CPT 99243

Office/Outpatient Services

Current code19 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.

See the whole procedure. This code is part of a procedure we compare in full, with every bill and what you’d pay: compare hospitals for it.

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 99243 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$130 – $1685 plans——
Cascade Medical CenterLeavenworth$164 – $3172 plans$405$506
Cascade Valley HospitalArlington$22.61 – $2,7009 plans$213$266
Coulee Medical CenterGrand Coulee—$415$461
Island HospitalAnacortes$13.84 – $28513 plans$173 – $300$173 – $300
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3331 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$123 – $1405 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$123 – $1405 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2021 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2901 plan——
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$158$225
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$163$314
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$106$151
Seattle Children's HospitalSeattle$158 – $21948 plans—$274
Skagit Valley HospitalMount Vernon$22.37 – $1718 plans$124$155
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$123 – $1405 plans——
Three Rivers HospitalBrewster—$41.50Doctor’s fee: $220 – $261$41.50Doctor’s fee: $220 – $261
WhidbeyHealth Medical CenterCoupeville—$285$285
Yakima Valley MemorialYakimaFile dated 2026-08-27$146 – $1685 plans——

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

CMS publishes no national amount for this code.