Every billing code / CPT 99407 / St Elizabeth Hospital
CPT 99407 at St Elizabeth Hospital
Behavioral Health Services
St Elizabeth Hospital, Enumclaw
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 St Elizabeth Hospital publishes for this code: as an outpatient
St Elizabeth Hospital’s prices for CPT 99407, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|
| Commercial insuranceInsurer rates | $23.96 – $12412 plans | — |
|---|
| Medicare AdvantageInsurer rates | $12.95 – $15.8312 plans | — |
|---|
| Medicaid managed careInsurer rates | $12.23 – $14.895 plans | — |
|---|
| Cash pricePaying yourself, without insurance | $25.42 | — |
|---|
| List priceBefore any discount; few people pay it | $71.93 | — |
|---|
Lowest and highest amounts St Elizabeth Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
What St Elizabeth Hospital publishes for this code: during a hospital stay
St Elizabeth Hospital’s prices for CPT 99407, during a hospital stay| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|
| Commercial insuranceInsurer rates | $28.78 – $64.745 plans | — |
|---|
| Medicaid managed careInsurer rates | $20.15 – $23.865 plans | — |
|---|
| Cash pricePaying yourself, without insurance | $25.42 | — |
|---|
| List priceBefore any discount; few people pay it | $71.93 | — |
|---|
Lowest and highest amounts St Elizabeth Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for CPT 99407 at St Elizabeth Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|
| Hospital's feeThe hospital | The clinic's facility fee, when the clinic belongs to the hospital | — | The price above |
|---|
| Doctor's visitThe doctor's practice | The visit itself | $23.54 | $27.78 – $42.14 |
|---|
Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare CPT 99407 at every Washington hospital, with Medicare’s reference amounts.