CPT 95991

Treatment - Miscellaneous

Current code37 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 95991 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$32.99 – $48.875 plans$330$826
Deaconess Medical CenterSpokaneFile dated 2026-08-27$30.18 – $31.965 plans——
EvergreenHealth Medical CenterKirkland—$560$700
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$261$855
Island HospitalAnacortes$31.15 – $33.793 plans$85.00 – $647$85.00 – $647
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$31.22 – $33.725 plans$417$1,043
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$30.66 – $33.115 plans$417$1,043
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$30.66 – $33.115 plans$417$1,043
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$31.36 – $33.875 plans$417$1,043
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$29.97 – $31.735 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$38.58 – $42.265 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$597 – $864$853 – $1,234
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$530 – $930$757 – $1,328
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Seattle Children's HospitalSeattle$211 – $26612 plans$819$819
St Anthony HospitalGig HarborFile dated 2026-02-28—$260$855
St Clare HospitalLakewoodFile dated 2026-02-28—$246$855
St Elizabeth HospitalEnumclawFile dated 2026-02-28$145 – $1775 plans$302$855
St Francis Community HospitalFederal WayFile dated 2026-02-28—$268$855
St Joseph Medical CenterTacomaFile dated 2026-02-28—$283$855
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$377$855
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Swedish Medical CenterSeattleFile dated 2026-04-01———
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$31.38 – $33.895 plans$417$1,043
University of Washington Medical CtrSeattleFile dated 2026-04-01—$424$606
Virginia Mason Medical CenterSeattle—$457$897
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$29.98 – $34.835 plans$332$829

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

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)
$137 in an office; $36.00 in a hospital or surgery center
Doctor's fee, rest of Washington
$120 in an office; $33.84 in a hospital or surgery center
Hospital outpatient payment (national)
$314 (APC 5441)