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CPT 99236

Observation Care

Current code13 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 (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$5061 plan$758$948
Coulee Medical CenterGrand Coulee—$709$788
Island HospitalAnacortes—$400 – $496$400 – $496
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$131 – $375Doctor’s fee: $244 – $375$202 – $577Doctor’s fee: $375 – $577
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$426$609
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$426$609
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$357$687
Seattle Children's HospitalSeattle$1601 plan—$642
Three Rivers HospitalBrewsterDoctor’s fee: $306 – $473Doctor’s fee: $437 – $675Doctor’s fee: $437 – $675
Virginia Mason Medical CenterSeattle———
WhidbeyHealth Medical CenterCoupeville—$518 – $657$518 – $657

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)
$202 in a hospital or surgery center
Doctor's fee, rest of Washington
$191 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99236:

  • 99236P (with a letter after it, P; 4 price lines)
  • 99236T (with a letter after it, T; 2 price lines)