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

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

Prices for CPT 42809 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$507 – $5586 plans$268$670
Cascade Medical CenterLeavenworth$262 – $4757 plansDoctor’s fee: $133 – $582$375 – $454Doctor’s fee: $557$469 – $568Doctor’s fee: $696
Cascade Valley HospitalArlington$399 – $4193 plans$454$568
Coulee Medical CenterGrand Coulee—$1,184$1,316
Deaconess Medical CenterSpokaneFile dated 2026-08-27$488 – $5378 plans$627$1,568
EvergreenHealth Medical CenterKirkland$444 – $4535 plans$803$1,004
EvergreenHealth MonroeMonroe$436 – $4445 plans$803$1,004
Harborview Medical CenterSeattleFile dated 2026-04-01$517 – $5695 plans$903$1,291
Highline Medical CenterBurienFile dated 2026-02-28$444 – $51111 plans$158$517
Island HospitalAnacortes$533 – $56511 plans$284 – $531$284 – $531
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$498 – $5977 plans$460$657
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$513 – $5586 plans$374$576
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$511 – $5627 plans$268$670
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$508 – $5597 plans$268$670
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$508 – $5597 plans$268$670
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$511 – $5627 plans$268$670
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$502 – $5377 plans$627$1,568
Olympic Medical CenterPort AngelesFile dated 2026-06-24$560 – $7205 plans$408$510
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$519 – $5403 plans$191$381
PeaceHealth Peace Island Medical CenterFriday Harbor—$592$911
PeaceHealth Southwest Medical CenteVancouver$495 – $57013 plans$820$1,262
PeaceHealth St John Medical CenterLongview$414 – $58414 plans$720$1,107
PeaceHealth St Joseph Medical CenterBellingham$531 – $5848 plans$580$892
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$498 – $5977 plans$347$496
Providence Centralia HospitalCentraliaFile dated 2026-04-01$517 – $8287 plans$1,009$1,941
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$498 – $5485 plans$376$537
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$70.00 – $271$100 – $387
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$509 – $5606 plans$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$498 – $5486 plans$217 – $885$310 – $1,264
Providence St Peter HospitalOlympiaFile dated 2026-04-01$514 – $8227 plans$1,009$1,941
Seattle Children's HospitalSeattle—$647 – $28,196$531 – $647
Skagit Valley HospitalMount Vernon$399 – $4194 plans$538$672
St Anthony HospitalGig HarborFile dated 2026-02-28$452 – $52012 plans$157$517
St Clare HospitalLakewoodFile dated 2026-02-28$452 – $52012 plans$149$517
St Elizabeth HospitalEnumclawFile dated 2026-02-28$93.14 – $11412 plans$183$517
St Francis Community HospitalFederal WayFile dated 2026-02-28$444 – $51112 plans$162$517
St Joseph Medical CenterTacomaFile dated 2026-02-28$452 – $52012 plans$171$517
St Michael Medical CenterSilverdaleFile dated 2026-02-28$465 – $50210 plans$228$517
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$509 – $6108 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$519 – $6238 plans$950$1,979
Swedish Medical CenterSeattleFile dated 2026-04-01$517 – $6218 plans$950$1,979
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$517 – $6218 plans$950$1,979
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$511 – $5627 plans$268$670
Three Rivers HospitalBrewster—Doctor’s fee: $429Doctor’s fee: $429
University of Washington Medical CtrSeattleFile dated 2026-04-01$517 – $5695 plans$644$920
Virginia Mason Medical CenterSeattle$9.35 – $45613 plans$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$522 – $5858 plans$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)