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Every billing code / CPT 99291 / Skyline Hospital

CPT 99291 at Skyline Hospital

Critical Care E&M

Skyline Hospital, White Salmon

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 Skyline Hospital publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$1,697 – $2,0872 plans$51.00 – $414
Medicare AdvantageInsurer rates$959 – $1,0663 plans$199 – $980
Medicaid managed careInsurer rates$995 – $1,3063 plans$121 – $167
Other government programInsurer rates$1,438 – $1,5981 plan$199
UnknownInsurer rates$1,055 – $2,2206 plans$51.00 – $414
Cash pricePaying yourself, without insurance$1,438 – $1,598$1,008
List priceBefore any discount; few people pay it$1,997 – $2,220$1,400

Lowest and highest amounts Skyline Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-21. 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$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.