital | — | $161 – $192 | $230 – $274 |
| Providence Regional Medical Center Everett | $337 – $2,704 | $777 | $1,494 |
| Providence St Joseph Hospital | — | $134 | $192 |
| Providence St Mary Medical Center | $209 – $6,522 | $291 – $539 | $416 – $770 |
| Providence St Peter Hospital | $241 – $2,770 | $478 | $920 |
| Skagit Valley Hospital | $214 – $1,068 | $215 – $465 | $269 – $581 |
| St Anthony Hospital | $415 – $1,196 | $183 | $602 |
| St Clare Hospital | $415 – $1,196 | $174 | $602 |
| St Elizabeth Hospital | $200 – $2,077 | $213 | $602 |
| St Francis Community Hospital | $415 – $1,196 | $189 | $602 |
| St Joseph Medical Center | $415 – $1,196 | $199 | $602 |
| St Michael Medical Center | $385 – $1,023 | $266 | $602 |
| 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 | — | — |
| University of Washington Medical Ctr | $457 – $987 | $526 | $751 |
| Virginia Mason Medical Center | $4.56 – $4,497 | $416 | $816 |
| Wellfound Behavioral Health Hospital | $726 | — | — |
| WhidbeyHealth Medical Center | — | $303 – $1,195 | $303 – $1,195 |
| Yakima Valley Memorial | $331 – $5,793 | $270 | $676 |
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)
- $197 in an office; $122 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $176 in an office; $112 in a hospital or surgery center
- Hospital outpatient payment (national)
- $252 (APC 5111)
- Surgery center payment (national)
- $106
How hospitals also write this code
Some price files write it differently. These are counted as CPT 28630:
- 28630P (with a letter after it, P; 6 price lines)