Every billing code / CPT 99214 / Seattle Children's Hospital
CPT 99214 at Seattle Children's Hospital
Office E&M - Established
Seattle Children's Hospital, Seattle
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 Seattle Children's Hospital publishes for this code: as an outpatient
Seattle Children's Hospital’s prices for CPT 99214, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $75.60 – $242at least 95 plans | — |
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| Medicaid managed careInsurer rates | $35.99 – $110at least 12 plans | $62.78 – $79.40 |
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| Medicaid (state program)Insurer rates | $35.28 – $90.09at least 1 plan | $61.55 |
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| Other government programInsurer rates | $57.40 – $117at least 1 plan | — |
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| UnknownInsurer rates | $35.28 – $232at least 19 plans | $61.55 |
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| Cash pricePaying yourself, without insurance | $140 | $140 |
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| List priceBefore any discount; few people pay it | $140 – $402 | $140 |
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Lowest and highest amounts Seattle Children's Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.
What Seattle Children's Hospital publishes for this code: during a hospital stay
Seattle Children's Hospital’s prices for CPT 99214, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $145 – $242at least 56 plans | — |
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| Medicaid managed careInsurer rates | $92.79 – $99.109 plans | — |
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| Medicaid (state program)Insurer rates | $90.091 plan | — |
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| Other government programInsurer rates | $1171 plan | — |
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| UnknownInsurer rates | $90.09 – $232at least 19 plans | — |
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| Cash pricePaying yourself, without insurance | — | — |
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| List priceBefore any discount; few people pay it | $302 | — |
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Lowest and highest amounts Seattle Children's Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. 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 Seattle (King County) 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.
Bills to expect for CPT 99214 at Seattle Children's Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The clinic's facility fee, when the clinic belongs to the hospital | — | The price above |
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| Doctor's visitThe doctor's practice | The visit itself | $90.42 | $107 – $162 |
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Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 99214 at every Washington hospital, with Medicare’s reference amounts.