CPT 42160
Other Organ Systems
Current code37 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) |
|---|---|---|---|
| Harborview Medical Center | — | $6,392 | $9,132 |
| Kadlec Regional Medical Center | — | $5,625 | $8,035 |
| Legacy Salmon Creek Medical Center | — | $408 | $627 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $6,736 | $9,623 |
| Providence Centralia Hospital | — | $6,572 | $12,639 |
| Providence Holy Family Hospital | — | $7,060 | $10,086 |
| Providence Mount Carmel Hospital | — | $4,979 | $7,113 |
| Providence Regional Medical Center Everett | — | $4,926 | $9,473 |
| Providence St Joseph Hospital | — | $4,257 | $6,081 |
| Providence St Mary Medical Center | — | $5,718 | $8,168 |
| Providence St Peter Hospital | — | $6,572 | $12,639 |
| University of Washington Medical Ctr | — | $2,625 | $3,749 |
| Virginia Mason Medical Center | — | $3,968 | $7,780 |
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)
- $272 in an office; $145 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $240 in an office; $131 in a hospital or surgery center
- Hospital outpatient payment (national)
- $3,387 (APC 5164)
- Surgery center payment (national)
- $166