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CPT 99396

Office/Outpatient Services

Current code36 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.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$233$233
Cascade Medical CenterLeavenworth$270 – $4047 plans$386$483
EvergreenHealth Medical CenterKirkland—$254$317
Grays Harbor Community HospitalAberdeen$1471 plan$200$307
Highline Medical CenterBurienFile dated 2026-02-28—$92.88 – $202$304 – $660
Island HospitalAnacortes$73.45 – $1461 plan$113 – $224$113 – $224
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$79.30 – $228Doctor’s fee: $41.60 – $228$122 – $350Doctor’s fee: $64.00 – $350
Mason General Hospital & Family of ClinicsShelton—$261$349
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—$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
Three Rivers HospitalBrewster—Doctor’s fee: $255Doctor’s fee: $255

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 99396:

  • 99396P (with a letter after it, P; 2 price lines)
  • 99396E (with a letter after it, E; 1 price line)
  • 99396S (with a letter after it, S; 1 price line)
  • 99396T (with a letter after it, T; 1 price line)