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CPT 99474

Care Management/Coordination

Current code6 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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Island HospitalAnacortes$48.14 – $52.233 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$11.05 – $31.20Doctor’s fee: $20.15 – $31.20$17.00 – $48.00Doctor’s fee: $31.00 – $48.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24$59.64 – $65.325 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
WhidbeyHealth Medical CenterCoupeville—$19.00$19.00

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)
$21.34 in an office; $8.63 in a hospital or surgery center
Doctor's fee, rest of Washington
$19.01 in an office; $8.10 in a hospital or surgery center

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99474:

  • 99474P (with a letter after it, P; 4 price lines)
  • 99474T (with a letter after it, T; 2 price lines)