Table 1.
Code | Description | Cost (USD)* |
---|---|---|
99211 | Level 1 Outpatient Visit, Established Patient | 18.62 |
99212 | Level 2 Outpatient Visit, Established Patient | 41.03 |
99213 | Level 3 Outpatient Visit, Established Patient | 68.71 |
99214 | Level 4 Outpatient Visit, Established Patient | 102.17 |
99215 | Level 5 Outpatient Visit, Established Patient | 137.99 |
73510 | Radiograph of the hip, unilateral, 2 views | 34.05 |
73520 | Radiograph of the hip, bilateral, 2 views | 36.40 |
72170 | Radiograph of the pelvis, anterior posterior | 25.19 |
73560 | Radiograph of the knee, 1 or 2 views | 26.81 |
73562 | Radiograph of the knee, 3 views | 31.36 |
72564 | Radiograph of the knee, 4 views | 36.58 |
73565 | Radiograph of the knees, bilateral, anterior posterior, weight bearing | 30.03 |
78315 | Bone scan, 3 phase | 328.21 |
85025 | Complete blood count with differential | 10.58 |
85652 | Erythrocyte sedimentation rate, automated | 3.68 |
86140 | C-reactive protein | 4.70 |
CMS/Medicare 2015 data, Kansas locality, non-facility price.