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Every billing code / CPT 99205 / Three Rivers Hospital

CPT 99205 at Three Rivers Hospital

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Three Rivers Hospital, Brewster

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: every bill and what you’d pay at Three Rivers Hospital.

What Three Rivers Hospital publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Medicaid managed careInsurer rates$86.80 – $2581 plan$155 – $365
Medicaid (state program)Insurer rates$86.80 – $2581 plan$155 – $365
Medicare (traditional)Insurer rates$83.85 – $2492 plans$203 – $353
UnknownInsurer rates$83.85 – $3022 plans$181 – $428
Cash pricePaying yourself, without insurance$124 – $368$221 – $522
List priceBefore any discount; few people pay it$124 – $368$221 – $522

Lowest and highest amounts Three Rivers Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe clinic's facility fee, when the clinic belongs to the hospital—The price above
Doctor's visitThe doctor's practiceThe visit itself$161$190 – $288

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 99205 at every Washington hospital, with Medicare’s reference amounts.