CareNavIQ

Every billing code / Visits / Critical Care Services

CPT 99472

Critical Care E&M

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)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,5001 plan——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,5001 plan——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$6651 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$252 – $721Doctor’s fee: $469 – $721$388 – $1,109Doctor’s fee: $721 – $1,109
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$4,3841 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$533$1,025
Seattle Children's HospitalSeattle$602 – $1,23058 plans—$1,537
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,5001 plan——
Virginia Mason Medical CenterSeattle$11.56 – $1,9548 plans——

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)
$376 in a hospital or surgery center
Doctor's fee, rest of Washington
$354 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99472:

  • 99472P (with a letter after it, P; 4 price lines)
  • 99472T (with a letter after it, T; 2 price lines)