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 beginning with #992 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