CPT 42960

Other Organ Systems

Current code45 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 42960 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$612 – $6736 plans$322$804
Coulee Medical CenterGrand Coulee—$554$615
Deaconess Medical CenterSpokaneFile dated 2026-08-27$589 – $6488 plans$839$2,098
EvergreenHealth Medical CenterKirkland$614 – $6265 plans$1,425$1,781
Harborview Medical CenterSeattleFile dated 2026-04-01$625 – $6875 plans$669$956
Highline Medical CenterBurienFile dated 2026-02-28$567 – $65211 plans$219$717
Island HospitalAnacortes$644 – $68211 plans$862$862
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$601 – $7217 plans$1,686$2,408
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$619 – $6736 plans$298Doctor’s fee: $194 – $298$458Doctor’s fee: $298 – $458
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$617 – $6797 plans$322$804
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$614 – $6757 plans$322$804
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$614 – $6757 plans$322$804
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$617 – $6797 plans$322$804
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$607 – $6487 plans$839$2,098
Olympic Medical CenterPort AngelesFile dated 2026-06-24$676 – $8695 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$626 – $6513 plans$177$353
PeaceHealth Southwest Medical CenteVancouver$598 – $68813 plans$894 – $4,483$1,375 – $6,898
PeaceHealth St John Medical CenterLongview$500 – $70514 plans$902$1,387
PeaceHealth St Joseph Medical CenterBellingham$641 – $7058 plans$389 – $751$599 – $1,156
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$601 – $7217 plans$314$449
Providence Centralia HospitalCentraliaFile dated 2026-04-01$625 – $9997 plans$1,406$2,704
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$601 – $6615 plans$342$488
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$115 – $300$164 – $428
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$614 – $6766 plans$472$907
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$95.90 – $300$137 – $428
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$601 – $6616 plans$583$833
Providence St Peter HospitalOlympiaFile dated 2026-04-01$620 – $9927 plans$1,406$2,704
Seattle Children's HospitalSeattle—$29,635$681
Skagit Valley HospitalMount Vernon$509 – $5354 plans$1,008$1,260
St Anthony HospitalGig HarborFile dated 2026-02-28$577 – $66412 plans$218$717
St Clare HospitalLakewoodFile dated 2026-02-28$577 – $66412 plans$207$717
St Elizabeth HospitalEnumclawFile dated 2026-02-28$129 – $15812 plans$253$717
St Francis Community HospitalFederal WayFile dated 2026-02-28$567 – $65212 plans$225$717
St Joseph Medical CenterTacomaFile dated 2026-02-28$573 – $66412 plans$238$717
St Michael Medical CenterSilverdaleFile dated 2026-02-28$593 – $65110 plans$316$717
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$614 – $7378 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$626 – $7528 plans$636$1,326
Swedish Medical CenterSeattleFile dated 2026-04-01$625 – $7498 plans$636$1,326
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$625 – $7498 plans$636$1,326
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$617 – $6797 plans$322$804
University of Washington Medical CtrSeattleFile dated 2026-04-01$625 – $6875 plans$1,449$2,070
Virginia Mason Medical CenterSeattle$4.27 – $58213 plans$228$448
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$507$507
Yakima Valley MemorialYakimaFile dated 2026-08-27$631 – $7068 plans$585$1,462

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)
$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)