CPT 99285 at Cascade Medical Center

Emergency Department E&M

Cascade Medical Center, Leavenworth

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 Cascade Medical Center publishes for this code: as an outpatient

Cascade Medical Center’s prices for CPT 99285, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$232 – $1,5652 plans	$232 – $756
Medicare AdvantageInsurer rates	$1,394 – $2,0877 plans	$192 – $1,007
Medicaid managed careInsurer rates	$1,389 – $2,0874 plans	$670 – $1,007
Medicaid (state program)Insurer rates	$1,3331 plan	$644
Medicare (traditional)Insurer rates	$1,4431 plan	$192
Other government programInsurer rates	$172 – $2,2262 plans	$172 – $1,075
UnknownInsurer rates	$232 – $2,2466 plans	$232 – $1,085
Cash pricePaying yourself, without insurance	$1,997	$964
List priceBefore any discount; few people pay it	$2,496	$1,205

Lowest and highest amounts Cascade Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. 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.

Bills to expect for CPT 99285 at Cascade Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The clinic's facility fee, when the clinic belongs to the hospital	—	The price above
Doctor's visitThe doctor's practice	The visit itself	$170	$201 – $305

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

Compare CPT 99285 at every Washington hospital, with Medicare’s reference amounts.