CPT 99213
Office E&M - Established
Current code41 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | $30.40 – $150 | $80.00 – $230 | $80.00 – $230 |
| Capital Medical Center | $354 – $377 | $177 | $443 |
| Cascade Medical Center | $99.28 – $583 | $189 – $744 | $236 – $930 |
| Cascade Valley Hospital | $22.61 – $3,150 | $213 – $235 | $266 – $294 |
| Coulee Medical Center | — | $166 | $185 |
| EvergreenHealth Monroe | $79.14 – $342 | $294 | $368 |
| Highline Medical Center | $186 – $390 | $132 | $433 |
| Island Hospital | $12.00 – $238 | $150 – $250 | $150 – $250 |
| Legacy Salmon Creek Medical Center | — | $13.00 – $39.00 | $20.00 – $60.00 |
| Mary Bridge Children's Hospital | $290 – $354 | $177 | $443 |
| MultiCare Auburn Medical Center | $323 | $177 | $443 |
| MultiCare Covington Medical Center | $323 | $177 | $443 |
| MultiCare Good Samaritan Hospital | $323 | $177 | $443 |
| PeaceHealth Southwest Medical Cente | — | $181 | $279 |
| PeaceHealth St John Medical Center | — | $224 | $345 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $344 | $492 |
| Providence Holy Family Hospital | — | $321 | $458 |
| Providence Mount Carmel Hospital | — | $84.00 – $244 | $120 – $349 |
| Providence Regional Medical Center Everett | — | $111 | $213 |
| Providence St Joseph Hospital | — | $100 – $190 | $143 – $271 |
| Providence St Mary Medical Center | — | — | $1.00 |
| Providence St Peter Hospital | — | $146 | $281 |
| Seattle Children's Hospital | $72.90 – $164 | $135 | $135 – $205 |
| St Anthony Hospital | $312 – $325 | $132 | $433 |
| St Clare Hospital | $312 – $325 | $125 | $433 |
| St Elizabeth Hospital | $173 – $390 | $153 | $433 |
| St Francis Community Hospital | $312 – $325 | $136 | $433 |
| St Joseph Medical Center | $312 – $325 | $143 | $433 |
| St Michael Medical Center | $273 – $390 | $191 | $433 |
| Tacoma General Allenmore Hospital | $323 | $177 | $443 |
| Three Rivers Hospital | — | $53.00 – $174 | $53.00 – $174 |
| Trios Health | — | — | $822 |
| Virginia Mason Medical Center | $90.95 – $114 | $72.42 | $142 |
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)
- $108 in an office; $61.57 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $97.62 in an office; $57.88 in a hospital or surgery center
How hospitals also write this code
Some price files write it differently. These are counted as CPT 99213:
- 99213S (with a letter after it, S; 3 price lines)
- 99213S2 (with a modifier, S2; 1 price line)
- 99213SU (with a modifier, SU; 1 price line)