PROBLEM OR SICK CHILD VISIT
these prices are for the exam charge only,additional charges may be necessary
New Patient - Minimal severity
990201
$ 100.00
New Patient - Minor severity
990202
$ 106.00
New Patient - Moderate to low severity
990203
$ 153.00
New Patient - Moderate to high severity
990204
$ 237.00
New Patient - High severity
990205
$ 298.00
Established Patient - Minimal severity
990211
$ 36.00
Established Patient - Minor severity
990212
$ 68.00
Established Patient - Moderate to low severity
990213
$ 110.00
Established Patient - Moderate to high severity
990214
$ 155.00
Established Patient - High severity
990215
$ 210.00
WELL CHILD PHYSICAL EXAM
- these prices are for the exam charge only,
additional charges may be necessary
New Patient under the age of 1 year
99381
$ 150.00
New Patient ages 1 - 4 years
99382
$ 165.00
New Patient ages 5 - 11 year
99383
$ 165.00
New Patient ages 12 - 17 years
99384
$ 185.00
Established Patient under the age of 1 year
99391
$ 150.00
Established Patient ages 1 - 4 years
99392
$ 160.00
Established Patient ages 5 - 11 year
99393
$ 155.00
Established Patient ages 12 - 17 years
99394
$ 185.00
Established Patient ages 18 years and older
99395
$ 170.00
SCREENINGS
Vision screen
99173
$ 10.00
Hearing screen
92551
$ 20.00
Developmental screen
96110
$ 25.00
Depression screen
96127
$ 20.00
IN OFFICE LABORATORY
Rapid Strep test
87880
$ 30.00
Throat Culture
87081
$ 20.00
Urinalysis
81002
$ 10.00
Urine Culture
87086
$ 20.00
Influenza A & B
87804
$ 60.00
Cholesterol (Lipid)
Lead
Hemoglobin
80061
83655
85018
$30.00
$20.00
$ 8.00
Tuberculosis test
86580
$ 15.00
PRICES LISTED FOR ANY GIVEN SERVICE IS AN ESTIMATE. 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 BY A HEALTH CARE PROVIDER AT THIS OFFICE. IF YOU ARE NOT COVERED BY HEALTH INSURANCE, YOU ARE STRONGLY ENCOURAGED TO CONTACT OUR BUSINESS OFFICE AT 303-545-5679 TO DISCUSS PAYMENT OPTIONS PRIOR TO RECEIVING A HEALTH CARE SERVICE FROM A HEALTH CARE PROVIDER AT THIS OFFICE SINCE POSTED HEALTH CARE PRICES MAY NOT REFLECT THE ACTUAL AMOUNT OF YOUR FINANCIAL RESPONSIBILITY.