CPT 99195

Treatment - Miscellaneous

Current code53 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 Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 99195 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$121$121
Capital Medical CenterOlympiaFile dated 2026-08-27—$154 – $291$385 – $728
Cascade Valley HospitalArlington$135 – $4,3383 plans$274$343
Coulee Medical CenterGrand Coulee—$221$246
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$139$347
EvergreenHealth Medical CenterKirkland$142 – $1455 plans$164$205
EvergreenHealth MonroeMonroe$140 – $1425 plans$164$205
Harborview Medical CenterSeattleFile dated 2026-04-01—$442$631
Highline Medical CenterBurienFile dated 2026-02-28—$144$471
Island HospitalAnacortes$159 – $16811 plans$224 – $337$224 – $337
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$605$864
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$291$728
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$291$728
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$291$728
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$291$728
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$139$347
Olympic Medical CenterPort AngelesFile dated 2026-06-24$167 – $2145 plans$200$250
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$170$339
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$379$542
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$199$382
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$312$445
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$203$290
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$532$1,023
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$174$248
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$270$385
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$199$382
Seattle Children's HospitalSeattle—$525$525
St Anthony HospitalGig HarborFile dated 2026-02-28—$143$471
St Clare HospitalLakewoodFile dated 2026-02-28—$136$471
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$166$471
St Francis Community HospitalFederal WayFile dated 2026-02-28—$148$471
St Joseph Medical CenterTacomaFile dated 2026-02-28—$156$471
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$208$471
Swedish IssaquahIssaquahFile dated 2026-04-01—$342$713
Swedish Medical CenterSeattleFile dated 2026-04-01—$342$713
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$342$713
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$291$728
Three Rivers HospitalBrewster—$118 – $125$118 – $125
Trios HealthKennewick$1371 plan—$676
University of Washington Medical CtrSeattleFile dated 2026-04-01—$379$541
Virginia Mason Medical CenterSeattle—$209$409
Yakima Valley MemorialYakimaFile dated 2026-08-27—$191$478

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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

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)
$120 in an office; $120 in a hospital or surgery center
Doctor's fee, rest of Washington
$103 in an office; $103 in a hospital or surgery center
Hospital outpatient payment (national)
$136 (APC 5734)