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CPT 99255

Evaluation and management

Current code15 hospitals with prices

This name is the CPT section the code's number falls in. 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$214 – $2765 plans——
Coulee Medical CenterGrand Coulee—$1,400$1,556
Island HospitalAnacortes$33.12 – $39713 plans$414 – $418$414 – $418
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—Doctor’s fee: $218 – $362Doctor’s fee: $335 – $557
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$5471 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$201 – $2305 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$201 – $2305 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3311 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$6081 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$303$583
Seattle Children's HospitalSeattle$318 – $45955 plans—$574
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$201 – $2305 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $607Doctor’s fee: $607
WhidbeyHealth Medical CenterCoupeville—$456$456
Yakima Valley MemorialYakimaFile dated 2026-08-27$239 – $2765 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 99255:

  • 99255P (with a letter after it, P; 6 price lines)