CPT 99465
Critical Care E&M
Current code48 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $750 – $825 | $1,420 | $3,551 |
| Cascade Valley Hospital | $654 – $687 | $888 | $1,110 |
| Coulee Medical Center | — | $352 | $392 |
| Deaconess Medical Center | $722 – $794 | $1,108 | $2,770 |
| EvergreenHealth Medical Center | — | $1,190 | $1,487 |
| EvergreenHealth Monroe | $712 – $726 | $1,190 | $1,487 |
| Harborview Medical Center | $765 – $842 | — | — |
| Highline Medical Center | $728 – $838 | $780 | $2,556 |
| Island Hospital | $789 – $836 | $348 – $1,071 | $348 – $1,071 |
| Kadlec Regional Medical Center | $737 – $884 | $1,401 | $2,002 |
| Legacy Salmon Creek Medical Center | $759 – $825 | $89.05 – $255 | $137 – $392 |
| Mary Bridge Children's Hospital | $756 – $832 | $620 | $1,549 |
| MultiCare Auburn Medical Center | $752 – $827 | $620 | $1,549 |
| MultiCare Covington Medical Center | $752 – $827 | $620 | $1,549 |
| MultiCare Good Samaritan Hospital | $756 – $832 | $620 | $1,549 |
| MultiCare Valley Hospital | $743 – $794 | $1,108 | $2,770 |
| Olympic Medical Center | $828 – $1,065 | $1,157 | $1,446 |
| Overlake Hospital Medical Center & Clinics | $768 – $798 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $737 – $884 | $674 | $963 |
| Providence Centralia Hospital | $765 – $1,225 | $1,379 | $2,651 |
| Providence Holy Family Hospital | $737 – $810 | $384 | $549 |
| Providence Mount Carmel Hospital | — | $746 – $849 | $1,065 – $1,213 |
| Providence Regional Medical Center Everett | $753 – $828 | $197 – $1,127 | $379 – $2,167 |
| Providence St Joseph Hospital | — | $245 – $459 | $350 – $656 |
| Providence St Mary Medical Center | $737 – $810 | $496 | $708 |
| Providence St Peter Hospital | $760 – $1,216 | $1,379 | $2,651 |
| St Anthony Hospital | $742 – $853 | $777 | $2,556 |
| St Clare Hospital | $742 – $853 | $737 | $2,556 |
| St Elizabeth Hospital | $460 – $562 | $903 | $2,556 |
| St Francis Community Hospital | $728 – $838 | $802 | $2,556 |
| St Joseph Medical Center | $737 – $853 | $846 | $2,556 |
| St Michael Medical Center | $763 – $824 | $1,128 | $2,556 |
| Swedish Edmonds Hospital | $753 – $903 | $717 | $1,494 |
| Swedish Issaquah | $768 – $921 | $743 | $1,547 |
| Swedish Medical Center | $765 – $918 | $743 | $1,547 |
| Swedish Medical Center / Cherry Hill | $765 – $918 | $743 | $1,547 |
| Tacoma General Allenmore Hospital | $756 – $832 | $620 | $1,549 |
| Trios Health | $698 | — | $1,916 |
| University of Washington Medical Ctr | $765 – $842 | $529 | $756 |
| Virginia Mason Medical Center | $499 – $748 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $318 – $712 | $318 – $712 |
| Yakima Valley Memorial | $773 – $866 | — | — |
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)
- $132 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $124 in a hospital or surgery center
- Hospital outpatient payment (national)
- $675 (APC 5781)
How hospitals also write this code
Some price files write it differently. These are counted as CPT 99465:
- 99465P (with a letter after it, P; 4 price lines)
- 99465T (with a letter after it, T; 2 price lines)