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Every billing code / Visits / Office/Outpatient Services

CPT 99204

Office E&M - New

Current code30 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.

See the whole procedure. This code is part of a procedure we compare in full, with every bill and what you’d pay: compare hospitals for 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$77.90 – $2189 plans$205 – $311$205 – $311
Cascade Medical CenterLeavenworth$220 – $5832 plansDoctor’s fee: $220 – $366$406 – $744Doctor’s fee: $467$507 – $930Doctor’s fee: $584
Cascade Valley HospitalArlington$32.56 – $6,4948 plans$306$383
Coulee Medical CenterGrand Coulee—$532$591
EvergreenHealth MonroeMonroe$160 – $3689 plans$361$451
Highline Medical CenterBurienFile dated 2026-02-28$264 – $5544 plans$188$615
Island HospitalAnacortes$24.16 – $29513 plans$302 – $310$302 – $310
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$326$627
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$219 – $332$313 – $474
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$252$485
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$282$403
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$326$627
Seattle Children's HospitalSeattle$200 – $33258 plans—$415
St Anthony HospitalGig HarborFile dated 2026-02-28$443 – $4612 plans$187$615
St Clare HospitalLakewoodFile dated 2026-02-28$443 – $4612 plans$177$615
St Elizabeth HospitalEnumclawFile dated 2026-02-28$246 – $5545 plans$217$615
St Francis Community HospitalFederal WayFile dated 2026-02-28$443 – $4612 plans$193$615
St Joseph Medical CenterTacomaFile dated 2026-02-28$443 – $4612 plans$204$615
St Michael Medical CenterSilverdaleFile dated 2026-02-28$387 – $55410 plans$271$615
Three Rivers HospitalBrewster—$95.00 – $315Doctor’s fee: $189 – $403$95.00 – $315Doctor’s fee: $189 – $403
Trios HealthKennewick——$822
Virginia Mason Medical CenterSeattle$90.95 – $1144 plans$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)
$199 in an office; $125 in a hospital or surgery center
Doctor's fee, rest of Washington
$181 in an office; $117 in a hospital or surgery center