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

CodeProcedureFacility
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 hosp neonate care$295
99483Assmt & care pln pt cog imp$170
99205Office o/p new hi 60 min$160
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
99215Office o/p est hi 40 min$126
99236Hosp ip/obs same date hi 85$190
99204Office o/p new mod 45 min$117
99285Emergency dept visit hi mdm$171
99310Sbsq nf care high mdm 45$140
994921st psyc collab care mgmt$82
992231st hosp ip/obs high 75$156
99344Home/res vst new mod mdm 60$147
99493Sbsq psyc collab care mgmt$90
99487Cplx chrnc care 1st 60 min$79
99235Hosp ip/obs same date mod 70$143
993051st nf care moderate mdm 35$120
99316Nf dschrg mgmt 30 min+$118
99214Office o/p est mod 30 min$85
99292Critical care addl 30 min$100
99349Home/res vst est mod mdm 40$132
99465Nb resuscitation$124
99284Emergency dept visit mod mdm$118
99203Office o/p new low 30 min$71
992221st hosp ip/obs moderate 55$117
99478"Sbsq ic vlbw inf<1$116
99309Sbsq nf care moderate mdm 30$99
99233Sbsq hosp ip/obs high 50$107
99239Hosp ip/obs dschrg mgmt >30$107
99467Ped crit care transport addl$101
99213Office o/p est low 20 min$57
99463Same day nb discharge$95
99461Init nb em per day non-fac$53
99491Chrnc care mgmt phys 1st 30$65
99234Hosp ip/obs sm dt sf/low 45$88
99424Prin care mgmt phys 1st 30$65
99497Advncd care plan 30 min$66
99315Nf dschrg mgmt 30 min/less$73
993041st nf care sf/low mdm 25$71

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 billagainst these Medicare rates and your hospital's own published prices to see exactly how much you're being overcharged.

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