CPT 96160
E&M - Miscellaneous
Current code29 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $42.52 – $46.77 | — | — |
| Deaconess Medical Center | $40.92 – $45.01 | — | — |
| Harborview Medical Center | $43.39 – $47.73 | — | — |
| Island Hospital | $44.72 – $47.40 | — | — |
| Kadlec Regional Medical Center | $41.75 – $50.10 | — | — |
| Legacy Salmon Creek Medical Center | $43.01 – $46.76 | $1.95 | $3.00 |
| Mary Bridge Children's Hospital | $42.85 – $47.14 | — | — |
| MultiCare Auburn Medical Center | $42.64 – $46.90 | — | — |
| MultiCare Covington Medical Center | $42.64 – $46.90 | — | — |
| MultiCare Good Samaritan Hospital | $42.85 – $47.14 | — | — |
| MultiCare Valley Hospital | $42.15 – $45.01 | — | — |
| Olympic Medical Center | $46.96 – $60.37 | $54.40 | $68.00 |
| Overlake Hospital Medical Center & Clinics | $43.51 – $45.25 | — | — |
| PeaceHealth Southwest Medical Cente | $41.55 – $47.78 | $56.55 | $87.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $41.75 – $50.10 | — | — |
| Providence Centralia Hospital | $43.39 – $69.42 | — | — |
| Providence Holy Family Hospital | $41.75 – $45.93 | — | — |
| Providence Regional Medical Center Everett | $42.67 – $46.94 | — | — |
| Providence St Mary Medical Center | $41.75 – $45.93 | — | — |
| Providence St Peter Hospital | $43.09 – $68.95 | — | — |
| Swedish Edmonds Hospital | $42.67 – $51.20 | — | — |
| Swedish Issaquah | $43.51 – $52.21 | $41.76 – $75.84 | $87.00 – $158 |
| Swedish Medical Center | $43.39 – $52.07 | $41.76 – $75.84 | $87.00 – $158 |
| Swedish Medical Center / Cherry Hill | $43.39 – $52.07 | $41.76 – $75.84 | $87.00 – $158 |
| Tacoma General Allenmore Hospital | $42.85 – $47.14 | — | — |
| University of Washington Medical Ctr | $43.39 – $47.73 | — | — |
| Virginia Mason Medical Center | $3.37 – $1,758 | $61.71 | $121 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $43.82 – $49.08 | — | — |
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)
- $3.69 in an office; $3.69 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $3.17 in an office; $3.17 in a hospital or surgery center
- Hospital outpatient payment (national)
- $38.28 (APC 5821)
How hospitals also write this code
Some price files write it differently. These are counted as CPT 96160:
- 96160P (with a letter after it, P; 2 price lines)
- 96160T (with a letter after it, T; 1 price line)