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Transparency in Health Care Prices Act

In compliance with SB 17-065 Valley-Wide Health Systems, Inc. has prepared this Transparency in Health Care Prices Actdisclosure effective January 1, 2019.

Fifteen Most Common Services provided by Valley-Wide Health Systems Inc.

CODE DESCRIPTION FEE Updated: 01/01/2020

1.

99213

Office Visit, Established Patient, Level 3 

$132.00 

2.

99214

Office Visit, Established Patient, Level 4 

$195.00 

3.

99000

Specimen Handling

$4.00 

4.

90471

Immunization Administration, First Administration

$37.00 

5.

81002

Urinalysis, Office Lab Test

$7.00 

6.

97110

Therapeutic Exercises, Physical Therapy Treatment

$61.00 

7.

90472

Immunization Administration, Each Additional Admin.

$20.00 

8.

87880

Rapid Strep, Office Lab Test

$25.00 

9.

90686

Flu Injection, Age 3 Years and Older

$25.00 

10.

96372

Therapeutic Injection

$32.00 

11.

83036

Blood Sugar Test, Office Lab Test

$26.00 

12.

D7140

Dental Extraction of Tooth or Root, Non-Surgical

$168.00 

13.

D0140

Dental Exam, Limited, Problem-Focused

$67.00 

14.

D0220

Dental X-Ray, First Film

$25.00 

15.

97140

Manual Therapy, Physical Therapy Treatment

$57.00 

The health care fee for any given health care service is an estimate and the actual fees for the health care services are dependent on the circumstances at the time of service.

Additional Information:

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 health care provider at this office.

If you are not covered by health insurance, you are strongly encouraged to contact our financial eligibility staff at 719-587-1931 to discuss payment options prior to receiving a health care service from a health care provider at our clinics since posted health care prices may not reflect the actual amount of your financial responsibility.

Discounts are offered based on family size and income as determined by federal poverty guidelines. Nominal fees charged for essential services will be collected. Discount programs are updated annually and may change. Please ask for application assistance by calling 719-587-1931. We are here to meet your needs!

Valley-Wide serves all patients regardless of their ability to pay.