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CPT 99468

Critical Care E&M

Current code16 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)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,5001 plan——
Coulee Medical CenterGrand Coulee—$6,459$7,177
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,5001 plan——
Island HospitalAnacortes$168 – $1,99713 plans$2,102$2,102
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,5071 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$561 – $1,603Doctor’s fee: $1,042 – $1,603$863 – $2,466Doctor’s fee: $1,603 – $2,466
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,5001 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,5001 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,5001 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,5001 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$9,9271 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$1,226$2,358
Seattle Children's HospitalSeattle$1,329 – $2,79558 plans—$3,494
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,5001 plan——
Virginia Mason Medical CenterSeattle$26.22 – $4,3918 plans——
WhidbeyHealth Medical CenterCoupeville—$206 – $2,001$206 – $2,001

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)
$831 in a hospital or surgery center
Doctor's fee, rest of Washington
$784 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99468:

  • 99468P (with a letter after it, P; 4 price lines)
  • 99468T (with a letter after it, T; 2 price lines)