CPT 42809

Other Organ Systems

Current code50 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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 42809 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$268$670
Cascade Medical CenterLeavenworth$251 – $3031 planDoctor’s fee: $372$375 – $454Doctor’s fee: $557$469 – $568Doctor’s fee: $696
Cascade Valley HospitalArlington—$454$568
Coulee Medical CenterGrand Coulee—$1,184$1,316
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$627$1,568
EvergreenHealth Medical CenterKirkland—$803$1,004
EvergreenHealth MonroeMonroe—$803$1,004
Harborview Medical CenterSeattleFile dated 2026-04-01—$903$1,291
Highline Medical CenterBurienFile dated 2026-02-28—$158$517
Island HospitalAnacortes—$284 – $531$284 – $531
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$460$657
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$374$576
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$268$670
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$268$670
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$268$670
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$268$670
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$627$1,568
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$408$510
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$191$381
PeaceHealth Peace Island Medical CenterFriday Harbor—$592$911
PeaceHealth Southwest Medical CenteVancouver—$820$1,262
PeaceHealth St John Medical CenterLongview—$720$1,107
PeaceHealth St Joseph Medical CenterBellingham—$580$892
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$347$496
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,009$1,941
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$376$537
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.00 – $271$100 – $387
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$366$704
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$58.10 – $271$83.00 – $387
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$217 – $885$310 – $1,264
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,009$1,941
Seattle Children's HospitalSeattle$73.831 plan$647 – $28,196$531 – $647
Skagit Valley HospitalMount Vernon—$538$672
St Anthony HospitalGig HarborFile dated 2026-02-28—$157$517
St Clare HospitalLakewoodFile dated 2026-02-28—$149$517
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$183$517
St Francis Community HospitalFederal WayFile dated 2026-02-28—$162$517
St Joseph Medical CenterTacomaFile dated 2026-02-28—$171$517
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$228$517
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$950$1,979
Swedish Medical CenterSeattleFile dated 2026-04-01—$950$1,979
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$950$1,979
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$268$670
Three Rivers HospitalBrewsterDoctor’s fee: $300Doctor’s fee: $429Doctor’s fee: $429
University of Washington Medical CtrSeattleFile dated 2026-04-01—$644$920
Virginia Mason Medical CenterSeattle—$496$973
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$625 – $4,000$625 – $4,000
Yakima Valley MemorialYakimaFile dated 2026-08-27—$418$1,046

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)
$249 in an office; $129 in a hospital or surgery center
Doctor's fee, rest of Washington
$221 in an office; $118 in a hospital or surgery center
Hospital outpatient payment (national)
$456 (APC 5735)