|
| |
SAMPLE PRICING
|
CPT
|
Description |
Total |
Net Due |
Savings |
|
|
|
|
|
99215 |
Office
Visit |
$100.00 |
$80.00 |
$20.00 |
81025 |
Urine
Pregnancy Test |
$25.00 |
$5.60 |
$19.40 |
Metairie, LA |
|
$125.00 |
$85.60 |
$39.40 |
|
|
|
|
|
99205 |
Office/Outpatient
Visit |
$341.00 |
$117.00 |
$224.00 |
85025 |
Automated
Hemogram |
$40.00 |
$25.20 |
$14.80 |
80053 |
No Code
Description |
$80.00 |
$64.00 |
$16.00 |
80061 |
Lipid
Panel |
$65.00 |
$35.00 |
$30.00 |
81001 |
Urinalysis |
$20.00 |
$8.40 |
$11.60 |
Dallas, TX |
|
$546.00 |
$249.60 |
$296.40 |
|
|
|
|
|
99214 |
Office |
$150.00 |
$109.35 |
$40.65 |
12001 |
Repair Superfical |
$100.00 |
$80.00 |
$20.00 |
87088 |
Urine
Bacteria |
$40.00 |
$32.00 |
$8.00 |
A4550 |
No Code
Description |
$50.00 |
$40.00 |
$10.00 |
Pasadena, TX |
$340.00 |
$261.35 |
$78.65 |
|
|
|
|
|
98940 |
Chiropractic
Manipulation |
$45.00 |
$36.00 |
$9.00 |
97032 |
Electrical
Stimulation |
$25.00 |
$20.00 |
$5.00 |
97012 |
Mechanical
Traction |
$35.00 |
$22.50 |
$12.50 |
97112 |
Neuromuscular
Reeduc. |
$35.00 |
$28.00 |
$7.00 |
Tustin, CA |
|
$140.00 |
$106.50 |
$33.50 |
|
|
|
|
|
99204 |
Office/Outpatient
Visit |
$170.00 |
$81.60 |
$88.40 |
99000 |
Specimen
Handling |
$75.00 |
$7.14 |
$67.86 |
87480 |
No Code
Description |
$75.00 |
$60.00 |
$15.00 |
87510 |
No Code
Description |
$75.00 |
$60.00 |
$15.00 |
87797 |
No Code
Description |
$75.00 |
$60.00 |
$15.00 |
99214 |
Office/Outpatient
Visit |
$100.00 |
$51.00 |
$49.00 |
81002 |
Urinalysis
Nonauto w/o SC |
$12.00 |
$7.01 |
$4.99 |
81025 |
Urine
Pregnancy Test |
$15.00 |
$12.75 |
$2.25 |
Henderson, NV |
$597.00 |
$339.50 |
$257.50 |
|
|
|
|
|
99212 |
Office/Outpatient
Visit |
$45.00 |
$29.16 |
$15.84 |
93000 |
Electrocardiogram,
Complete |
$40.00 |
$34.00 |
$6.00 |
93731 |
Analyze
Pacemaker System |
$80.00 |
$58.32 |
$21.68 |
98213 |
No Code
Description |
$60.00 |
$48.00 |
$12.00 |
59400 |
Obstetrical
Care |
$2,200.00 |
$1,870.00 |
$330.00 |
Arlington, TX |
|
$2,425.00 |
$2,039.48 |
$385.52 |
|
|
|
|
|
19325 |
Enlarge
Breast with Implant |
$2,550.00 |
$1,544.40 |
$1,005.60 |
Humble,
TX |
|
$2,550.00 |
$1,544.40 |
$1,005.60 |
|
|
|
|
|
99215 |
Office/Outpatient
Visit |
$155.00 |
$88.00 |
$67.00 |
87880 |
No Code
Description |
$25.00 |
$20.00 |
$5.00 |
87081 |
Bacteria
Culture Screen |
$25.00 |
$14.00 |
$11.00 |
99058 |
Office
Emergency Care |
$20.00 |
$16.00 |
$4.00 |
71020 |
Chest
X-Ray |
$65.00 |
$40.60 |
$24.40 |
76140.25 |
X-Ray
Consultation |
$25.00 |
$20.00 |
$5.00 |
San
Antonio, TX |
$315.00 |
$198.60 |
$116.40 |
|
|
|
|
|
72040 |
X-Ray
Exam of Neck Spine |
$70.00 |
$57.40 |
$12.60 |
72100 |
X-Ray
Exam of Lower Spine |
$80.00 |
$65.60 |
$14.40 |
98941 |
No Code
Description |
$60.00 |
$49.20 |
$10.80 |
99204 |
Office/Outpatient
Visit |
$122.00 |
$100.01 |
$21.96 |
97035 |
Ultrasound
Therapy |
$37.00 |
$30.34 |
$6.66 |
Cliffside
Park, NJ |
$369.00 |
$302.55 |
$66.42 |
|
|
|
|
|
99203 |
Office/Outpatient
Visit, New |
$114.00 |
$96.90 |
$17.10 |
73140 |
X-Ray
Exam of Finger(s) |
$42.00 |
$35.70 |
$6.30 |
Kennesaw, GA |
$156.00 |
$132.60 |
$23.40 |
|
|
|
|
|
99213 |
Office/Outpatient
Visit, Est. |
$80.00 |
$40.50 |
$39.50 |
West Palm
Beach, FL |
$80.00 |
$40.50 |
$39.50 |
|
|
|
|
|
99212 |
Office/Outpatient
Visit, Est. |
$45.00 |
$27.00 |
$18.00 |
Thibodaux, LA |
$45.00 |
$27.00 |
$18.00 |
|
|
