Pricing Tranparency

 

I & D Abscess Simple (Code: 10060)

Discounted Cash: $626

Minimum: $186

Maximum: $1,142

Gross Charge: $894

Incis Drain or Abscess Complicated (Code: 10061)

Discounted Cash: $523

Minimum: $384

Maximum: $1,142

Gross Charge: $747

Incis Drain of Hematoma/Fluid (Code: 10140)

Discounted Cash: $523

Minimum: $598

Maximum: $2,608

Gross Charge: $747

Punct Aspir Abscess Hematoma Bulla/Cyst (Code: 10160)

Discounted Cash: $523

Minimum: $384

Maximum: $1,142

Gross Charge: $747

Inc and Removal of Foreign Body (Code: 10120)

Discounted Cash: $626

Minimum: $384

Maximum: $1,142

Gross Charge: $894

Debridement Open Wound 20 sq cm< (Code: 11042)

Discounted Cash: $869

Minimum: $384

Maximum: $1,018

Gross Charge: $1,241

Biopsy Single Lesion with Closure (Code: 11100)

Discounted Cash: $361

Minimum: $1

Maximum: $422

Gross Charge: $515

Biopsy Each Additional (Code: 11101)

Discounted Cash: $41

Minimum: $1

Maximum: $48

Gross Charge: $58

Shave Single Lesion (Code: 11300)

Discounted Cash: $464

Minimum: $332

Maximum: $1,014

Gross Charge: $663

Removal of Skin Tag (Code: 11200)

Discounted Cash: $464

Minimum: $186

Maximum: $1,014

Gross Charge: $663

Punch Biopsy Single Skin Lesion (Code: 11104)

Discounted Cash: $1,951

Minimum: $332

Maximum: $3,559

Gross Charge: $2,787

Excise Benign Lesion with Margins 0.6-1 cm (Code: 11401)

Discounted Cash: $1,628

Minimum: $384

Maximum: $3,559

Gross Charge: $2,326

Excise Benign Lesion 1 cm (Code: 11402)

Discounted Cash: $1,628

Minimum: $668

Maximum: $3,559

Gross Charge: $2,326

Excise Benign Lesion 1.1-2 cm (Code: 11422)

Discounted Cash: $1,628

Minimum: $1,545

Maximum: $3,559

Gross Charge: $2,326

Excise Benign Lesion 2 cm (Code: 11403)

Discounted Cash: $1,628

Minimum: $668

Maximum: $3,559

Gross Charge: $2,326

Sclp/Nk/Hnd/Ft 0.5 cm (Code: 11420)

Discounted Cash: $1,628

Minimum: $1,545

Maximum: $3,559

Gross Charge: $2,326

Remove Nail Bed (Code: 11750)

Discounted Cash: $1,628

Minimum: $384

Maximum: $3,559

Gross Charge: $2,326

Toe Nail Removal (Code: 11730)

Discounted Cash: $482

Minimum: $186

Maximum: $1,054

Gross Charge: $689

Remove Nail Bed/Finger Tip (Code: 11752)

Discounted Cash: $1,506

Minimum: $1

Maximum: $1,765

Gross Charge: $2,152

Evac Sub Hematoma (Code: 11740)

Discounted Cash: $195

Minimum: $120

Maximum: $355

Gross Charge: $278

Excise Benign Lesion 1 cm (Code: 11441)

Discounted Cash: $1,628

Minimum: $668

Maximum: $3,559

Gross Charge: $2,326

Repair Nail Bed (Code: 11760)

Discounted Cash: $482

Minimum: $551

Maximum: $1,054

Gross Charge: $689

Repair of Superficial (Code: 12001)

Discounted Cash: $770

Minimum: $186

Maximum: $1,054

Gross Charge: $1,100

Simp Repair 2.6cm to 7cm (Code: 12002)

Discounted Cash: $770

Minimum: $186

Maximum: $1,054

Gross Charge: $1,100

 

CT UPPER EXTREMITY W/C (Code: 73201)

Discounted Cash: $1,820

Minimum: $380

Maximum: $2,132

Gross Charge: $2,600

 

CT LOWER EXTREMITY W/O (Code: 73700)

Discounted Cash: $1,680

Minimum: $110

Maximum: $1,968

Gross Charge: $2,400

CT ORBIT EAR FOSSA W/O (Code: 70480)

Discounted Cash: $1,680

Minimum: $110

Maximum: $1,968

Gross Charge: $2,400

CT THORACIC SPINE W/CO (Code: 72129)

Discounted Cash: $1,820

Minimum: $186

Maximum: $2,132

Gross Charge: $2,600

 

CT PELVIS W/CONTRAST (Code: 72193)

Discounted Cash: $1,820

Minimum: $186

Maximum: $2,132

Gross Charge: $2,600

HAND AP LAT R (Code: 73120)

Discounted Cash: $109

Minimum: $89

Maximum: $252

Gross Charge: $156

FOOT AP LAT OBLI R (Code: 73630)

Discounted Cash: $109

Minimum: $89

Maximum: $180

Gross Charge: $156

CT UPPER EXTREMITY W/O (Code: 73200)

Discounted Cash: $1,680

Minimum: $110

Maximum: $1,968

Gross Charge: $2,400

 

THORACIC COMPLETE (Code: 72074)

Discounted Cash: $314

Minimum: $89

Maximum: $367

Gross Charge: $448

CT CHEST W/O CONTRAST (Code: 71250)

Discounted Cash: $1,680

Minimum: $110

Maximum: $1,968

Gross Charge: $2,400

CT CHEST W-W/O CONTRAS (Code: 71270)

Discounted Cash: $2,520

Minimum: $186

Maximum: $2,952

Gross Charge: $3,600

CRYSTALS (Code: 89060)

Discounted Cash: $110

Minimum: $9

Maximum: $129

Gross Charge: $157

 

CT LOWER EXTREMITY W/O (Code: 73700)

Discounted Cash: $1,680

Minimum: $110

Maximum: $1,968

Gross Charge: $2,400

Foot X-ray (Code: 73620)

Discounted Cash: $109

Minimum: $89

Maximum: $180

Gross Charge: $156

CT UPPER EXTREMITY W/C (Code: 73201)

Discounted Cash: $1,820

Minimum: $380

Maximum: $2,132

Gross Charge: $2,600

CT Orbit Ear Fossa W/O (Code: 70480)

Discounted Cash: $1,680

Minimum: $110

Maximum: $1,968

Gross Charge: $2,400

CT Thoracic Spine W/CO (Code: 72129)

Discounted Cash: $1,820

Minimum: $186

Maximum: $2,132

Gross Charge: $2,600

Hand X-ray (AP/LAT, Code: 73120)

Discounted Cash: $109

Minimum: $89

Maximum: $252

Gross Charge: $156

Foot X-ray (Code: 73630)

Discounted Cash: $109

Minimum: $89

Maximum: $180

Gross Charge: $156

CT UPPER EXTREMITY W/O (Code: 73200)

Discounted Cash: $1,680

Minimum: $110

Maximum: $1,968

Gross Charge: $2,400

 

Thoracic X-ray (Complete, Code: 72074)

Discounted Cash: $314

Minimum: $89

Maximum: $367

Gross Charge: $448

CT CHEST W/O (Code: 71250)

Discounted Cash: $1,680

Minimum: $110

Maximum: $1,968

Gross Charge: $2,400

CT CHEST W/W/O (Code: 71270)

Discounted Cash: $2,520

Minimum: $186

Maximum: $2,952

Gross Charge: $3,600

Crystals Test (Code: 89060)

Discounted Cash: $110

Minimum: $9

Maximum: $129

Gross Charge: $157

PT SELF-CARE/HOME MGMT TRAINING EACH 15 MIN (Code: 97535)

Discounted Cash: $147

Minimum: $1

Maximum: $172

Gross Charge: $210

CT LOWER EXTREMITY W/C (Code: 73701)

Discounted Cash: $1,820

Minimum: $186

Maximum: $2,132

Gross Charge: $2,600

PT UNLIST MODALITY SPEC TYPE & TIME (Code: 97039)

Discounted Cash: $90

Minimum: $1

Maximum: $105

Gross Charge: $128

FOOT AP LAT OBLI R (Code: 73630)

Discounted Cash: $109

Minimum: $89

Maximum: $180

Gross Charge: $156

PT EVAL HIGH COMPLEX 45 MIN (Code: 97163)

Discounted Cash: $141

Minimum: $1

Maximum: $165

Gross Charge: $201

 

CT LOWER EXTREMITY W-W/O CONTRAST (Code: 73702)

Discounted Cash: $809

Minimum: $186

Maximum: $947

Gross Charge: $1,155

PT THER PX 1/> AREAS EA 15 MIN GAIT TRAI (Code: 97116)

Discounted Cash: $92

Minimum: $1

Maximum: $107

Gross Charge: $131

PT SENSORY INTEGRATIVE TECHNIQUES EACH 15 MIN (Code: 97533)

Discounted Cash: $147

Minimum: $1

Maximum: $172

Gross Charge: $210