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CPT 99461

E&M - Miscellaneous

Current code4 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1041 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1591 plan——
Virginia Mason Medical CenterSeattle$2.65 – $3008 plans——
WhidbeyHealth Medical CenterCoupeville—$165$165

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)
$107 in an office; $56.76 in a hospital or surgery center
Doctor's fee, rest of Washington
$96.46 in an office; $53.56 in a hospital or surgery center