Health & Wellness Center Fee Schedule

CPT CODE DESCRIPTION COST
99201 OFFICE/OUTPATIENT VISIT, NEW, PROBLEM FOCUSED $88.00
99202 OFFICE/OUTPATIENT VISIT, NEW, EXPANDED PROBLEM $163.00
99203 OFFICE/OUTPATIENT VISIT, NEW, DETAILED $224.00
99204 OFFICE/OUTPATIENT VISIT, NEW, MOD COMPLEX $334.50
99205 OFFICE/OUTPATIENT VISIT, NEW, HIGH COMPLEX $433.00
99211 OFFICE/OUTPATIENT VISIT, EST, MIN $50.00
99212 OFFICE/OUTPATIENT VISIT, EST, FOCUSED $89.00
99213 OFFICE/OUTPATIENT VISIT, EST, EXPANDED $150.00
99214 OFFICE/OUTPATIENT VISIT, EST, DETAILED $248.00
99215 OFFICE VISIT COMPREHENSIVE $376.80
87635 SARS COV W/COV 2 RNA (COVID19 Test) $100.00

The Health & Center offers a sliding fee program for qualified patients. This program is based on a combination of the patients documented income and the federal poverty guidelines

If a patient has insurance, the carrier will be billed. Copays and denied services will be transferred to the guarantor

Many insurance plans are waiving copays on COVID19 related visits. Please check with your plan for specifics
Prices valid as of 4/20/2020.