CPT 42900

Other Organ Systems

Current code37 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 42900 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$2,693	$3,847
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01	—	$3,287	$4,695
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$3,207	$6,167
Providence Holy Family HospitalSpokaneFile dated 2026-04-01	—	$3,445	$4,921
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$2,429	$3,470
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$2,076	$2,966
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$2,737	$3,910
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$3,207	$6,167
Virginia Mason Medical CenterSeattle	—	$2,711	$5,315

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): $314 in a hospital or surgery center
Doctor's fee, rest of Washington: $290 in a hospital or surgery center
Hospital outpatient payment (national): $1,585 (APC 5163)
Surgery center payment (national): $1,111