CPT 99395

Office/Outpatient Services

Current code35 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 99395 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$207$207
Cascade Medical CenterLeavenworth$2351 plan$351$439
Grays Harbor Community HospitalAberdeen—$162 – $183$249 – $282
Highline Medical CenterBurienFile dated 2026-02-28—$62.35 – $173$204 – $566
Island HospitalAnacortes—$86.00 – $224$86.00 – $224
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$74.75 – $214Doctor’s fee: $139 – $214$115 – $329Doctor’s fee: $214 – $329
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$160$308
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
St Anthony HospitalGig HarborFile dated 2026-02-28—$62.10 – $172$204 – $566
St Clare HospitalLakewoodFile dated 2026-02-28—$58.86 – $163$204 – $566
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$72.15 – $200$204 – $566
St Francis Community HospitalFederal WayFile dated 2026-02-28—$64.08 – $178$204 – $566
St Joseph Medical CenterTacomaFile dated 2026-02-28—$67.63 – $187$204 – $566
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$90.12 – $250$204 – $566
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$59.04$123
Three Rivers HospitalBrewsterDoctor’s fee: $167Doctor’s fee: $238Doctor’s fee: $238

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 99395:

  • 99395P (with a letter after it, P; 2 price lines)
  • 99395T (with a letter after it, T; 1 price line)