Code: Q3014

Description:
Description: Telehealth originating site facility fee
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
HC TELEHEALTH ORIGINATING SITE FACILITY FEE
TELEHEALTH FACILITY FEE
HC TELEHEALTH FACILITY FEE
TELEHEALTH FAC FEE COVID PHE
Related codes:
Code: Q3010
TECHNETIUM TC99MLABELEDRBCS
Code: Q3012
CYANOCOBALAMIN COBALT CO57
Wisconsin
Hospital Address Code Price Last Updated
River Falls Area Hospital , River Falls Q3014 $22 [source] 3 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior Q3014 $39 [source] 3 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford Q3014 $45 [source] 3 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee Q3014 $45 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay Q3014 $45 [source] 3 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers Q3014 $45 [source] 3 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc Q3014 $45 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette Q3014 $45 [source] 3 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q3014 $45 [source] 3 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee Q3014 $45 [source] 3 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q3014 $45 [source] 3 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton Q3014 $45 [source] 3 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha Q3014 $45 [source] 3 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington Q3014 $45 [source] 3 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn Q3014 $45 [source] 3 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan Q3014 $45 [source] 3 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy Q3014 $45 [source] 3 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford Q3014 $59 [source] 3 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo Q3014 $59 [source] 3 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau Q3014 $59 [source] 3 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids Q3014 $59 [source] 3 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage Q3014 $59 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton Q3014 $71 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand Q3014 $78 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown Q3014 $86 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus Q3014 $113 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.