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 Aspen Medical Group at (303) 394-9355 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.
| Procedure Code | Description | Self-Pay Price |
|---|---|---|
| 99214 | Established Patient Office Visit Level 4 | $131.95 |
| 99213 | Established Patient Office Visits Level 3 | $89.05 |
| 99396 | Preventative Visit Established Age 40-64 | $135.20 |
| J1050 | Medroxyprogesterone Acetate | $0.65 |
| G0439 | Office - Annual Physical Visits | $208.65 |
| 99204 | New Patient Office Visit Level 4 | $203.45 |
| 99395 | Preventative Visit Established Age 18-39 | $124.15 |
| 90471 | Immunization Administration | $44.85 |
| 99442 | Phone Visit 11-20 Minutes | $98.80 |
| 99203 | New Patient Office Visit Level 3 | $132.60 |
| 99385 | Preventative Visit New Patient Age 18-39 | $142.35 |
| 99397 | PM Reevaluation Established Patient | $152.75 |
| 81003 | Urinalysis | $6.50 |
| 99386 | Preventative New Patient Visit Age 40-64 | $165.10 |
| 90715 | TDAP Vaccine | $80.60 |