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Every billing code / Visits / Office/Outpatient Services

CPT 99212

Office E&M - Established

Current code51 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.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$58.00 – $120$58.00 – $120
Capital Medical CenterOlympiaFile dated 2026-08-27—$177$443
Cascade Medical CenterLeavenworth$88.45 – $7774 plansDoctor’s fee: $86.23 – $130$127 – $744Doctor’s fee: $124$159 – $930Doctor’s fee: $155
Cascade Valley HospitalArlington$2341 plan$187$234
Coulee Medical CenterGrand Coulee—$169$188
Grays Harbor Community HospitalAberdeen—$29.90 – $358$46.00 – $550
Highline Medical CenterBurienFile dated 2026-02-28—$95.89$314
Island HospitalAnacortes$47.00 – $1131 planDoctor’s fee: $18.50 – $75.00$94.00 – $225Doctor’s fee: $37.00 – $150$94.00 – $225Doctor’s fee: $37.00 – $150
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$26.00 – $103Doctor’s fee: $66.95 – $103$40.00 – $159Doctor’s fee: $103 – $159
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$177$443
Mason General Hospital & Family of ClinicsShelton$80.70 – $87.163 plans$78.75 – $281$105 – $375
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
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$159$318
PeaceHealth Southwest Medical CenteVancouver—$181$279
PeaceHealth St John Medical CenterLongview—$197 – $224$303 – $345
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$33.74 – $36.049 plans—$109
St Anthony HospitalGig HarborFile dated 2026-02-28—$95.51$314
St Clare HospitalLakewoodFile dated 2026-02-28—$90.51$314
St Elizabeth HospitalEnumclawFile dated 2026-02-28$87.92 – $1045 plans$111$314
St Francis Community HospitalFederal WayFile dated 2026-02-28—$98.55$314
St Joseph Medical CenterTacomaFile dated 2026-02-28—$104$314
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$139$314
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$177$443
Three Rivers HospitalBrewster$23.10 – $1071 planDoctor’s fee: $17.50 – $107$33.00 – $153Doctor’s fee: $25.00 – $153$33.00 – $153Doctor’s fee: $25.00 – $153
Trios HealthKennewick——$340
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)
$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

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99212:

  • 99212P (with a letter after it, P; 10 price lines)
  • 99212T (with a letter after it, T; 6 price lines)