CPT 99221
Hospital E&M - Initial
Current code16 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Medical Center | $226 – $355 | $324 – $340 | $405 – $425 |
| Coulee Medical Center | — | $329 | $365 |
| Island Hospital | $163 | $250 | $250 |
| Kadlec Regional Medical Center | — | $152 | $217 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | $74.40 – $85.56 | $163 | $251 |
| PeaceHealth St Joseph Medical Center | $74.40 – $81.84 | $163 | $251 |
| Providence Centralia Hospital | — | $78.00 | $150 |
| Providence Mount Carmel Hospital | — | $169 | $242 |
| Providence Regional Medical Center Everett | — | $135 | $259 |
| Providence St Joseph Hospital | — | $169 | $242 |
| Providence St Peter Hospital | — | $78.00 | $150 |
| Seattle Children's Hospital | — | — | $256 |
| Three Rivers Hospital | — | ||
| Virginia Mason Medical Center | $85.73 – $852 | — | — |
| WhidbeyHealth Medical Center | — | $151 – $400 | $151 – $400 |
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