CPT 42720
Other Organ Systems
Current code39 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Highline Medical Center | — | $1,350 | $4,423 |
| Kadlec Regional Medical Center | — | $5,549 | $7,927 |
| Legacy Salmon Creek Medical Center | — | $819 | $1,260 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $4,228 | $6,040 |
| Providence Centralia Hospital | — | $6,572 | $12,639 |
| Providence Holy Family Hospital | — | $4,276 | $6,108 |
| Providence Mount Carmel Hospital | — | $1,803 | $2,576 |
| Providence Regional Medical Center Everett | — | $4,926 | $9,473 |
| Providence St Joseph Hospital | — | $1,506 | $2,151 |
| Providence St Mary Medical Center | — | $5,641 | $8,059 |
| Providence St Peter Hospital | — | $6,572 | $12,639 |
| Seattle Children's Hospital | $224 | — | $1,619 |
| St Anthony Hospital | — | $1,345 | $4,423 |
| St Clare Hospital | — | $1,275 | $4,423 |
| St Elizabeth Hospital | — | $1,563 | $4,423 |
| St Francis Community Hospital | — | $1,388 | $4,423 |
| St Joseph Medical Center | — | $1,465 | $4,423 |
| St Michael Medical Center | — | $1,952 | $4,423 |
| University of Washington Medical Ctr | — | $4,085 | $5,836 |
| Virginia Mason Medical Center | — | $3,306 | $6,483 |
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