CPT 99497

Care Management/Coordination

Current code50 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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 99497 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
BHC Fairfax HospitalKirkland	—	$129	$129
Cascade Medical CenterLeavenworth	$99.891 plan	$150	$187
Coulee Medical CenterGrand Coulee	—	$235	$261
EvergreenHealth Medical CenterKirkland	—	$96.00 – $192	$120 – $240
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$215	$307
Island HospitalAnacortes	—	$180Doctor’s fee: $180 – $181	$180Doctor’s fee: $180 – $181
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$52.65 – $150Doctor’s fee: $97.50 – $150	$81.00 – $230Doctor’s fee: $150 – $230
Providence Centralia HospitalCentraliaFile dated 2026-04-01	—	$157	$302
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01	—	$130 – $136	$185 – $194
Providence Regional Medical Center EverettEverettFile dated 2026-04-01	—	$185	$356
Providence St Joseph HospitalChewelahFile dated 2026-04-01	—	$136	$194
Providence St Peter HospitalOlympiaFile dated 2026-04-01	—	$157	$302
Three Rivers HospitalBrewster	Doctor’s fee: $101	Doctor’s fee: $145	Doctor’s fee: $145
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$140	$201
Virginia Mason Medical CenterSeattle	—	$109	$213
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$91.60	$229

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): $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)

How hospitals also write this code

Some price files write it differently. These are counted as CPT 99497:

99497P (with a letter after it, P; 4 price lines)
99497T (with a letter after it, T; 3 price lines)