CPT 42000

Other Organ Systems

Current code44 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 42000 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$389 – $1,26317 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$373 – $92716 plans$402$1,005
Harborview Medical CenterSeattleFile dated 2026-04-01$439 – $5843 plans$1,395$1,992
Highline Medical CenterBurienFile dated 2026-02-28$286 – $5,92017 plans$203$666
Island HospitalAnacortes$366 – $6487 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$211 – $10,0139 plans$722$1,032
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$528 – $7,56910 plans$291Doctor’s fee: $189 – $291$448Doctor’s fee: $291 – $448
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$247 – $1,6359 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$389 – $1,29517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$389 – $1,29517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$389 – $1,29512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$367 – $92516 plans$402$1,005
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$303 – $4,73616 plans$456$911
PeaceHealth Peace Island Medical CenterFriday Harbor—$489$752
PeaceHealth Southwest Medical CenteVancouver$105 – $3,9436 plans$499 – $668$768 – $1,027
PeaceHealth St John Medical CenterLongview$113 – $1,6203 plans$499$768
PeaceHealth St Joseph Medical CenterBellingham$5431 plan$515$792
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$446 – $16,50813 plans$920$1,314
Providence Centralia HospitalCentraliaFile dated 2026-04-01$464 – $9,57510 plans$630$1,212
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$317 – $6,46214 plans$707$1,010
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$205 – $333$293 – $476
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$324 – $8,84614 plans$954$1,835
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$205 – $278$293 – $397
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$216 – $13,8099 plans$533$761
Providence St Peter HospitalOlympiaFile dated 2026-04-01$232 – $6,26011 plans$630$1,212
Seattle Children's HospitalSeattle$270 – $48198 plans$501 – $18,529$501
Skagit Valley HospitalMount Vernon$372 – $1,10611 plans$392$490
St Anthony HospitalGig HarborFile dated 2026-02-28$479 – $5,92018 plans$202$666
St Clare HospitalLakewoodFile dated 2026-02-28$479 – $5,92018 plans$192$666
St Elizabeth HospitalEnumclawFile dated 2026-02-28$222 – $5,92015 plans$235$666
St Francis Community HospitalFederal WayFile dated 2026-02-28$479 – $5,92018 plans$209$666
St Joseph Medical CenterTacomaFile dated 2026-02-28$479 – $5,92018 plans$220$666
St Michael Medical CenterSilverdaleFile dated 2026-02-28$426 – $1,06018 plans$294$666
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$405 – $7,27716 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$413 – $10,40316 plans$636$1,326
Swedish Medical CenterSeattleFile dated 2026-04-01$411 – $7,27723 plans$636$1,326
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$411 – $7,27717 plans$636$1,326
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$389 – $1,13717 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$439 – $1,02211 plans$562$803
Virginia Mason Medical CenterSeattle$4.73 – $8,50010 plans$506$993
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$6981 plan——
WhidbeyHealth Medical CenterCoupeville—$322 – $745$322 – $745
Yakima Valley MemorialYakimaFile dated 2026-08-27$373 – $5,79314 plans——

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)
$186 in an office; $112 in a hospital or surgery center
Doctor's fee, rest of Washington
$165 in an office; $101 in a hospital or surgery center
Hospital outpatient payment (national)
$242 (APC 5161)
Surgery center payment (national)
$130

How hospitals also write this code

Some price files write it differently. These are counted as CPT 42000:

  • 42000P (with a letter after it, P; 2 price lines)