CPT 42820

Other Organ Systems

Current code40 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.

See the whole procedure. This code is part of a procedure we compare in full, with every bill and what you’d pay: compare hospitals for it.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 42820 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$944	$1,049
Island HospitalAnacortes	$1,408 – $1,5283 plans	$589	$589
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$540	$831
Seattle Children's HospitalSeattle	$178 – $1909 plans	—	$1,236
Virginia Mason Medical CenterSeattle	—	$6,523	$12,791

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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): $288 in a hospital or surgery center
Doctor's fee, rest of Washington: $263 in a hospital or surgery center
Hospital outpatient payment (national): $6,048 (APC 5165)
Surgery center payment (national): $3,026