CPT 28635

Musculoskeletal

Current code40 hospitals with prices

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 Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 28635 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$737 – $1,0925 plans——
Coulee Medical CenterGrand Coulee—$351 – $561$390 – $624
Deaconess Medical CenterSpokaneFile dated 2026-08-27$674 – $7145 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$697$2,284
Island HospitalAnacortes$696 – $7553 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$2,738$3,912
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$111 – $318Doctor’s fee: $207 – $318$171 – $489Doctor’s fee: $318 – $489
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$698 – $7535 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$685 – $7405 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$685 – $7405 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$701 – $7575 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$670 – $7095 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$862 – $9445 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Southwest Medical CenteVancouver$1,8541 plan$3,883$5,974
PeaceHealth St Joseph Medical CenterBellingham$2,0052 plans$4,848$7,458
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$3,823$5,461
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$3,314$6,373
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$5,298$7,568
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$2,510$3,586
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$3,179$6,113
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$2,146$3,066
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$2,785$3,978
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$3,314$6,373
St Anthony HospitalGig HarborFile dated 2026-02-28—$695$2,284
St Clare HospitalLakewoodFile dated 2026-02-28—$658$2,284
St Elizabeth HospitalEnumclawFile dated 2026-02-28$388 – $4735 plans$807$2,284
St Francis Community HospitalFederal WayFile dated 2026-02-28—$717$2,284
St Joseph Medical CenterTacomaFile dated 2026-02-28—$756$2,284
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,008$2,284
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$3,235$6,739
Swedish Medical CenterSeattleFile dated 2026-04-01—$3,235$6,739
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$3,235$6,739
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$701 – $7575 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,009$1,441
Virginia Mason Medical CenterSeattle—$1,923$3,771
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$670 – $7785 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)
$200 in an office; $137 in a hospital or surgery center
Doctor's fee, rest of Washington
$179 in an office; $125 in a hospital or surgery center
Hospital outpatient payment (national)
$1,643 (APC 5112)
Surgery center payment (national)
$873

How hospitals also write this code

Some price files write it differently. These are counted as CPT 28635:

  • 28635P (with a letter after it, P; 2 price lines)
  • 28635T (with a letter after it, T; 1 price line)