CPT 99315

SNF E&M

Current code11 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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 99315 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
BHC Fairfax HospitalKirkland	—	$131	$131
Cascade Medical CenterLeavenworth	$1701 plan	$255	$319
Island HospitalAnacortes	—	$146	$146
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	—	—
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$52.00 – $148Doctor’s fee: $96.20 – $148	$80.00 – $227Doctor’s fee: $148 – $227
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	—	—
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$123	$175
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$123	$175
Three Rivers HospitalBrewster	Doctor’s fee: $138	Doctor’s fee: $197	Doctor’s fee: $197
Virginia Mason Medical CenterSeattle	—	—	—
WhidbeyHealth Medical CenterCoupeville	—	$166	$166

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): $95.23 in an office; $79.65 in a hospital or surgery center
Doctor's fee, rest of Washington: $87.51 in an office; $74.14 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99315:

99315P (with a letter after it, P; 4 price lines)
99315T (with a letter after it, T; 2 price lines)