CPT 99254

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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 99254 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27———
Coulee Medical CenterGrand Coulee—$561$624
Island HospitalAnacortes$187 – $2011 plan$288 – $309$288 – $309
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—Doctor’s fee: $163 – $300Doctor’s fee: $250 – $461
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27———
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27———
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27———
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth St Joseph Medical CenterBellingham—$275$423
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$251$482
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$251$482
Seattle Children's HospitalSeattle——$427
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27———
Three Rivers HospitalBrewster—Doctor’s fee: $512Doctor’s fee: $512
WhidbeyHealth Medical CenterCoupeville—$361$361
Yakima Valley MemorialYakimaFile dated 2026-08-27———

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 99254:

  • 99254P (with a letter after it, P; 6 price lines)