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CPT 99252

Hospital E&M - Initial

Current code17 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)
Capital Medical CenterOlympiaFile dated 2026-08-27$81.55 – $1055 plans——
Coulee Medical CenterGrand Coulee—$251$279
Island HospitalAnacortes$11.60 – $15713 plans$145 – $165$145 – $165
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—Doctor’s fee: $83.20 – $135Doctor’s fee: $128 – $208
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2091 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$76.83 – $87.805 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$76.83 – $87.805 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1261 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2261 plan——
PeaceHealth Peace Island Medical CenterFriday Harbor—Doctor’s fee: $112Doctor’s fee: $173
PeaceHealth Southwest Medical CenteVancouver$70.69 – $2122 plans$141$217
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$99.84$192
Seattle Children's HospitalSeattle$121 – $17455 plans—$218
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$76.83 – $87.805 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $313Doctor’s fee: $313
WhidbeyHealth Medical CenterCoupeville—$168 – $364$168 – $364
Yakima Valley MemorialYakimaFile dated 2026-08-27$91.31 – $1055 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.

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99252:

  • 99252P (with a letter after it, P; 7 price lines)