CPT 95874

Musculoskeletal

Current code22 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 95874 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$165$412
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$157$393
EvergreenHealth Medical CenterKirkland—$274$343
EvergreenHealth MonroeMonroe—$274$343
Harborview Medical CenterSeattleFile dated 2026-04-01—$279$398
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$165$412
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$165$412
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$165$412
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$165$412
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$157$393
Olympic Medical CenterPort AngelesFile dated 2026-06-24$380 – $4165 plans$186$233
Seattle Children's HospitalSeattle$110 – $13912 plans$427$427
Swedish IssaquahIssaquahFile dated 2026-04-01—$342$713
Swedish Medical CenterSeattleFile dated 2026-04-01—$342$713
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$342$713
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$165$412
University of Washington Medical CtrSeattleFile dated 2026-04-01—$194$278
Virginia Mason Medical CenterSeattle—$145$284
Yakima Valley MemorialYakimaFile dated 2026-08-27—$54.40$136

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)
$96.50 in an office; $96.50 in a hospital or surgery center
Doctor's fee, rest of Washington
$84.18 in an office; $84.18 in a hospital or surgery center