CPT 99497
Care Management/Coordination
Current code41 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) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $129 | $129 |
| Capital Medical Center | $115 – $127 | — | — |
| Cascade Medical Center | $104 – $156 | $150 | $187 |
| Coulee Medical Center | — | $235 | $261 |
| Deaconess Medical Center | $111 – $122 | — | — |
| EvergreenHealth Medical Center | $99.43 – $101 | $96.00 – $192 | $120 – $240 |
| Harborview Medical Center | $118 – $129 | $215 | $307 |
| Island Hospital | $121 – $129 | $180 – $181 | $180 – $181 |
| Kadlec Regional Medical Center | $113 – $136 | — | — |
| Legacy Salmon Creek Medical Center | $117 – $127 | — | — |
| Mary Bridge Children's Hospital | $116 – $128 | — | — |
| MultiCare Auburn Medical Center | $116 – $127 | — | — |
| MultiCare Covington Medical Center | $116 – $127 | — | — |
| MultiCare Good Samaritan Hospital | $116 – $128 | — | — |
| MultiCare Valley Hospital | $114 – $122 | — | — |
| Olympic Medical Center | $127 – $164 | — | — |
| Overlake Hospital Medical Center & Clinics | $118 – $123 | — | — |
| PeaceHealth Peace Island Medical Center | — | $52.00 | $80.00 |
| PeaceHealth Southwest Medical Cente | $113 – $130 | $64.35 | $99.00 |
| PeaceHealth St John Medical Center | $94.22 – $133 | $64.35 | $99.00 |
| PeaceHealth St Joseph Medical Center | $121 – $133 | $64.35 | $99.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $113 – $136 | — | — |
| Providence Centralia Hospital | $118 – $188 | $157 | $302 |
| Providence Holy Family Hospital | $113 – $125 | — | — |
| Providence Mount Carmel Hospital | — | $130 – $136 | $185 – $194 |
| Providence Regional Medical Center Everett | $116 – $127 | $185 | $356 |
| Providence St Joseph Hospital | — | $136 | $194 |
| Providence St Mary Medical Center | $113 – $125 | — | — |
| Providence St Peter Hospital | $117 – $187 | $157 | $302 |
| Skagit Valley Hospital | $92.50 – $97.13 | $83.20 – $136 | $104 – $170 |
| Swedish Edmonds Hospital | $116 – $139 | — | — |
| Swedish Issaquah | $118 – $142 | — | — |
| Swedish Medical Center | $118 – $141 | — | — |
| Swedish Medical Center / Cherry Hill | $118 – $141 | — | — |
| Tacoma General Allenmore Hospital | $116 – $128 | — | — |
| Three Rivers Hospital | — | ||
| University of Washington Medical Ctr | $118 – $129 | $140 | $201 |
| Virginia Mason Medical Center | $70.53 – $1,353 | $109 | $213 |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $186 – $500 | $186 – $500 |
| Yakima Valley Memorial | $119 – $133 | $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)