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