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CPT 99234

Observation Care

Current code15 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$110 – $2029 plans$289$289
Cascade Medical CenterLeavenworth$178 – $3712 plans$473$591
Coulee Medical CenterGrand Coulee—$433$481
Island HospitalAnacortes$19.60 – $28713 plans$245 – $302$245 – $302
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2141 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$61.75 – $176Doctor’s fee: $114 – $176$95.00 – $271Doctor’s fee: $176 – $271
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3191 plan——
PeaceHealth St Joseph Medical CenterBellingham$145 – $2762 plans$192$296
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$264$377
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$159$305
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$264$377
Seattle Children's HospitalSeattle$150 – $26458 plans—$302
Three Rivers HospitalBrewster—Doctor’s fee: $281 – $396Doctor’s fee: $281 – $396
Virginia Mason Medical CenterSeattle$3.77 – $6288 plans——
WhidbeyHealth Medical CenterCoupeville—$316 – $405$316 – $405

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)
$93.91 in a hospital or surgery center
Doctor's fee, rest of Washington
$88.42 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99234:

  • 99234P (with a letter after it, P; 4 price lines)
  • 99234T (with a letter after it, T; 2 price lines)