Top Charges for Rocky Mountain Pediatric Surgery
In compliance with federal law, please view pricing information for certain procedures and services performed at our practice.
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 Rocky Mountain Pediatric Surgery at (303) 839-6001 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 |
|---|---|---|
| 99213 | OFFICE/OUTPATIENT VISIT EST | $137 |
| 99203 | OFFICE/OUTPATIENT VISIT NEW | $204 |
| 99204 | OFFICE/OUTPATIENT VISIT NEW | $313 |
| 17250 | CHEMICAL CAUTERY, TISSUE | $222 |
| 99222 | INITIAL HOSPITAL CARE | $261 |
| 99231 | SUBSEQUENT HOSPITAL CARE | $76 |
| 99214 | OFFICE/OUTPATIENT VISIT EST | $203 |
| 43762 | RPLC GTUBE NO REVJ TRC | $119 |
| 44970 | LAPAROSCOPY, APPENDECTOMY | $1,708 |
| 99223 | INITIAL HOSPITAL CARE | $383 |
| 99232 | SUBSEQUENT HOSPITAL CARE | $138 |
| 49591 | RPR AA HRN 1ST < 3 CM RDC | $1,138 |
| 43653 | LAPAROSCOPY, GASTROSTOMY | $1,620 |
| 49650 | LAPARO HERNIA REPAIR INITIAL | $1,214 |
| 47562 | LAPAROSCOPIC CHOLECYSTECTOMY | $2,131 |