CPT 99201

Office E&M - New

Retired code5 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.

This code is retired. Some hospitals still list it.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 99201 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
PeaceHealth Peace Island Medical CenterFriday Harbor—$85.15$131
PeaceHealth Southwest Medical CenteVancouver—$118$181
PeaceHealth St Joseph Medical CenterBellingham—$119$183
PeaceHealth United General Medical CenterSedro Woolley—$85.15$131
Three Rivers HospitalBrewster—Doctor’s fee: $91.80 – $153Doctor’s fee: $91.80 – $153

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.