Forum - Questions & Answers
average charges for 99201-99204
What are the average charges for outpatient codes between 99201-99204? I understand that it varies with geographical location etc., but is there a guide for how much one can charge based on those codes?
average charges for 99201-99205
You may charge as below or follow the Medicare fee schedule as per your area
99201 100
99202 150
99203 200
99204 250
99205 300
Technically
One can charge as much as one wants to charge. No one pays retail price in medicine. Prices are set by insurers in a basically one-sided process unless you are a large group with sizable market share. And we are not allowed to share charges as that is considered price fixing and a federal crime.
Average Charges
Many physicians offices set their fee schedule according to the Medicare fee schedue. In the offices I have managed we have set the standard fee anywhere from 125 to 150% of the current Medicare fee schedule.
average charges
go to mitsi.org and you will find data about charges based on national CMS data.