CPT 28630 at Island Hospital

Musculoskeletal

Island Hospital, Anacortes

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 Island Hospital publishes for this code: as an outpatient

Island Hospital’s prices for CPT 28630, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$148 – $648at least 15 plans	$169 – $530
Medicare AdvantageInsurer rates	$294 – $31211 plans	$294 – $312
Medicaid managed careInsurer rates	$313 – $3403 plans	$313 – $340
Other government programInsurer rates	$294 – $3103 plans	$294 – $310
UnknownInsurer rates	$294 – $3553 plans	$294 – $355
Cash pricePaying yourself, without insurance	$224 – $448	$255
List priceBefore any discount; few people pay it	$224 – $448	$255

Lowest and highest amounts Island Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 28630 at Island Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The operating or procedure room, nursing, supplies and recovery	—	The price above
Surgeon or doctor doing itThe doctor's practice	The procedure, and routine follow-up visits for 10 days	$112	$132 – $200
AnesthesiaAn anesthesia group (only sometimes)	Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 28630 at every Washington hospital, with Medicare’s reference amounts.