CPT 99291 at Cascade Medical Center

Critical Care 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 99291, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$371 – $1,8432 plans	$371 – $1,075
Medicare AdvantageInsurer rates	$1,642 – $2,4577 plans	$224 – $1,434
Medicaid managed careInsurer rates	$1,635 – $2,4574 plans	$954 – $1,434
Medicaid (state program)Insurer rates	$1,5701 plan	$916
Medicare (traditional)Insurer rates	$1,6991 plan	$224
Other government programInsurer rates	$275 – $2,6222 plans	$275 – $1,530
UnknownInsurer rates	$371 – $2,6456 plans	$371 – $1,544
Cash pricePaying yourself, without insurance	$2,351	$1,372
List priceBefore any discount; few people pay it	$2,939	$1,715

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 99291 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	$199	$235 – $356

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

Compare CPT 99291 at every Washington hospital, with Medicare’s reference amounts.