price transparency

CPT Codes Charged Amount Commercial Average Reimbursement MN MA Average Reimbursement
Outpatient office visits for established patients, by level of complexity
99211 $61.00 $43.67 $17.57
99212 $121.00 $88.19 $34.87
99213 $199.00 $146.59 $57.19
99214 $291.00 $216.42 $83.97
99215 $390.00 $291.26 $112.15
Outpatient office visits for new patients, by level of complexity
99201 $123.00 $96.44 $35.15
99202 $204.00 $162.26 $58.86
99203 $290.00 $233.45 $82.86
99204 $440.00 $355.91 $125.82
99205 $553.00 $447.76 $158.19
Periodic preventive medicine for established patients, by age
12-17 Years 99384 $366.00 $273.15 $105.74
18-39 Years 99385 $353.00 $264.80 $102.11
40-64 Years 99386 $410.00 $307.23 $118.57
65 and Olds 99387 $445.00 $332.73 $128.34
Periodic preventive medicine for new patients, by age
12-17 Years 99394 $313.00 $233.58 $90.39
18-39 Years 99395 $319.00 $238.59 $92.34
40-64 Years 99396 $340.00 $254.08 $98.20
65 and Olds 99397 $366.00 $273.86 $105.74
Other Common Services
IUD Insertion 58300 $217.00 $153.68 $56.32
IUD Removal 58301 $257.00 $199.13 $66.81
Admin of Injection 96372 $68.00 $43.45 $11.77
Admin of Vaccine 90471 $68.00 $40.85 $12.83
Tdap 90715 $66.00 $39.12 $23.33
HPV vaccine 90651 $398.00 $220.84 $217.11
DEXA 77080 $256.00 $82.23 $28.67