CPT 12042

Wound Repair - All Levels

Current code52 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 12042 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$699 – $2,10317 plans——
Cascade Medical CenterLeavenworth$399 – $5472 plansDoctor’s fee: $399 – $708$659 – $698Doctor’s fee: $903$824 – $873Doctor’s fee: $1,129
Cascade Valley HospitalArlington$119 – $1,51311 plans$1,117$1,396
Coulee Medical CenterGrand Coulee—$661 – $1,729$734 – $1,922
Deaconess Medical CenterSpokaneFile dated 2026-08-27$527 – $1,66416 plans$568$1,419
EvergreenHealth Medical CenterKirkland$309 – $1,45527 plans$1,252$1,565
EvergreenHealth MonroeMonroe$309 – $1,19317 plans$992$1,240
Harborview Medical CenterSeattleFile dated 2026-04-01$753 – $1,0023 plans$1,812$2,589
Highline Medical CenterBurienFile dated 2026-02-28$654 – $1,82317 plans$465$1,521
Island HospitalAnacortes$113 – $873at least 15 plans$171 – $608$171 – $608
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$328 – $1,2728 plans$674$963
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$901 – $7,2468 plans$563$866
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$699 – $2,9349 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$699 – $2,03217 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$699 – $2,03217 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$699 – $2,03212 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$527 – $1,66016 plans$568$1,419
Olympic Medical CenterPort AngelesFile dated 2026-06-24$456 – $8156 plans$652$815
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$519 – $3,04813 plans$586$1,171
PeaceHealth Peace Island Medical CenterFriday Harbor—$694$1,067
PeaceHealth Southwest Medical CenteVancouver$180 – $4,5696 plans$1,996 – $2,380$3,070 – $3,661
PeaceHealth St John Medical CenterLongview$193 – $2,7813 plans$3,092 – $3,185$4,757 – $4,900
PeaceHealth St Joseph Medical CenterBellingham$9311 plan$1,101 – $1,905$1,694 – $2,930
PeaceHealth United General Medical CenterSedro Woolley—$730$1,123
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$766 – $13,21212 plans$702$1,003
Providence Centralia HospitalCentraliaFile dated 2026-04-01$796 – $7,98510 plans$950$1,827
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$544 – $3,37913 plans$760$1,086
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$348 – $404$497 – $577
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$556 – $2,70413 plans$800$1,538
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$321 – $404$458 – $577
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$353 – $6,5229 plans$530 – $723$757 – $1,033
Providence St Peter HospitalOlympiaFile dated 2026-04-01$397 – $2,77010 plans$950$1,827
Seattle Children's HospitalSeattle$298 – $735152 plans$766 – $18,487$766 – $821
Skagit Valley HospitalMount Vernon$357 – $1,80611 plans$358 – $1,210$448 – $1,513
St Anthony HospitalGig HarborFile dated 2026-02-28$860 – $1,99318 plans$463$1,521
St Clare HospitalLakewoodFile dated 2026-02-28$860 – $1,99318 plans$438$1,521
St Elizabeth HospitalEnumclawFile dated 2026-02-28$507 – $2,07715 plans$538$1,521
St Francis Community HospitalFederal WayFile dated 2026-02-28$845 – $1,99318 plans$477$1,521
St Joseph Medical CenterTacomaFile dated 2026-02-28$869 – $1,99318 plans$504$1,521
St Michael Medical CenterSilverdaleFile dated 2026-02-28$931 – $1,75818 plans$671$1,521
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$694 – $2,19215 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$708 – $9,33915 plans$1,035$2,157
Swedish Medical CenterSeattleFile dated 2026-04-01$706 – $1,99722 plans$1,035$2,157
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$706 – $1,99716 plans$1,035$2,157
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$699 – $1,95117 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $585 – $714Doctor’s fee: $585 – $714
Trios HealthKennewick——$8,102
University of Washington Medical CtrSeattleFile dated 2026-04-01$753 – $1,66911 plans$800$1,143
Virginia Mason Medical CenterSeattle$9.15 – $4,49710 plans$609$1,195
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,1971 plan——
WhidbeyHealth Medical CenterCoupeville—$502 – $3,250$502 – $3,250
Yakima Valley MemorialYakimaFile dated 2026-08-27$538 – $5,79319 plans$439$1,098

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)
$354 in an office; $186 in a hospital or surgery center
Doctor's fee, rest of Washington
$315 in an office; $171 in a hospital or surgery center
Hospital outpatient payment (national)
$415 (APC 5052)
Surgery center payment (national)
$205