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Every billing code / CPT 99213 / Skyline Hospital

CPT 99213 at Skyline Hospital

Office E&M - Established

Skyline Hospital, White Salmon

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 Skyline Hospital publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$165 – $2692 plans$66.96 – $95.70
Medicare AdvantageInsurer rates$93.36 – $4013 plans$65.10 – $200
Medicaid managed careInsurer rates$96.92 – $5723 plans$41.58 – $65.26
Other government programInsurer rates$140 – $2291 plan$57.88
UnknownInsurer rates$103 – $5456 plans$44.07 – $95.70
Cash pricePaying yourself, without insurance$140 – $206$66.96 – $206
List priceBefore any discount; few people pay it$195 – $286$93.00 – $286

Lowest and highest amounts Skyline Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-21. 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$57.88$68.30 – $104

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

Compare CPT 99213 at every Washington hospital, with Medicare’s reference amounts.