CPT 42960
Other Organ Systems
Current code45 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $686 – $1,016 | $322 | $804 |
| Coulee Medical Center | — | $554 | $615 |
| Deaconess Medical Center | $628 – $665 | $839 | $2,098 |
| EvergreenHealth Medical Center | — | $1,425 | $1,781 |
| Harborview Medical Center | — | $669 | $956 |
| Highline Medical Center | — | $219 | $717 |
| Island Hospital | $648 – $703 | $862 | $862 |
| Kadlec Regional Medical Center | — | $1,686 | $2,408 |
| Legacy Salmon Creek Medical Center | — | $298 | $458 |
| Mary Bridge Children's Hospital | $649 – $701 | $322 | $804 |
| MultiCare Auburn Medical Center | $637 – $688 | $322 | $804 |
| MultiCare Covington Medical Center | $637 – $688 | $322 | $804 |
| MultiCare Good Samaritan Hospital | $652 – $704 | $322 | $804 |
| MultiCare Valley Hospital | $623 – $660 | $839 | $2,098 |
| Olympic Medical Center | $802 – $879 | — | — |
| Overlake Hospital Medical Center & Clinics | — | $177 | $353 |
| PeaceHealth Southwest Medical Cente | $622 | $894 – $4,483 | $1,375 – $6,898 |
| PeaceHealth St John Medical Center | $500 – $673 | $902 | $1,387 |
| PeaceHealth St Joseph Medical Center | $673 | $389 – $751 | $599 – $1,156 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $314 | $449 |
| Providence Centralia Hospital | — | $1,406 | $2,704 |
| Providence Holy Family Hospital | — | $342 | $488 |
| Providence Mount Carmel Hospital | — | $115 – $300 | $164 – $428 |
| Providence Regional Medical Center Everett | — | $472 | $907 |
| Providence St Joseph Hospital | — | $95.90 – $300 | $137 – $428 |
| Providence St Mary Medical Center | — | $583 | $833 |
| Providence St Peter Hospital | — | $1,406 | $2,704 |
| Seattle Children's Hospital | $97.60 – $104 | $29,635 | $681 |
| Skagit Valley Hospital | — | $1,008 | $1,260 |
| St Anthony Hospital | — | $218 | $717 |
| St Clare Hospital | — | $207 | $717 |
| St Elizabeth Hospital | $122 – $148 | $253 | $717 |
| St Francis Community Hospital | — | $225 | $717 |
| St Joseph Medical Center | — | $238 | $717 |
| St Michael Medical Center | — | $316 | $717 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $636 | $1,326 |
| Swedish Medical Center | — | $636 | $1,326 |
| Swedish Medical Center / Cherry Hill | — | $636 | $1,326 |
| Tacoma General Allenmore Hospital | $652 – $705 | $322 | $804 |
| University of Washington Medical Ctr | — | $1,449 | $2,070 |
| Virginia Mason Medical Center | — | $228 | $448 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $507 | $507 |
| Yakima Valley Memorial | $623 – $724 | $585 | $1,462 |
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)
- $160 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $147 in a hospital or surgery center
- Hospital outpatient payment (national)
- $551 (APC 5162)
- Surgery center payment (national)
- $295
How hospitals also write this code
Some price files write it differently. These are counted as CPT 42960:
- 42960P (with a letter after it, P; 2 price lines)