CPT 42699

Other Organ Systems

Current code38 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 42699 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$394$563
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$491$702
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$480$923
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$515$736
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$364$520
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$312$445
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$400$572
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$480$923
Virginia Mason Medical CenterSeattle—$457 – $2,206$896 – $4,326

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.

Hospital outpatient payment (national)
$242 (APC 5161)