CPT 96161
E&M - Miscellaneous
Current code29 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 | $17.98 – $26.64 | — | — |
| Deaconess Medical Center | $16.45 – $17.42 | — | — |
| EvergreenHealth Medical Center | — | $59.20 | $74.00 |
| Harborview Medical Center | — | — | — |
| Island Hospital | $16.98 – $18.42 | $7.00 | $7.00 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $17.02 – $18.38 | — | — |
| MultiCare Auburn Medical Center | $16.71 – $18.05 | — | — |
| MultiCare Covington Medical Center | $16.71 – $18.05 | — | — |
| MultiCare Good Samaritan Hospital | $17.10 – $18.46 | — | — |
| MultiCare Valley Hospital | $16.34 – $17.30 | — | — |
| Olympic Medical Center | $21.03 – $23.03 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | $45.24 – $49.92 | $87.00 – $96.00 |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $40.32 | $84.00 |
| Swedish Medical Center | — | $40.32 | $84.00 |
| Swedish Medical Center / Cherry Hill | — | $40.32 | $84.00 |
| Tacoma General Allenmore Hospital | $17.10 – $18.47 | — | — |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | $61.71 | $121 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $16.34 – $18.99 | — | — |
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)
- $4.10 in an office; $4.10 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $3.52 in an office; $3.52 in a hospital or surgery center
- Hospital outpatient payment (national)
- $38.28 (APC 5821)