CPT 99497
Care Management/Coordination
Current code41 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| BHC Fairfax Hospital | $90.30 | $129 | $129 |
| Capital Medical Center | $142 – $526 | — | — |
| Cascade Medical Center | $114 – $117 | $150 | $187 |
| Coulee Medical Center | — | $235 | $261 |
| Deaconess Medical Center | $138 – $338 | — | — |
| EvergreenHealth Medical Center | $38.40 – $299 | $96.00 – $192 | $120 – $240 |
| Harborview Medical Center | $188 – $250 | $215 | $307 |
| Island Hospital | $119 – $218 | $180 – $181 | $180 – $181 |
| Kadlec Regional Medical Center | $128 – $318 | — | — |
| Legacy Salmon Creek Medical Center | $221 – $324 | — | — |
| Mary Bridge Children's Hospital | $142 – $633 | — | — |
| MultiCare Auburn Medical Center | $142 – $500 | — | — |
| MultiCare Covington Medical Center | $142 – $500 | — | — |
| MultiCare Good Samaritan Hospital | $142 – $500 | — | — |
| MultiCare Valley Hospital | $134 – $346 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $130 – $749 | — | — |
| PeaceHealth Peace Island Medical Center | — | $52.00 | $80.00 |
| PeaceHealth Southwest Medical Cente | $45.06 – $366 | $64.35 | $99.00 |
| PeaceHealth St John Medical Center | $48.32 | $64.35 | $99.00 |
| PeaceHealth St Joseph Medical Center | — | $64.35 | $99.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $179 – $376 | — | — |
| Providence Centralia Hospital | $199 – $654 | $157 | $302 |
| Providence Holy Family Hospital | $136 – $415 | — | — |
| Providence Mount Carmel Hospital | — | $130 – $136 | $185 – $194 |
| Providence Regional Medical Center Everett | $139 – $359 | $185 | $356 |
| Providence St Joseph Hospital | — | $136 | $194 |
| Providence St Mary Medical Center | $78.98 – $493 | — | — |
| Providence St Peter Hospital | $99.31 – $456 | $157 | $302 |
| Skagit Valley Hospital | $82.78 – $404 | $83.20 – $136 | $104 – $170 |
| Swedish Edmonds Hospital | $174 – $417 | — | — |
| Swedish Issaquah | $177 – $500 | — | — |
| Swedish Medical Center | $176 – $499 | — | — |
| Swedish Medical Center / Cherry Hill | $176 – $499 | — | — |
| Tacoma General Allenmore Hospital | $142 – $488 | — | — |
| Three Rivers Hospital | — | ||
| University of Washington Medical Ctr | $188 – $373 | $140 | $201 |
| Virginia Mason Medical Center | $2.46 – $370 | $109 | $213 |
| Wellfound Behavioral Health Hospital | $299 | — | — |
| WhidbeyHealth Medical Center | — | $186 – $500 | $186 – $500 |
| Yakima Valley Memorial | $112 – $298 | $91.60 | $229 |
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)
- $96.46 in an office; $70.64 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $88.56 in an office; $66.41 in a hospital or surgery center
- Hospital outpatient payment (national)
- $104 (APC 5822)