Top Charges for Esprit OBGYN Center
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) 788-6657 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 |
|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $212 |
| 99396 | Established patient periodic preventive medicine examination (40-64 years) | $293 |
| 76816 | Follow-up ultrasound scan of pregnant uterus | $140 |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $113 |
| 59025 | Fetal test | $99 |
| 90471 | Administration of vaccine | $60 |
| 76817 | Vaginal ultrasound of pregnant uterus | $124 |
| 81025 | Urine pregnancy test | $26 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $262 |
| 99395 | Established patient periodic preventive medicine examination (18-39 years) | $272 |
| 76813 | Ultrasound scan of pregnant uterus (less than 14 weeks), with measurement of the clear space beneath skin at the back of fetal neck, single or first fetus | $193 |
| 90715 | Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) | $115 |
| 76805 | Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $162 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 0 minutes or more | $298 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $388 |