CPT 99469 at Seattle Children's Hospital

Critical Care E&M

Seattle Children's Hospital, Seattle

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 Seattle Children's Hospital publishes for this code: as an outpatient

Seattle Children's Hospital’s prices for CPT 99469, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$575 – $1,21058 plans	—
Medicaid managed careInsurer rates	$305 – $3259 plans	—
Medicaid (state program)Insurer rates	$2961 plan	—
Other government programInsurer rates	$4581 plan	—
UnknownInsurer rates	$296 – $81221 plans	—
Cash pricePaying yourself, without insurance	—	—
List priceBefore any discount; few people pay it	$1,513	—

Lowest and highest amounts Seattle Children's Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. 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 Seattle (King County) 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.

Bills to expect for CPT 99469 at Seattle Children's Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The clinic's facility fee, when the clinic belongs to the hospital	—	The price above
Doctor's visitThe doctor's practice	The visit itself	$359	$424 – $643

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

Compare CPT 99469 at every Washington hospital, with Medicare’s reference amounts.