CPT 99221

Hospital E&M - Initial

Current code16 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.

Prices for CPT 99221 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$216 – $2271 plan	$324 – $340	$405 – $425
Coulee Medical CenterGrand Coulee	—	$329	$365
Island HospitalAnacortes	—	$250	$250
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$152	$217
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	—	—
PeaceHealth Southwest Medical CenteVancouver	—	$163	$251
PeaceHealth St Joseph Medical CenterBellingham	—	$163	$251
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$78.00	$150
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$169	$242
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$135	$259
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$169	$242
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$78.00	$150
Seattle Children's HospitalSeattle	$63.651 plan	—	$256
Three Rivers HospitalBrewster	Doctor’s fee: $141 – $231	Doctor’s fee: $202 – $330	Doctor’s fee: $202 – $330
Virginia Mason Medical CenterSeattle	—	—	—
WhidbeyHealth Medical CenterCoupeville	—	$151 – $400	$151 – $400

Lowest and highest amounts each hospital lists for this code as an outpatient, 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): $79.15 in a hospital or surgery center
Doctor's fee, rest of Washington: $74.40 in a hospital or surgery center