Physician Visits (Primary Care & Walk-In Clinic)
Service | Billing (CPT) Code** | The Everett Clinic Self-Pay Fee | Prompt Pay Incentive 15% |
Office Visit New Patient Level 3 - Level 4
|
99203 - 99204
|
$267.25 - $407.50
|
$227.17 - $346.38
|
Office Visit Established Level 3 - Level 4
|
99213 - 99214
|
$181.25- $266.75
|
$154.07 - $226.74
|
Note: Complex visits may be billed at a higher level of service and cost. Walk-in Clinic appointments are billed as office visits, not as ER or Urgent Care Center visits.
Preventive Visits (Primary Care)
Service | Billing (CPT) Code** | The Everett Clinic Self Pay Fee | Prompt Pay Incentive 15% |
Preventive Exam New Patient
Age-Based <1-64yr
|
99381 - 99386
|
$275.25 - $376.25
|
$233.97 - $319.82
|
Preventive Exam Established
Age-Based <1-64yr
|
99391 - 99396
|
$247.50 - $312.50
|
$210.38 - $265.63
|
Annual Wellness Exam initial
Medicare/MedAdv
|
G0438
|
$408.75
|
Paid in full by
Medicare/MedAdv
|
Annual Wellness Exam subsq
Medicare/MedAdv
|
G0439
|
$277.50
|
Paid in full by
Medicare/MedAdv
|
Preventive Screenings (Primary Care)
Service | Billing (CPT) Code** | The Everett Clinic Self-Pay Fee | Prompt Pay Incentive 15% |
Colonoscopy Diagnostic Screening/Surveillance
|
45378
|
$521.25
|
$443.07
|
Colonoscopy Facility Fee
|
45378 SG
|
$1,118.50
|
$950.73
|
Colonoscopy Anesthesia
|
00810
|
$539.00
|
$458.15
|
Screening Mammogram 3D tomosynthesis with or without implants
|
77063 & 77067
|
$465.25
|
$395.46
|
Diagnostic mammograms are performed at the Comprehensive Breast Center. Please contact them for an estimate.
Additional Services (Primary Care & Walk-In)
Service | Billing (CPT) Code** | The Everett Clinic Self-Pay Fee | Prompt Pay Incentive 15% |
Abscess Drainage (simple)
|
10060
|
$288.00
|
$244.80
|
Burn Dressing (small)
|
16020
|
$204.50
|
$173.83
|
EKG Complete
|
93000
|
$45.50
|
$38.68
|
IV Infusion Hydration (1st hour)
|
96360
|
$138.25
|
$117.52
|
Laceration Wound Repair (superficial)
|
12001 - 12004
|
$222.75 - $315.00
|
$189.34- $267.75
|
Removal of Nail Bed
|
11750
|
$556.75
|
$473.24
|
Wart Removal (1 - 14 warts)
|
17110
|
$275.50
|
$234.18 |
Wart Removal (15 or more warts)
|
17111
|
$325.25
|
$276.47 |
Removal of Ear Wax
|
69210
|
$122.50
|
$104.13 |
Removal of Ear Wax using irrigation/lavage | 69209 | $31.00 | $26.35 |
TB/PPD Skin Test | 86580 | $19.00 | $9.50 |
Administration Fee | 96372 | $61.00 | $51.85 |