CPT 42000
Other Organ Systems
Current code44 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Deaconess Medical Center | — | $402 | $1,005 |
| Harborview Medical Center | — | $1,395 | $1,992 |
| Highline Medical Center | — | $203 | $666 |
| Kadlec Regional Medical Center | — | $722 | $1,032 |
| Legacy Salmon Creek Medical Center | — | $291 | $448 |
| MultiCare Valley Hospital | — | $402 | $1,005 |
| Overlake Hospital Medical Center & Clinics | — | $456 | $911 |
| 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 | $501 |
| St Anthony Hospital | — | $202 | $666 |
| St Clare Hospital | — | $192 | $666 |
| St Elizabeth Hospital | — | $235 | $666 |
| St Francis Community Hospital | — | $209 | $666 |
| St Joseph Medical Center | — | $220 | $666 |
| St Michael Medical Center | — | $294 | $666 |
| Swedish Issaquah | — | $636 | $1,326 |
| Swedish Medical Center | — | $636 | $1,326 |
| Swedish Medical Center / Cherry Hill | — | $636 | $1,326 |
| University of Washington Medical Ctr | — | $562 | $803 |
| Virginia Mason Medical Center | — | $506 | $993 |
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)