CPT 42720

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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 42720 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$4,997 – $17,15317 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4,849 – $12,6899 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$6,143 – $8,1733 plans——
Highline Medical CenterBurienFile dated 2026-02-28$1,902 – $14,80017 plans$1,350$4,423
Island HospitalAnacortes$1,120 – $7,1227 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$759 – $10,3789 plans$5,549$7,927
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3,395 – $10,82110 plans$819$1,260
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,045 – $22,3769 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$4,373 – $15,91517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$4,373 – $15,91517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$4,373 – $15,91512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4,715 – $12,66010 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,654 – $11,78716 plans——
PeaceHealth Southwest Medical CenteVancouver$1,471 – $11,9286 plans$7,238$11,135
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$6,022 – $13,21213 plans$4,228$6,040
Providence Centralia HospitalCentraliaFile dated 2026-04-01$6,488 – $23,60710 plans$6,572$12,639
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$3,313 – $13,54513 plans$4,276$6,108
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,803$2,576
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,985 – $11,71014 plans$4,926$9,473
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,506$2,151
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2,853 – $14,4928 plans$5,641$8,059
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2,770 – $14,89713 plans$6,572$12,639
Seattle Children's HospitalSeattle$578 – $1,29558 plans$77,385$1,619
St Anthony HospitalGig HarborFile dated 2026-02-28$3,184 – $16,17418 plans$1,345$4,423
St Clare HospitalLakewoodFile dated 2026-02-28$3,184 – $16,17418 plans$1,275$4,423
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,473 – $13,62615 plans$1,563$4,423
St Francis Community HospitalFederal WayFile dated 2026-02-28$3,184 – $16,17418 plans$1,388$4,423
St Joseph Medical CenterTacomaFile dated 2026-02-28$3,184 – $16,17418 plans$1,465$4,423
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2,830 – $13,97118 plans$1,952$4,423
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,638 – $13,59516 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$5,775 – $16,33016 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$5,759 – $16,28523 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5,759 – $16,28517 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$4,373 – $15,91517 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$6,143 – $13,47311 plans$4,085$5,836
Virginia Mason Medical CenterSeattle$13.19 – $11,96510 plans$3,306$6,483
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$9,7641 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$4,346 – $10,75614 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)
$499 in an office; $361 in a hospital or surgery center
Doctor's fee, rest of Washington
$453 in an office; $335 in a hospital or surgery center
Hospital outpatient payment (national)
$3,387 (APC 5164)
Surgery center payment (national)
$1,481