Transparency in Health Care Pricing Act

Colorado Springs Pulmonary Consultants’ in compliance with the Transparency in Healthcare Prices Act (Senate Bill 17-065) is to post a list of the top 15 billing codes and our standard charge to patients that receive services at our office. Keep in mind that your level of charge code is determined by your provider at the time of service. The practice performs services in both the “office” and “hospital” setting. Our pricing may change from time-to-time (updated annually) and remember these are estimated charges and there could be more than one code charged for a visit, i.e., an office service and a procedure performed during the same visit. The actual charges for health care services are dependent on the circumstances at the time the service is rendered.

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 by a healthcare provider of this office. If you are not covered by health insurance, you are strongly encouraged to contact our office 719.471.7064 to discuss payment options prior to receiving a healthcare service from our office since posted health care prices may not reflect the actual amount of your financial responsibility.

To develop our top 15 procedure codes/charge, a special report was tabulated from electronic software:

99203 — $166.00 New Patient, Detailed Visit
99204 — $252.00 New Patient, Comprehensive Visit
99205 — $317.00 New Patient, Complex Visit
99213 — $112.00 Established Patient, Detailed Visit
99214 — $165.00 Established Patient, Comprehensive Visit
99215 — $222.00 Established Patient, Complex Visit
35556 — $792.00 Pleural Effusion (Tap Lung)
32557 — $857.00 Pleural Effusion (Tap Lug with Imaging)
95810 — $187.00 Sleep Study Interpretation
95811 — $195.00 Sleep Study-Bi-Pap Interpretation

99222 –$210.00 New Patient, Moderate Complexity
99223 –$311.00 New patient, High Complexity
99231 –$60.00 Subsequent Hospital Visit, Limited Complexity
99232 –$110.00 Subsequent Hospital Visits, Moderate Complexity
99233 –$160.00 Subsequent Hospital Visit, High Complexity
99291 –$421.00 Critical Care, Initial 30-74 minutes
99292 –$188.00 Critical Care, Each additional 30 minutes

Should you need pricing for a particular code or procedure that is not listed in our top 15 codes/charges, please contact our office and we will be happy to assist you.

Effective: 1/1/2018