Top Charges for Rocky Mountain Pediatric Hematology Oncology
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 Rocky Mountain Pediatric Hematology/Oncology at (303) 832-2344 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 |
|---|---|---|
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $419 |
| 99233 | Subsequent hospital inpatient or observation care with high level of medical decision making, if using time, 50 minutes or more | $229 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $24 |
| 36415 | Insertion of needle into vein for collection of blood sample | $9 |
| 99418 | Prolonged inpatient or observation service, each 15 minutes of total time beyond required time of primary service | $87 |
| 99417 | Prolonged outpatient service, each 15 minutes of total time beyond required time of primary service | $73 |
| 99223 | Initial hospital inpatient or observation care with high level of medical decision making, if using time, 75 minutes or more | $443 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $298 |
| 99205 | New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $512 |
| 96450 | Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord | $616 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $56 |
| 99232 | Subsequent hospital inpatient or observation care with high level of medical decision making, if using time, 35 minutes or more | $160 |
| 36416 | Puncture of skin for collection of blood sample | $3 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $388 |
| 36591 | Collection of blood sample from implanted device | $102 |