Porter-Starke Services, Inc.

Cash prices

1. TSH (thyroid) test

   CPT 84443

   Facility fee only
   $37
   US typical $71

   Doctor fees are billed separately.
2. Urine pregnancy test (visual color method)

   CPT 81025

   Facility fee only
   $30
   US typical $39.60

   Doctor fees are billed separately.
3. Injection under the skin or into muscle

   CPT 96372

   Facility fee only
   $20
   US typical $89.43

   Doctor fees are billed separately.
4. Emergency room visit, level 4 (moderate complexity)

   CPT 99284

   Facility fee only
   $175
   US typical $850

   Doctor fees are billed separately.
5. Emergency room visit (level 3, moderate)

   CPT 99283

   Facility fee only
   $150
   US typical $522

   Doctor fees are billed separately.
6. Emergency room visit (level 5, severe)

   CPT 99285

   Facility fee only
   $200
   US typical $1,211

   Doctor fees are billed separately.
7. Emergency room visit, level 2 (straightforward)

   CPT 99282

   Facility fee only
   $125
   US typical $312

   Doctor fees are billed separately.
8. Emergency room visit (level 1, minor)

   CPT 99281

   Facility fee only
   $100
   US typical $183

   Doctor fees are billed separately.
9. LDL cholesterol test, direct

   CPT 83721

   Facility fee only
   $31
   US typical $46.80

   Doctor fees are billed separately.
10. Hospital observation stay, per hour

    HCPCS G0378

    Facility fee only
    $35
    US typical $69.55

    Doctor fees are billed separately.
11. Established patient office visit (minimal)

    CPT 99211

    Facility fee only
    $22
    US typical $63.96

    Doctor fees are billed separately.
12. Established patient office visit (straightforward, ~10-19 min)

    CPT 99212

    Facility fee only
    $95
    US typical $88.23

    Doctor fees are billed separately.
13. Established patient office visit (low complexity, ~20-29 min)

    CPT 99213

    Facility fee only
    $127
    US typical $116

    Doctor fees are billed separately.
14. Established patient office visit (moderate complexity, ~30-39 min)

    CPT 99214

    Facility fee only
    $163
    US typical $155

    Doctor fees are billed separately.
15. Established patient office visit (high complexity, 40+ min)

    CPT 99215

    Facility fee only
    $211
    US typical $203

    Doctor fees are billed separately.
16. New patient office visit (low complexity, ~30-44 min)

    CPT 99203

    Facility fee only
    $232
    US typical $148

    Doctor fees are billed separately.
17. New patient office visit (moderate complexity, ~45-59 min)

    CPT 99204

    Facility fee only
    $252
    US typical $202

    Doctor fees are billed separately.
18. New patient office visit (basic, ~15-29 min)

    CPT 99202

    Facility fee only
    $216
    US typical $109

    Doctor fees are billed separately.
19. New patient office visit (high complexity, 60+ min)

    CPT 99205

    Facility fee only
    $272
    US typical $255

    Doctor fees are billed separately.
20. Drug screen, rapid test cup or dipstick, per day

    CPT 80305

    Facility fee only
    $33
    US typical $47.46

    Doctor fees are billed separately.
21. Psychotherapy, 30 minutes

    CPT 90832

    Facility fee only
    $95
    US typical $150

    Doctor fees are billed separately.
22. Psychotherapy, 45 minutes

    CPT 90834

    Facility fee only
    $132
    US typical $183

    Doctor fees are billed separately.
23. Psychotherapy, 60 minutes

    CPT 90837

    Facility fee only
    $168
    US typical $235

    Doctor fees are billed separately.
24. Psychiatric diagnostic evaluation

    CPT 90791

    Facility fee only
    $188
    US typical $241

    Doctor fees are billed separately.
25. Group therapy session

    CPT 90853

    Facility fee only
    $60
    US typical $123

    Doctor fees are billed separately.
26. Family psychotherapy with patient

    CPT 90847

    Facility fee only
    $134
    US typical $207

    Doctor fees are billed separately.
27. Family psychotherapy without patient

    CPT 90846

    Facility fee only
    $131
    US typical $191

    Doctor fees are billed separately.
28. Psychiatric diagnostic evaluation with medical services

    CPT 90792

    Facility fee only
    $232
    US typical $246

    Doctor fees are billed separately.
29. Hospital follow-up visit, per day, moderate complexity (35 min)

    CPT 99232

    Facility fee only
    $160
    US typical $128

    Doctor fees are billed separately.
30. Initial hospital or observation care, low complexity (40 min)

    CPT 99221

    Facility fee only
    $150
    US typical $164

    Doctor fees are billed separately.
31. Initial hospital or observation care, moderate complexity (55 min)

    CPT 99222

    Facility fee only
    $190
    US typical $234

    Doctor fees are billed separately.
32. Initial hospital doctor visit (inpatient/observation), high complexity

    CPT 99223

    Facility fee only
    $232
    US typical $323

    Doctor fees are billed separately.
33. Preventive checkup, new patient, age 18-39

    CPT 99385

    Facility fee only
    $235
    US typical $144

    Doctor fees are billed separately.
34. Preventive checkup, established patient, age 18-39

    CPT 99395

    Facility fee only
    $195
    US typical $127

    Doctor fees are billed separately.
35. Preventive checkup, established patient, age 40-64

    CPT 99396

    Facility fee only
    $213
    US typical $134

    Doctor fees are billed separately.
36. Hospital follow-up visit, per day, low complexity (25 min)

    CPT 99231

    Facility fee only
    $140
    US typical $77.17

    Doctor fees are billed separately.
37. Hospital follow-up visit, inpatient or observation, high complexity

    CPT 99233

    Facility fee only
    $144
    US typical $186

    Doctor fees are billed separately.
38. Crisis psychotherapy, first 60 minutes

    CPT 90839

    Facility fee only
    $200
    US typical $228

    Doctor fees are billed separately.
39. Preventive checkup, new patient, age 40-64

    CPT 99386

    Facility fee only
    $257
    US typical $164

    Doctor fees are billed separately.
40. Hospital discharge day management, 30 minutes or less

    CPT 99238

    Facility fee only
    $152
    US typical $139

    Doctor fees are billed separately.
41. Preventive checkup, established patient, age 65 or older

    CPT 99397

    Facility fee only
    $242
    US typical $149

    Doctor fees are billed separately.
42. Hospital discharge day management, more than 30 min

    CPT 99239

    Facility fee only
    $172
    US typical $189

    Doctor fees are billed separately.
43. Preventive checkup, new patient, age 65 and older

    CPT 99387

    Facility fee only
    $289
    US typical $179

    Doctor fees are billed separately.
44. Interactive complexity add-on for therapy session

    CPT 90785

    Facility fee only
    $75
    US typical $38

    Doctor fees are billed separately.
45. Psychotherapy add-on with medical visit, 30 min

    CPT 90833

    Facility fee only
    $128
    US typical $115

    Doctor fees are billed separately.
46. Hospital admit and discharge same day, moderate complexity

    CPT 99235

    Facility fee only
    $232
    US typical $326

    Doctor fees are billed separately.
47. Hospital admit and discharge same day, high complexity

    CPT 99236

    Facility fee only
    $288
    US typical $420

    Doctor fees are billed separately.
48. Hospital admit and discharge same day, low complexity

    CPT 99234

    Facility fee only
    $200
    US typical $235

    Doctor fees are billed separately.
49. Psychotherapy 45 min with medical visit (add-on)

    CPT 90836

    Facility fee only
    $200
    US typical $151

    Doctor fees are billed separately.
50. Developmental testing by clinician, first hour

    CPT 96112

    Facility fee only
    $141
    US typical $285

    Doctor fees are billed separately.

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.