CPT 99381

Office/Outpatient Services

Current code33 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.

Prices for CPT 99381 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland$127 – $1533 plans$219$219
Cascade Medical CenterLeavenworth$149 – $1972 plans$251$314
Highline Medical CenterBurienFile dated 2026-02-28$214 – $4494 plans$152$498
Island HospitalAnacortes$15.52 – $18413 plans$194$194
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$69.55 – $200Doctor’s fee: $129 – $200$107 – $307Doctor’s fee: $199 – $307
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$94.12$181
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
St Anthony HospitalGig HarborFile dated 2026-02-28$359 – $3742 plans$152$498
St Clare HospitalLakewoodFile dated 2026-02-28$359 – $3742 plans$144$498
St Elizabeth HospitalEnumclawFile dated 2026-02-28$199 – $4495 plans$176$498
St Francis Community HospitalFederal WayFile dated 2026-02-28$359 – $3742 plans$156$498
St Joseph Medical CenterTacomaFile dated 2026-02-28$359 – $3742 plans$165$498
St Michael Medical CenterSilverdaleFile dated 2026-02-28$314 – $44910 plans$220$498
Three Rivers HospitalBrewster—Doctor’s fee: $175Doctor’s fee: $175

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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

CMS publishes no national amount for this code.

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99381:

  • 99381P (with a letter after it, P; 2 price lines)
  • 99381T (with a letter after it, T; 1 price line)