You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost. Please see below explanation and list of practice fees for your reference.
Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided. At Baxt CosMedical we do not accept any health insurance.
- You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the healthcare provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
- If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate and the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
Fee Estimates:
Evaluation/ Management:
99202 – Initial Visit: $225
99203 – Initial Visit, Expanded: $275
99213 – Office Visit, Established Patient: $115
99214 – Office Visit, Expanded Established Patient: $195
Excision:
11300 – Shaving Lesion >.05cm Trunk, Arm, Legs: $250 1st lesion / $125 each additional lesion
11305 – Shaving Lesion >.05cm Scalp, Neck, Hand, Feet, Genitalia: $250 1st lesion / $125 each additional lesion
11310 – Shaving Lesion >.05cm Face, Ear, Eyelid, Nose, Lip: $250 1st lesion / $125 each additional lesion
11200 – Excision Skin Tags #1-#15: $250
11205 – Excision Skin Tags #16-#25: $100
Destruction By Any Means:
17000 – Pre-Malignant Lesion #1: $165 1st lesion
17003 – Pre-Malignant Lesion #2- #14: $50 2nd lesion / $10 each 3rd- 14th lesion
17004 – Pre-Malignant Lesion #15+: $350
17106 – Vascular Proliferative: $250 – $650
17110 – Benign Lesion up to 14: $250
17111 – Benign Lesion 15+: $350
17260 – Malignant Lesion Trunk, Arm, Legs: $325 1st lesion/ $180 each additional lesion
17270 – Malignant Scalp, Neck, Hands, Feet, Genitalia: $325 1st lesion/ $180 each additional lesion
17280 – Malignant Lesion Face, Ear, Eyelid, Nose, Lip: $325 1st lesion / $180 each additional lesion
Miscellaneous:
10060 – Incision & Drainage Cyst: $195
64650 / J0585 – Hyperhidrosis Botox: $1600
96567 / J7345 – Photodynamic Therapy Levulan or Ameluz: $750
PRIVACY ACT STATEMENT: CMS is authorized to collect the information on this form and any supporting documentation under section 2799B-7 of the Public Health Service Act, as added by section 112 of the No Surprises Act, title I of Division BB of the Consolidated Appropriations Act, 2021 (Pub. L. 116-260). We need the information on the form to process your request to initiate a payment dispute, verify the eligibility of your dispute for the PPDR process, and to determine whether any conflict of interest exists with the independent dispute resolution entity selected to decide your dispute. The information may also be used to: (1) support a decision on your dispute; (2) support the ongoing operation and oversight of the PPDR program; (3) evaluate selected IDR entity’s compliance with program rules. Providing the requested information is voluntary. But failing to provide it may delay or prevent processing of your dispute, or it could cause your dispute to be decided in favor of the provider or facility.
