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Every billing code / CPT 29085 / Summit Pacific Medical Center

CPT 29085 at Summit Pacific Medical Center

Musculoskeletal

Summit Pacific Medical Center, Elma

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 Summit Pacific Medical Center publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$872 – $1,1213 plans$107
Medicare AdvantageInsurer rates$311 – $3303 plans$64.13 – $67.98
Medicaid managed careInsurer rates$288 – $3163 plans$59.44 – $65.38
Other government programInsurer rates$3111 plan$64.13
UnknownInsurer rates$288 – $1,0583 plans$59.44 – $88.85
Cash pricePaying yourself, without insurance$672$257
List priceBefore any discount; few people pay it$1,245$475

Lowest and highest amounts Summit Pacific Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-31. 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.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe operating or procedure room, nursing, supplies and recovery—The price above
Surgeon or doctor doing itThe doctor's practiceThe procedure$64.13$75.67 – $115
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 29085 at every Washington hospital, with Medicare’s reference amounts.