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Every billing code / Visits / Office/Outpatient Services

CPT 99213

Office E&M - Established

Current code41 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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$80.00 – $230$80.00 – $230
Capital Medical CenterOlympiaFile dated 2026-08-27—$177$443
Cascade Medical CenterLeavenworth$126 – $4971 planDoctor’s fee: $154$189 – $744Doctor’s fee: $230$236 – $930Doctor’s fee: $288
Cascade Valley HospitalArlington—$213 – $235$266 – $294
Coulee Medical CenterGrand Coulee—$166$185
EvergreenHealth MonroeMonroe—$294$368
Highline Medical CenterBurienFile dated 2026-02-28—$132$433
Island HospitalAnacortes—$150 – $250$150 – $250
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$13.00 – $39.00$20.00 – $60.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$177$443
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
PeaceHealth Southwest Medical CenteVancouver—$181$279
PeaceHealth St John Medical CenterLongview—$224$345
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$344$492
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$321$458
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$84.00 – $244$120 – $349
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$111$213
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$100 – $190$143 – $271
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$146$281
Seattle Children's HospitalSeattle$34.02 – $61.421 plan$135$135 – $205
St Anthony HospitalGig HarborFile dated 2026-02-28—$132$433
St Clare HospitalLakewoodFile dated 2026-02-28—$125$433
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$153$433
St Francis Community HospitalFederal WayFile dated 2026-02-28—$136$433
St Joseph Medical CenterTacomaFile dated 2026-02-28—$143$433
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$191$433
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$177$443
Three Rivers HospitalBrewster$37.10 – $1221 planDoctor’s fee: $122 – $150$53.00 – $174Doctor’s fee: $174 – $214$53.00 – $174Doctor’s fee: $174 – $214
Trios HealthKennewick——$822
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)
$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)