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Primary Care & Walk-In Clinic

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
Disclaimer: While The Everett Clinic strives to give you accurate information regarding prices and estimated costs, several factors may affect pricing, including, but not limited to: (1) Time of selection: Prices are subject to change at any time. (2) Additional expenses: Beyond what's defined, some laboratory and professional fees, such as a physician, radiologist, anesthesiologist and pathologist, may not be included in this estimate. (3) Additional services: Your health condition may require additional time with the same practitioner, specialist or a different condition than scheduled.
Resources

What is Self-Pay?

If you are paying the bill yourself or services will not be processed by insurance.

What is Prompt Pay?

The deposit payment for your visit and any services paid by the first statement due date are eligible for a prompt pay savings incentive of 15% OFF.

Excluding cosmetic treatment and retail items.

**What is CPT?

A CPT or Billing Code is a number you can use if you want to call your insurance company to validate your out of pocket expense.

Note: Complex visits may be billed at a higher level of service and cost.

 

Resources