CPT 42975

Other Organ Systems

Current code32 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 42975 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$7,777	$11,110
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$177	$273
Seattle Children's HospitalSeattle	$1831 plan	$2,355	$406 – $2,355
Skagit Valley HospitalMount Vernon	—	$2,794	$3,492
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$3,398	$4,855
Virginia Mason Medical CenterSeattle	—	$272	$534
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$1,906	$4,766

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): $90.48 in a hospital or surgery center
Doctor's fee, rest of Washington: $83.82 in a hospital or surgery center
Hospital outpatient payment (national): $1,818 (APC 5153)
Surgery center payment (national): $844