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Children's Medical Center

Denver Pediatric Practice

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Home/Resources/Service Costs

Service Costs

In compliance with Colorado Revised Statute: 25-49-103 – Transparency in Health Care Prices Act we are listing our top 15 most commonly provided services, CPT code, description and charge.  Please be advised that the health care price for any given health care service is an estimate and that the actual charges for the health care service are dependent on the circumstances at the time the service is rendered; and the following statement or a statement containing substantially similar information: 

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 encourage to contact our billing office at 303-547-1709 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.

Transparency in Health Care: 15 Most Commonly Provided Services

99213 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; and expanded problem focused examination; medial decision making of low complexity.  Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs.  Usually, the presenting problem(s) are of low to moderate severity.  Typically, 15 minutes are spent face to face with the patient and/or family.  $163.00

G2211 – Visit complexity inherent to office or outpatient evaluation and management (E/M) services when the practitioner serves as the continuing focal point for all or most of the patient’s health care needs, or when providing ongoing care for a single, serious condition or a complex condition.  $30.00

96110 – Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument.  $69.00

92551 – Screening test, pure tone, air only.  $37.00

90460 – Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered.  $59.00

96127 – a brief emotional or behavioral assessment with scoring and documentation, administered using a standardized instrument.  $30.00

99173 – Screening test of visual acuity, quantitative, bilateral. $20.00

99214 – Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity.  Counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs.  Usually, the presenting problem(s) are of moderate to high severity.  Typically, 25 minutes are spent face to face with the patient and/or family.  $210.00

90461 – Each additional vaccine or toxoid component administered (listed separately in addition to code for primary procedure).  $22.00

87880 – Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A.  $45.00

36416 – Collection of capillary blood specimen (eg, finger, heel, ear stick).  $25.00

99391 – Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year).  $197.00

99392 – Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years).  $202.00

87804 – Rapid influenza virus detection via immunoassay with direct optical (visual) observation  $33.00

99393 – Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years).  $210.00

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Children's Medical Center is located just east of downtown Denver at:

1818 N. Ogden Street
Suite 300
Denver, CO 80218

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Children’s Medical Center

1818 N. Ogden Street, Suite 300
Denver, CO 80218
303-830-7337

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