CPT 42826

Other Organ Systems

Current code41 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 42826 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Coulee Medical CenterGrand Coulee	—	$819	$910
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$475	$731
Seattle Children's HospitalSeattle	$1521 plan	—	$1,087
Three Rivers HospitalBrewster	Doctor’s fee: $686	Doctor’s fee: $980	Doctor’s fee: $980
Virginia Mason Medical CenterSeattle	—	$4,725	$9,265

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): $258 in a hospital or surgery center
Doctor's fee, rest of Washington: $235 in a hospital or surgery center
Hospital outpatient payment (national): $3,387 (APC 5164)
Surgery center payment (national): $1,481