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Every billing code / Visits / Critical Care Services

CPT 99486

Critical Care E&M

Current code3 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)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1091 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$114$176
Virginia Mason Medical CenterSeattle$1.91 – $3157 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

CMS publishes no national amount for this code.