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 |
|---|---|---|
| 43235 | UPPER GI EXAM-DIAGNOSTIC WITH SPECIMEN COLLECTION | $2,025.94 |
| 43239 | UPPER GI-DIAGNOSTIC WITH BIOPSY, SINGLE OR MULTIPLE | $2,025.94 |
| 43248 | UPPER GI WITH GUIDE WIRE INSERTION AND OPENING OF ESOPHAGUS | $2,025.94 |
| 43249 | UPPER GI DIAGNOSTIC WITH BALLOON DILATION OF ESOPHAGUS | $2,025.94 |
| 43251 | UPPER GI WITH REMOVAL OF TUMOR/POLYP WITH SNARE | $2,025.94 |
| 45330 | SCOPE OF SIGMOID COLON ONLY FOR DIAGNOSIS | $1,800.68 |
| 45331 | SCOPE OF SIGMOID COLON ONLY WITH BIOPSY | $1,800.68 |
| 45378 | DIAGNOSTIC COLONOSCOPY | $1,488.20 |
| 45380 | COLONOSCOPY AND BIOPSY | $1,488.20 |
| 45381 | COLONOSCOPY WITH INJECTION | $1,488.20 |
| 45385 | COLONOSCOPY WITH LESION REMOVAL BY SNARE | $1,488.20 |
| 46221 | HEMORRHOIDECTOMY SMPL LIGATURE | $1,800.68 |
| G0105 | COLONOSCOPY FOR HIGH RISK PERSON | $1,488.20 |
| G0121 | COLONOSCOPY - NOT HIGH RISK PERSON | $1,488.20 |