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Every billing code / CPT 99459 / Forks Community Hospital

CPT 99459 at Forks Community Hospital

Office/Outpatient Services

Forks Community Hospital, Forks

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 Forks Community Hospital publishes for this code: as an outpatient

Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$321 – $7484 plans$18.29 – $24.69
Medicare AdvantageInsurer rates$277 – $5575 plans$17.38 – $21.22
Medicaid managed careInsurer rates$259 – $3335 plans$646 – $685
Other government programInsurer rates$277 – $3372 plans$18.29 – $18.47
UnknownInsurer rates$431 – $7485 plans$25.36 – $614
Cash pricePaying yourself, without insurance$598$517
List priceBefore any discount; few people pay it$748$646

Lowest and highest amounts Forks Community Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-10-27. 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 the rest of Washington 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.

BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe clinic's facility fee, when the clinic belongs to the hospital—The price above
Doctor's visitThe doctor's practiceThe visit itself$18.29$21.58 – $32.74

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare CPT 99459 at every Washington hospital, with Medicare’s reference amounts.