Every billing code / CPT 97552 / Providence Regional Medical Center Everett
CPT 97552 at Providence Regional Medical Center Everett
Care Management/Coordination
Providence Regional Medical Center Everett, Everett
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 Providence Regional Medical Center Everett publishes for this code: as an outpatient
Providence Regional Medical Center Everett’s prices for CPT 97552, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $8.50 – $44.989 plans | — |
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| Medicare AdvantageInsurer rates | $9.44 – $10.205 plans | — |
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| Cash pricePaying yourself, without insurance | $40.04 | — |
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| List priceBefore any discount; few people pay it | $77.00 | — |
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Lowest and highest amounts Providence Regional Medical Center Everett lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-04-01. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for CPT 97552 at Providence Regional Medical Center Everett| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The clinic's facility fee, when the clinic belongs to the hospital | — | The price above |
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| Doctor's visitThe doctor's practice | The visit itself | $9.44 | $11.14 – $16.90 |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 97552 at every Washington hospital, with Medicare’s reference amounts.