CPT 64611

Musculoskeletal

Current code39 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 64611 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27	—	$1,714	$4,285
Deaconess Medical CenterSpokaneFile dated 2026-08-27	—	$1,750	$4,374
EvergreenHealth Medical CenterKirkland	—	$907	$1,134
EvergreenHealth MonroeMonroe	$3241 plan	$907	$1,134
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$826	$1,179
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$85.15 – $243Doctor’s fee: $158 – $243	$131 – $374Doctor’s fee: $243 – $374
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27	—	$1,714	$4,285
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27	—	$1,714	$4,285
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27	—	$1,714	$4,285
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27	—	$1,714	$4,285
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27	—	$1,750	$4,374
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$666	$951
Seattle Children's HospitalSeattle	$66.44 – $14613 plans	$259 – $449	$259 – $477
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27	—	$1,714	$4,285
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$826	$1,179
Virginia Mason Medical CenterSeattle	—	$458	$898

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): $159 in an office; $122 in a hospital or surgery center
Doctor's fee, rest of Washington: $141 in an office; $109 in a hospital or surgery center
Hospital outpatient payment (national): $314 (APC 5441)
Surgery center payment (national): $92.65

How hospitals also write this code

Some price files write it differently. These are counted as CPT 64611:

64611P (with a letter after it, P; 2 price lines)
64611T (with a letter after it, T; 1 price line)