The charge code (CHRG CODE) is on your bill from Plateau Medical Center. It's in the 2nd column, just to the right of the date which is in the first column. I'm assuming you got an itemized bill, didn't you? Or did you just get a statement? The statement should have come in the mail after you got the itemized bill.CPT Code 99283
Caledonia Financial Services, LLC
Optimal Billing Solutions, LLC
I don't see a CHRG code on here.
Service description says Emergency Dept Visit Amount 390.00
So what have you got in mind?
CPT codes, 99281, 99282, 99283, 99284 and 99285 are the common emergency room codes and they are used two ways:(1) The hospital assigns one of these five codes to indicate the level of severity of your emergency room case and (2) the doctor also uses the same codes to indicate the level of severity and complexity of your case. The fifth number of these CPT codes indicate the level of severity and complexity. So, 99281 is for simpler emergencies and 99285 is for the most severe and complex. The prices increase with each step up the ladder.
You said in post #18 that Plateau billed you $286.29 for the use of the emergency room. You should look at your Plateau bill to see what CPT code they used to generate a charge of $286.29 Did both the hospital and the doctor use the same code?
If Plateau billed you for a 99281 and Dr Clinton billed you for a 99283... well, maybe you should be asking questions. The practice of using more expensive codes is called up-coding.
Here is more information about these CPT codes:
http://www.bluecrossmn.com/bc/wcs/groups/bcbs... @mbc_bluecrossmn/documents/pub lic/post71a_149100.pdf