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Inpatient Consultation, Straightforward

Washington rates for HCPCS 99251

A specialist's opinion requested by the team looking after you while you are in hospital. The specialist reviews the specific question asked, takes a focused history, examines you and sends back a written opinion and recommendations. This version covers a brief consultation about a comparatively simple question.

Rates data updated July 2026.

How much does Inpatient Consultation, Straightforward cost?

$75.86

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $75.86 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$75.86$58.88 to $105
FacilityA hospital or hospital-owned outpatient department$75.86$56.23 to $97.72

How much rates vary

Facilitymedian $76 · 10th to 90th $43 to $117Professionalmedian $76 · 10th to 90th $43 to $115
$50$100facility $76professional $76

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$72.44
Typical High
$117.49
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$114.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$93.33
Typical High
$93.33
United
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$85.11
Typical High
$107.15

Where Washington sits

The same service costs 16.6 times more in Massachusetts than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 25th of 42

$75.86

MA $501SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.