Clear pricing before your visit

Self-Pay Office Visit Pricing

Know the professional office-visit fee before you schedule

Our current self-pay fees are shown here in plain language for eligible patients who are not using insurance.

Current visit rates

The clinician assigns the appropriate service code after the encounter. Patients do not select a billing code or visit level.

New-patient office evaluation

Your first professional office visit with the practice.

CPTVisit levelFee
99202Level 2$150
99203Level 3$200
99204Level 4$450
99205Level 5$600

Established-patient office visit

For patients already established with the practice.

CPTVisit levelFee
99211Staff service*$100
99212Level 2$125
99213Level 3$150
99214Level 4$300
99215Level 5$500

* CPT 99211 is a limited established-patient clinical-staff service and may not involve the surgeon.

How the visit level is determined

The clinician determines the code after the visit based on documented medical decision-making or, when applicable, total physician or qualified health professional time on the date of service. The listed levels are not appointment-length choices and are not selected in advance by the patient.

What is included

The professional evaluation and management service furnished and billed by Merrimack Thoracic & Esophageal Surgery for the applicable office visit.

What is billed separately

Hospital or facility fees, procedures, anesthesia, imaging, laboratory services, pathology, medications, and services from other clinicians or organizations are not included. Separate estimates may be required.

Confirm eligibility and the expected fee

Call before your visit. Prices are subject to change, and this general schedule is not a contract or personalized estimate.

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