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