CPT 97803
E&M - Miscellaneous
Current code51 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 | — | $44.00 | $110 |
| Cascade Valley Hospital | $82.00 – $91.00 | $65.60 – $72.80 | $82.00 – $91.00 |
| Coulee Medical Center | — | $64.26 | $71.40 |
| Deaconess Medical Center | — | $38.00 | $95.00 |
| EvergreenHealth Medical Center | — | $114 | $142 |
| EvergreenHealth Monroe | $27.84 | $114 | $142 |
| Harborview Medical Center | — | $104 | $148 |
| Highline Medical Center | — | $57.31 | $188 |
| Island Hospital | — | $46.00 – $56.00 | $46.00 – $56.00 |
| Kadlec Regional Medical Center | — | $81.20 | $116 |
| Legacy Salmon Creek Medical Center | — | $19.50 | $30.00 |
| Mary Bridge Children's Hospital | — | $47.20 | $118 |
| MultiCare Auburn Medical Center | — | $47.20 | $118 |
| MultiCare Covington Medical Center | — | $47.20 | $118 |
| MultiCare Good Samaritan Hospital | — | $47.20 | $118 |
| MultiCare Valley Hospital | — | $38.00 | $95.00 |
| Olympic Medical Center | $16.87 – $18.48 | $60.00 | $75.00 |
| Overlake Hospital Medical Center & Clinics | — | $51.00 | $102 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $96.60 | $138 |
| Providence Holy Family Hospital | — | $99.40 | $142 |
| Providence Mount Carmel Hospital | — | $37.10 | $53.00 |
| Providence Regional Medical Center Everett | — | $67.60 | $130 |
| Providence St Joseph Hospital | — | $30.10 | $43.00 |
| Providence St Mary Medical Center | — | $60.90 | $87.00 |
| Seattle Children's Hospital | $16.39 – $20.73 | $104 | $104 |
| St Anthony Hospital | — | $57.08 | $188 |
| St Clare Hospital | — | $54.10 | $188 |
| St Elizabeth Hospital | $52.55 – $62.26 | $66.32 | $188 |
| St Francis Community Hospital | — | $58.90 | $188 |
| St Joseph Medical Center | — | $62.16 | $188 |
| St Michael Medical Center | — | $82.83 | $188 |
| Swedish Issaquah | — | $96.48 | $201 |
| Swedish Medical Center | — | $96.48 | $201 |
| Swedish Medical Center / Cherry Hill | — | $96.48 | $201 |
| Tacoma General Allenmore Hospital | — | $47.20 | $118 |
| Trios Health | — | — | $114 |
| University of Washington Medical Ctr | — | $94.68 | $135 |
| Virginia Mason Medical Center | — | $59.67 | $117 |
| Yakima Valley Memorial | — | $45.20 | $113 |
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)
- $36.14 in an office; $24.25 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $32.71 in an office; $22.51 in a hospital or surgery center
How hospitals also write this code
Some price files write it differently. These are counted as CPT 97803:
- 97803SP (with a modifier, SP; 1 price line)