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 at this health care facility. If you are not covered by health insurance, you are strongly encouraged to contact Potomac Primary Care at (720) 979-0836 to discuss payment options prior to receiving a health care service from this health care facility since posted health care prices may not reflect the actual amount of your financial responsibility. The health care price for any given health care service is an estimate and the actual charges for the health care service are dependent on the circumstances at the time the service is rendered.

Price list descriptions
Procedure Code Description Self-Pay Price
J1050 Medroxyprogesterone Acetate $0.65
99213 Established Patient Office Visits Level 3 $89.05
99214 Established Patient Office Visit Level 4 $131.95
99396 Preventative Visit Established Age 40-64 $135.20
90471 Immunization Administration $44.85
99442 Phone Visit 11-20 Minutes $98.80
J3301 Triamcinolone Acetonide Drug $3.25
G0439 Office - Annual Physical Visits $208.65
99212 Established Office Visit Level 2 $53.95
81002 Labs - Urinalysis $7.15
87804 Labs - Flu $33.15
99395 Preventative Visit Established Age 18-39 $124.15
83036 Labs - Hemoglobin $26.65
87880 Labs - Strep $33.15
90715 TDAP Vaccine $80.60