CPT 99231
Hospital E&M - Subsequent
Current code17 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Cascade Medical Center | $52.73 – $141 | $132 – $180 | $165 – $225 |
| Coulee Medical Center | — | $129 | $143 |
| Island Hospital | $9.20 – $109 | $115 | $115 |
| Kadlec Regional Medical Center | $63.70 | $51.10 | $73.00 |
| Overlake Hospital Medical Center & Clinics | $161 | — | — |
| PeaceHealth Peace Island Medical Center | — | ||
| PeaceHealth Southwest Medical Cente | $17.72 – $147 | $98.15 | $151 |
| PeaceHealth St Joseph Medical Center | $73.62 – $140 | $98.15 | $151 |
| Providence Centralia Hospital | — | $46.80 | $90.00 |
| Providence Mount Carmel Hospital | — | $65.10 | $93.00 |
| Providence Regional Medical Center Everett | — | $52.00 | $100 |
| Providence St Joseph Hospital | — | $65.10 | $93.00 |
| Providence St Peter Hospital | — | $46.80 | $90.00 |
| Seattle Children's Hospital | $64.72 – $122 | — | $152 |
| Three Rivers Hospital | — | ||
| Virginia Mason Medical Center | $1.10 – $186 | — | — |
| WhidbeyHealth Medical Center | — | $89.00 – $250 | $89.00 – $250 |
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