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CPT 99235

Observation Care

Current code14 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)
Cascade Medical CenterLeavenworth$227 – $5102 plans$650$813
Coulee Medical CenterGrand Coulee—$549$610
Island HospitalAnacortes$24.88 – $37913 plans$311 – $399$311 – $399
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2721 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$100 – $287Doctor’s fee: $187 – $287$154 – $441Doctor’s fee: $287 – $441
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$5201 plan——
PeaceHealth Southwest Medical CenteVancouver$57.50 – $4755 plans$315$485
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$331$473
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$253$486
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$331$473
Seattle Children's HospitalSeattle$245 – $39358 plans—$491
Three Rivers HospitalBrewster—Doctor’s fee: $406 – $536Doctor’s fee: $406 – $536
Virginia Mason Medical CenterSeattle$4.79 – $7958 plans——
WhidbeyHealth Medical CenterCoupeville—$415 – $700$415 – $700

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)
$153 in a hospital or surgery center
Doctor's fee, rest of Washington
$144 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99235:

  • 99235P (with a letter after it, P; 4 price lines)
  • 99235T (with a letter after it, T; 2 price lines)