CPT 99223

Hospital E&M - Initial

Current code18 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.

Prices for CPT 99223 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
BHC Fairfax HospitalKirkland	—	$224	$224
Cascade Medical CenterLeavenworth	$396 – $6364 plans	$570 – $609	$712 – $761
Coulee Medical CenterGrand Coulee	—	$658	$731
Island HospitalAnacortes	$2381 plan	$336 – $475	$336 – $475
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	$265	$378
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	—	—
PeaceHealth Peace Island Medical CenterFriday Harbor	—	Doctor’s fee: $274	Doctor’s fee: $422
PeaceHealth Southwest Medical CenteVancouver	$1631 plan	$343	$527
PeaceHealth St Joseph Medical CenterBellingham	$1652 plans	$343	$527
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$257	$494
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$338	$483
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$267	$513
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$305	$435
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$257	$494
Seattle Children's HospitalSeattle	$138 – $1479 plans	—	$538
Three Rivers HospitalBrewster	Doctor’s fee: $284 – $383	Doctor’s fee: $406 – $547	Doctor’s fee: $406 – $547
Virginia Mason Medical CenterSeattle	—	—	—
WhidbeyHealth Medical CenterCoupeville	—	$307 – $484	$307 – $484

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): $167 in a hospital or surgery center
Doctor's fee, rest of Washington: $157 in a hospital or surgery center