Charges for Common Healthcare Services
Colorado Senate Bill 17-065 requires that healthcare providers disclose charges for common healthcare services when payment is made directly by the patient, rather than by a third party (e.g., a health insurance carrier). The following is a list of the most common charges at the Student Health Center. For questions or clarification, please call 970-351-2412.
Common Services
| CPT Code – Procedure Code | Charge for Procedure |
|
99202 Office Visit – New patient history and exam
|
$109
|
|
99212 Office Visit – Established patient, minor, stable, or self-limited problems, such as a cold, simple rash, or medication
|
$99 |
|
99203 Office Visit – New patient, detailed history and exam, moderate-complexity diagnostic scenarios
|
$149
|
|
99213 Office Visit – Established patient, stable chronic illness, or minor acute injury, requiring a medically appropriate history and/or exam
|
$109 |
|
99204 Office Visit – New patient, history/exam, multiple diagnoses or management options, significant time spent
|
$209
|
|
99214 Office Visit – Established patient, high-complexity care, managing multiple stable chronic illnesses or one acute illness with systemic symptoms
|
$149 |
|
99205 Office Visit – New patient, high-level, comprehensive office or outpatient evaluation and management, complex, severe, or potentially life-threatening cases
|
$259 |
|
99215 Office Visit – Established patient, high-level, complex cases involving severe chronic illness exacerbation, acute threats to life/function, or high-risk medication management
|
$189
|
|
99395 Well Exam/Physical Exam – Established patient, 18-39 yrs, age- and gender-appropriate history, exam, counseling/anticipatory guidance, laboratory/diagnostic procedures
|
$150 |
|
87804 Rapid Influenza Test – Rapid, direct optical immunoassay test used to detect Influenza, quick, point-of-care diagnosis
|
$40 |
|
87880 Rapid Strep Throat Test – Rapid, visual antigen detection tests, identify strep from a throat swab
|
$30 |
|
86308 Rapid Mononucleosis Test – Rapid mono test, investigate symptoms like fever, sore throat, fatigue
|
$25 |
|
81002 Urinalysis – Non-microscopic urinalysis
|
$8 |
|
94640 Nebulizer Breathing Treatment – Pressurized or non-pressurized inhalation treatments for acute airway obstruction, treat conditions like asthma or COPD
|
$25 |
|
69210 Cerumen Removal (ear irrigation) – Unilateral removal of impacted earwax
|
$75 |
Disclosure Statement
This is only an estimate.
The health care price for any given health care service is an estimate. The actual charges for services are dependent on the circumstances at the time the service is rendered. If you are covered by health insurance, you are strongly encouraged to consult with your health insurance carrier to determine accurate information about your financial responsibility for a particular healthcare service provided by a healthcare provider at the Health Center. If you do not have health insurance coverage, you are strongly encouraged to contact our billing office at 970-351-2412 to discuss payment options prior to receiving healthcare at this office, because posted health care prices may not reflect the actual amount of your financial responsibility.