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CPT 99202

Office E&M - New

Current code41 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.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$101$101
Cascade Medical CenterLeavenworth$128 – $7777 plansDoctor’s fee: $46.59 – $173$184 – $744Doctor’s fee: $166$230 – $930Doctor’s fee: $207
Cascade Valley HospitalArlington$2,2501 plan$197$246
Coulee Medical CenterGrand Coulee—$247$274
Grays Harbor Community HospitalAberdeen—$99.45 – $125$153 – $192
Highline Medical CenterBurienFile dated 2026-02-28—$113$370
Island HospitalAnacortes$1141 planDoctor’s fee: $114$175Doctor’s fee: $152 – $175$175Doctor’s fee: $152 – $175
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$44.20 – $135Doctor’s fee: $85.15 – $131$68.00 – $207Doctor’s fee: $131 – $202
Mason General Hospital & Family of ClinicsShelton$5571 plan$147 – $163$195 – $217
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
Quincy Valley Medical CenterQuincyFile dated 2026-05-27$3341 plan$523$523
Seattle Children's HospitalSeattle——$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—$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—$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

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99202:

  • 99202P (with a letter after it, P; 10 price lines)
  • 99202T (with a letter after it, T; 6 price lines)