Facility Fee

*The Median facility fee for South shore ER LLC is $2,073.90

Level Of Service

Facility Fee

Emergency Dept Visit Level 1

$626.00

Emergency Dept Visit Level 2

 $1,009.29

Emergency Dept Visit Level 3

$2,073.90

Emergency Dept Visit Level 4

$3,051.40

Emergency Dept Visit Level 5

 $4,116.02

Level Of Service

Range of Possible Fees

Emergency Dept Visit Level 1

Less than $1,000

Emergency Dept Visit Level 2

$1,009.29 - $2,000

Emergency Dept Visit Level3

$2,073.90- $3,000

Emergency Dept Visit Level 4

$3,050.00 - $4,000

Emergency Dept Visit Level 5

$4,150 - $8,000

Observation Fees

Median Observation Fee

$15,000.00

Range of Observation Fees

 $4,500.00 to $30,000.00

Observation Fee for Level of Service

$1,554.68 per unit (hour)

 

Facility's observation fees that may result from the patient's visit.

Observation Hours x Observation Fee per Hour ($1,554.68) + facility fee based on ED Level

(Let’s say patient was in Observation for 4 hours than Observation Fee will be $6,218.72 + facility fee based on ED Level.

"This facility charges an observation fee for medical treatment.  The Median observation fee for patient treatment is $15,000."

 

* Note, additional fees may be incurred based on medical complexity

 

 

 

 

COVID TESTING FEE

Procedure Code

Description

Fee Schedule

87635

COVID Test - by nucleic acid (Molecular/PCR)

$554.36

87426

SOFIA S SARS Antigen (Covid Antigen only)

$450.82

87428

SOFIA 2 FLU+SARS Antigen (Covid and Flu Antigen testing combined)

$320.00

87637

Infectious agent detection by nucleic acid (DNA or RNA) severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) [COVID-19), influenza virus types A and B, RSV

$3,500.00