Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes in Washington
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Washington Pricing in Context
In Washington, CPT code 99235 (Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes) carries an average Medicare payment of $118.03 — 0% below the national benchmark of $118.22. 403 providers across the state submitted claims for this procedure in 2023, performing 771 total services. Individual payments in WA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in Washington is $497.83, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Washington sits below the national Medicare average, commercial rates in the state may also run lower than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Hospital Visit procedures, the estimated commercial insurance price in Washington lands near $365.71, with self-pay cash prices typically around $253.62. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes cost in Washington?
The average Medicare payment for Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes in Washington is $118.03, which is 0% below the national average of $118.22. Providers in WA typically bill $497.83 for this procedure.
What does Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes cost with insurance in Washington?
With commercial insurance in Washington, Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes costs an estimated $365.71. Without insurance, the estimated cash price is $253.62. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes in Washington?
403 providers in Washington billed Medicare for Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes in 2023, performing 771 total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes cheaper in Washington than the national average?
Yes — Initial Hospital Care With Same-Day Admission And Discharge With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 70 Minutes costs 0% below the national average in Washington. The state average Medicare payment is $118.03 compared to $118.22 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.