CPT 99495
Chronic, Principal, and Transitional Care Management
Current code34 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $151 – $166 | — | — |
| Cascade Medical Center | $296 – $442 | $423 | $529 |
| Deaconess Medical Center | $145 – $160 | — | — |
| EvergreenHealth Medical Center | $147 – $150 | $128 – $256 | $160 – $320 |
| Harborview Medical Center | $154 – $170 | $240 | $343 |
| Island Hospital | $159 – $168 | $312 | $312 |
| Kadlec Regional Medical Center | $148 – $178 | — | — |
| Legacy Salmon Creek Medical Center | $153 – $166 | — | — |
| Mary Bridge Children's Hospital | $152 – $168 | — | — |
| MultiCare Auburn Medical Center | $152 – $167 | — | — |
| MultiCare Covington Medical Center | $152 – $167 | — | — |
| MultiCare Good Samaritan Hospital | $152 – $168 | — | — |
| MultiCare Valley Hospital | $150 – $160 | — | — |
| Olympic Medical Center | $167 – $215 | — | — |
| Overlake Hospital Medical Center & Clinics | $155 – $161 | — | — |
| PeaceHealth Peace Island Medical Center | — | $234 | $360 |
| PeaceHealth St John Medical Center | $123 – $174 | $234 | $360 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $148 – $178 | — | — |
| Providence Centralia Hospital | $154 – $247 | — | — |
| Providence Holy Family Hospital | $148 – $163 | — | — |
| Providence Regional Medical Center Everett | $152 – $167 | — | — |
| Providence St Mary Medical Center | $148 – $163 | — | — |
| Providence St Peter Hospital | $153 – $245 | — | — |
| Skagit Valley Hospital | $129 – $135 | $114 | $143 |
| Swedish Edmonds Hospital | $152 – $182 | — | — |
| Swedish Issaquah | $155 – $186 | — | — |
| Swedish Medical Center | $154 – $185 | — | — |
| Swedish Medical Center / Cherry Hill | $154 – $185 | — | — |
| Tacoma General Allenmore Hospital | $152 – $168 | — | — |
| University of Washington Medical Ctr | $154 – $170 | $228 | $326 |
| Virginia Mason Medical Center | $98.26 – $2,103 | $72.42 | $142 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $517 – $600 | $517 – $600 |
| Yakima Valley Memorial | $156 – $174 | $145 | $362 |
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)
- $251 in an office; $131 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $226 in an office; $123 in a hospital or surgery center
- Hospital outpatient payment (national)
- $136 (APC 5012)