99425
HCPCSPrin care mgmt phys ea addl
Verified from hospital fileNot a bill estimate
iDirect answer
Based on the latest published hospital price files, code 99425 (Prin care mgmt phys ea addl) appears at 3 hospitals with disclosed cash prices from $90.40 to $128. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
3
hospitals publish a price
0
list this service without a published price
2
Cash
2
List
2
Negotiated
0
Allowed
Compare 99425 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code 99425 vary by about 42% across the 2 hospitals with disclosed prices here — from $90.40 to $128. Shopping around can matter.
2
Hospitals
3
Prices shown
$90.40
Lowest cash
$128
Highest cash
code 99425 cash price2 disclosed · 2 hospitals
$90.40median ~$109$128
Lowest cash price by hospital
Cash price by city
Reflects your current filters.
Cash price by city$90.40 – $128
- Polson · 1 hospital$90.40
- Cadillac · 1 hospital$128
3 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Prin care mgmt phys ea addl Outpatient | Endeavor Health Edward Hospital | 99425 HCPCS | — | — | $143 – $143 | — | |
| Principle Care Mgmt (provider) ea add 30min 99425 Inpatient | Munson Healthcare Cadillac | 99425 CPT | $151 | $128 | $90.60 – $852 | — | |
| HC PR 99425 PRINCIPAL CARE MGMT SVC EA ADL 30 PHY/QHP CAL MO RHC Outpatient | Providence St Joseph Medical Center | 99425 HCPCS | $113 | $90.40 | — | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish 99425 prices
Open a hospital to see this code in the context of its full published prices.
Code 99425: frequently asked
- What does code 99425 cost?
- Across the published hospital price files, the disclosed cash price for 99425 ranges from $90.40 to $128. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code 99425?
- 99425 is the billing code hospitals use to identify "Prin care mgmt phys ea addl" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.