Every billing code / CPT 97803 / St Clare Hospital
CPT 97803 at St Clare Hospital
E&M - Miscellaneous
St Clare Hospital, Lakewood
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 St Clare Hospital publishes for this code: as an outpatient
St Clare Hospital’s prices for CPT 97803, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $35.81 – $35118 plans | — |
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| Medicare AdvantageInsurer rates | $31.74 – $36.5012 plans | — |
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| Medicaid managed careInsurer rates | $18.46 – $21.615 plans | — |
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| Cash pricePaying yourself, without insurance | $54.10 | — |
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| List priceBefore any discount; few people pay it | $188 | — |
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Lowest and highest amounts St Clare Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
What St Clare Hospital publishes for this code: during a hospital stay
St Clare Hospital’s prices for CPT 97803, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $135 – $1412 plans | — |
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| Cash pricePaying yourself, without insurance | $54.10 | — |
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| List priceBefore any discount; few people pay it | $188 | — |
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Lowest and highest amounts St Clare Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. 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 97803 at St Clare Hospital| 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 | $22.51 | $26.56 – $40.29 |
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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 97803 at every Washington hospital, with Medicare’s reference amounts.