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CPT 99215

Office E&M - Established

Current code50 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—$180 – $404$180 – $404
Capital Medical CenterOlympiaFile dated 2026-08-27—$177$443
Cascade Medical CenterLeavenworth$257 – $7774 plansDoctor’s fee: $352 – $528$370 – $744Doctor’s fee: $506$462 – $930Doctor’s fee: $632
Cascade Valley HospitalArlington$3831 plan$306$383
Coulee Medical CenterGrand Coulee—$360$400
EvergreenHealth MonroeMonroe$1441 plan$643$804
Grays Harbor Community HospitalAberdeen—$237 – $526$364 – $809
Highline Medical CenterBurienFile dated 2026-02-28—$217$709
Island HospitalAnacortes$145 – $1651 planDoctor’s fee: $165$290 – $330Doctor’s fee: $330$290 – $330Doctor’s fee: $330
Kittitas Valley Community HospitalEllensburgFile dated 2026-10-07—$455$535
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$83.85 – $330Doctor’s fee: $215 – $330$129 – $508Doctor’s fee: $330 – $508
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$177$443
Mason General Hospital & Family of ClinicsShelton$244 – $2563 plans$393 – $600$524 – $800
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—$197$303
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$291$559
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$185 – $404$264 – $577
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$219$422
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$244$349
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$291$559
Seattle Children's HospitalSeattle$138 – $1479 plans—$446
St Anthony HospitalGig HarborFile dated 2026-02-28—$216$709
St Clare HospitalLakewoodFile dated 2026-02-28—$204$709
St Elizabeth HospitalEnumclawFile dated 2026-02-28$199 – $2355 plans$251$709
St Francis Community HospitalFederal WayFile dated 2026-02-28—$223$709
St Joseph Medical CenterTacomaFile dated 2026-02-28—$235$709
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$313$709
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$177$443
Three Rivers HospitalBrewster$70.00 – $2141 planDoctor’s fee: $128 – $283$100 – $305Doctor’s fee: $183 – $404$100 – $305Doctor’s fee: $183 – $404
Trios HealthKennewick——$1,082
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)
$217 in an office; $135 in a hospital or surgery center
Doctor's fee, rest of Washington
$197 in an office; $126 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99215:

  • 99215P (with a letter after it, P; 10 price lines)
  • 99215T (with a letter after it, T; 6 price lines)