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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 42720 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,762 – $4,1396 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3,621 – $3,9838 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$3,839 – $4,2235 plans——
Highline Medical CenterBurienFile dated 2026-02-28$3,610 – $4,15111 plans$1,350$4,423
Island HospitalAnacortes$3,957 – $4,19411 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$3,695 – $4,4337 plans$5,549$7,927
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3,805 – $4,1386 plans$819$1,260
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,792 – $4,1717 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,773 – $4,1507 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,773 – $4,1507 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,792 – $4,1717 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3,729 – $3,9837 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$4,155 – $5,3425 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3,850 – $4,0043 plans——
PeaceHealth Southwest Medical CenteVancouver$3,676 – $4,22813 plans$7,238$11,135
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,695 – $4,4337 plans$4,228$6,040
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,839 – $6,1437 plans$6,572$12,639
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$3,695 – $4,0645 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$3,776 – $4,1536 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$3,695 – $4,0646 plans$5,641$8,059
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3,813 – $6,1017 plans$6,572$12,639
Seattle Children's HospitalSeattle—$77,385$1,619
St Anthony HospitalGig HarborFile dated 2026-02-28$3,676 – $4,22712 plans$1,345$4,423
St Clare HospitalLakewoodFile dated 2026-02-28$3,676 – $4,22712 plans$1,275$4,423
St Elizabeth HospitalEnumclawFile dated 2026-02-28$796 – $97312 plans$1,563$4,423
St Francis Community HospitalFederal WayFile dated 2026-02-28$3,610 – $4,15112 plans$1,388$4,423
St Joseph Medical CenterTacomaFile dated 2026-02-28$3,566 – $4,22712 plans$1,465$4,423
St Michael Medical CenterSilverdaleFile dated 2026-02-28$3,780 – $4,08210 plans$1,952$4,423
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$3,776 – $4,5318 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,850 – $4,6208 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$3,839 – $4,6078 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,839 – $4,6078 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,792 – $4,1717 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$3,839 – $4,2235 plans$4,085$5,836
Virginia Mason Medical CenterSeattle$10.32 – $3,70913 plans$3,306$6,483
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,878 – $4,3438 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