CPT 99496
Chronic, Principal, and Transitional Care Management
Current code42 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Arbor Health Morton Hospital | — | ||
| Capital Medical Center | — | — | — |
| Cascade Medical Center | $285 – $677 | $607 | $759 |
| Deaconess Medical Center | — | — | — |
| EvergreenHealth Medical Center | $133 | $160 – $320 | $200 – $400 |
| Forks Community Hospital | |||
| Harborview Medical Center | — | $315 | $451 |
| Island Hospital | $159 – $167 | $453 | $453 |
| Kadlec Regional Medical Center | — | — | — |
| Kittitas Valley Community Hospital | — | $357 | $420 |
| Legacy Salmon Creek Medical Center | — | $179 – $512 | $276 – $788 |
| Lincoln Hospital | |||
| Mary Bridge Children's Hospital | — | — | — |
| Mason General Hospital & Family of Clinics | — | $317 | $422 |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Good Samaritan Hospital | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $252 | $387 |
| PeaceHealth St John Medical Center | — | $314 | $483 |
| PeaceHealth St Joseph Medical Center | — | $314 | $483 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Skagit Valley Hospital | — | $114 | $143 |
| Skyline Hospital | $552 | $552 | $766 |
| Summit Pacific Medical Center | $375 | $311 | $575 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | — | — |
| University of Washington Medical Ctr | — | $302 | $431 |
| Virginia Mason Medical Center | — | $77.01 | $151 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $732 – $900 | $732 – $900 |
| Yakima Valley Memorial | — | $146 | $366 |
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)
How hospitals also write this code
Some price files write it differently. These are counted as CPT 99496:
- 99496P (with a letter after it, P; 4 price lines)
- 99496T (with a letter after it, T; 2 price lines)