CPT 42000
Other Organ Systems
Current code44 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $82.96 – $123 | — | — |
| Deaconess Medical Center | $75.91 – $80.37 | $402 | $1,005 |
| Harborview Medical Center | — | $1,395 | $1,992 |
| Highline Medical Center | — | $203 | $666 |
| Island Hospital | $78.32 – $84.97 | — | — |
| Kadlec Regional Medical Center | — | $722 | $1,032 |
| Legacy Salmon Creek Medical Center | — | $291 | $448 |
| Mary Bridge Children's Hospital | $78.51 – $84.79 | — | — |
| MultiCare Auburn Medical Center | $77.09 – $83.26 | — | — |
| MultiCare Covington Medical Center | $77.09 – $83.26 | — | — |
| MultiCare Good Samaritan Hospital | $78.87 – $85.18 | — | — |
| MultiCare Valley Hospital | $75.37 – $79.80 | $402 | $1,005 |
| Olympic Medical Center | $97.03 – $106 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $456 | $911 |
| PeaceHealth Peace Island Medical Center | — | $489 | $752 |
| PeaceHealth Southwest Medical Cente | $273 | $499 – $668 | $768 – $1,027 |
| PeaceHealth St John Medical Center | $220 – $296 | $499 | $768 |
| PeaceHealth St Joseph Medical Center | $295 | $515 | $792 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $920 | $1,314 |
| Providence Centralia Hospital | — | $630 | $1,212 |
| Providence Holy Family Hospital | — | $707 | $1,010 |
| Providence Mount Carmel Hospital | — | $205 – $333 | $293 – $476 |
| Providence Regional Medical Center Everett | — | $954 | $1,835 |
| Providence St Joseph Hospital | — | $205 – $278 | $293 – $397 |
| Providence St Mary Medical Center | — | $533 | $761 |
| Providence St Peter Hospital | — | $630 | $1,212 |
| Seattle Children's Hospital | — | $501 – $18,529 | $501 |
| Skagit Valley Hospital | $82.00 | $392 | $490 |
| St Anthony Hospital | — | $202 | $666 |
| St Clare Hospital | — | $192 | $666 |
| St Elizabeth Hospital | $113 – $138 | $235 | $666 |
| St Francis Community Hospital | — | $209 | $666 |
| St Joseph Medical Center | — | $220 | $666 |
| St Michael Medical Center | — | $294 | $666 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $636 | $1,326 |
| Swedish Medical Center | — | $636 | $1,326 |
| Swedish Medical Center / Cherry Hill | — | $636 | $1,326 |
| Tacoma General Allenmore Hospital | $78.90 – $85.22 | — | — |
| University of Washington Medical Ctr | — | $562 | $803 |
| Virginia Mason Medical Center | — | $506 | $993 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $322 – $745 | $322 – $745 |
| Yakima Valley Memorial | $75.40 – $87.60 | — | — |
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)