Engaging patients in high-quality, compassionate health care

Boulder Medical Center:  Healthcare Pricing

Colorado law requires that medical facilities disclose the prices charged in the past year for most common health services. Your final pricing will depend on many different factors including negotiated rates with your insurance company. 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 our providers.

Code Description Unit Price
99213 OFFICE/OUTPATIENT VISIT, EST 124.00
99214 OFFICE/OUTPATIENT VISIT, EST 185.00
90460 IM ADMIN 1ST/ONLY COMPONENT 40.00
90471 IMMUNIZATION ADMIN 40.00
90686 FLU VAC NO PRSV 4 VAL 3 YRS+ 27.00
99396 PREV VISIT, EST, AGE 40-64 194.00
99203 OFFICE/OUTPATIENT VISIT, NEW 185.00
81002 URINALYSIS NONAUTO W/O SCOPE 7.00
99212 OFFICE/OUTPATIENT VISIT, EST 74.00
90688 FLU VACC 4 VAL 3 YRS PLUS IM 25.00
90715 TDAP VACCINE >7 IM 63.70
90670 PNEUMOCOCCAL VACC, 13 VAL IM 270.76
90461 IM ADMIN EACH ADDL. COMPONENT 21.00
87880 STREP A ASSAY W/OPTIC 32.88
99024 POSTOP FOLLOW-UP VISIT 0.00
99395 PREV VISIT, EST, AGE 18-39 177.00
99391 PREV VISIT, EST, AGE 0 145.00
95117 IMMUNOTHERAPY INJECTIONS 22.00
99392 PREV VISIT, EST, AGE 1-4 161.00
90685 FLU VAC NO PRSV 4 VAL 6-35 M 36.00
99393 PREV VISIT, EST, AGE 5-11 161.00
87804 INFLUENZA ASSAY W/OPTIC A 32.88
90680 ROTOVIRUS VACC 3 DOSE, ORAL 128.79
99204 OFFICE/OUTPATIENT VISIT, NEW 286.00
17000 DESTRUCT PREMALG LESION 139.00
90698 DTAP-HIB-IP VACCINE, IM 143.58
93000 ECG 37.00
81025 URINE PREGNANCY TEST 17.34
90744 HEPB VACC PED/ADOL 3 DOSE IM 36.31
68761 CLOSE TEAR DUCT OPENING 247.00

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