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Every billing code / Visits / Office/Outpatient Services

CPT 99213

Office E&M - Established

Current code52 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—$80.00 – $230$80.00 – $230
Capital Medical CenterOlympiaFile dated 2026-08-27—$177$443
Cascade Medical CenterLeavenworth$131 – $7774 plansDoctor’s fee: $160 – $241$189 – $744Doctor’s fee: $230$236 – $930Doctor’s fee: $288
Cascade Valley HospitalArlington$266 – $2941 plan$213 – $235$266 – $294
Coulee Medical CenterGrand Coulee—$166$185
EvergreenHealth MonroeMonroe$66.041 plan$294$368
Grays Harbor Community HospitalAberdeen—$121 – $391$186 – $601
Highline Medical CenterBurienFile dated 2026-02-28—$132$433
Island HospitalAnacortes$75.00 – $1251 planDoctor’s fee: $100$150 – $250Doctor’s fee: $200$150 – $250Doctor’s fee: $200
Kittitas Valley Community HospitalEllensburgFile dated 2026-10-07—$147$173
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$13.00 – $167Doctor’s fee: $13.00 – $167$20.00 – $257Doctor’s fee: $20.00 – $257
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$177$443
Mason General Hospital & Family of ClinicsShelton$82.28 – $89.414 plans$194 – $336$259 – $448
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
Quincy Valley Medical CenterQuincyFile dated 2026-05-27$77.901 plan$147$147
Seattle Children's HospitalSeattle$34.70 – $11013 plans$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$121 – $1445 plans$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:

  • 99213P (with a letter after it, P; 10 price lines)
  • 99213T (with a letter after it, T; 6 price lines)
  • 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)