CPT 99454
E&M - Miscellaneous
Current code29 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $50.99 – $75.54 | — | — |
| Deaconess Medical Center | $46.66 – $49.40 | — | — |
| Harborview Medical Center | — | $80.98 | $116 |
| Island Hospital | $48.14 – $52.23 | — | — |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $27.95 – $80.60 | $43.00 – $124 |
| Mary Bridge Children's Hospital | $48.26 – $52.12 | — | — |
| MultiCare Auburn Medical Center | $47.38 – $51.17 | — | — |
| MultiCare Covington Medical Center | $47.38 – $51.17 | — | — |
| MultiCare Good Samaritan Hospital | $48.48 – $52.36 | — | — |
| MultiCare Valley Hospital | $46.32 – $49.05 | — | — |
| Olympic Medical Center | $59.64 – $65.32 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $87.36 – $154 | $182 – $320 |
| Swedish Medical Center | — | $87.36 – $154 | $182 – $320 |
| Swedish Medical Center / Cherry Hill | — | $87.36 – $154 | $182 – $320 |
| Tacoma General Allenmore Hospital | $48.50 – $52.38 | — | — |
| University of Washington Medical Ctr | — | $88.07 | $126 |
| Virginia Mason Medical Center | — | $99.96 | $196 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $56.00 | $56.00 |
| Yakima Valley Memorial | $46.34 – $53.84 | — | — |
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)
- $63.80 in an office; $63.80 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $54.77 in an office; $54.77 in a hospital or surgery center
- Hospital outpatient payment (national)
- $38.13 (APC 5741)
How hospitals also write this code
Some price files write it differently. These are counted as CPT 99454:
- 99454P (with a letter after it, P; 4 price lines)
- 99454T (with a letter after it, T; 2 price lines)