CPT 42100

Other Organ Systems

Current code39 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 42100 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
EvergreenHealth MonroeMonroe	$176 – $5,02714 plans	$4,324	$5,405
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$2,926	$4,180
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$266	$409
Seattle Children's HospitalSeattle	$183 – $37358 plans	$466	$466
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,360	$1,942
Virginia Mason Medical CenterSeattle	$2,590 – $3,2344 plans	$2,062	$4,043

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): $174 in an office; $114 in a hospital or surgery center
Doctor's fee, rest of Washington: $154 in an office; $103 in a hospital or surgery center
Hospital outpatient payment (national): $1,585 (APC 5163)
Surgery center payment (national): $100