CPT 99496

Chronic, Principal, and Transitional Care Management

Current code35 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.

Prices for CPT 99496 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$310 – $4762 plans	$607	$759
EvergreenHealth Medical CenterKirkland	$64.00 – $37922 plans	$160 – $320	$200 – $400
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$315	$451
Island HospitalAnacortes	$206 – $43017 plans	$453	$453
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$302	$431
Virginia Mason Medical CenterSeattle	$96.72 – $1214 plans	$77.01	$151
Yakima Valley MemorialYakimaFile dated 2026-08-27	$2051 plan	$146	$366

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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): $341 in an office; $178 in a hospital or surgery center
Doctor's fee, rest of Washington: $307 in an office; $168 in a hospital or surgery center
Hospital outpatient payment (national): $136 (APC 5012)