Cost Estimator
Spanish Valley Clinic| Cash| Office/OP New Visit Level
ESTIMATE FOR
Office/OP New Visit Level
CPT: 99204 
at Spanish Valley Clinic
using Cash - No Insurance
10/31/2024 8:27 PM
Spanish Valley Clinic Estimate
Patient portion estimate
$180.15* EARLY PAY CASH DISCOUNT ONLY AVAILABLE WHEN PAID IN FULL.
Facility fee
$180.15
3rd party fees
Billed separately
*You may receive bills from any 3rd party providers involved with this procedure.
Pay in Full
$162.14
10% OFF for 60 days
2 Month Plan
$90.08
3 Month Plan
$60.05
This estimate covers only the fees from Spanish Valley Clinic and may not include any 3rd party fees you may incur.
To schedule or ask a question
Call (435) 419-9210
Cost Detail
Total starting charges
$257.36
Cash Discount
$77.21
Total Estimated Patient Portion
$180.15

This price estimate, including payment options, is based on the selections you made and compared to what the expected charges will be for those services. Actual costs can change. Estimates with insurance factored in are based on your coverage at the time the estimate was given, which coverage may be different at the time of service. Please check with our Billing team prior to being seen for an updated estimate. See our full Terms of Use for details.

Cost data updated 9/10/2024 8:18 AM
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