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CPT 95857

E&M - Miscellaneous

Current code29 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)
Harborview Medical CenterSeattleFile dated 2026-04-01—$380$542
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$40.30 – $116Doctor’s fee: $74.75 – $116$62.00 – $178Doctor’s fee: $115 – $178
Seattle Children's HospitalSeattle$94.23 – $16898 plans$175$175
Swedish IssaquahIssaquahFile dated 2026-04-01—$701$1,460
Swedish Medical CenterSeattleFile dated 2026-04-01—$701$1,460
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$701$1,460
University of Washington Medical CtrSeattleFile dated 2026-04-01—$342$488
Virginia Mason Medical CenterSeattle$585 – $7314 plans$466$914

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)
$79.16 in an office; $25.48 in a hospital or surgery center
Doctor's fee, rest of Washington
$69.96 in an office; $23.89 in a hospital or surgery center
Hospital outpatient payment (national)
$221 (APC 5722)

How hospitals also write this code

Some price files write it differently. These are counted as CPT 95857:

  • 95857P (with a letter after it, P; 4 price lines)
  • 95857T (with a letter after it, T; 2 price lines)