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Every billing code / CPT 99292 / East Adams Rural Hospital

CPT 99292 at East Adams Rural Hospital

Critical Care E&M

East Adams Rural Hospital, Ritzville

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 East Adams Rural Hospital publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$1,032 – $1,1524 plans$103 – $166
Medicare AdvantageInsurer rates$946 – $1,0803 plans$103
Medicaid managed careInsurer rates$1,012 – $1,0623 plans$68.07 – $71.47
Other government programInsurer rates$1,0801 plan$103
UnknownInsurer rates$1,067 – $1,1524 plans$103 – $158
Cash pricePaying yourself, without insurance$910$197
List priceBefore any discount; few people pay it$1,213$262

Lowest and highest amounts East Adams Rural Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2025-08-30. 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.