Top Charges for Englewood Primary Care
In compliance with federal law, please view pricing information for certain procedures and services performed at our practice.
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 at this health care facility. If you are not covered by health insurance, you are strongly encouraged to contact HealthOne Physician Group at (303) 788-6490 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. The health care price for any given health care service is an estimate and the actual charges for the health care service are dependent on the circumstances at the time the service is rendered.
The total health care price for any given health care service is an estimate and the actual charges for the health care service cannot reasonably be known as they are dependent on the circumstances at the time the service is rendered. Factors that may affect pricing include your insurance coverage and related cost sharing, the nature of services actually rendered, and any financial assistance you may be eligible for.
| CPT Code | Description | NonFac Charges |
|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $298 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $212 |
| G2211 | Clinical staff time for medical services related to ongoing care for a patient with a serious or complex condition. | $54 |
| G0439 | Office visit for annual wellness exam. | $456 |
| 99396 | Established patient periodic preventive medicine examination (40-64 years) | $293 |
| 83036 | Hemoglobin A1C level | $30 |
| G0136 | Assessment to identify social determinants of health (SDOH) that limit the ability to diagnose or treat problems. SDOH may include income, education, language, access to health care, and other factors. | $66 |
| 90471 | Administration of vaccine | $60 |
| 99395 | Established patient periodic preventive medicine examination (18-39 years) | $272 |
| 99397 | Established patient periodic preventive medicine examination (65 year old or older) | $316 |
| 96160 | Administration and interpretation of patient-focused health risk assessment | $300 |
| 81002 | Urinalysis, manual test | $11 |
| 90480 | Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose | $120 |
| 91320 | Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use | $394 |
| 90661 | Influenza vaccine, trivalent, derived from cell cultures, antibiotic free, 0.5 mL dosage, for intramuscular use | $67 |