CPT 42962

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

Prices for CPT 42962 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$8,368$11,954
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$954$1,467
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$6,201$8,858
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$5,944$11,431
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$6,598$9,426
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$6,585$9,407
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$5,477$7,824
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$6,964$9,948
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$5,944$11,431
Seattle Children's HospitalSeattle$314 – $3359 plans—$2,181
Virginia Mason Medical CenterSeattle—$3,306$6,483

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)
$505 in a hospital or surgery center
Doctor's fee, rest of Washington
$462 in a hospital or surgery center
Hospital outpatient payment (national)
$3,387 (APC 5164)
Surgery center payment (national)
$1,481