CPT 98004

E&M - Miscellaneous

Current code4 hospitals with prices

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 Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 98004 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$94.551 plan	$142	$177
Island HospitalAnacortes	—	$76.00 – $90.00	$76.00 – $90.00
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$77.35Doctor’s fee: $77.35	$119Doctor’s fee: $119
WhidbeyHealth Medical CenterCoupeville	—	$99.00 – $523	$99.00 – $523

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.

How hospitals also write this code

Some price files write it differently. These are counted as CPT 98004:

98004P (with a letter after it, P; 1 price line)