Sky Ridge Primary Care Lone Tree Top Charges
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 Sky Ridge Primary Care - Lone Tree at (303) 792-5200 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 |
|---|---|---|
| J1071 | Testosterone Cypionate | $0.07 |
| 99214 | Established Patient Office Visit Level 4 | $131.95 |
| 99215 | Established Patient Office Visit Level 5 | $177.45 |
| 99204 | New Patient Office Visit Level 4 | $203.45 |
| 99213 | Established Patient Office Visits Level 3 | $89.05 |
| 36415 | Blood Draw | $5.85 |
| 99396 | Preventative Visit Established Age 40-64 | $135.20 |
| 90471 | Immunization Administration | $44.85 |
| J0897 | Denosumab | $28.60 |
| 98928 | Osteopathic Manipulation | $118.95 |
| J1100 | Dexamethasone Sodium Phosphate | $0.65 |
| G0439 | Office - Annual Physical Visits | $208.65 |
| 96372 | Injection Fee | $44.85 |
| 36416 | Blood Draws | $14.30 |
| 99205 | New Patient Office Visit Level 5 | $253.50 |