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 | Self Pay Rate |
|---|---|---|
| 52000 | BLADDER AND URETHRAL EXAM WITH SCOPE | $1,157.52 |
| 50590 | SHATTER KIDNEY STONE | $5,316.92 |
| 52234 | BLADDER AND URETHRAL EXAM WITH SCOPE AND DESTRUCTION OF LESION WITH OR W/OUT BIOPSY | $1,813.14 |
| 52235 | CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) AND/OR RESECTION OF; MEDIUM BLADDER TUMOR(S) (2.0 TO 5.0 CM) | $2,073.40 |
| 52281 | BLADDER AND URETHRAL EXAM WITH SCOPE AND OPENING OF URETHRA | $1,695.82 |
| 52287 | CYSTOSCOPY CHEMODENERVATION | $1,988.98 |
| 52310 | BLADDER AND URETHRAL EXAM WITH SCOPE AND REMOVAL OF FOREIGN BODY/STONE OR STENT | $1,362.20 |
| 52332 | BLADDER AND URETHRAL EXAM WITH SCOPE AND INSERTION OF STENT IN URETHRA | $5,075.14 |
| 52353 | EXAMINATION OF BLADDER AND URETHRA, WITH URETEROSCOPY AND/OR PYELOSCOPY; DESTRUCTION OF STONES BY SHOCK WAVE | $5,075.14 |
| 52356 | BLADDER, URETHRA AND KIDNEY EXAM WITH SCOPE WITH REMOVAL/DESTRUCTION OF STONE | $5,075.14 |
| 52601 | TRANSURETHRAL ELECTROSURGICAL RESECTION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMPLETE (VASECTOMY, MEATOTOMY, CYSTOURETHROSCOPY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL URETHROTOMY ARE INCLUDED) | $2,560.88 |
| 55700 | BIOPSY OF PROSTATE | $2,141.44 |
| 64561 | IMPLANT SPINAL NEUROELECTRODES | $4,881.66 |
| 74420 | X-RAY, URINARY TRACT EXAM WITH CONTRAST MATERIAL | $348.88 |
| 76872 | ULTRASOUND, TRANSRECTAL | $1,363.74 |