Procedures / Emergency & Office Visits

Emergency & Office Visits

ER visits, urgent care, consultations, hospital admissions. 103 procedures with Medicare pricing.

Showing 1–50 of 103 procedures

Prices are the Medicare benchmark (a fair reference). Facility = done in a hospital or surgery center; Office = done in a doctor's office. Hospitals typically charge several times these amounts.

CodeProcedureFacility
99205New patient office visit — complex$160
99215Office visit — complex (established patient)$126
99204New patient office visit — detailed$117
99285ER visit — severe/critical (level 5)$171
99223Hospital admission — initial, high complexity$156
99214Office visit — detailed (established patient)$85
99284ER visit — serious (level 4)$118
99203New patient office visit — standard$71
99213Office visit — standard (established patient)$57
99202New patient office visit — short$41
99221Hospital admission — initial, low complexity$74
99283ER visit — moderate (level 3)$69
99212Office visit — short (established patient)$31
99282ER visit — low severity (level 2)$40
99281ER visit — minor (level 1)$11
99468Neonate Crit Care Initial$779
99471Ped Critical Care Initial$674
99475Ped Crit Care Age 2-5 Init$474
99472Ped Critical Care Subsq$352
99469Neonate Crit Care Subsq$337
99291Critical Care First Hour$199
99476Ped Crit Care Age 2-5 Subsq$306
99496Transj Care Mgmt High F2f 7d$166
99477Init Day Hospital Neonate Care$295
99483Assmt & Care Pln Pt Cog Imp$170
99495Transj Care Mgmt Mod F2f 14d$122
99345Home/res Vst New High Mdm 75$210
99466Ped Crit Care Transport$202
993061st Nf Care High Mdm 50$163
99350Home/res Vst Est High Mdm 60$193
99236Hospital Ip/obs Same Date Hi 85$190
99310Sbsq Nf Care High Mdm 45$140
994921st Psyc Collab Care Mgmt$82
99344Home/res Vst New Mod Mdm 60$147
99493Sbsq Psyc Collab Care Mgmt$90
99487Cplx Chrnc Care 1st 60 Min$79
99235Hospital Ip/obs Same Date Mod 70$143
993051st Nf Care Moderate Mdm 35$120
99316Nf Dschrg Mgmt 30 Min+$118
99292Critical Care Addl 30 Min$100
99349Home/res Vst Est Mod Mdm 40$132
99465Nb Resuscitation$124
992221st Hospital Ip/obs Moderate 55$117
99478"sbsq Ic Vlbw Inf<1$116
99309Sbsq Nf Care Moderate Mdm 30$99
99233Sbsq Hospital Ip/obs High 50$107
99239Hospital Ip/obs Dschrg Mgmt >30$107
99467Ped Crit Care Transport Addl$101
99463Same Day Nb Discharge$95
99461Init Nb Em Per Day Non-fac$53

About Emergency & Office Visits Pricing

The prices shown are Medicare reimbursement rates from the 2026 CMS Physician Fee Schedule. These represent what the federal government considers a fair payment for each procedure. Hospitals typically charge 3-25x these rates on their chargemaster (list price).

If you received a bill for any of these procedures that seems too high, you can check your bill against these Medicare rates and your hospital's own published prices.

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