CPT 99211

Office E&M - Established

Current code43 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.

Prices for CPT 99211 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$38.00 – $54.00$38.00 – $54.00
Capital Medical CenterOlympiaFile dated 2026-08-27—$177$443
Cascade Medical CenterLeavenworth$67.87 – $1024 plans$97.60$122
Cascade Valley HospitalArlington$199 – $6031 plan$159 – $482$199 – $603
Coulee Medical CenterGrand Coulee—$331$368
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$177$443
EvergreenHealth Medical CenterKirkland—$122$153
Highline Medical CenterBurienFile dated 2026-02-28—$69.02$226
Island HospitalAnacortes$37.50 – $1001 plan$75.00 – $200$75.00 – $200
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$177$443
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$177$443
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$177$443
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$177$443
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$177$443
PeaceHealth Southwest Medical CenteVancouver—$335 – $603Doctor’s fee: $297 – $415$516 – $928Doctor’s fee: $457 – $639
PeaceHealth St John Medical CenterLongview—$352 – $634Doctor’s fee: $369 – $432$542 – $975Doctor’s fee: $568 – $665
PeaceHealth St Joseph Medical CenterBellingham—$126 – $210$194 – $323
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$192$274
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$202$289
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$18.90 – $122$27.00 – $174
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$27.04$52.00
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$18.90 – $113$27.00 – $161
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$105$201
Seattle Children's HospitalSeattle$8.44 – $11013 plans$27.00 – $100$27.00 – $100
Skagit Valley HospitalMount Vernon$4581 plan$482$603
St Anthony HospitalGig HarborFile dated 2026-02-28—$68.74$226
St Clare HospitalLakewoodFile dated 2026-02-28—$65.15$226
St Elizabeth HospitalEnumclawFile dated 2026-02-28$63.28 – $74.975 plans$79.87$226
St Francis Community HospitalFederal WayFile dated 2026-02-28—$70.93$226
St Joseph Medical CenterTacomaFile dated 2026-02-28—$74.86$226
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$99.75$226
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$177$443
Three Rivers HospitalBrewster$7.70 – $2461 planDoctor’s fee: $33.60 – $86.10$11.00 – $352Doctor’s fee: $48.00 – $123$11.00 – $352Doctor’s fee: $48.00 – $123
Trios HealthKennewick——$822
Virginia Mason Medical CenterSeattle—$72.42 – $1,197$142 – $2,348
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27—$61.20$153
Yakima Valley MemorialYakimaFile dated 2026-08-27—$114$285

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)
$28.72 in an office; $8.22 in a hospital or surgery center
Doctor's fee, rest of Washington
$25.34 in an office; $7.75 in a hospital or surgery center