CPT 99451

E&M - Miscellaneous

Current code7 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 99451 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	$6.24 – $74.1013 plans	$78.00	$78.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	$59.721 plan	—	—
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$61.75Doctor’s fee: $40.30 – $61.75	$95.00Doctor’s fee: $62.00 – $95.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	$90.231 plan	—	—
Seattle Children's HospitalSeattle	$51.30 – $84.8058 plans	—	$106
Virginia Mason Medical CenterSeattle	$1.04 – $90.456 plans	—	—
WhidbeyHealth Medical CenterCoupeville	—	$120 – $173	$120 – $173

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County): $38.62 in an office; $32.06 in a hospital or surgery center
Doctor's fee, rest of Washington: $35.86 in an office; $30.23 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99451:

99451P (with a letter after it, P; 5 price lines)