Boulder Women’s Clinic

Cash prices

1. 99395 Established patient preventive medicine visit, ages 18–39

   Standard service: Annual physical exam (established patient, 18-39)

   Code 99395

   Ask what's included
   $190 per visit
   Source: boulderwomensclinic.com · checked Oct 2026
2. 99396 Established patient preventive medicine visit, ages 40–64

   Standard service: Annual physical exam (established patient, 40-64)

   Code 99396

   Ask what's included
   $210 per visit
   Source: boulderwomensclinic.com · checked Oct 2026
3. 99385 New patient visit, ages 18–39

   Standard service: Annual physical, new patient (18-39)

   Code 99385

   Ask what's included
   $210 per visit
   Source: boulderwomensclinic.com · checked Oct 2026
4. 99386 New patient visit, ages 40–64

   Standard service: Annual physical, new patient (40-64)

   Code 99386

   Ask what's included
   $230 per visit
   Source: boulderwomensclinic.com · checked Oct 2026
5. 57454 Colposcopy

   Standard service: Colposcopy with cervical biopsy and ECC

   Code 57454

   Covers part
   $350

   Requires an additional $135 office visit fee; total $485.

   Source: boulderwomensclinic.com · checked Oct 2026
6. 99213 Established patient office visit, low/moderate complexity

   Standard service: Established patient visit (level 3)

   Code 99213

   Ask what's included
   $135 per visit
   Source: boulderwomensclinic.com · checked Oct 2026
7. 99214 Established patient office visit, moderate/high complexity

   Standard service: Established patient visit (level 4)

   Code 99214

   Ask what's included
   $170 per visit
   Source: boulderwomensclinic.com · checked Oct 2026
8. IUDs - Insertion Fee

   Standard service: IUD insertion

   Code 58300

   Covers part
   $160

   Insertion fee only. IUD device costs extra: Kyleena or Mirena $1,050; Paragard $950. Total with insertion: $1,210 or $1,110, respectively.

   Source: boulderwomensclinic.com · checked Oct 2026
9. 99203 New patient visit, low/moderate complexity

   Standard service: New patient visit (level 3)

   Code 99203

   Ask what's included
   $170 per visit
   Source: boulderwomensclinic.com · checked Oct 2026
10. 99204 New patient visit, moderate/high complexity

    Standard service: New patient visit (level 4)

    Code 99204

    Ask what's included
    $250 per visit
    Source: boulderwomensclinic.com · checked Oct 2026
11. 76830 Pelvic Ultrasound

    Standard service: Pelvic ultrasound transvaginal

    Code 76830

    All-in
    $225

    All-in is typical for this kind of provider. Requires an additional $170 office visit fee; total $395.

    Source: boulderwomensclinic.com · checked Oct 2026
12. Pregnancy Test (urine)

    Code 81025

    Ask what's included
    $18
    Source: boulderwomensclinic.com · checked Oct 2026
13. 58340 Sonohysterogram

    Standard service: Sonohysterogram

    Code 58340

    Covers part
    $300

    Requires an additional $395 for the office visit and ultrasound; total $695.

    Source: boulderwomensclinic.com · checked Oct 2026
14. Urine Test

    Ask what's included
    $10
    Source: boulderwomensclinic.com · checked Oct 2026

Prices are published cash prices with their source and the date we last checked. Confirm with the provider before you book. Hospital prices for a billing code are often the facility charge only.