Ruby Valley Medical Center

All Services Evaluation & Management Services
CPT 99284 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making $277.00 Standard Charge See All Rates
CPT 99238 Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter $161.00 Standard Charge See All Rates
CPT 99395 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years $271.00 Standard Charge See All Rates
CPT 99211 Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional $63.00 Standard Charge See All Rates
CPT 99204 New patient office of other outpatient visit, typically 45 min $355.00 Standard Charge See All Rates
CPT 99394 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years) $266.00 Standard Charge See All Rates
CPT 99283 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making $147.00 Standard Charge See All Rates
CPT 99222 Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded. $301.00 Standard Charge See All Rates
CPT 99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded. $169.00 Standard Charge See All Rates
CPT 99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded. $159.00 Standard Charge See All Rates
CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) $348.00 Standard Charge See All Rates
CPT 99354 Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in addition to code for outpatient Evaluation and Management or psychotherapy service, except with office or other outpatient services [99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215]) $301.00 Standard Charge See All Rates
CPT 99281 Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional $90.00 Standard Charge See All Rates
CPT 99396 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years $289.00 Standard Charge See All Rates
CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) $301.00 Standard Charge See All Rates
CPT 99392 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years) $243.00 Standard Charge See All Rates
CPT 99243 Patient office consultation, typically 40 min $284.00 Standard Charge See All Rates
CPT 99205 New patient office of other outpatient visit, typically 60 min $447.00 Standard Charge See All Rates
CPT 99391 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year) $231.00 Standard Charge See All Rates
CPT 99203 New patient office or other outpatient visit, typically 30 min $249.00 Standard Charge See All Rates
CPT 99285 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making $408.00 Standard Charge See All Rates
CPT 99393 Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years) $243.00 Standard Charge See All Rates
CPT 99212 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded. $105.00 Standard Charge See All Rates
CPT 99282 Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making $101.00 Standard Charge See All Rates
CPT 99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded. $249.00 Standard Charge See All Rates
CPT 99244 Patient office consultation, typically 60 min $417.00 Standard Charge See All Rates
CPT 90832 Psychotherapy, 30 min N/A
CPT 90834 Psychotherapy, 45 min N/A
CPT 90837 Psychotherapy, 60 min N/A
CPT 90846 Family psychotherapy, not including patient, 50 min N/A
CPT 90847 Family psychotherapy, including patient, 50 min N/A
CPT 90853 Group psychotherapy N/A

Know your out-of-pocket cost for care.

All Services Evaluation & Management Services

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making

Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter

Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional

New patient office of other outpatient visit, typically 45 min

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making

Initial new patient preventive medicine evaluation (40-64 years)

Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional

Initial new patient preventive medicine evaluation (18-39 years)

Patient office consultation, typically 40 min

New patient office of other outpatient visit, typically 60 min

New patient office or other outpatient visit, typically 30 min

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making

Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making

Patient office consultation, typically 60 min

Psychotherapy, 30 min

Psychotherapy, 45 min

Psychotherapy, 60 min

Family psychotherapy, not including patient, 50 min

Family psychotherapy, including patient, 50 min

Group psychotherapy