CPT 28750
Musculoskeletal
Current code40 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) |
|---|---|---|---|
| Capital Medical Center | $3,905 – $5,785 | — | — |
| Deaconess Medical Center | $3,573 – $3,783 | — | — |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | — | — |
| Island Hospital | $3,687 – $4,000 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $496 – $1,418 | $763 – $2,181 |
| Mary Bridge Children's Hospital | $3,696 – $3,991 | — | — |
| MultiCare Auburn Medical Center | $3,629 – $3,919 | — | — |
| MultiCare Covington Medical Center | $3,629 – $3,919 | — | — |
| MultiCare Good Samaritan Hospital | $3,713 – $4,010 | — | — |
| MultiCare Valley Hospital | $3,548 – $3,756 | — | — |
| Olympic Medical Center | $4,567 – $5,002 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | $8,368 | $7,476 – $18,019 | $11,502 – $27,722 |
| PeaceHealth St John Medical Center | $6,730 – $9,059 | $14,380 | $22,123 |
| PeaceHealth St Joseph Medical Center | $9,048 | $6,129 – $13,632 | $9,430 – $20,973 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | — | — |
| St Clare Hospital | — | — | — |
| St Elizabeth Hospital | — | — | — |
| St Francis Community Hospital | — | — | — |
| St Joseph Medical Center | — | — | — |
| St Michael Medical Center | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | $3,714 – $4,011 | — | — |
| Trios Health | — | — | $51,357 – $56,422 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $9,799 | $19,213 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $1,946 | $1,946 |
| Yakima Valley Memorial | $3,549 – $4,123 | — | — |
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)
- $1,210 in an office; $592 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $1,072 in an office; $542 in a hospital or surgery center
- Hospital outpatient payment (national)
- $7,413 (APC 5114)
- Surgery center payment (national)
- $5,187
How hospitals also write this code
Some price files write it differently. These are counted as CPT 28750:
- 28750P (with a letter after it, P; 2 price lines)
- 28750T (with a letter after it, T; 1 price line)