Transparency in Health Care Prices Act
Senate Bill 17-065
Effective January 1, 2018
If you have health insurance coverage, 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 by a health care provider at this office. If you do not have health insurance coverage, you are strongly encouraged to contact our business office personnel at (720) 979-0010 to discuss payment options and/or financial resources prior to receiving a health care service from a health care provider at this office since posted health care prices may not reflect the actual amount of your financial responsibility. Actual services provided during a surgical procedure may vary from the scheduled procedure and price quote, including but not limited to the medically necessary use of high cost drugs, implants, supplies and any procedures other than the original quote based on individual circumstances for each patient case.
| Billed CPT Code | Billed CPT Name | Standard Fee | Self Pay Rate |
|---|---|---|---|
| 19325 | ENLARGE BREAST WITH IMPLANT | $1500/HR | |
| 30140 | NASAL SURGERY/REMOVAL OF INFERIOR TURBINATE | $21,401.00 | $2,996.14 |
| 62321 | SPINAL INJECTION NECK OR UPPER SPINE | $12,862.00 | $1,800.68 |
| 62323 | SPINAL INJECTION MIDDLE AND LOW SPINE | $12,862.00 | $1,800.68 |
| 64479 | INJECTION TRANSFORAMINAL CERVICAL / THORACIC | $11,790.00 | $1,650.60 |
| 64483 | INJECTION EPIDURAL MIDDLE OR LOW SPINE | $11,790.00 | $1,650.60 |
| 64484 | INJECTION TRANSFORAMINAL LUMBAR ADD'L LEVEL | $11,790.00 | $1,650.60 |
| 64490 | JOINT INJECTION NECK OR UPPER SPINE-SINGLE LEVEL | $5,225.00 | $731.50 |
| 64491 | JOINT INJECTION NECK OR UPPER SPINE-2ND LEVEL | $5,225.00 | $731.50 |
| 64493 | JOINT INJECTION MIDDLE OR LOW SPINE-SINGLE LEVEL | $5,225.00 | $731.50 |
| 64494 | JOINT INJECTION MIDDLE OR LOW SPINE-2ND LEVEL | $5,225.00 | $731.50 |
| 64633 | DESTROY NECK/UPPER SPINE JOINT NERVES-SINGLE JOINT | $11,790.00 | $1,650.60 |
| 64634 | DESTROY NECK/UPPER SPINE JOINT NERVES-ADDL JOINTS | $11,790.00 | $1,650.60 |
| 64635 | DESTROY MIDDLE/LOWER SPINE JOINT NERVES-SINGLE JOINT | $11,790.00 | $1,650.60 |
| 64636 | DESTROY MIDDLE/LOWER SPINE JOINT NERVES-EACH ADDITIONAL JOINT | $11,790.00 | $1,650.60 |