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)
Cascade Medical CenterLeavenworth$399 – $5472 plansDoctor’s fee: $399 – $708$659 – $698Doctor’s fee: $903$824 – $873Doctor’s fee: $1,129
Coulee Medical CenterGrand Coulee—$661$734
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,007 – $1,0362 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—$1,812$2,589
Highline Medical CenterBurienFile dated 2026-02-28$654 – $1,3694 plans$465$1,521
Island HospitalAnacortes$113 – $87315 plans$171 – $608$171 – $608
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$674$963
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$563$866
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,0222 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—$586$1,171
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$702$1,003
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$950$1,827
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$760$1,086
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$348 – $404$497 – $577
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$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—$530 – $723$757 – $1,033
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$950$1,827
Seattle Children's HospitalSeattle$298 – $735152 plans$766$766 – $821
St Anthony HospitalGig HarborFile dated 2026-02-28$1,095 – $1,1412 plans$463$1,521
St Clare HospitalLakewoodFile dated 2026-02-28$1,095 – $1,1412 plans$438$1,521
St Elizabeth HospitalEnumclawFile dated 2026-02-28$609 – $1,3695 plans$538$1,521
St Francis Community HospitalFederal WayFile dated 2026-02-28$1,095 – $1,1412 plans$477$1,521
St Joseph Medical CenterTacomaFile dated 2026-02-28$1,095 – $1,1412 plans$504$1,521
St Michael Medical CenterSilverdaleFile dated 2026-02-28$958 – $1,36910 plans$671$1,521
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,035$2,157
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,035$2,157
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,035$2,157
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—$800$1,143
Virginia Mason Medical CenterSeattle$765 – $9564 plans$609$1,195
Yakima Valley MemorialYakimaFile dated 2026-08-27$6151 plan$439$1,098

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)
$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