CPT 42180

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

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

Prices for CPT 42180 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01—$466$666
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$967$1,382
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$463$712
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,082$1,545
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,055$2,029
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,133$1,619
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$380 – $799$543 – $1,142
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$954$1,835
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$326 – $683$465 – $976
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$984$1,406
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,055$2,029
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,584$3,301
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,584$3,301
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,584$3,301
University of Washington Medical CtrSeattleFile dated 2026-04-01—$379$541
Virginia Mason Medical CenterSeattle—$900$1,764

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)
$293 in an office; $187 in a hospital or surgery center
Doctor's fee, rest of Washington
$262 in an office; $171 in a hospital or surgery center
Hospital outpatient payment (national)
$551 (APC 5162)
Surgery center payment (national)
$295