Transparency in Healthcare Pricing Notice
Plateau Valley Hospital District
58128 Hwy 330, Collbran, CO 81624
11011 Hwy 65 Unit B, Mesa, CO 81643
www.pvhealth.com
Privacy Officer - Jessi Clark 970-487-0211
| Code | 2023 Pricing | Price | Note |
|---|---|---|---|
| 17000 | Destruction of lesion - first lesion | $149.00 | |
| 17003 | Destruction of lesions - additional lesions at same visit | $18.00 | ea |
| 36415 | Venipuncture - blood draw | $8.00 | |
| 81000 | Urinalysis | $10.00 | |
| 87880 | Rapid Strep Test | $17.00 | |
| 93000 | EKG (electrocardiogram) | $29.00 | |
| 99202 | Office Visit - New patient - Level 2, Limited | $143.00 | |
| ex - single health issue | |||
| 99211 | Office Visit - Established patient - Level 1, Brief | $39.00 | |
| ex - medical assistant visit for rapid strep or urinalysis | |||
| 99212 | Office Visit - Established patient - Level 2, Limited | $84.00 | |
| ex - follow up of a single problem | |||
| 99213 | Office Visit - Established patient - Level 3, Intermediate | $140.00 | |
| ex - new single problem | |||
| 99214 | Office Visit - Established patient - Level 4, Extended | $206.00 | |
| ex - 2 separate health problems | |||
| 99215 | Office Visit - Established patient - Level 5, Comprehensive | $395.00 | |
| ex - complicated problem(s) | |||
| 99394 | Preventative Medicine (annual) - Established Patient - 12-17 years old | $222.00 | |
| 99396 | Preventative Medicine (annual) - Established Patient - 40-65 years old | $242.00 | |
| updated 12/28/2022 |