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Every billing code / CPT 99292 / Summit Pacific Medical Center

CPT 99292 at Summit Pacific Medical Center

Critical Care E&M

Summit Pacific Medical Center, Elma

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 Summit Pacific Medical Center publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$1,463 – $1,8813 plans$123
Medicare AdvantageInsurer rates$523 – $5543 plans$100 – $106
Medicaid managed careInsurer rates$483 – $5313 plans$68.60 – $75.46
Other government programInsurer rates$5231 plan$100
UnknownInsurer rates$483 – $1,7773 plans$68.60 – $139
Cash pricePaying yourself, without insurance$1,129$178 – $431
List priceBefore any discount; few people pay it$2,090$330 – $799

Lowest and highest amounts Summit Pacific Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-31. 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$100$118 – $179

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

Compare CPT 99292 at every Washington hospital, with Medicare’s reference amounts.