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Emergency Room Visit, Moderate
SSP EM001Emergency Room Visit, Simple
SSP EM000Esophagogastroduodenoscopy, Simple
SSP GA007Exercise oxygen saturation test (pulse oximetry)
HCPCS 94761FDG PET scan with FDG-18, up to 45 mci
HCPCS A9552General Outpatient Clinic Visit
SSP CO000Glycated hemoglobin measurement (A1C)
HCPCS 83036Group psychotherapy (professional fee)
HCPCS 90853HIV-1/2 antigen and antibody test (ELISA/EIA)
HCPCS 87389Hospital observation service rendered hourly
HCPCS G0378Immunoglobulin assessment for IgA, IgD, IgG, IgM
HCPCS 82784Influenza (flu) virus nucleic acid test
HCPCS 87400Injection of 1.125 g piperacillin/tazobactam
HCPCS J2543Injection of enoxaparin sodium, 10mg
HCPCS J1650Injection of numbing medication for pain relief
HCPCS J0665Injection, hydromorphone, 0.1mg
HCPCS J1171Injection, lidocaine hydrochloride, 1mg
HCPCS J2003Injection, pantoprazole sodium, 40mg
HCPCS J2470What’s the difference between an individual procedure and a Standard Service Package (SSP)?
Individual Procedure
Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.
Standard Service Package (SSP)
A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.
Frequently Asked Questions
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What does the estimated price include?
Individual services, like specific blood tests, are assigned a unique billing code (e.g. a CPT or HCPCS code) and price. While they can be billed in isolation, it is more common for multiple services to be billed together on a claim. It is this combination of services and fees that often dictates the total cost of care.
Service packages combine all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.
Your actual treatment may differ, which could affect your final out-of-pocket cost. Use this estimate as a guide and to confirm the estimate.