TRANSPARENCY IN HEALTH CARE PRICES ACT

Colorado law requires healthcare providers to disclose the price charged most frequently in the past year for the 15 most common health services provided by Dynamic Family Medicine. The prices that you see below are only an estimate of the actual charges for health care service. All final pricing will depend on many different factors including the circumstances at the time the service is rendered, negotiated rates with your insurance company, and negotiated payment options with our biller. 

If you are covered by health insurance, you are strongly encouraged to consult with your health insurance company to determine what your financial responsibility is for a specific health care service provided by one of our providers. If you are not covered by health insurance, you are strongly encouraged to contact our biller to discuss payment options prior to receiving a health care service from our office.

While this required price disclosure list may reflect examples of a range of pricing for different services, these do not represent the exact amounts paid for such services every time. The actual amounts paid by insurance companies or by individual patients may vary from this list, either up or down, depending of the unique circumstances.

Current Procedural                                  Description                                                                 Estimated Price

Terminology (CPT)

99213 OV EXPANDED                               Low Complexity Office Visit                                     $120.00

99214 OV DETAILED                                 Average/Medium Complexity Office Visit              $120.00

99396 EST PATIENT 40-64                     Wellness/Physical Exam Ages 40-64                      $175.00

87880 STREP A ASSAY                             Strep test                                                                    $25.00

81000 URINALYSIS W/O MICRO              Urinalysis                                                                     $15.00

99394 EST PATIENT 12-17                        Wellness/Physical Exam Ages 12-17                         $155.00

93000 EKG                                               Electrocardiogram                                                     $60.00

90715 BOOSTRIX(TdaP) IM                      Vaccine for Tetanus and Whooping Cough            $40.00

99395 EST PATIENT 18-39                       Wellness/Physical Exam Ages 18-39                       $175.00

90662 FLU PROPHYLAXIS                        Vaccine for Flu >65                                                   $100.00

90651 HPV IM                                            Gardisil 9 Vaccine                                                     $300.00

90688 FLU PROPHYLAXIS                        Vaccine for Flu < 3                                                    $35.00

90707 MMR IM                                           MMR Vaccine                                                            $125.00

10060 PROC INCISION&DRAIN                Skin Abscess                                                             $175.00

98926 OSTEO MANIPULATION                Osteopathic Manipulation                                        $80.00