CPT 99497

Care Management/Coordination

Current code41 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

Unknown: The source file doesn't say which population this rate applies to.

Prices for CPT 99497 by hospital
HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$129$129
Capital Medical CenterOlympiaFile dated 2026-08-27———
Cascade Medical CenterLeavenworth$114 – $1686 plans$150$187
Coulee Medical CenterGrand Coulee—$235$261
Deaconess Medical CenterSpokaneFile dated 2026-08-27———
EvergreenHealth Medical CenterKirkland$108 – $2161 plan$96.00 – $192$120 – $240
Harborview Medical CenterSeattleFile dated 2026-04-01—$215$307
Island HospitalAnacortes$82.69 – $1273 plans$180 – $181$180 – $181
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27———
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27———
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27———
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27———
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27———
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Peace Island Medical CenterFriday Harbor—$52.00Doctor’s fee: $79.95$80.00Doctor’s fee: $123
PeaceHealth Southwest Medical CenteVancouver$297 – $3152 plans$64.35$99.00
PeaceHealth St John Medical CenterLongview$750 – $8602 plans$64.35$99.00
PeaceHealth St Joseph Medical CenterBellingham$646 – $7342 plans$64.35$99.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$157$302
Providence Holy Family HospitalSpokaneFile dated 2026-04-01———
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 Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$157$302
Skagit Valley HospitalMount Vernon—$83.20 – $136$104 – $170
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Swedish Medical CenterSeattleFile dated 2026-04-01———
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27———
Three Rivers HospitalBrewsterDoctor’s fee: $84.65 – $118Doctor’s fee: $145Doctor’s fee: $145
University of Washington Medical CtrSeattleFile dated 2026-04-01—$140$201
Virginia Mason Medical CenterSeattle—$109$213
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$186 – $500$186 – $500
Yakima Valley MemorialYakimaFile dated 2026-08-27—$91.60$229

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)