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Every billing code / CPT 99285 / Forks Community Hospital

CPT 99285 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$1,585 – $3,6944 plans$170 – $233
Medicare AdvantageInsurer rates$557 – $1,5855 plans$162 – $198
Medicaid managed careInsurer rates$1,277 – $1,6445 plans$98.69 – $105
Other government programInsurer rates$1,367 – $1,6622 plans$170 – $172
UnknownInsurer rates$2,127 – $3,6945 plans$236 – $1,949
Cash pricePaying yourself, without insurance$2,955$1,642
List priceBefore any discount; few people pay it$3,694$2,052

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$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.