Visits & Screenings

Physician Visits

ServiceCPT
Code
HIMG
Charge
Cash
Price
Office Visit, New Patient, Level 199201$87.00$52.20
Office Visit, New Patient, Level 299202$150.00$90.00
Office Visit, New Patient, Level 399203$220.00$132.00
Office Visit, New Patient, Level 499204$338.00$202.80
Office Visit, New Patient, Level 599205$420.00$252.00
Office Visit, Established Patient, Level 199211$46.00$27.60
Office Visit, Established Patient, Level 299212$87.00$52.20
Office Visit, Established Patient, Level 399213$147.00$88.20
Office Visit, Established Patient, Level 499214$217.00$130.20
Office Visit, Established Patient, Level 599215$292.00$175.20

Preventive Visits

ServiceCPT
Code
HIMG
Charge
Cash
Price
Preventive Visit, New Patient, 12-17 years99384$306.00$183.60
Preventive Visit, New Patient, 18-39 years99385$297.00$178.20
Preventive Visit, New Patient, 40-64 years99386$344.00$206.40
Preventive Visit, New Patient, 65+ years99387$374.00$224.40
Preventive Visit, Established Patient, 5-11 years99393$229.00$137.40
Preventive Visit, Established Patient, 12-17 years99394$252.00$151.20
Preventive Visit, Established Patient, 18-39 years99395$253.00$151.80
Preventive Visit, Established Patient, 40-64 years99396$278.00$166.80
Preventive Visit, Established Patient, 65+ years99397$311.00$186.60
Annual Wellness Exam Initial Medicare/MedAdvG0438$355.00Medicare pays in full
Annual Wellness Exam Subsequent medicare/MedAdvG0439$238.00Medicare pays in full

Preventive Screenings

ServiceCPT
Code
HIMG
Charge
Cash
Price
Colonoscopy Diagnostic Screening (Professional)45378 $484.00 $290.40
Colonoscopy Facility Fee (charged in addition to prof)45378 $1,339.00 $803.40
Screening Mammogram (tech only)77067-TC $200.00 $120.00