CPT 64616

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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 64616 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$428$1,071
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$565$1,413
EvergreenHealth Medical CenterKirkland—$796$995
EvergreenHealth MonroeMonroe—$796$995
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,350 – $2,024$1,928 – $2,892
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$687$1,717
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$687$1,717
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$687$1,717
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$687$1,717
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$565$1,413
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$502$717
Seattle Children's HospitalSeattle$63.18 – $205at least 1 plan$548 – $815$463 – $815
Swedish IssaquahIssaquahFile dated 2026-04-01—$2,048$4,266
Swedish Medical CenterSeattleFile dated 2026-04-01—$2,048$4,266
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$2,048$4,266
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$687$1,717
University of Washington Medical CtrSeattleFile dated 2026-04-01—$958 – $1,437$1,369 – $2,053
Virginia Mason Medical CenterSeattle—$619$1,213
Yakima Valley MemorialYakimaFile dated 2026-08-27—$364$910

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)
$161 in an office; $106 in a hospital or surgery center
Doctor's fee, rest of Washington
$144 in an office; $97.94 in a hospital or surgery center
Hospital outpatient payment (national)
$314 (APC 5441)
Surgery center payment (national)
$77.88