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Nephrology

Physician Visits 

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.

Dialysis

Service  Billing (CPT) Code** The Everett Clinic Self Pay Fee Prompt Pay Incentive 15%
Dialysis 1 Visit Monthly
90962
$488.75
 $415.44
Dialysis 2-3 Visits Monthly
90961
 $631.25 $536.57
Dialysis 4+ Visits Monthly
 90960 $748.75 $636.44
Home Dialysis Per Month
 90966 $630.25 $535.75

Urine Analysis

Service  Billing (CPT) Code** The Everett Clinic Self Pay Fee Prompt Pay Incentive 15%
UA Dipstick (No Microscope)
81002
$5.75
$4.89
Lab Urinalysis
81000
$7.25
$6.17

Treatments & Injectables - Billed per unit

Service Billing (CPT) Code** The Everett Clinic Self Pay Fee Prompt Pay Incentive 15%
**Procrit Drug
(Typically 10, 20, 30, or 40 units used)
J0885
$26.50
 $22.53
Administration
96372
$61.00
$51.85

*Indicates that an injectable or infusion drug price is per unit; multiple units may be administered.

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 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.
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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.

 

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