CPT 99291

Critical Care E&M

Current code46 hospitals with prices

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 Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 99291 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$5981 plan$996 – $1,900$996 – $1,900
Capital Medical CenterOlympiaFile dated 2026-08-27$937 – $1,0316 plans$3,947 – $3,988$9,868 – $9,970
Cascade Medical CenterLeavenworth$1,642 – $2,4577 plansDoctor’s fee: $224 – $1,434$2,351Doctor’s fee: $1,372$2,939Doctor’s fee: $1,715
Cascade Valley HospitalArlington$843 – $885at least 3 plans$4,064 – $4,078$5,080 – $5,098
Coulee Medical CenterGrand Coulee—$888 – $4,210$987 – $4,678
Deaconess Medical CenterSpokaneFile dated 2026-08-27$902 – $9928 plans$2,034 – $3,799$5,086 – $9,497
EvergreenHealth Medical CenterKirkland$990 – $1,0095 plans$4,002$5,002
EvergreenHealth MonroeMonroe$971 – $9905 plans$4,002 – $4,458$5,002 – $5,572
Harborview Medical CenterSeattleFile dated 2026-04-01$957 – $1,0525 plans$3,729$5,328
Island HospitalAnacortes$986 – $1,04511 plans$462 – $4,500$462 – $4,500
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$920 – $1,1057 plans$4,292$6,132
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$948 – $1,0316 plans$499Doctor’s fee: $324 – $499$768Doctor’s fee: $499 – $768
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$945 – $1,0397 plans$3,947$9,868
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$940 – $1,0347 plans$3,947$9,868
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$940 – $1,0347 plans$3,947$9,868
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$945 – $1,0397 plans$3,947$9,868
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$929 – $9927 plans$2,034 – $3,799$5,086 – $9,497
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,035 – $1,3315 plans$1,728$2,160
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$959 – $9983 plans$2,708$5,415
PeaceHealth Peace Island Medical CenterFriday Harbor—$2,531Doctor’s fee: $438$3,894Doctor’s fee: $674
PeaceHealth Southwest Medical CenteVancouver$916 – $1,05313 plans$3,960 – $6,229$6,092 – $9,583
PeaceHealth St John Medical CenterLongview$766 – $1,08014 plans$3,852 – $5,892$5,926 – $9,064
PeaceHealth St Joseph Medical CenterBellingham$981 – $1,0798 plans$3,347 – $3,998$5,149 – $6,150
PeaceHealth United General Medical CenterSedro Woolley—$3,023 – $3,109$4,651 – $4,783
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$920 – $1,1057 plans$5,294 – $5,573$7,563 – $7,962
Providence Centralia HospitalCentraliaFile dated 2026-04-01$957 – $1,5307 plans$5,980$11,500
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$920 – $1,0135 plans$6,768 – $7,242$9,669 – $10,346
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$372 – $1,198$532 – $1,712
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$941 – $1,0356 plans$1,109 – $3,887$2,133 – $7,475
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$437 – $1,393$624 – $1,990
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$920 – $1,0136 plans$489 – $2,811$698 – $4,015
Providence St Peter HospitalOlympiaFile dated 2026-04-01$950 – $1,5207 plans$5,980 – $6,533$11,500 – $12,563
Seattle Children's HospitalSeattle—$9,156$661 – $9,156
Skagit Valley HospitalMount Vernon$843 – $8854 plans$4,662$5,828
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$941 – $1,1298 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$959 – $1,1518 plans$1,798 – $2,376$3,746 – $4,950
Swedish Medical CenterSeattleFile dated 2026-04-01$957 – $1,1488 plans$1,798 – $2,376$3,746 – $4,950
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$957 – $1,1488 plans$1,798 – $2,376$3,746 – $4,950
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$945 – $1,0397 plans$3,947$9,868
Three Rivers HospitalBrewster—Doctor’s fee: $550Doctor’s fee: $550
Trios HealthKennewick$8981 plan—$8,883
University of Washington Medical CtrSeattleFile dated 2026-04-01$957 – $1,0525 plans$4,300$6,142
Virginia Mason Medical CenterSeattle$220 – $1,13813 plans$2,492$4,887
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$1,026 – $5,483$1,026 – $5,483

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$346 in an office; $211 in a hospital or surgery center
Doctor's fee, rest of Washington
$315 in an office; $199 in a hospital or surgery center
Hospital outpatient payment (national)
$844 (APC 5041)

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99291:

  • 99291P (with a letter after it, P; 6 price lines)