CareNavIQ

Every billing code / Visits / Office/Outpatient Services

CPT 99202

Office E&M - New

Current code29 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$101$101
Cascade Medical CenterLeavenworth$128 – $7774 plansDoctor’s fee: $115 – $173$184 – $744Doctor’s fee: $166$230 – $930Doctor’s fee: $207
Cascade Valley HospitalArlington$2461 plan$197$246
Coulee Medical CenterGrand Coulee—$247$274
Highline Medical CenterBurienFile dated 2026-02-28—$113$370
Island HospitalAnacortes$87.501 plan$152 – $175$152 – $175
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$84.00 – $182$120 – $260
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$99.32$191
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$127$182
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$150$288
Seattle Children's HospitalSeattle$44.78 – $47.839 plans—$146
St Anthony HospitalGig HarborFile dated 2026-02-28—$113$370
St Clare HospitalLakewoodFile dated 2026-02-28—$107$370
St Elizabeth HospitalEnumclawFile dated 2026-02-28$104 – $1235 plans$131$370
St Francis Community HospitalFederal WayFile dated 2026-02-28—$116$370
St Joseph Medical CenterTacomaFile dated 2026-02-28—$123$370
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$163$370
Three Rivers HospitalBrewster$31.50 – $1371 planDoctor’s fee: $81.90 – $137$45.00 – $195Doctor’s fee: $117 – $195$45.00 – $195Doctor’s fee: $117 – $195
Virginia Mason Medical CenterSeattle—$72.42$142

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)
$85.75 in an office; $43.95 in a hospital or surgery center
Doctor's fee, rest of Washington
$77.21 in an office; $41.34 in a hospital or surgery center