Pricing Estimates
Navigating healthcare can be tricky, and we want to make things as clear as possible. The prices provided below are intended to give self-pay patients an estimate of the prices for commonly provided health care services. Additional fees could be incurred.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services before those items or services are provided.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees.
- If you schedule a health care item or service at least three business days in advance, the health care provider or facility will provide you with a Good Faith Estimate in writing within one business day after scheduling. If you schedule a health care item or service at least ten business days in advance, the health care provider or facility will provide you with a Good Faith Estimate in writing within three business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service which you should receive in writing within three business days after you ask.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
Top Health Care Services and Procedures at Medical Services:
| Service | Code | Self-pay Price |
|---|---|---|
| Established Patient Level 3 Office Visit | 99213 | $124 |
| Rapid Strep Test | 87430 | $25 |
| Manual Therapy Techniques (mobilization/manipulation) 1 Or More Regions (15 Min) | 97140 | $57 |
| Influenza Vaccine Preservative Free | 90686 | $0 |
| Established Patient Level 4 Office Visit | 99214 | $185 |
| TherapeuticExercise, Strength, Endurance, ROM, Flexibility (15 min) | 97110 | $60 |
| New Office Visit Level 2 | 99202 | $123 |
| Vaccine Administration Fee-Not Including the Cost of the Vaccine | 90471 | $40 |
| Neuromuscular Reeducation Of Movement, Balance, Coordination (15min) | 97112 | $50 |
| Wet Prep-Lab Procedure | 87210 | $12 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 min | 97530 | $47 |
| Physical Therapy Evaluation - Moderate Complexity | 97162 | $140 |
| Periodic Comprehensive Preventive Medicine Visit (18-39) | 99395 | $180 |
| Measles, Mumps and Rubella Virus Vaccine (MMR) | 90707 | $113 |
Insurance
If you are covered by the Student Gold Health Insurance plan, you are encouraged to consult withFinancial Services at 303-492-4196 to determine accurate information about your financial responsibility for a particular health care service provided. Medical Services accepts the ñ Gold SHIP and private insurance plans. However, medical Services may beout-of-network provider for some insurance plans.
If you are covered by private health insurance, you are strongly encouraged to consult with your health care insurer to determine accurate information on your financial responsibility for a particular health care service provided at Medical Services. The health care price for any given health care service is an estimate. The actual charges for the health care service are dependent on the circumstances at the time the service is rendered and may be subject to change.