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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for CPT 42000 by hospital
HospitalOther government program rates (lowest – highest)Cash priceList price (before discounts)
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$402$1,005
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,395$1,992
Highline Medical CenterBurienFile dated 2026-02-28—$203$666
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$722$1,032
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$291Doctor’s fee: $189 – $291$448Doctor’s fee: $291 – $448
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$402$1,005
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$456$911
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$920$1,314
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$630$1,212
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$707$1,010
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$205 – $333$293 – $476
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$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—$533$761
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$630$1,212
Seattle Children's HospitalSeattle$2051 plan$501$501
St Anthony HospitalGig HarborFile dated 2026-02-28—$202$666
St Clare HospitalLakewoodFile dated 2026-02-28—$192$666
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$235$666
St Francis Community HospitalFederal WayFile dated 2026-02-28—$209$666
St Joseph Medical CenterTacomaFile dated 2026-02-28—$220$666
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$294$666
Swedish IssaquahIssaquahFile dated 2026-04-01—$636$1,326
Swedish Medical CenterSeattleFile dated 2026-04-01—$636$1,326
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$636$1,326
University of Washington Medical CtrSeattleFile dated 2026-04-01—$562$803
Virginia Mason Medical CenterSeattle—$506$993

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)
$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)