If you are covered by health insurance you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided at this health care facility. If you are not covered by health insurance, you are strongly encouraged to contact Rocky Mountain Pediatric Infectious Disease Consultants at (303) 393-4300 to discuss payment options prior to receiving a health care service from this health care facility since posted health care prices may not reflect the actual amount of your financial responsibility. The health care price for any given health care service is an estimate and the actual charges for the health care service are dependent on the circumstances at the time the service is rendered.
| Procedure Code | Description | Self-Pay Price |
|---|---|---|
| 99233 | Subsequent Hospital Visit Level 3 | $128.05 |
| 99223 | Initial Hospital Visit Level 3 | $248.95 |
| 99214 | Established Patient Office Visit Level 4 | $131.95 |
| 99213 | Established Patient Office Visits Level 3 | $89.05 |
| 99232 | Subsequent Hospital Visit Level 2 | $89.70 |
| 99212 | Established Office Visit Level 2 | $53.95 |
| 99254 | Inpatient Hospital Consultation Level 4 | $206.05 |
| 99204 | New Patient Office Visit Level 4 | $203.45 |
| 99221 | Initial Hospital Visit Level 1 | $124.80 |
| 99253 | Inpatient Hospital Consultation Level 3 | $142.35 |
| 99203 | New Patient Office Visit Level 3 | $132.60 |
| 99215 | Established Patient Office Visit Level 5 | $177.45 |
| 86580 | TB Test | $14.95 |
| 99231 | Subsequent Hospital Visit Level 1 | $49.40 |
| 99358 | Office - Other Visits | $138.45 |