Visit Cost

 cpt

“Very efficient office staff and setup. Dr. Hoy did a thorough examination for my plantar fasciitis. He has a very pragmatic approach and had me buy some reasonably priced orthotics from Nordstrom in the building downstairs. Cost was very reasonable–$125 for 30 min new patient visit.”  -Todd S.

One of the most common questions we are asked is: how much will the visit cost?

While finding the best solution for your foot and ankle problem is our primary concern, we always pay attention to the cost of care, and do everything we can to keep your costs as low as possible. If there are less expensive treatments and prescriptions that provide the same outcomes as more expensive ones we will use those less expensive treatments and prescriptions first. And, unlike hospitals and hospital-owned clinics, we do not charge a facility fee that can more than double the cost of care. Our goal is to find the treatment that will give you complete relief at the lowest cost.

Every service and procedure is defined by a five-digit CPT code, published in a book by the American Medical Association.  The physician no longer assigns a dollar amount cost.  The job of the physician today is to perform the service and then describe it with the appropriate code.  The cost can’t be known until after the condition has been assessed and the coding can be determined. 

If the patient has any known responsibilities, the codes are submitted to the Medical Administrative Assistant, who will look then up to see the cost value of the codes, and depending on how your insurance works, what is owed at the time of service.

We use the Medicare fee schedule for King County (limiting charge, non-facility for the office and facility for hospital and nursing home) as the basis of the amount collected. Our fees are competitive for specialty medical and surgical care in the local area. The fee varies on the value of the codes for services performed.  The office visit code is determined by time and complexity.  There may also be procedures that are needed which are separately coded.  Our Medical Administrative Assistant sees average total fees of around $200.  If more services are performed, the fee is increased, and less if fewer services are performed.  It is not possible to predict these before the patient has been seen.

Billing codes are submitted to our Billing Department, who then submits them to the insurance company.   After the insurance company decides, the Billing Department will send out any applicable invoices.

Our office will be happy to provide the code(s) for any procedure performed or planned, after the condition has been assessed, so that the patient can verify patient responsibility.  Before the condition has been assessed, we will not be able to provide any quotes.  Thank you.