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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 |