CPT 99231

Hospital E&M - Subsequent

Current code17 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for CPT 99231 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$52.73 – $1412 plans$132 – $180$165 – $225
Coulee Medical CenterGrand Coulee—$129$143
Island HospitalAnacortes$9.20 – $10911 plans$115$115
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$63.701 plan$51.10$73.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1611 plan——
PeaceHealth Peace Island Medical CenterFriday Harbor—Doctor’s fee: $78.00Doctor’s fee: $120
PeaceHealth Southwest Medical CenteVancouver$17.72 – $1475 plans$98.15$151
PeaceHealth St Joseph Medical CenterBellingham$73.62 – $1402 plans$98.15$151
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$46.80$90.00
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$65.10$93.00
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$52.00$100
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$65.10$93.00
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$46.80$90.00
Seattle Children's HospitalSeattle$64.72 – $12257 plans—$152
Three Rivers HospitalBrewster—Doctor’s fee: $149 – $156Doctor’s fee: $149 – $156
Virginia Mason Medical CenterSeattle$1.10 – $1868 plans——
WhidbeyHealth Medical CenterCoupeville—$89.00 – $250$89.00 – $250

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)
$47.09 in a hospital or surgery center
Doctor's fee, rest of Washington
$44.31 in a hospital or surgery center