CPT 42999

Other Organ Systems

Current code40 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 42999 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Coulee Medical CenterGrand Coulee—$576$641
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$326$815
Harborview Medical CenterSeattleFile dated 2026-04-01—$977 – $5,277$1,395 – $7,538
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$326$815
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,745 – $1,9115 plans$440$550
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$628$897
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$549$784
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$482$688
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$1,840$3,539
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$400$572
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$72.10 – $685$103 – $979
Skagit Valley HospitalMount Vernon$48.291 plan$1,283$1,604
University of Washington Medical CtrSeattleFile dated 2026-04-01—$839 – $5,227$1,199 – $7,467
Virginia Mason Medical CenterSeattle—$315 – $457$618 – $896

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.

Hospital outpatient payment (national)
$242 (APC 5161)