In compliance with the federal law, please view pricing information for certain services at Rocky Mountain Senior Care.

Nursing Home Skilled and Long Term Care Code Default Rate
Nursing Home Admission Level 1 99304 $187.00
Nursing Home Admission Level 2 99305 $266.00
Nursing Home Admission Level 3 99306 $341.00
Subsequent Nursing Home Visit Level 1 99307 $91.00
Subsequent Nursing Home Visit Level 2 99308 $141.00
Subsequent Nursing Home Visit Level 3 99309 $187.00
Subsequent Nursing Home Visit Level 4 99310 $278.00
Nursing Home Discharge < 30 minutes 99315 $150.00
Nursing Home Discharge > 30 minutes 99316 $216.00

 

 

 

 

 

 

 

 

 

Home/Personal Residence – Assisted Living & Custodial Care Facility Code Default Rate
Home & Residence New Patient Visit Level 1 99341 $112.00
Home & Residence New Patient Visit Level 2 99342 $162.00
Home & Residence New Patient Visit Level 3 99344 $373.00
Home & Residence New Patient Visit Level 4 99345 $452.00
Home & Residence Established Patient Visit Level 1 99347 $113.00
Home & Residence Established Patient Visit Level 2 99348 $172.00
Home & Residence Established Patient Visit Level 3 99349 $263.00
Home & Residence Established Patient Visit Level 4 99350 $364.00

 

 

 

 

 

 

 

Annual Wellness Visit Code Default Rate
Initial Annual Wellness Visit (1 X per lifetime) G0438 $351.00
Subsequent Annual Wellness Visit (subsequent years) G0439 $238.00