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CPT 99242

Office/Outpatient Services

Current code17 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$86.96 – $1125 plans——
Cascade Medical CenterLeavenworth$120 – $2382 plans$303$379
Coulee Medical CenterGrand Coulee—$302$336
Island HospitalAnacortes$9.20 – $19613 plans$115 – $206$115 – $206
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2221 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$81.92 – $93.635 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$81.92 – $93.635 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1351 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2071 plan——
PeaceHealth Southwest Medical CenteVancouver$55.731 plan$111$171
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$113$161
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$138$265
Seattle Children's HospitalSeattle$99.82 – $15748 plans$172$172
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$81.92 – $93.635 plans——
Three Rivers HospitalBrewster—$41.50Doctor’s fee: $181 – $223$41.50Doctor’s fee: $181 – $223
WhidbeyHealth Medical CenterCoupeville—$215$215
Yakima Valley MemorialYakimaFile dated 2026-08-27$97.37 – $1125 plans——

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

CMS publishes no national amount for this code.