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CPT 99464

Hospital E&M - Initial

Current code13 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)
Cascade Valley HospitalArlington$13.18 – $1,3398 plans$124$155
Coulee Medical CenterGrand Coulee—$526$585
EvergreenHealth Medical CenterKirkland$218 – $6327 plans$544$680
EvergreenHealth MonroeMonroe$111 – $63213 plans$544$680
Island HospitalAnacortes$13.68 – $16213 plans$171$171
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$45.50 – $130Doctor’s fee: $84.50 – $130$70.00 – $200Doctor’s fee: $130 – $200
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$97.76$188
Skagit Valley HospitalMount Vernon$122 – $1476 plans$124$155
Trios HealthKennewick——$271
University of Washington Medical CtrSeattleFile dated 2026-04-01—$212$303

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)
$67.49 in a hospital or surgery center
Doctor's fee, rest of Washington
$63.69 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99464:

  • 99464P (with a letter after it, P; 4 price lines)
  • 99464T (with a letter after it, T; 2 price lines)