CPT 28820

Musculoskeletal

Current code44 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 28820 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Valley HospitalArlington	$3,245 – $9,7624 plans	$7,591	$9,489
Coulee Medical CenterGrand Coulee	—	$1,301	$1,446
Island HospitalAnacortes	$1,521 – $1,6503 plans	$400 – $750	$400 – $750
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	$5,513	$11,026
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$4,486	$8,627
Skagit Valley HospitalMount Vernon	$1,5921 plan	$7,688	$9,610
Three Rivers HospitalBrewster	Doctor’s fee: $235 – $1,176	Doctor’s fee: $336 – $1,680	Doctor’s fee: $336 – $1,680
Trios HealthKennewick	—	—	$18,128 – $87,673
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$2,084	$2,977
Virginia Mason Medical CenterSeattle	—	$4,039	$7,919

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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): $339 in an office; $172 in a hospital or surgery center
Doctor's fee, rest of Washington: $304 in an office; $162 in a hospital or surgery center
Hospital outpatient payment (national): $3,343 (APC 5113)
Surgery center payment (national): $1,645