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 | 139.00 |
| 99214 | OFFICE/OUTPATIENT VISIT, EST | 205.00 |
| 90460 | IM ADMIN 1ST/ONLY COMPONENT | 40.00 |
| 90471 | IMMUNIZATION ADMIN | 40.00 |
| 90686 | FLU VAC NO PRSV 4 VAL 3 YRS+ | 29.00 |
| 99396 | PREV VISIT, EST, AGE 40-64 | 241.00 |
| 99203 | OFFICE/OUTPATIENT VISIT, NEW | 207.00 |
| 81002 | URINALYSIS NONAUTO W/O SCOPE | 7.00 |
| 99212 | OFFICE/OUTPATIENT VISIT, EST | 83.00 |
| 90688 | FLU VACC 4 VAL 3 YRS PLUS IM | 28.00 |
| 90715 | TDAP VACCINE >7 IM | 72.00 |
| 90670 | PNEUMOCOCCAL VACC, 13 VAL IM | 343.00 |
| 90461 | IM ADMIN EACH ADDL. COMPONENT | 24.00 |
| 87880 | STREP A ASSAY W/OPTIC | 33.00 |
| 99024 | POSTOP FOLLOW-UP VISIT | 0.00 |
| 99395 | PREV VISIT, EST, AGE 18-39 | 226.00 |
| 99391 | PREV VISIT, EST, AGE 0 | 189.00 |
| 95117 | IMMUNOTHERAPY INJECTIONS | 20.00 |
| 99392 | PREV VISIT, EST, AGE 1-4 | 202.00 |
| 90685 | FLU VAC NO PRSV 4 VAL 6-35 M | 33.00 |
| 99393 | PREV VISIT, EST, AGE 5-11 | 202.00 |
| 87804 | INFLUENZA ASSAY W/OPTIC A | 33.00 |
| 90680 | ROTOVIRUS VACC 3 DOSE, ORAL | 148.00 |
| 99204 | OFFICE/OUTPATIENT VISIT, NEW | 315.00 |
| 17000 | DESTRUCT PREMALG LESION | 129.00 |
| 90698 | DTAP-HIB-IP VACCINE, IM | 174.00 |
| 93000 | ECG | 33.00 |
| 81025 | URINE PREGNANCY TEST | 18.00 |
| 90744 | HEPB VACC PED/ADOL 3 DOSE IM | 42.00 |
| 68761 | CLOSE TEAR DUCT OPENING | 283.00 |