Top Charges for Rocky Mountain Pediatric Surgery
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 Surgery at (303) 839-6001 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 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $87 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $262 |
| 99222 | Initial hospital inpatient or observation care with moderate level of medical decision making. If using time, 55 minutes or more | $303 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $388 |
| 44970 | Removal of appendix using an endoscope | $2,147 |
| 17250 | Application of chemical to stop tissue regrowth in wound | $335 |
| 49591 | Initial repair of sliding hernia of abdomen, less than 3 cm in length | $1,166 |
| 99223 | Initial hospital inpatient or observation care with high level of medical decision making, if using time, 75 minutes or more | $443 |
| 43762 | Replacement of stomach stoma tube | $887 |
| 49650 | Repair of groin hernia using an endoscope | $1,552 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $298 |
| 43653 | Creation of surgical opening from stomach to skin using an endoscope | $2,074 |
| 99232 | Subsequent hospital inpatient or observation care with high level of medical decision making, if using time, 35 minutes or more | $160 |
| 98005 | Established patient synchronous audio-video visit with low medical decision making, if using time 20 minutes or more | $230 |