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CPT 99205

Office E&M - New

Current code40 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

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—$389$389
Cascade Medical CenterLeavenworth$336 – $7777 plansDoctor’s fee: $181 – $664$481 – $744Doctor’s fee: $635$601 – $930Doctor’s fee: $794
Cascade Valley HospitalArlington$4901 plan$392$490
Coulee Medical CenterGrand Coulee—$672$747
Grays Harbor Community HospitalAberdeen$334 – $3672 plans$300 – $336$461 – $517
Highline Medical CenterBurienFile dated 2026-02-28—$242$791
Island HospitalAnacortes$2571 planDoctor’s fee: $257$395Doctor’s fee: $374 – $395$395Doctor’s fee: $374 – $395
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$120 – $406Doctor’s fee: $263 – $406$184 – $624Doctor’s fee: $405 – $624
Mason General Hospital & Family of ClinicsShelton$313 – $4353 plans$400 – $443$533 – $591
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$342$658
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$281 – $411$402 – $587
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$272$523
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$349$498
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$342$658
Seattle Children's HospitalSeattle——$565
St Anthony HospitalGig HarborFile dated 2026-02-28—$241$791
St Clare HospitalLakewoodFile dated 2026-02-28—$228$791
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$280$791
St Francis Community HospitalFederal WayFile dated 2026-02-28—$248$791
St Joseph Medical CenterTacomaFile dated 2026-02-28—$262$791
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$349$791
Three Rivers HospitalBrewster—$124 – $368Doctor’s fee: $221 – $522$124 – $368Doctor’s fee: $221 – $522
Trios HealthKennewick——$822
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)
$265 in an office; $171 in a hospital or surgery center
Doctor's fee, rest of Washington
$241 in an office; $161 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99205:

  • 99205P (with a letter after it, P; 10 price lines)
  • 99205T (with a letter after it, T; 6 price lines)