Insurance & Billing Info
DISCLAIMERS
According to Texas Health and Safety Code Section 254.155 (HB 2041):
- This is a Freestanding Emergency Medical Care Facility
- This facility charges rates comparable to a hospital emergency room and may charge a facility fee
- A facility or a physician providing medical care at the facility may be an out-of-network provider for the patient’s health benefit plan provider network
- A physician providing medical care at the facility may bill separately from the facility for the medical care provided to a patient
Please see the Insurance Payer Fee Schedule below
Insurance Payer Fee Schedule
| Procedure Code | Description | Fee Schedule |
|---|---|---|
|
99281
|
Emergency dept visit Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self limited or minor.
|
$825.67
|
|
99282
|
Emergency dept visit Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity.
|
$1,371.99
|
|
99283 |
Emergency dept visit Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity.
|
$2,694.72
|
|
99284 |
Emergency dept visit Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician, or other qualified health care professionals but do not pose an immediate significant threat to life or physiologic function.
|
$ 3,957.82
|
|
99285 |
Emergency dept visit Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function.
|
$5,492.84
|
|
99291 |
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
|
$6,405.16
|