CareNavIQ

Every billing code / Visits / Hospital Inpatient Services

CPT 99253

Hospital E&M - Initial

Current code18 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$114 – $1485 plans——
Coulee Medical CenterGrand Coulee—$387$431
Island HospitalAnacortes$17.76 – $21113 plans$222$222
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—Doctor’s fee: $118 – $207Doctor’s fee: $181 – $318
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2931 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$108 – $1235 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$108 – $1235 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1771 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3491 plan——
PeaceHealth Peace Island Medical CenterFriday Harbor—Doctor’s fee: $158Doctor’s fee: $243
PeaceHealth Southwest Medical CenteVancouver$99.33 – $2982 plans$198$304
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$174$335
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$174$335
Seattle Children's HospitalSeattle$170 – $24755 plans—$309
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$108 – $1235 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $387Doctor’s fee: $387
WhidbeyHealth Medical CenterCoupeville—$250$250
Yakima Valley MemorialYakimaFile dated 2026-08-27$128 – $1485 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 99253:

  • 99253P (with a letter after it, P; 7 price lines)