CPT 56442

Other Organ Systems

Current code39 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 56442 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01—$6,320$9,028
Highline Medical CenterBurienFile dated 2026-02-28—$3,016$9,876
Island HospitalAnacortes$323 – $3503 plans$107$107
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$2,939$4,198
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$30.55 – $88.40Doctor’s fee: $57.20 – $88.40$47.00 – $136Doctor’s fee: $88.00 – $136
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$6,161$8,802
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$5,907$11,360
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$6,557$9,367
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$6,544$9,348
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$5,443$7,776
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$5,518$7,883
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$5,907$11,360
Seattle Children's HospitalSeattle—$365$365
St Anthony HospitalGig HarborFile dated 2026-02-28—$3,004$9,876
St Clare HospitalLakewoodFile dated 2026-02-28—$2,847$9,876
St Elizabeth HospitalEnumclawFile dated 2026-02-28$2,765 – $3,2765 plans$3,490$9,876
St Francis Community HospitalFederal WayFile dated 2026-02-28—$3,099$9,876
St Joseph Medical CenterTacomaFile dated 2026-02-28—$3,271$9,876
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$4,359$9,876
Swedish IssaquahIssaquahFile dated 2026-04-01—$6,996$14,575
Swedish Medical CenterSeattleFile dated 2026-04-01—$6,996$14,575
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$6,996$14,575
Virginia Mason Medical CenterSeattle—$3,418$6,701

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)
$48.14 in a hospital or surgery center
Doctor's fee, rest of Washington
$44.02 in a hospital or surgery center
Hospital outpatient payment (national)
$3,307 (APC 5414)
Surgery center payment (national)
$1,738

How hospitals also write this code

Some price files write it differently. These are counted as CPT 56442:

  • 56442P (with a letter after it, P; 2 price lines)
  • 56442T (with a letter after it, T; 1 price line)