Standard Observation and Facility Fees

Below are the facility’s standard observation and facility fee charges for each level of service (only one of the following codes will be charged per patient visit).  The facility’s standard hourly observation fee charge is $1,600.

Facility Level of Service Facility Fee
99281 $549.74
99282 $1,072.50
99283 $1,736.85
99284 $2,170.74
99285 $2,894.32
99291 $3,482.23
99292 $3,929.95
G0378 $1,600.00
86769 SARS-COV-2 COVID-19 Antibody $199.00
87635 SARS-COV-2 COVID-19 AMP PRB $199.00
87426 CORONAVIRUS AG IA $199.00
86328 IA NFCT AB SARSCOV2 COVID 19 $199.00
U0002 COVID 19 LAB TEST NONCDC $200.00