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Every billing code / CPT 99212 / Cascade Medical Center

CPT 99212 at Cascade Medical Center

Office E&M - Established

Cascade Medical Center, Leavenworth

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 Cascade Medical Center publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$60.33 – $5832 plans$60.33 – $97.18
Medicare AdvantageInsurer rates$88.82 – $7777 plans$35.15 – $130
Medicaid managed careInsurer rates$88.45 – $7774 plans$86.23 – $130
Medicaid (state program)Insurer rates$84.93 – $4971 plan$82.80
Medicare (traditional)Insurer rates$91.93 – $5381 plan$35.15
Other government programInsurer rates$58.02 – $8302 plans$58.02 – $138
UnknownInsurer rates$60.33 – $8376 plans$60.33 – $140
Cash pricePaying yourself, without insurance$127 – $744$124
List priceBefore any discount; few people pay it$159 – $930$155

Lowest and highest amounts Cascade Medical Center 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$31.19$36.80 – $55.83

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

Compare CPT 99212 at every Washington hospital, with Medicare’s reference amounts.