CPT 42700 at Skyline Hospital

Other Organ Systems

Skyline Hospital, White Salmon

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 Skyline Hospital publishes for this code: as an outpatient

Skyline Hospital’s prices for CPT 42700, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	—	$51.00 – $255
Medicare AdvantageInsurer rates	—	$130 – $589
Medicaid managed careInsurer rates	—	$80.93 – $120
Other government programInsurer rates	—	$130
UnknownInsurer rates	—	$51.00 – $255
Cash pricePaying yourself, without insurance	—	$606
List priceBefore any discount; few people pay it	—	$842

Lowest and highest amounts Skyline Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-21. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for CPT 42700 at Skyline Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The operating or procedure room, nursing, supplies and recovery	—	The price above
Surgeon or doctor doing itThe doctor's practice	The procedure, and routine follow-up visits for 10 days	$130	$154 – $233
AnesthesiaAn anesthesia group (only sometimes)	Anesthesia or deep sedation, if you need itOnly if an anesthesia team is part of your care. Its amount depends on how long it takes.	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 42700 at every Washington hospital, with Medicare’s reference amounts.