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Every billing code / CPT 99284 / Forks Community Hospital

CPT 99284 at Forks Community Hospital

Emergency Department E&M

Forks Community Hospital, Forks

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 Forks Community Hospital publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$977 – $2,2764 plans$117 – $161
Medicare AdvantageInsurer rates$557 – $9775 plans$112 – $136
Medicaid managed careInsurer rates$787 – $1,0135 plans$68.22 – $72.31
Other government programInsurer rates$842 – $1,0242 plans$117 – $119
UnknownInsurer rates$1,311 – $2,2765 plans$163 – $1,488
Cash pricePaying yourself, without insurance$1,821$1,253
List priceBefore any discount; few people pay it$2,276$1,566

Lowest and highest amounts Forks Community Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-10-27. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe clinic's facility fee, when the clinic belongs to the hospital—The price above
Doctor's visitThe doctor's practiceThe visit itself$117$139 – $210

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 99284 at every Washington hospital, with Medicare’s reference amounts.