Charges and Fees For Common Healthcare Services

Senate Bill (SB) 17-065: Transparency in Direct Pay Health Care Prices requires healthcare facilities, physicians, and providers to post prices for their most common healthcare services. Patients with health insurance are strongly encouraged to consult with their health insurer to determine accurate information about their financial responsibility for a particular health care service at this heath care facility. If you are not covered by health insurance, you are strongly encouraged to contact Colorado Mountain Medical, PC at 970 926 6350 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.

Below is a list estimating the cost of Colorado Mountain Medical’s most commonly billed services.

CPT      Price    Description     
99202    $173    Outpatient Office Visit, New Patient, Straightforward    
99203    $257    Outpatient Office Visit, New Patient, Low Complexity     
99204    $375    Outpatient Office Visit, New Patient, Moderate Complexity    
99212    $102    Outpatient Office Visit, Established Patient, Straightforward  
99213    $165    Outpatient Office Visit, Established Patient, Low Complexity    
99214    $240    Outpatient Office Visit, Established Patient, Moderate Complexity   
99392    $245    Preventive visit, age 1-4, Est Pt   
99393    $244    Preventive visit, age 5-11, Established Patient 
99394    $267    Preventive visit, age 12-17, Established Patient    
99395    $273    Preventive visit, age 18-39, Established Patient  
99396    $291    Preventive visit, age 40-64, Established Patient  
99397    $314    Preventive visit, 65 & over, Established Patient    
PNCK    NS       Prenatal Check (fee included in comprehensive pregnancy care)  
80050    $80      General Health Panel (GHP) (labwork) 
80053    $41      Comprehensive Metabolic Panel (CMP) (labwork) 
80061    $45      Lipid Panel (labwork)   
81003    $7        Urinalysis (dipstick)     
84153    $71      Prostate-Specific Antigen (PSA), total (labwork)  
84443    $66      Thyroid Stimulating Hormone (TSH) (labwork)    
85025    $27      Complete Blood Count (CBC, auto w/ auto diff.) (labwork)     
87651    $55      Strep A (Swab)  
90686    $58      Flu Shot, Adult and Injection
39448    $100    PCR Molecular (COVID-19 Diagnostic Test)