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.
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
Prices for CPT 96101 by hospital
Hospital
Commercial insurance rates (lowest – highest)
Cash price
List price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01
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$129 – $151Doctor’s fee: $80.60 – $124
$198 – $233Doctor’s fee: $124 – $191
Virginia Mason Medical CenterSeattle
$6301 plan
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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.
How hospitals also write this code
Some price files write it differently. These are counted as CPT 96101: