CPT 99080

E&M - Miscellaneous

Current code8 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

Medicare (traditional): Traditional Medicare. Applies only to people on original Medicare.

Prices for CPT 99080 by hospital
HospitalMedicare (traditional) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$29.49 – $51.461 plan$40.80 – $71.20Doctor’s fee: $44.80 – $67.20$51.00 – $89.00Doctor’s fee: $56.00 – $84.00
Island HospitalAnacortes—$67.00$67.00
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$29.25 – $114$45.00 – $175
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$35.00$50.00
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$35.00$50.00
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$566$808
Three Rivers HospitalBrewster—Doctor’s fee: $29.00Doctor’s fee: $29.00
WhidbeyHealth Medical CenterCoupeville—$1.00 – $226$1.00 – $226

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 99080:

  • 99080GH (with a modifier, GH; 1 price line)
  • 99080UC (with a modifier, UC; 1 price line)