CPT 28630
Musculoskeletal
Current code49 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $161 – $269 | $161 – $269 |
| Capital Medical Center | $332 – $491 | — | — |
| Cascade Medical Center | $226 – $339 | $325 | $406 |
| Cascade Valley Hospital | $259 – $514 | $411 | $514 |
| Coulee Medical Center | — | $707 | $785 |
| Deaconess Medical Center | $304 – $321 | $393 | $982 |
| EvergreenHealth Medical Center | — | $690 | $862 |
| Harborview Medical Center | — | $909 | $1,299 |
| Highline Medical Center | — | $184 | $602 |
| Island Hospital | $313 – $340 | $224 – $448 | $224 – $448 |
| Kadlec Regional Medical Center | — | $549 | $784 |
| Legacy Salmon Creek Medical Center | — | $288 | $443 |
| Mary Bridge Children's Hospital | $314 – $339 | — | — |
| MultiCare Auburn Medical Center | $308 – $333 | — | — |
| MultiCare Covington Medical Center | $308 – $333 | — | — |
| MultiCare Good Samaritan Hospital | $315 – $341 | — | — |
| MultiCare Valley Hospital | $301 – $319 | $393 | $982 |
| Olympic Medical Center | $388 – $425 | $370 | $462 |
| Overlake Hospital Medical Center & Clinics | — | $537 | $1,073 |
| PeaceHealth Peace Island Medical Center | — | $566 | $870 |
| PeaceHealth Southwest Medical Cente | $284 | $716 | $1,101 |
| PeaceHealth St John Medical Center | $229 – $308 | $722 | $1,110 |
| PeaceHealth St Joseph Medical Center | $308 | $787 | $1,211 |
| PeaceHealth United General Medical Center | — | $595 | $916 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $611 | $873 |
| Providence Centralia Hospital | — | $478 | $920 |
| Providence Holy Family Hospital | — | $662 | $946 |
| Providence Mount Carmel Hospital | — | $161 – $192 | $230 – $274 |
| Providence Regional Medical Center Everett | — | $777 | $1,494 |
| Providence St Joseph Hospital | — | $134 | $192 |
| Providence St Mary Medical Center | — | $291 – $539 | $416 – $770 |
| Providence St Peter Hospital | — | $478 | $920 |
| Skagit Valley Hospital | $1,967 | $215 – $465 | $269 – $581 |
| St Anthony Hospital | — | $183 | $602 |
| St Clare Hospital | — | $174 | $602 |
| St Elizabeth Hospital | $102 – $125 | $213 | $602 |
| St Francis Community Hospital | — | $189 | $602 |
| St Joseph Medical Center | — | $199 | $602 |
| St Michael Medical Center | — | $266 | $602 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $706 | $1,470 |
| Swedish Medical Center | — | $706 | $1,470 |
| Swedish Medical Center / Cherry Hill | — | $706 | $1,470 |
| Tacoma General Allenmore Hospital | $315 – $341 | — | — |
| University of Washington Medical Ctr | — | $526 | $751 |
| Virginia Mason Medical Center | — | $416 | $816 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $303 – $1,195 | $303 – $1,195 |
| Yakima Valley Memorial | $301 – $350 | $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)