PRICE TRANSPARENCY 

 
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In our effort to help patients understand their healthcare options and the cost of care, we are working to provide self-pay information and resources about pricing for common procedures and services provided at the Telluride Regional Medical Center.

 

Service

Radiology
 
 
 
 

 
Lab
 


 


 

ER Professional Fees

For any visit to the Emergency department you will receive charges for both the physician fees (professional fees), in addition to the facility charges for each visit.


 

ER Facility Fees

 

 

 


 

Injections/Procedures        

 

 

 

 


 

Office Visits    

Disclaimer: The prices on this website are an estimate of charges for the service without complications. This estimate does not include physician fees or charges for any additional vaccines, immunizations, procedures tests or radiology procedures ordered for your care. YOur final bill will include charges for the actual services provided to you. For questions about your financial obligation, we encourage you to contact your insurance company to verify details of your coverage.

            

 

Lab


36415: VENIPUNCTURE$26.00

87880: STREP TEST, QUICK$29.00

81002: URINE DIP, NON-AUTO, W/O SCOPE$26.00

87804: INFLUENZA- QUICK$68.00

85025: CBC$50.00

 

Radiology

71020, TC: CHEST, PA & LATERAL-TC$126.00

73562, TC: KNEE, 3 VIEW-TC$126.00

 

Procedures

90471: IMMUNIZATION ADMIN; 1 VACCINE$52.00

90715: ADACEL; TDAP; 7 YEARS OR OLDER, IM$100.00

98926: OSTEOPATHIC MANIP 3-4 BODY REGIONS$139.00

 

Preventative Care*

99381: PREVENTIVE CARE NEW PT. AGE LESS THAN 1 YEAR$245.00

99382: PREVENTIVE CARE NEW PT. AGE 1-4$254.00

99383: PREVENTIVE CARE NEW PT. AGE 5-11$254.00

99384: PREVENTIVE CARE NEW PT. AGE 12-17$303.00

99385: PREVENTIVE CARE NEW PT. AGE 18-39$347.00

99386: PREVENTIVE CARE NEW PT. AGE 40-64$508.00

99387: PREVENTIVE CARE NEW PT. AGE 65 AND OVER$551.00

99391: PREVENTIVE CARE EST. PT. AGE LESS THAN 1 YEAR$198.00

99392: PREVENTIVE CARE EST. PT. AGE 1-4$211.00

99393: PREVENTIVE CARE EST. PT. AGE 5-11$218.00

99394: PREVENTATIVE CARE EST PT 12-17 YRS$245.00

99395: PREVENTIVE CARE EST PT. AGE 18-39$347.00

99396: PREVENTIVE CARE EST PT. AGE 40-64$393.00

99397: PREVENTIVE CARE EST PT. AGE 65 AND OVER$435.00

 

Specials

If a patient does not have insurance or if insurance does not cover preventative care, TRMC offers the following Specials:

MISC, M12: VITAMIN D LAB SPECIAL$35.00

MISC, M2: SPORTS PE$45.00

MISC, M20: FAA/ DOT PHYSICAL$199.00

MISC, M22: HEMOGLOBIN A1C LAB$20.00

MISC, M24: CHLAMYDIA/GONORRHEA URINE TEST$35.00

MISC, M31: FIT SPECIAL$21.00

MISC, M32: WELL CHILD CHECK SPECIAL$45.00

MISC0: PAP SPECIAL$55.00

MISC1: LAB SPECIAL$45.00

MISC2: PSA SPECIAL$20.00

MISC3: HIV SPECIAL$ –

MISC4: PE SPECIAL$85.00

 

 

CPT Code and Description

70450, TC: CT BRAIN WITHOUT CONTRAST / $974.00
71020, TC: CHEST, PA & LATERAL-TC
73030, TC: SHOULDER, COMP MIN 2VIEW-TC
73110, TC: WRIST, COMP MIN 3 VIEW-TC
73562, TC: KNEE, 3 VIEW-TC


36415, IH: VENIPUNCTURE IN HOUSE
80048: BASIC METABOLIC PANEL
81002: URINE DIP, NON-AUTO, W/O SCOPE
81025: PREGNANCY TEST- URINE
84484: TROPONIN, QUANT
85025: CBC

 

99281: ER PRO FEE LEVEL 1
99282: ER PRO FEE LEVEL 2
99283: ER PRO FEE LEVEL 3
99284: ER PRO FEE LEVEL 4
99285: ER PRO FEE LEVEL 5



 

99281, FAC: ER FACILITY LEVEL 1
99282, FAC: ER FACILITY LEVEL 2
99283, FAC: ER FACILITY LEVEL 3
99284, FAC: ER FACILITY LEVEL 4
99285, FAC: ER FACILITY LEVEL 5



 

J2405: ZOFRAN/ONDANSETRON 1 MG/2ML INJ$11.00
J7040: NORMAL SALINE 500CC IV$6.00
90471: IMMUNIZATION ADMIN; 1 VACCINE$ 52.00
90715: ADACEL; TDAP; 7 YEARS OR OLDER, IM$100.00
93005: ELECTROCARDIOGRAM, TRACING$89.00
93010: ELECTROCARDIOGRAM REPORT$62.00
96360: *IV INFUS, HYDR, INIT TO 1 HR$219.00
96361: *IV INFUS, HYDR, BEYOND 1ST HR$93.00
96374: *INJECTION/IV PUSH, SINGLE OR INDV$166.00


 

99201: OFFICE VISIT, NEW PT., LEVEL 1$130.00
99202: OFFICE VISIT, NEW PT., LEVEL 2$227.00
99203: OFFICE VISIT, NEW PT., LEVEL 3$332.00
99204: OFFICE VISIT, NEW PT., LEVEL 4$501.00
99205: OFFICE VISIT, NEW PT., LEVEL 5$629.00
99211: OFFICE VISIT, NURSE VISIT$85.00
99212: OFFICE VISIT, EST PT., LEVEL 2$134.00
99213: OFFICE VISIT, EST PT., LEVEL 3$215.00
99214: OFFICE VISIT, EST PT., LEVEL 4$326.00
99215: OFFICE VISIT, EST PT., LEVEL 5$438.00

Charge

$974.00
$126.00
$119.00
$121.00
$126.00


$26.00
$70.00
$26.00
$50.00
$119.00
$50.00


 

$114.00
$215.00
$349.00
$631.00
$945.00





$173.00
$266.00
$417.00
$583.00
$829.00


Radiology

70450, TC: CT BRAIN WITHOUT CONTRAST $974.00

71020, TC: CHEST, PA & LATERAL-TC — $126.00

73030, TC: SHOULDER, COMP MIN 2VIEW-TC — $119.00

73110, TC: WRIST, COMP MIN 3 VIEW-TC — $121.00

73562, TC: KNEE, 3 VIEW-TC — $126.00

 

Lab

36415, IH: VENIPUNCTURE IN HOUSE — $26.00

80048: BASIC METABOLIC PANEL — $70.00

81002: URINE DIP, NON-AUTO, W/O SCOPE — $26.00

81025: PREGNANCY TEST- URINE — $50.00

84484: TROPONIN, QUANT — $119.00

85025: CBC — $50.00

 

For any visit to the Emergency department you will receive charges for both the physician fees (professional fees), in addition to the facility charges for each visit.

ER Professional Fees

99281: ER PRO FEE LEVEL 1 — $114.00

99282: ER PRO FEE LEVEL 2 — $215.00

99283: ER PRO FEE LEVEL 3 — $349.00

99284: ER PRO FEE LEVEL 4 — $631.00

99285: ER PRO FEE LEVEL 5 — $945.00

 

ER Facility Fees

99281, FAC: ER FACILITY LEVEL 1 — $173.00

99282, FAC: ER FACILITY LEVEL 2 — $266.00

99283, FAC: ER FACILITY LEVEL 3 — $417.00

99284, FAC: ER FACILITY LEVEL 4 — $583.00

99285, FAC: ER FACILITY LEVEL 5 — $829.00

 

Injections/Procedures        

J2405: ZOFRAN/ONDANSETRON 1 MG/2ML INJ — $11.00

J7040: NORMAL SALINE 500CC IV — $6.00

90471: IMMUNIZATION ADMIN; 1 VACCINE — $52.00

90715: ADACEL; TDAP; 7 YEARS OR OLDER, IM — $100.00

93005: ELECTROCARDIOGRAM, TRACING — $89.00

93010: ELECTROCARDIOGRAM REPORT — $62.00

96360: *IV INFUS, HYDR, INIT TO 1 HR — $219.00

96361: *IV INFUS, HYDR, BEYOND 1ST HR — $93.00

96374: *INJECTION/IV PUSH, SINGLE OR INDV — $166.00

 

Disclaimer: The prices on this website are an estimate of charges for the service without complications. This estimate does not include physician fees or charges for any additional vaccines, immunizations, procedures tests or radiology procedures ordered for your care. YOur final bill will include charges for the actual services provided to you. For questions about your financial obligation, we encourage you to contact your insurance company to verify details of your coverage.

 

Office Visits       

99201: OFFICE VISIT, NEW PT., LEVEL 1 — $130.00

99202: OFFICE VISIT, NEW PT., LEVEL 2 — $227.00

99203: OFFICE VISIT, NEW PT., LEVEL 3 — $332.00

99204: OFFICE VISIT, NEW PT., LEVEL 4 — $501.00

99205: OFFICE VISIT, NEW PT., LEVEL 5 — $629.00

99211: OFFICE VISIT, NURSE VISIT — $85.00

99212: OFFICE VISIT, EST PT., LEVEL 2 — $134.00

99213: OFFICE VISIT, EST PT., LEVEL 3 — $215.00

99214: OFFICE VISIT, EST PT., LEVEL 4 — $326.00

99215: OFFICE VISIT, EST PT., LEVEL 5 — $438.00

 

Lab

36415: VENIPUNCTURE — $26.00

87880: STREP TEST, QUICK — $29.00

81002: URINE DIP, NON-AUTO, W/O SCOPE — $26.00

87804: INFLUENZA- QUICK — $68.00

85025: CBC — $50.00

 

Radiology

71020, TC: CHEST, PA & LATERAL-TC — $126.00

73562, TC: KNEE, 3 VIEW-TC — $126.00

 

Procedures

90471: IMMUNIZATION ADMIN; 1 VACCINE — $52.00

90715: ADACEL; TDAP; 7 YEARS OR OLDER, IM — $100.00

98926: OSTEOPATHIC MANIP 3-4 BODY REGIONS — $139.00

 

Preventative Care*

99381: PREVENTIVE CARE NEW PT. AGE LESS THAN 1 YEAR — $245.00

99382: PREVENTIVE CARE NEW PT. AGE 1-4 — $254.00

99383: PREVENTIVE CARE NEW PT. AGE 5-11 — $254.00

99384: PREVENTIVE CARE NEW PT. AGE 12-17 — $303.00

99385: PREVENTIVE CARE NEW PT. AGE 18-39 — $347.00

99386: PREVENTIVE CARE NEW PT. AGE 40-64 — $508.00

99387: PREVENTIVE CARE NEW PT. AGE 65 AND OVER — $551.00

99391: PREVENTIVE CARE EST. PT. AGE LESS THAN 1 YEAR — $198.00

99392: PREVENTIVE CARE EST. PT. AGE 1-4 — $211.00

99393: PREVENTIVE CARE EST. PT. AGE 5-1 — $218.00

99394: PREVENTATIVE CARE EST PT 12-17 YRS — $245.00

99395: PREVENTIVE CARE EST PT. AGE 18-39 — $347.00

99396: PREVENTIVE CARE EST PT. AGE 40-64 — $393.00

99397: PREVENTIVE CARE EST PT. AGE 65 AND OVER — $435.00

 

Specials

If a patient does not have insurance or if insurance does not cover preventative care, TRMC offers the following Specials:

MISC, M12: VITAMIN D LAB SPECIAL — $35.00

MISC, M2: SPORTS PE — $45.00

MISC, M20: FAA/ DOT PHYSICAL — $199.00

MISC, M22: HEMOGLOBIN A1C LAB — $20.00

MISC, M24: CHLAMYDIA/GONORRHEA URINE TEST — $35.00

MISC, M31: FIT SPECIAL — $21.00

MISC, M32: WELL CHILD CHECK SPECIAL — $45.00

MISC0: PAP SPECIAL — $55.00

MISC1: LAB SPECIAL — $45.00

MISC2: PSA SPECIAL — $20.00

MISC3: HIV SPECIAL — $ –

MISC4: PE SPECIAL — $85.00