Mountains Women's Center

Cash prices

1. Preventive Screening / Annual Exam

   Standard service: Annual physical exam

   Ask what's included
   $340 per visit

   Lab fees not included.

   Source: mountainsobgyn.com · checked Oct 2026
2. Rocephin / Ceftriaxone

   Standard service: Ceftriaxone (Rocephin) injection

   Code J0696

   Ask what's included
   $10

   Additional $15 injection administration fee applies. Lab fees not included.

   Source: mountainsobgyn.com · checked Oct 2026
3. Colposcopy

   Code 57452

   Ask what's included
   $350

   Lab analysis fees not included.

   Source: mountainsobgyn.com · checked Oct 2026
4. Endometrial Biopsy

   Code 58100

   Covers part
   $300

   Lab analysis fees not included.

   Source: mountainsobgyn.com · checked Oct 2026
5. Endometrial Biopsy at Time of Colposcopy

   Standard service: Endometrial biopsy with colposcopy (add-on)

   Code 58110

   Ask what's includedAddon
   $100

   $100 biopsy add-on when performed alongside a separately priced $350 colposcopy. Lab analysis fees not included.

   Source: mountainsobgyn.com · checked Oct 2026
6. Established Patient – High Complexity

   Standard service: Established patient visit (high complexity)

   Code 99215

   Ask what's included
   $370 per visit

   Lab fees not included.

   Source: mountainsobgyn.com · checked Oct 2026
7. Established Patient – Low Complexity

   Standard service: Established patient visit (low complexity)

   Code 99213

   Ask what's included
   $180 per visit

   Lab fees not included.

   Source: mountainsobgyn.com · checked Oct 2026
8. Established Patient – Moderate Complexity

   Standard service: Established patient visit (moderate complexity)

   Code 99214

   Ask what's included
   $240 per visit

   Lab fees not included.

   Source: mountainsobgyn.com · checked Oct 2026
9. Return Pellet Placement – Female

   Standard service: Hormone pellet insertion (female, follow-up)

   Ask what's included
   $400

   Lab fees not included. Hormone therapy services cannot be submitted to insurance.

   Source: mountainsobgyn.com · checked Oct 2026
10. New Pellet Placement – Female

    Standard service: Hormone pellet insertion (female, new patient)

    Ask what's included
    $350

    Lab fees not included. Hormone therapy services cannot be submitted to insurance.

    Source: mountainsobgyn.com · checked Oct 2026
11. Gardasil Vaccine (HPV)

    Standard service: HPV vaccine (Gardasil 9)

    Code 90651

    Ask what's included
    $500

    Additional $15 injection administration fee applies. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
12. Hysteroscopy – Diagnostic

    Standard service: Hysteroscopy

    Code 58555

    Ask what's included
    $1,600

    Self-pay rate for the in-office procedure. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
13. Hysteroscopy – Polypectomy

    Standard service: Hysteroscopy with polypectomy

    Code 58558

    Covers part
    $3,000

    Self-pay rate for the in-office procedure. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
14. Hysteroscopy – Removal of Foreign Body (IUD)

    Standard service: Hysteroscopy with removal of IUD/foreign body

    Code 58562

    Ask what's included
    $1,800

    Self-pay rate for the in-office procedure. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
15. Incision & Drainage of Bartholin’s Gland Cyst

    Standard service: Incision and drainage of Bartholin's gland cyst

    Code 56420

    Ask what's included
    $430

    Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
16. Injection Administration Fee

    Standard service: Injection administration

    Ask what's includedAddon
    $15

    Administration fee applies when giving an injection; medication or vaccine is priced separately. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
17. IUD Insertion

    Code 58300

    Covers part
    $200

    Device excluded; available in stock for an additional $500. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
18. IUD Removal

    Code 58301

    Ask what's included
    $250

    Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
19. IUD Removal & Reinsertion

    Standard service: IUD removal and reinsertion

    Ask what's included
    $450

    Device excluded; available in stock for an additional $500. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
20. LEEP

    Standard service: LEEP of cervix

    Ask what's included
    $900

    Lab analysis fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
21. Marsupialization of Bartholin’s Gland Cyst

    Standard service: Marsupialization of cyst

    Ask what's included
    $600

    Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
22. New Patient - High Complexity

    Standard service: New patient visit (high complexity)

    Code 99205

    Ask what's included
    $420 per visit

    Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
23. New Patient – High Complexity

    Standard service: New patient visit (high complexity)

    Code 99205

    Ask what's included
    $420 per visit

    Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
24. New Patient - Low Complexity

    Standard service: New patient visit (low complexity)

    Code 99203

    Ask what's included
    $270 per visit

    Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
25. New Patient - Moderate Complexity

    Standard service: New patient visit (moderate complexity)

    Code 99204

    Ask what's included
    $360 per visit

    Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
26. Nexplanon Insertion

    Code 11981

    Ask what's included
    $300

    Device excluded; available in stock for an additional $500. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
27. Nexplanon Removal

    Code 11982

    Ask what's included
    $350

    Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
28. Nexplanon Removal & Reinsertion

    Standard service: Nexplanon removal with reinsertion

    Code 11983

    Ask what's included
    $500

    Device excluded; available in stock for an additional $500. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
29. Nitrous gas

    Standard service: Nitrous oxide sedation

    Code D9230

    Ask what's includedAddon
    $100

    Optional pain-control add-on for in-office procedures or contraception procedures. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
30. Saline Sonogram (SIS)

    Standard service: Saline infusion sonohysterogram

    Code 76831

    All-in
    $1,010

    Includes ultrasound and procedure. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
31. Toradol (pain/anti-inflammatory)

    Standard service: Toradol (ketorolac) injection

    Ask what's included
    $10

    Additional $15 injection administration fee applies. Lab fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
32. Transabdominal Ultrasound

    Ask what's included
    $250

    Lab fees not included. Both transabdominal and transvaginal ultrasounds may be needed on the same day; each costs $250.

    Source: mountainsobgyn.com · checked Oct 2026
33. Transvaginal Ultrasound

    Standard service: Ultrasound transvaginal

    Ask what's included
    $250

    Lab fees not included. Both transabdominal and transvaginal ultrasounds may be needed on the same day; each costs $250.

    Source: mountainsobgyn.com · checked Oct 2026
34. Urinalysis

    Ask what's included
    from $4

    Price ranges from $4 to $10 per test. Lab analysis fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
35. Urine Pregnancy Test

    Code 81025

    Ask what's included
    $14

    Lab analysis fees not included in listed rates.

    Source: mountainsobgyn.com · checked Oct 2026
36. Vulvar Biopsy - First Lesion

    Standard service: Vulvar biopsy

    Code 56605

    Ask what's included
    $300

    Lab analysis fees not included.

    Source: mountainsobgyn.com · checked Oct 2026
37. Vulvar Biopsy - Each Additional Lesion

    Standard service: Vulvar biopsy (each additional lesion)

    Code 56606

    Ask what's includedAddon
    $150 per unit

    $150 per additional lesion, in addition to $300 for the first lesion. Lab analysis fees not included.

    Source: mountainsobgyn.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.