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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 64616 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$325 – $4825 plans$428$1,071
Deaconess Medical CenterSpokaneFile dated 2026-08-27$297 – $3155 plans$565$1,413
EvergreenHealth Medical CenterKirkland—$796$995
EvergreenHealth MonroeMonroe$3241 plan$796$995
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,350 – $2,024$1,928 – $2,892
Highline Medical CenterBurienFile dated 2026-02-28———
Island HospitalAnacortes$307 – $3333 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$308 – $3325 plans$687$1,717
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$302 – $3265 plans$687$1,717
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$302 – $3265 plans$687$1,717
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$309 – $3345 plans$687$1,717
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$295 – $3135 plans$565$1,413
Olympic Medical CenterPort AngelesFile dated 2026-06-24$380 – $4165 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Southwest Medical CenteVancouver$3541 plan$763 – $786$1,174 – $1,209
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$502$717
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Seattle Children's HospitalSeattle$65.08 – $265at least 13 plans$548 – $11,399$463 – $844
Skagit Valley HospitalMount Vernon$360 – $4414 plans$265$331
St Anthony HospitalGig HarborFile dated 2026-02-28———
St Clare HospitalLakewoodFile dated 2026-02-28———
St Elizabeth HospitalEnumclawFile dated 2026-02-28———
St Francis Community HospitalFederal WayFile dated 2026-02-28———
St Joseph Medical CenterTacomaFile dated 2026-02-28———
St Michael Medical CenterSilverdaleFile dated 2026-02-28———
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,117 – $2,048$2,328 – $4,266
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,117 – $2,048$2,328 – $4,266
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,117 – $2,048$2,328 – $4,266
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$309 – $3345 plans$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
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$295 – $3435 plans$364$910

Lowest and highest amounts each hospital lists for this code as an outpatient, 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