CPT 99212

Office E&M - Established

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.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 99212 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$22.04 – $84.0010 plans$58.00 – $120$58.00 – $120
Capital Medical CenterOlympiaFile dated 2026-08-27$203 – $3776 plans$177$443
Cascade Medical CenterLeavenworth$60.33 – $5832 plansDoctor’s fee: $60.33 – $97.18$127 – $744Doctor’s fee: $124$159 – $930Doctor’s fee: $155
Cascade Valley HospitalArlington$18.02 – $2,055at least 8 plans$170 – $187$212 – $234
Coulee Medical CenterGrand Coulee—$169$188
Highline Medical CenterBurienFile dated 2026-02-28$87.00 – $4187 plans$95.89$314
Island HospitalAnacortes$2.96 – $21413 plans$37.00 – $225$37.00 – $225
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$60.291 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$43.75 – $35411 plans$177$443
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$43.75 – $32311 plans$177$443
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$43.75 – $32311 plans$177$443
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$43.75 – $32311 plans$177$443
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1161 plan$159$318
PeaceHealth Peace Island Medical CenterFriday Harbor—$85.15Doctor’s fee: $37.70$131Doctor’s fee: $58.00
PeaceHealth Southwest Medical CenteVancouver$12.48 – $1014 plans$205$315
PeaceHealth St John Medical CenterLongview$12.481 plan$224$345
PeaceHealth St Joseph Medical CenterBellingham—$198Doctor’s fee: $115$304Doctor’s fee: $177
PeaceHealth United General Medical CenterSedro Woolley—$93.60Doctor’s fee: $115$144Doctor’s fee: $177
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$258$368
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$123$237
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$224$320
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$42.00 – $175$60.00 – $250
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$66.56$128
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$74.90 – $169$107 – $241
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$123$237
Seattle Children's HospitalSeattle$53.04 – $10158 plans—$109
Skagit Valley HospitalMount Vernon$44.73 – $2957 plans$248$310
St Anthony HospitalGig HarborFile dated 2026-02-28$87.00 – $4805 plans$95.51$314
St Clare HospitalLakewoodFile dated 2026-02-28$87.00 – $4805 plans$90.51$314
St Elizabeth HospitalEnumclawFile dated 2026-02-28$64.00 – $47211 plans$111$314
St Francis Community HospitalFederal WayFile dated 2026-02-28$87.00 – $4805 plans$98.55$314
St Joseph Medical CenterTacomaFile dated 2026-02-28$87.00 – $4805 plans$104$314
St Michael Medical CenterSilverdaleFile dated 2026-02-28$201 – $28310 plans$139$314
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$43.75 – $32311 plans$177$443
Three Rivers HospitalBrewster—$33.00 – $153Doctor’s fee: $25.00 – $153$33.00 – $153Doctor’s fee: $25.00 – $153
Trios HealthKennewick——$340
Virginia Mason Medical CenterSeattle$1.63 – $13910 plans$72.42$142
WhidbeyHealth Medical CenterCoupeville—$38.00 – $550$38.00 – $550
Yakima Valley MemorialYakimaFile dated 2026-08-27$25.00 – $50.005 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$67.99 in an office; $33.15 in a hospital or surgery center
Doctor's fee, rest of Washington
$61.08 in an office; $31.19 in a hospital or surgery center