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CPT 99316

SNF E&M

Current code10 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

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$142 – $2732 plans$348$435
Island HospitalAnacortes$15.36 – $18213 plans$192$192
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1701 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$82.55 – $237$127 – $364
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$4331 plan——
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$175$250
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$175$250
Three Rivers HospitalBrewster—Doctor’s fee: $215Doctor’s fee: $215
Virginia Mason Medical CenterSeattle$3.01 – $4858 plans——
WhidbeyHealth Medical CenterCoupeville—$236$236

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)
$153 in an office; $127 in a hospital or surgery center
Doctor's fee, rest of Washington
$141 in an office; $119 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99316:

  • 99316T (with a letter after it, T; 2 price lines)