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 |