CareNavIQ

Every billing code / CPT 99215 / Forks Community Hospital

CPT 99215 at Forks Community Hospital

Office E&M - Established

Forks Community Hospital, Forks

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 Forks Community Hospital publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$230 – $7294 plans$126 – $171
Medicare AdvantageInsurer rates$198 – $5575 plans$54.27
Medicaid managed careInsurer rates$185 – $3245 plans$98.83 – $105
Other government programInsurer rates$198 – $3282 plans$126 – $128
UnknownInsurer rates$309 – $7295 plans$124 – $175
Cash pricePaying yourself, without insurance$429 – $583$124
List priceBefore any discount; few people pay it$536 – $729$155

Lowest and highest amounts Forks Community Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-10-27. 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$126$149 – $226

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

Compare CPT 99215 at every Washington hospital, with Medicare’s reference amounts.