CPT 12042 at Cascade Medical Center

Wound Repair - All Levels

Cascade Medical Center, Leavenworth

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 Cascade Medical Center publishes for this code: as an outpatient

Cascade Medical Center’s prices for CPT 12042, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$399 – $5472 plans	$399 – $708
Medicare AdvantageInsurer rates	$460 – $7307 plans	$192 – $944
Medicaid managed careInsurer rates	$458 – $7304 plans	$628 – $944
Medicaid (state program)Insurer rates	$440 – $4661 plan	$603
Medicare (traditional)Insurer rates	$476 – $5051 plan	$192
Other government programInsurer rates	$317 – $7792 plans	$317 – $1,007
UnknownInsurer rates	$399 – $7866 plans	$399 – $1,016
Cash pricePaying yourself, without insurance	$659 – $698	$903
List priceBefore any discount; few people pay it	$824 – $873	$1,129

Lowest and highest amounts Cascade Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 12042 at Cascade Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The operating or procedure room, nursing, supplies and recovery	—	The price above
Surgeon or doctor doing itThe doctor's practice	The procedure, and routine follow-up visits for 10 days	$171	$201 – $306
AnesthesiaAn anesthesia group (only sometimes)	Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 12042 at every Washington hospital, with Medicare’s reference amounts.