Pricing for the 15 most common services we provide
Colorado Law requires us to post the full-fee price for the 15 most common services we provide.
NOTE: These are not necessarily the actual prices you will end up paying.*
The prices listed below are an estimate of what you might pay if:
- You do not have insurance (including Medicaid and Medicare);
- The service isn't covered by your insurance; or
- You are not enrolled in Clinica's Discount Program or other program offered at Clinica Family Health.
Most people who receive the services noted below at Clinica do not pay the prices listed.
*Our Enrollment Specialists offer free financial screening for our patients to help determine which payment programs they qualify for, and what they would pay for these services if they are on one of our discount programs.
New Patient Enrollment Appointment
Call our Enrollment Specialists at 303-650-4460, Monday - Friday 8am - 4:30pm.
15 Most Common Services at Clinica
|CPT||Full Fee||Service Description|
|99214||$228.77||Office/Outpatient Visit, Estabilish, Detailed|
|99213||$157.85||Office/Outpatient Visit, Estabilsih, Moderate|
|81002||$26.84||Urinalysis, Non-automated, w/o Scope|
|D1206||$1.00||Topical Application of Fluoride Varnish|
|D1351||$50.00||Sealant - Per Tooth|
|90688||$47.10||Flu Vacc 4 Val 0.5 mL Dosage IM|
|D0190||$15.91||Screening of a Patient|
|81025||$39.67||Urine Pregnancy Test|
|82962||$25.60||Glucose Blood Test|
|99393||$210.63||Preventive Checkup, est, 5-11 yrs|
|D0120||$40.00||Periodic Oral Evaluation - Estabilish Patient|
|85018||$21.04||Blood Count, Hemoglobin|
|90715||$104.17||TDAP 7 Years and Older|
|99392||$211.34||Preventive Checkup, est, 1-4 yrs|