CPT 42400

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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 42400 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$686 – $1,0165 plans$1,702$4,254
Cascade Valley HospitalArlington$760 – $1,1494 plans$919$1,149
Deaconess Medical CenterSpokaneFile dated 2026-08-27$628 – $6655 plans$1,307$3,268
EvergreenHealth Medical CenterKirkland—$1,703$2,129
EvergreenHealth MonroeMonroe$7701 plan$1,703$2,129
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,059$2,942
Highline Medical CenterBurienFile dated 2026-02-28—$487$1,595
Island HospitalAnacortes$648 – $7033 plans$1,266$1,266
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$3,679$5,255
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$172$264
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$649 – $7015 plans$363$907
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$637 – $6885 plans$363$907
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$637 – $6885 plans$363$907
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$652 – $7045 plans$363$907
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$623 – $6605 plans$1,307$3,268
Olympic Medical CenterPort AngelesFile dated 2026-06-24$802 – $8795 plans$1,186$1,483
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Southwest Medical CenteVancouver$8171 plan$1,512 – $1,708$2,326 – $2,628
PeaceHealth St John Medical CenterLongview$657 – $8843 plans$1,832$2,819
PeaceHealth St Joseph Medical CenterBellingham$8832 plans$1,169$1,799
PeaceHealth United General Medical CenterSedro Woolley—$1,140$1,754
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,957 – $2,370$2,796 – $3,385
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,923$2,747
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$2,871$5,521
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$808$1,154
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,116$2,146
Seattle Children's HospitalSeattle—$17,112—
St Anthony HospitalGig HarborFile dated 2026-02-28—$485$1,595
St Clare HospitalLakewoodFile dated 2026-02-28—$460$1,595
St Elizabeth HospitalEnumclawFile dated 2026-02-28$271 – $3305 plans$564$1,595
St Francis Community HospitalFederal WayFile dated 2026-02-28—$501$1,595
St Joseph Medical CenterTacomaFile dated 2026-02-28—$528$1,595
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$704$1,595
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,037 – $1,900$2,160 – $3,958
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,037 – $1,900$2,160 – $3,958
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,037 – $1,900$2,160 – $3,958
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$652 – $7055 plans$363$907
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,556$2,223
Virginia Mason Medical CenterSeattle—$1,234$2,420
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$424 – $1,734$424 – $1,734
Yakima Valley MemorialYakimaFile dated 2026-08-27$623 – $7245 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)
$110 in an office; $53.02 in a hospital or surgery center
Doctor's fee, rest of Washington
$97.74 in an office; $48.50 in a hospital or surgery center
Hospital outpatient payment (national)
$723 (APC 5071)
Surgery center payment (national)
$67.14