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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 42000 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$269 – $2966 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$259 – $2858 plans$402$1,005
Harborview Medical CenterSeattleFile dated 2026-04-01$274 – $3025 plans$1,395$1,992
Highline Medical CenterBurienFile dated 2026-02-28$258 – $29711 plans$203$666
Island HospitalAnacortes$283 – $30011 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$264 – $3177 plans$722$1,032
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$272 – $2966 plans$291Doctor’s fee: $189 – $291$448Doctor’s fee: $291 – $448
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$271 – $2987 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$270 – $2967 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$270 – $2967 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$271 – $2987 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$266 – $2857 plans$402$1,005
Olympic Medical CenterPort AngelesFile dated 2026-06-24$297 – $3825 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$275 – $2863 plans$456$911
PeaceHealth Peace Island Medical CenterFriday Harbor—$489$752
PeaceHealth Southwest Medical CenteVancouver$263 – $30213 plans$499 – $668$768 – $1,027
PeaceHealth St John Medical CenterLongview$220 – $31014 plans$499$768
PeaceHealth St Joseph Medical CenterBellingham$281 – $3098 plans$515$792
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$264 – $3177 plans$920$1,314
Providence Centralia HospitalCentraliaFile dated 2026-04-01$274 – $4397 plans$630$1,212
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$264 – $2905 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$270 – $2976 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$264 – $2906 plans$533$761
Providence St Peter HospitalOlympiaFile dated 2026-04-01$272 – $4367 plans$630$1,212
Seattle Children's HospitalSeattle—$501 – $18,529$501
Skagit Valley HospitalMount Vernon$232 – $2444 plans$392$490
St Anthony HospitalGig HarborFile dated 2026-02-28$263 – $30312 plans$202$666
St Clare HospitalLakewoodFile dated 2026-02-28$263 – $30312 plans$192$666
St Elizabeth HospitalEnumclawFile dated 2026-02-28$120 – $14612 plans$235$666
St Francis Community HospitalFederal WayFile dated 2026-02-28$258 – $29712 plans$209$666
St Joseph Medical CenterTacomaFile dated 2026-02-28$260 – $30312 plans$220$666
St Michael Medical CenterSilverdaleFile dated 2026-02-28$271 – $29210 plans$294$666
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$270 – $3248 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$275 – $3308 plans$636$1,326
Swedish Medical CenterSeattleFile dated 2026-04-01$274 – $3298 plans$636$1,326
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$274 – $3298 plans$636$1,326
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$271 – $2987 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$274 – $3025 plans$562$803
Virginia Mason Medical CenterSeattle$36.80 – $3,87313 plans$506$993
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$322 – $745$322 – $745
Yakima Valley MemorialYakimaFile dated 2026-08-27$277 – $3108 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)