CPT 99396

Office/Outpatient Services

Current code26 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 managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 99396 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$233$233
Capital Medical CenterOlympiaFile dated 2026-08-27———
Cascade Medical CenterLeavenworth$269 – $4044 plans$386$483
EvergreenHealth Medical CenterKirkland—$254$317
Highline Medical CenterBurienFile dated 2026-02-28—$92.88 – $202$304 – $660
Island HospitalAnacortes$56.50 – $1121 plan$113 – $224$113 – $224
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$41.60 – $67.60$64.00 – $104
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27———
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27———
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27———
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01——$1.00
St Anthony HospitalGig HarborFile dated 2026-02-28—$92.51 – $201$304 – $660
St Clare HospitalLakewoodFile dated 2026-02-28—$87.67 – $190$304 – $660
St Elizabeth HospitalEnumclawFile dated 2026-02-28$51.71 – $1375 plans$107 – $233$304 – $660
St Francis Community HospitalFederal WayFile dated 2026-02-28—$95.45 – $207$304 – $660
St Joseph Medical CenterTacomaFile dated 2026-02-28—$101 – $219$304 – $660
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$134 – $291$304 – $660
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$64.80$135
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27———
Three Rivers HospitalBrewsterDoctor’s fee: $179Doctor’s fee: $255Doctor’s fee: $255
Virginia Mason Medical CenterSeattle———
WhidbeyHealth Medical CenterCoupeville—$239 – $287$239 – $287
Yakima Valley MemorialYakimaFile dated 2026-08-27———

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

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 99396:

  • 99396E (with a letter after it, E; 1 price line)
  • 99396S (with a letter after it, S; 1 price line)