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

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

Prices for CPT 99316 by hospital
Hospital	Medicare Advantage rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$243 – $3647 plans	$348	$435
Island HospitalAnacortes	$1251 plan	$192	$192
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	—	—
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$82.55 – $237	$127 – $364
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	—	—
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: $215	Doctor’s fee: $215
Virginia Mason Medical CenterSeattle	$137 – $1,38113 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)