CPT 94003
E&M - Miscellaneous
Current code45 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $874 – $2,671 | $2,184 – $6,677 |
| Cascade Valley Hospital | $714 – $1,800 | $1,440 | $1,800 |
| Coulee Medical Center | — | $1,184 | $1,316 |
| Deaconess Medical Center | — | $1,019 | $2,548 |
| EvergreenHealth Medical Center | — | $2,243 | $2,804 |
| EvergreenHealth Monroe | $686 | $577 | $721 |
| Harborview Medical Center | — | $2,783 | $3,975 |
| Highline Medical Center | — | $1,609 – $2,011 | $5,268 – $6,585 |
| Island Hospital | $454 – $492 | $1,606 | $1,606 |
| Kadlec Regional Medical Center | — | $2,531 | $3,615 |
| Legacy Salmon Creek Medical Center | — | $40.95 – $116 | $63.00 – $179 |
| Mary Bridge Children's Hospital | — | $1,029 – $2,671 | $2,573 – $6,677 |
| MultiCare Auburn Medical Center | — | $1,029 – $2,671 | $2,573 – $6,677 |
| MultiCare Covington Medical Center | — | $1,029 – $2,671 | $2,573 – $6,677 |
| MultiCare Good Samaritan Hospital | — | $1,029 – $2,671 | $2,573 – $6,677 |
| MultiCare Valley Hospital | — | $1,019 | $2,548 |
| Olympic Medical Center | $562 – $616 | $400 | $500 |
| Overlake Hospital Medical Center & Clinics | — | $1,045 – $1,344 | $2,091 – $2,688 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,271 – $2,680 | $1,816 – $3,828 |
| Providence Centralia Hospital | — | $2,424 | $4,662 |
| Providence Holy Family Hospital | — | $1,623 – $2,333 | $2,319 – $3,333 |
| Providence Mount Carmel Hospital | — | $1,025 | $1,464 |
| Providence Regional Medical Center Everett | — | $2,133 | $4,101 |
| Providence St Joseph Hospital | — | $1,453 | $2,075 |
| Providence St Mary Medical Center | — | $1,492 | $2,132 |
| Providence St Peter Hospital | — | $2,424 | $4,662 |
| Skagit Valley Hospital | — | $2,619 | $3,274 |
| St Anthony Hospital | — | $1,602 – $2,003 | $5,268 – $6,585 |
| St Clare Hospital | — | $1,518 – $1,898 | $5,268 – $6,585 |
| St Elizabeth Hospital | $896 – $1,363 | $1,862 – $2,327 | $5,268 – $6,585 |
| St Francis Community Hospital | — | $1,653 – $2,067 | $5,268 – $6,585 |
| St Joseph Medical Center | — | $1,745 – $2,181 | $5,268 – $6,585 |
| St Michael Medical Center | — | $2,325 – $2,906 | $5,268 – $6,585 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $1,110 – $2,136 | $2,313 – $4,451 |
| Swedish Medical Center | — | $1,110 – $2,136 | $2,313 – $4,451 |
| Swedish Medical Center / Cherry Hill | — | $1,110 – $2,136 | $2,313 – $4,451 |
| Tacoma General Allenmore Hospital | — | $1,029 – $2,671 | $2,573 – $6,677 |
| Trios Health | — | — | $2,154 |
| University of Washington Medical Ctr | — | $2,941 | $4,201 |
| Virginia Mason Medical Center | — | $1,230 – $1,291 | $2,411 – $2,532 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $700 | $700 |
| Yakima Valley Memorial | — | $906 | $2,264 |
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)
- $62.80 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $59.25 in a hospital or surgery center
- Hospital outpatient payment (national)
- $631 (APC 5801)
How hospitals also write this code
Some price files write it differently. These are counted as CPT 94003:
- 94003P (with a letter after it, P; 4 price lines)
- 94003T (with a letter after it, T; 2 price lines)