CareNavIQ

Every billing code / Procedures and surgery / Musculoskeletal

CPT 64831

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.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$1,835$2,039
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$4,470$6,386
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$453 – $1,294Doctor’s fee: $841 – $1,294$697 – $1,991Doctor’s fee: $1,294 – $1,991
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$8,947$12,781
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$4,152$7,985
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$11,607$16,581
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$3,851$5,501
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$3,292$4,703
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$4,544$6,492
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$4,152$7,985
Seattle Children's HospitalSeattle$425 – $4549 plans—$2,959
Three Rivers HospitalBrewsterDoctor’s fee: $183 – $916Doctor’s fee: $262 – $1,309Doctor’s fee: $262 – $1,309
Virginia Mason Medical CenterSeattle—$7,155$14,030

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)
$714 in a hospital or surgery center
Doctor's fee, rest of Washington
$649 in a hospital or surgery center
Hospital outpatient payment (national)
$1,995 (APC 5431)
Surgery center payment (national)
$949

How hospitals also write this code

Some price files write it differently. These are counted as CPT 64831:

  • 64831P (with a letter after it, P; 2 price lines)
  • 64831T (with a letter after it, T; 1 price line)