Description CPT Charge Amount From Charge Amount To
Established Patient Office Visit, Complex 99215 $250.00 $385.00
Established Patient Office Visit, Detailed 99214 $181.00 $278.74
Established Patient Office Visit, Expanded Focused 99213 $127.00 $195.58
Established Patient Office Visit, Focused 99212 $82.50 $127.05
Established Patient Office Visit, Minimal 99211 $45.00 $69.30
Interactive indiv psychtx,em 30 min pp 90833 $138.00 $212.52
Interactive indiv psychtx,em 45min pp 90836 $175.00 $269.50
Interctive indiv psychotx,em,60 min pp 90838 $231.00 $355.74
New Patient Office Visit, Complex 99205 $375.00 $577.50
New Patient Office Visit, Comprehensive 99204 $295.00 $454.30
New Patient Office Visit, Detailed 99203 $183.00 $281.82
New Patient Office Visit, Expanded Focused 99202 $128.00 $197.12
New Patient Office Visit, Focused 99201 $82.50 $127.05
Office Consult, Comples 99245 $420.00 $646.80
Office Consult, Detailed 99244 $341.00 $525.14
Office Consult, Expanded Focused 99243 $225.00 $346.50
Office Consult, Focused 99242 $169.00 $260.26
Office Consult, Minimal 99241 $81.00 $124.74
Preventive Medicine Evaluation, Initial, 18-39 Years Old 99385 $212.00 $326.48
Preventive Medicine Evaluation, Initial, 40-64 Years Old 99386 $257.00 $395.78
Psychotherapy 30 Minutes With Patient 90832 $133.00 $204.82
Psychotherapy 60 Minutes With Patient 90837 $266.00 $409.64
Psychotherapy crisis 1st 60 min pp 90839 $278.00 $428.12
Psychotherapy crisis ea adtl 30 mins pp 90840 $133.00 $204.82
Psychotherapy, Family 50 Minutes With Patient 90847 $223.00 $343.42
Psychotherapy, Family 50 Minutes Without Patient 90846 $215.00 $331.10
Psychotherapy, Group 90853 $53.00 $81.62
Psychotherapy,Individual 45 Minutes 90834 $177.00 $272.58

Hospital ER Services

Description CPT Charge Amount
Critical care first hour-Emergency Services 99291 $2659.50
Emergency dept visit Level 1 99281 $259.50
Emergency dept visit Level 2 99282 $450.50
Emergency dept visit Level 3 99283 $751.50
Emergency dept visit Level 4 99284 $1274.50
Emergency dept visit Level 5 99285 $1867.50