National Jewish Health
National Jewish Health in Denver, CO publishes cash prices for 264 common procedures listed here, from its own machine-readable price file updated Mar 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 238 of 261 procedures and above it for 20. By typical cash price it ranks #12 of 50 Colorado hospitals and #2 of 21 hospitals in the Denver, CO area, cheapest first. Select a procedure to compare it with other hospitals nearby.
1400 JACKSON STREET, DENVER, CO 80206|9451 HURON STREET, THORNTON, CO 80260|400 INDIANA STREET, SUITE 230, GOLDEN, CO 80401 Collected Sep 21, 2026 Source price file Check a bill from this hospital (303) 388-4461
Acute care hospital Nonprofit hospital Emergency department CCN 060107 · CMS hospital register NPI 1326015777
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
National Jewish Health is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Colorado's Hospital Discounted Care law (HB21-1198): for qualifying patients with household income at or below 250% of the federal poverty level, hospitals and the clinicians who work in them may charge no more than the greater of the Medicare rate or the Medicaid base rate, and monthly payments are capped. That can be less than the cash prices below; ask the hospital to screen you for discounted care. Other states' laws.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 3 actions for a hospital named National Jewish Health in Denver, CO:
- Mar 11, 2025 Warning notice
- Jun 13, 2025 Corrective action plan requested
- Jul 18, 2025 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W/WO CONTRAST | $1,465.80 | $2,094.00 | $185.03–$1,675.20 | 36% below | 30% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W/WO CONTRAST | $1,465.80 | $2,094.00 | $185.03–$1,675.20 | — | 30% |
| Abdominal X-ray, 2 views CPT 74019 HC DI ABDOMEN 2 VIEWS | $317.10 | $453.00 | $110.28–$385.05 | 8% below | 30% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC DI ABDOMEN 2 VIEWS | $317.10 | $453.00 | $110.28–$385.05 | — | 30% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC DI ANKLE MIN 3 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | 44% below | 30% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC DI ANKLE MIN 3 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC UPR/L EXTREMITY ART 1-2 LEVELS BILATERAL | $374.50 | $535.00 | $110.28–$454.75 | — | 30% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC UPR/L EXTREMITY ART 1-2 LEVELS BILATERAL | $374.50 | $535.00 | $110.28–$454.75 | — | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST | $814.10 | $1,163.00 | $110.28–$1,200.00 | 52% below | 30% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST | $814.10 | $1,163.00 | $110.28–$1,200.00 | — | 30% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC DI ESOPHAGRAM | $527.80 | $754.00 | $185.03–$640.90 | 17% below | 30% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC DI ESOPHAGRAM | $527.80 | $754.00 | $185.03–$640.90 | — | 30% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE IMAGING WHOLE BODY | $1,259.30 | $1,799.00 | $421.71–$1,529.15 | 39% below | 30% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE IMAGING WHOLE BODY | $1,259.30 | $1,799.00 | $421.71–$1,529.15 | — | 30% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN AND PELVIS | $1,778.00 | $2,540.00 | $185.03–$2,159.00 | 37% below | 30% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN AND PELVIS | $1,778.00 | $2,540.00 | $185.03–$2,159.00 | — | 30% |
| CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W/WO CONTRAST | $1,960.00 | $2,800.00 | $185.03–$2,380.00 | 17% below | 30% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W/WO CONTRAST | $1,960.00 | $2,800.00 | $185.03–$2,380.00 | — | 30% |
| CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W/WO CONTRAST | $2,331.70 | $3,331.00 | $185.03–$2,831.35 | at median | 30% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W/WO CONTRAST | $2,331.70 | $3,331.00 | $185.03–$2,831.35 | — | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA PULMONARY W/WO CONTRAST | $2,105.60 | $3,008.00 | $185.03–$2,556.80 | 13% below | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA PULMONARY W/WO CONTRAST | $2,105.60 | $3,008.00 | $185.03–$2,556.80 | — | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA CORONARY ARTERIES W/CONTRAST | $1,806.00 | $2,580.00 | $368.02–$2,193.00 | 6% below | 30% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA CORONARY ARTERIES W/CONTRAST | $1,806.00 | $2,580.00 | $368.02–$2,193.00 | — | 30% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART QUAN CALCIUM W/O CONTRAST | $51.80 | $74.00 | $37.75–$1,200.00 | 85% below | 30% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART QUAN CALCIUM W/O CONTRAST | $51.80 | $74.00 | $37.75–$1,200.00 | — | 30% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST | $1,295.70 | $1,851.00 | $251.70–$1,480.80 | 39% below | 30% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST | $1,295.70 | $1,851.00 | $251.70–$1,480.80 | — | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W/CONTRAST | $1,465.80 | $2,094.00 | $368.02–$1,675.20 | 44% below | 30% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W/CONTRAST | $1,465.80 | $2,094.00 | $368.02–$1,675.20 | — | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W/WO CONTRAST | $1,806.00 | $2,580.00 | $251.70–$2,064.00 | 48% below | 30% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W/WO CONTRAST | $1,806.00 | $2,580.00 | $251.70–$2,064.00 | — | 30% |
| CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST | $1,247.40 | $1,782.00 | $185.03–$1,425.60 | 41% below | 30% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST | $1,247.40 | $1,782.00 | $185.03–$1,425.60 | — | 30% |
| CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST | $842.10 | $1,203.00 | $110.28–$1,200.00 | 41% below | 30% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST | $842.10 | $1,203.00 | $110.28–$1,200.00 | — | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $1,133.30 | $1,619.00 | $110.28–$1,295.20 | 15% below | 30% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST | $1,133.30 | $1,619.00 | $110.28–$1,295.20 | — | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $809.20 | $1,156.00 | $110.28–$1,195.00 | 42% below | 30% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST | $809.20 | $1,156.00 | $110.28–$1,195.00 | — | 30% |
| CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST | $1,153.60 | $1,648.00 | $185.03–$1,318.40 | 34% below | 30% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W/CONTRAST | $1,153.60 | $1,648.00 | $185.03–$1,318.40 | — | 30% |
| CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W/WO CONTRAST | $1,255.80 | $1,794.00 | $110.28–$1,435.20 | 39% below | 30% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W/WO CONTRAST | $1,255.80 | $1,794.00 | $110.28–$1,435.20 | — | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST | $805.70 | $1,151.00 | $110.28–$1,200.00 | 50% below | 30% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST | $805.70 | $1,151.00 | $110.28–$1,200.00 | — | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST | $830.20 | $1,186.00 | $110.28–$1,200.00 | 45% below | 30% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST | $830.20 | $1,186.00 | $110.28–$1,200.00 | — | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST | $1,101.80 | $1,574.00 | $185.03–$1,259.20 | 47% below | 30% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST | $1,101.80 | $1,574.00 | $185.03–$1,259.20 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC US DUPLEX SCAN CAROTID BILATERAL S&I | $936.60 | $1,338.00 | $140.35–$1,137.30 | — | 30% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC US DUPLEX SCAN CAROTID BILATERAL S&I | $936.60 | $1,338.00 | $140.35–$1,137.30 | — | 30% |
| Chest CT scan without and with contrast CPT 71270 HC CT THORAX DX W/WO CONTRAST | $1,616.30 | $2,309.00 | $110.28–$1,847.20 | 22% below | 30% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX DX W/WO CONTRAST | $1,616.30 | $2,309.00 | $110.28–$1,847.20 | — | 30% |
| Chest X-ray, 2 views CPT 71046 HC DI CHEST 2 VIEWS | $191.10 | $273.00 | $91.80–$232.05 | 37% below | 30% |
| Chest X-ray, 2 views inpatient CPT 71046 HC DI CHEST 2 VIEWS | $191.10 | $273.00 | $91.80–$232.05 | — | 30% |
| Chest X-ray, single view CPT 71045 HC DI CHEST 1 VIEW | $186.90 | $267.00 | $91.80–$226.95 | 29% below | 30% |
| Chest X-ray, single view inpatient CPT 71045 HC DI CHEST 1 VIEW | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC CLAVICLE COMPLETE UNILATERAL | $175.70 | $251.00 | $91.80–$220.56 | 41% below | 30% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC CLAVICLE COMPLETE UNILATERAL | $175.70 | $251.00 | $91.80–$220.56 | — | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE | $435.40 | $622.00 | $110.28–$528.70 | 35% below | 30% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE | $435.40 | $622.00 | $110.28–$528.70 | — | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DENSITY AXIAL 1+ SITES | $501.20 | $716.00 | $110.28–$608.60 | 3% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DENSITY AXIAL 1+ SITES | $501.20 | $716.00 | $110.28–$608.60 | — | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX DX W/O CONTRAST | $1,434.30 | $2,049.00 | $110.28–$1,639.20 | 5% below | 30% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX DX W/O CONTRAST | $1,434.30 | $2,049.00 | $110.28–$1,639.20 | — | 30% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX DX W/CONTRAST | $1,477.70 | $2,111.00 | $185.03–$1,688.80 | 21% below | 30% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX DX W/CONTRAST | $1,477.70 | $2,111.00 | $185.03–$1,688.80 | — | 30% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DOPPLER EXTREM COMPLETE BILATERAL | $936.60 | $1,338.00 | $110.28–$1,137.30 | — | 30% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DOPPLER EXTREM COMPLETE BILATERAL | $936.60 | $1,338.00 | $110.28–$1,137.30 | — | 30% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE COMP W/DPLR & COLOR W/O CONTRAST | $1,829.80 | $2,614.00 | $251.70–$2,221.90 | 15% below | 30% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE COMP W/DPLR & COLOR W/O CONTRAST | $1,829.80 | $2,614.00 | $251.70–$2,221.90 | — | 30% |
| Elbow X-ray, 2 views one side CPT 73070 HC DI ELBOW 2 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | 37% below | 30% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC DI ELBOW 2 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC DI ELBOW 3 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | 38% below | 30% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC DI ELBOW 3 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/SELLA/IAC W/O CONTRAST | $809.20 | $1,156.00 | $110.28–$1,195.00 | 51% below | 30% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/SELLA/IAC W/O CONTRAST | $809.20 | $1,156.00 | $110.28–$1,195.00 | — | 30% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC DI FACIAL BONES MIN 3 VIEWS | $282.80 | $404.00 | $91.80–$343.40 | 22% below | 30% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC DI FACIAL BONES MIN 3 VIEWS | $282.80 | $404.00 | $91.80–$343.40 | — | 30% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC DI FOREARM MIN 2 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | 37% below | 30% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC DI FOREARM MIN 2 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY IMAGING | $627.90 | $897.00 | $421.71–$1,145.54 | 70% below | 30% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY IMAGING | $627.90 | $897.00 | $421.71–$1,145.54 | — | 30% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC DI OS CALCIS MIN 2 VIEW UNILATERAL | $183.40 | $262.00 | $91.80–$222.70 | 33% below | 30% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC DI OS CALCIS MIN 2 VIEW UNILATERAL | $183.40 | $262.00 | $91.80–$222.70 | — | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTENDED | $532.70 | $761.00 | $227.77–$905.87 | 5% below | 30% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTENDED | $532.70 | $761.00 | $227.77–$905.87 | — | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC SLEEP APNEA STUDY W/CPAP TITR | $2,011.10 | $2,873.00 | $140.35–$2,442.05 | 42% below | 30% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC SLEEP APNEA STUDY W/CPAP TITR | $2,011.10 | $2,873.00 | $140.35–$2,442.05 | — | 30% |
| Knee X-ray, 3 views one side CPT 73562 HC DI KNEE 3 VIEWS UNILATERAL | $195.30 | $279.00 | $91.80–$237.15 | 43% below | 30% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC DI KNEE 3 VIEWS UNILATERAL | $195.30 | $279.00 | $91.80–$237.15 | — | 30% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC DI KNEE MIN 4 VIEW UNILATERAL | $336.00 | $480.00 | $91.80–$408.00 | 19% below | 30% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC DI KNEE MIN 4 VIEW UNILATERAL | $336.00 | $480.00 | $91.80–$408.00 | — | 30% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST UNILATERAL | $814.10 | $1,163.00 | $110.28–$1,200.00 | 45% below | 30% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST UNILATERAL | $814.10 | $1,163.00 | $110.28–$1,200.00 | — | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC ULTRASOUND ABDOMEN LIMITED | $473.20 | $676.00 | $110.28–$574.60 | 19% below | 30% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC ULTRASOUND ABDOMEN LIMITED | $473.20 | $676.00 | $110.28–$574.60 | — | 30% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US LIMITED JOINT OR NONVASC EXTREM UNILATERAL | $280.00 | $400.00 | $110.28–$340.00 | 40% below | 30% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US LIMITED JOINT OR NONVASC EXTREM UNILATERAL | $280.00 | $400.00 | $110.28–$340.00 | — | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LOW DOSE LUNG CA SCREEN W/O | $639.80 | $914.00 | $110.28–$1,195.00 | 67% above | 30% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LOW DOSE LUNG CA SCREEN W/O | $639.80 | $914.00 | $110.28–$1,195.00 | — | 30% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC DI TIBIA/FIBULA 2 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | 38% below | 30% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC DI TIBIA/FIBULA 2 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST | $1,791.30 | $2,559.00 | $251.70–$2,047.20 | 20% below | 30% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST | $1,791.30 | $2,559.00 | $251.70–$2,047.20 | — | 30% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI LOWER JOINT UNILATERAL W/O CONTRAST | $1,554.70 | $2,221.00 | $251.70–$1,776.80 | 25% below | 30% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI LOWER JOINT UNILATERAL W/O CONTRAST | $1,554.70 | $2,221.00 | $251.70–$1,776.80 | — | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI LOWER JOINT UNILATERAL W/WO CONTRAST | $1,953.00 | $2,790.00 | $368.02–$2,232.00 | 42% below | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI LOWER JOINT UNILATERAL W/WO CONTRAST | $1,953.00 | $2,790.00 | $368.02–$2,232.00 | — | 30% |
| MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $1,384.60 | $1,978.00 | $251.70–$1,650.00 | 39% below | 30% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST | $1,384.60 | $1,978.00 | $251.70–$1,650.00 | — | 30% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $2,114.70 | $3,021.00 | $251.70–$2,416.80 | 36% below | 30% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/WO CONTRAST | $2,114.70 | $3,021.00 | $251.70–$2,416.80 | — | 30% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST | $1,687.00 | $2,410.00 | $251.70–$1,928.00 | 27% below | 30% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST | $1,687.00 | $2,410.00 | $251.70–$1,928.00 | — | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/WO CONTRAST | $2,156.00 | $3,080.00 | $91.80–$2,464.00 | 33% below | 30% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/WO CONTRAST | $2,156.00 | $3,080.00 | $91.80–$2,464.00 | — | 30% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $1,380.40 | $1,972.00 | $251.70–$1,650.00 | 36% below | 30% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST | $1,380.40 | $1,972.00 | $251.70–$1,650.00 | — | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/WO CONTRAST | $1,960.70 | $2,801.00 | $368.02–$2,240.80 | 39% below | 30% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/WO CONTRAST | $1,960.70 | $2,801.00 | $368.02–$2,240.80 | — | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST | $1,384.60 | $1,978.00 | $251.70–$1,650.00 | 41% below | 30% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST | $1,384.60 | $1,978.00 | $251.70–$1,650.00 | — | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W/WO CONTRAST | $1,960.70 | $2,801.00 | $368.02–$2,240.80 | 39% below | 30% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W/WO CONTRAST | $1,960.70 | $2,801.00 | $368.02–$2,240.80 | — | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST | $1,380.40 | $1,972.00 | $251.70–$1,650.00 | 40% below | 30% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST | $1,380.40 | $1,972.00 | $251.70–$1,650.00 | — | 30% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W/WO CONTRAST | $2,109.80 | $3,014.00 | $368.02–$2,411.20 | 38% below | 30% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W/WO CONTRAST | $2,109.80 | $3,014.00 | $368.02–$2,411.20 | — | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST | $1,617.00 | $2,310.00 | $251.70–$1,848.00 | 31% below | 30% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST | $1,617.00 | $2,310.00 | $251.70–$1,848.00 | — | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREM 1 JOINT W/O CONTRAST | $1,521.80 | $2,174.00 | $251.70–$1,739.20 | 27% below | 30% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREM 1 JOINT W/O CONTRAST | $1,521.80 | $2,174.00 | $251.70–$1,739.20 | — | 30% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC DI CERVICAL SPINE 4 OR 5 VIEWS | $347.90 | $497.00 | $110.28–$422.45 | 28% below | 30% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC DI CERVICAL SPINE 4 OR 5 VIEWS | $347.90 | $497.00 | $110.28–$422.45 | — | 30% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK SOFT TISSUE W/CONTRAST | $1,231.30 | $1,759.00 | $185.03–$1,407.20 | 36% below | 30% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK SOFT TISSUE W/CONTRAST | $1,231.30 | $1,759.00 | $185.03–$1,407.20 | — | 30% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK SOFT TISSUE W/O CONTRAST | $830.20 | $1,186.00 | $110.28–$1,195.00 | 47% below | 30% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK SOFT TISSUE W/O CONTRAST | $830.20 | $1,186.00 | $110.28–$1,195.00 | — | 30% |
| Neck soft tissue X-ray CPT 70360 HC DI NECK SOFT TISSUE | $186.90 | $267.00 | $91.80–$226.95 | 38% below | 30% |
| Neck soft tissue X-ray inpatient CPT 70360 HC DI NECK SOFT TISSUE | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC HEART MUSCLE SPECT MULT | $3,384.50 | $4,835.00 | $1,365.70–$4,109.75 | 26% below | 30% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC HEART MUSCLE SPECT MULT | $3,384.50 | $4,835.00 | $1,365.70–$4,109.75 | — | 30% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET CT SKULL TO MID THIGH | $4,834.20 | $6,906.00 | $1,195.00–$5,524.80 | 32% below | 30% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET CT SKULL TO MID THIGH | $4,834.20 | $6,906.00 | $1,195.00–$5,524.80 | — | 30% |
| Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST | $728.70 | $1,041.00 | $110.28–$1,200.00 | 55% below | 30% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST | $728.70 | $1,041.00 | $110.28–$1,200.00 | — | 30% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC DI RIBS 2 VIEWS UNILATERAL | $168.70 | $241.00 | $91.80–$220.56 | 50% below | 30% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC DI RIBS 2 VIEWS UNILATERAL | $168.70 | $241.00 | $91.80–$220.56 | — | 30% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC DI X-RAY EXAM OF RIBS/CHEST | $324.80 | $464.00 | $110.28–$394.40 | 16% below | 30% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC DI X-RAY EXAM OF RIBS/CHEST | $324.80 | $464.00 | $110.28–$394.40 | — | 30% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC DI SHOULDER MIN 2 VIEWS UNILATERAL | $191.10 | $273.00 | $91.80–$232.05 | 39% below | 30% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC DI SHOULDER MIN 2 VIEWS UNILATERAL | $191.10 | $273.00 | $91.80–$232.05 | — | 30% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC DI SINUSES COMPLETE 3 OR MORE VIEWS | $294.70 | $421.00 | $91.80–$357.85 | 15% below | 30% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC DI SINUSES COMPLETE 3 OR MORE VIEWS | $294.70 | $421.00 | $91.80–$357.85 | — | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 HC BASELINE SLEEP STUDY | $1,724.10 | $2,463.00 | $905.87–$2,093.55 | 45% below | 30% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC BASELINE SLEEP STUDY | $1,724.10 | $2,463.00 | $905.87–$2,093.55 | — | 30% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC DI SWALLOWING EVAL W/VIDEO | $515.90 | $737.00 | $185.03–$626.45 | 15% below | 30% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC DI SWALLOWING EVAL W/VIDEO | $515.90 | $737.00 | $185.03–$626.45 | — | 30% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC DI FEMUR MIN 2 VIEW UNILATERAL | $347.90 | $497.00 | $91.80–$422.45 | 15% above | 30% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC DI FEMUR MIN 2 VIEW UNILATERAL | $347.90 | $497.00 | $91.80–$422.45 | — | 30% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST | $805.70 | $1,151.00 | $110.28–$1,200.00 | 46% below | 30% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST | $805.70 | $1,151.00 | $110.28–$1,200.00 | — | 30% |
| Toe X-ray, 2 or more views CPT 73660 HC DI TOES MIN 2 VIEWS UNLATERAL | $183.40 | $262.00 | $91.80–$222.70 | 35% below | 30% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC DI TOES MIN 2 VIEWS UNLATERAL | $183.40 | $262.00 | $91.80–$222.70 | — | 30% |
| Ultrasound of the abdomen, complete CPT 76700 HC ULTRASOUND ABDOMEN COMPLETE | $454.30 | $649.00 | $110.28–$551.65 | 37% below | 30% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC ULTRASOUND ABDOMEN COMPLETE | $454.30 | $649.00 | $110.28–$551.65 | — | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD/NECK SOFT TISSUE | $435.40 | $622.00 | $110.28–$528.70 | 30% below | 30% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD/NECK SOFT TISSUE | $435.40 | $622.00 | $110.28–$528.70 | — | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC DI X-RAY UPPER GI DELAY W/KUB | $592.20 | $846.00 | $185.03–$719.10 | 31% below | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC DI X-RAY UPPER GI DELAY W/KUB | $592.20 | $846.00 | $185.03–$719.10 | — | 30% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC DI HUMERUS MIN 2 VIEWS UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | 37% below | 30% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC DI HUMERUS MIN 2 VIEWS UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DOPPLER EXTREMITY VEINS UNILATERAL | $511.70 | $731.00 | $110.28–$621.35 | 8% below | 30% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DOPPLER EXTREMITY VEINS UNILATERAL | $511.70 | $731.00 | $110.28–$621.35 | — | 30% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC DI WRIST MIN 3 VIEW UNILAT | $186.90 | $267.00 | $91.80–$226.95 | 38% below | 30% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC DI WRIST MIN 3 VIEW UNILAT | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DI HIP UNILATERAL +/- PELVIS 2 OR 3 VIEW | $206.50 | $295.00 | $91.80–$250.75 | 36% below | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DI HIP UNILATERAL +/- PELVIS 2 OR 3 VIEW | $206.50 | $295.00 | $91.80–$250.75 | — | 30% |
| X-ray of the abdomen, 1 view CPT 74018 HC ABDOMEN 1 VIEW | $186.90 | $267.00 | $91.80–$226.95 | 33% below | 30% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC ABDOMEN 1 VIEW | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC DI FINGERS MIN 2 VIEWS UNILATERAL | $191.10 | $273.00 | $91.80–$232.05 | 37% below | 30% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC DI FINGERS MIN 2 VIEWS UNILATERAL | $191.10 | $273.00 | $91.80–$232.05 | — | 30% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC DI FOOT MIN 3 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | 40% below | 30% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC DI FOOT MIN 3 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC DI HAND MIN 3 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | 41% below | 30% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC DI HAND MIN 3 VIEW UNILATERAL | $186.90 | $267.00 | $91.80–$226.95 | — | 30% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC DI KNEE 1-2 VIEWS UNILATERAL | $183.40 | $262.00 | $91.80–$222.70 | 39% below | 30% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC DI KNEE 1-2 VIEWS UNILATERAL | $183.40 | $262.00 | $91.80–$222.70 | — | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC DI LUMBAR SPINE 2 OR 3 VIEWS | $321.30 | $459.00 | $110.28–$390.15 | 11% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC DI LUMBAR SPINE 2 OR 3 VIEWS | $321.30 | $459.00 | $110.28–$390.15 | — | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT | $347.90 | $497.00 | $110.28–$422.45 | 28% below | 30% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT | $347.90 | $497.00 | $110.28–$422.45 | — | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC DI THORACIC SPINE 2 VIEWS | $317.10 | $453.00 | $91.80–$385.05 | 2% above | 30% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC DI THORACIC SPINE 2 VIEWS | $317.10 | $453.00 | $91.80–$385.05 | — | 30% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC DI NASAL BONES MIN 3 VIEWS | $145.60 | $208.00 | $91.80–$192.78 | 54% below | 30% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC DI NASAL BONES MIN 3 VIEWS | $145.60 | $208.00 | $91.80–$192.78 | — | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC DI CERVICAL SPINE 2 OR 3 VIEWS | $191.10 | $273.00 | $91.80–$232.05 | 39% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC DI CERVICAL SPINE 2 OR 3 VIEWS | $191.10 | $273.00 | $91.80–$232.05 | — | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC DI PELVIS 1 OR 2 VIEWS | $321.30 | $459.00 | $110.28–$390.15 | 7% above | 30% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC DI PELVIS 1 OR 2 VIEWS | $321.30 | $459.00 | $110.28–$390.15 | — | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC DI SACRUM/COCCYX MIN 2 VIEWS | $312.90 | $447.00 | $91.80–$379.95 | 4% above | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC DI SACRUM/COCCYX MIN 2 VIEWS | $312.90 | $447.00 | $91.80–$379.95 | — | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSAMINASE ALT/SGPT | $42.88 | $61.25 | $5.30–$52.06 | 28% below | 30% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSAMINASE ALT/SGPT | $42.88 | $61.25 | $5.30–$52.06 | — | 30% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSAMINASE AST/SGOT | $42.88 | $61.25 | $5.18–$52.06 | 28% below | 30% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSAMINASE AST/SGOT | $42.88 | $61.25 | $5.18–$52.06 | — | 30% |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM | $31.50 | $45.00 | $4.95–$38.25 | 44% below | 30% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM | $31.50 | $45.00 | $4.95–$38.25 | — | 30% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE SERUM | $31.50 | $45.00 | $4.74–$38.25 | 44% below | 30% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE SERUM | $31.50 | $45.00 | $4.74–$38.25 | — | 30% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE, EACH ALLERGEN | $100.28 | $143.25 | $5.22–$121.76 | 152% above | 30% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE, EACH ALLERGEN | $100.28 | $143.25 | $5.22–$121.76 | — | 30% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN; SERUM | $51.35 | $73.36 | $6.48–$62.36 | 62% below | 30% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN; SERUM | $51.35 | $73.36 | $6.48–$62.36 | — | 30% |
| Amylase blood test CPT 82150 HC AMYLASE | $6.16 | $8.80 | $4.49–$21.09 | 94% below | 30% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE | $6.16 | $8.80 | $4.49–$21.09 | — | 30% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI-NUCLEAR ANTIBODIES | $42.00 | $60.00 | $5.18–$51.00 | 53% below | 30% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI-NUCLEAR ANTIBODIES | $42.00 | $60.00 | $5.18–$51.00 | — | 30% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE | $59.36 | $84.80 | $39.26–$82.45 | 79% below | 30% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE | $59.36 | $84.80 | $39.26–$82.45 | — | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, BACTERIAL, OTHER SOURCE | $87.50 | $125.00 | $8.62–$106.25 | 20% below | 30% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, BACTERIAL, OTHER SOURCE | $87.50 | $125.00 | $8.62–$106.25 | — | 30% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $66.50 | $95.00 | $7.01–$80.75 | 51% below | 30% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $66.50 | $95.00 | $7.01–$80.75 | — | 30% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $31.50 | $45.00 | $5.02–$38.25 | 46% below | 30% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $31.50 | $45.00 | $5.02–$38.25 | — | 30% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH LEVEL-IV GROSS & MICRO | $98.00 | $140.00 | $54.97–$378.12 | 80% below | 30% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH LEVEL-IV GROSS & MICRO | $98.00 | $140.00 | $54.97–$378.12 | — | 30% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD | $91.18 | $130.25 | $9.44–$110.71 | 56% below | 30% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD | $91.18 | $130.25 | $9.44–$110.71 | — | 30% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $10.50 | $15.00 | $7.65–$12.75 | 65% below | 30% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $10.50 | $15.00 | $7.65–$12.75 | — | 30% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE; QUAN BLOOD | $17.64 | $25.20 | $3.93–$21.42 | 71% below | 30% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE; QUAN BLOOD | $17.64 | $25.20 | $3.93–$21.42 | — | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY TEST QUALITATIVE | $31.50 | $45.00 | $3.80–$38.25 | 71% below | 30% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC PREGNANCY TEST QUALITATIVE | $31.50 | $45.00 | $3.80–$38.25 | — | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING, SEROLOGIC; ABO | $43.45 | $62.07 | $2.99–$52.76 | 58% below | 30% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING, SEROLOGIC; ABO | $43.45 | $62.07 | $2.99–$52.76 | — | 30% |
| Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN QUANT | $36.62 | $52.32 | $3.95–$44.47 | 40% below | 30% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN QUANT | $36.62 | $52.32 | $3.95–$44.47 | — | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN | $57.40 | $82.00 | $5.18–$69.70 | 38% below | 30% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN | $57.40 | $82.00 | $5.18–$69.70 | — | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19/SARS-COV-2 CPT 87635 INF AGENT DET W/WO RESP CDC SITE U0001 | $184.80 | $264.00 | $51.31–$224.40 | 56% above | 30% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19/SARS-COV-2 CPT 87635 INF AGENT DET W/WO RESP CDC SITE U0001 | $184.80 | $264.00 | $51.31–$224.40 | — | 30% |
| Calcium blood test, total CPT 82310 HC CALCIUM; TOTAL | $31.50 | $45.00 | $5.16–$38.25 | 51% below | 30% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM; TOTAL | $31.50 | $45.00 | $5.16–$38.25 | — | 30% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY | $68.95 | $98.50 | $12.88–$83.73 | 38% below | 30% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY | $68.95 | $98.50 | $12.88–$83.73 | — | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $88.20 | $126.00 | $8.68–$107.10 | 28% below | 30% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $88.20 | $126.00 | $8.68–$107.10 | — | 30% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC/PLT AUTO DIFFERENTIAL | $42.00 | $60.00 | $6.47–$51.00 | 47% below | 30% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC/PLT AUTO DIFFERENTIAL | $42.00 | $60.00 | $6.47–$51.00 | — | 30% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC W/O DIFFERENTIAL | $42.00 | $60.00 | $2.54–$51.00 | 48% below | 30% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W/O DIFFERENTIAL | $42.00 | $60.00 | $2.54–$51.00 | — | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $70.00 | $100.00 | $10.56–$85.00 | 61% below | 30% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $70.00 | $100.00 | $10.56–$85.00 | — | 30% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $104.30 | $149.00 | $6.51–$126.65 | 26% below | 30% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $104.30 | $149.00 | $6.51–$126.65 | — | 30% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CPK CREATINE PHOSPHOKINASE | $31.50 | $45.00 | $6.51–$38.25 | 64% below | 30% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CPK CREATINE PHOSPHOKINASE | $31.50 | $45.00 | $6.51–$38.25 | — | 30% |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $39.10 | $55.85 | $5.12–$47.47 | 28% below | 30% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD | $39.10 | $55.85 | $5.12–$47.47 | — | 30% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS ANTIOBYD | $107.80 | $154.00 | $14.39–$130.90 | 13% below | 30% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS ANTIOBYD | $107.80 | $154.00 | $14.39–$130.90 | — | 30% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D DIMER QUAN | $42.00 | $60.00 | $4.29–$51.00 | 71% below | 30% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D DIMER QUAN | $42.00 | $60.00 | $4.29–$51.00 | — | 30% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PRESMPTV,ANY NO. BY INSTR CHEM ANAL | $70.00 | $100.00 | $3.17–$130.49 | 60% below | 30% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PRESMPTV,ANY NO. BY INSTR CHEM ANAL | $70.00 | $100.00 | $3.17–$130.49 | — | 30% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $63.00 | $90.00 | $7.01–$76.50 | 49% below | 30% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $63.00 | $90.00 | $7.01–$76.50 | — | 30% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN | $22.90 | $32.72 | $13.63–$28.62 | 80% below | 30% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN | $22.90 | $32.72 | $13.63–$28.62 | — | 30% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID; SERUM | $46.33 | $66.18 | $9.30–$56.25 | 63% below | 30% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID; SERUM | $46.33 | $66.18 | $9.30–$56.25 | — | 30% |
| Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE T3 FREE | $60.63 | $86.61 | $12.47–$73.62 | 63% below | 30% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE T3 FREE | $60.63 | $86.61 | $12.47–$73.62 | — | 30% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE THYROXINE | $49.00 | $70.00 | $9.02–$59.50 | 53% below | 30% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE THYROXINE | $49.00 | $70.00 | $9.02–$59.50 | — | 30% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GLUTAMYL TRANSFERASE | $50.23 | $71.75 | $7.20–$60.99 | 34% below | 30% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GLUTAMYL TRANSFERASE | $50.23 | $71.75 | $7.20–$60.99 | — | 30% |
| Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE 3 SPEC | $148.93 | $212.75 | $3.92–$180.84 | 34% above | 30% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE 3 SPEC | $148.93 | $212.75 | $3.92–$180.84 | — | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB; SINGLE | $43.72 | $62.45 | $14.13–$53.08 | 56% below | 30% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB; SINGLE | $43.72 | $62.45 | $14.13–$53.08 | — | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN A1C | $38.50 | $55.00 | $9.71–$46.75 | 61% below | 30% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN A1C | $38.50 | $55.00 | $9.71–$46.75 | — | 30% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $16.80 | $24.00 | $2.37–$20.40 | 55% below | 30% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $16.80 | $24.00 | $2.37–$20.40 | — | 30% |
| Hepatitis B core antibody test (total) CPT 86704 HC AB; HBCAB - TOTAL | $27.52 | $39.31 | $11.77–$33.41 | 75% below | 30% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC AB; HBCAB - TOTAL | $27.52 | $39.31 | $11.77–$33.41 | — | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $11.82 | $16.88 | $8.61–$22.55 | 87% below | 30% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $11.82 | $16.88 | $8.61–$22.55 | — | 30% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG EIA | $26.82 | $38.32 | $10.33–$32.57 | 75% below | 30% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG EIA | $26.82 | $38.32 | $10.33–$32.57 | — | 30% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HCV TEST | $27.45 | $39.22 | $9.77–$33.34 | 78% below | 30% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HCV TEST | $27.45 | $39.22 | $9.77–$33.34 | — | 30% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP-HIGH SENSITIVITY | $34.45 | $49.21 | $12.95–$41.83 | 71% below | 30% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP-HIGH SENSITIVITY | $34.45 | $49.21 | $12.95–$41.83 | — | 30% |
| Iron blood test (serum iron) CPT 83540 HC IRON | $31.50 | $45.00 | $6.47–$38.25 | 50% below | 30% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON | $31.50 | $45.00 | $6.47–$38.25 | — | 30% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $31.50 | $45.00 | $8.74–$38.25 | 61% below | 30% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $31.50 | $45.00 | $8.74–$38.25 | — | 30% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $70.00 | $100.00 | $8.17–$85.00 | 62% below | 30% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $70.00 | $100.00 | $8.17–$85.00 | — | 30% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID POC | $48.50 | $69.29 | $6.04–$58.90 | 60% below | 30% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID POC | $48.50 | $69.29 | $6.04–$58.90 | — | 30% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE | $31.50 | $45.00 | $6.04–$38.25 | 54% below | 30% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE | $31.50 | $45.00 | $6.04–$38.25 | — | 30% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $87.50 | $125.00 | $8.17–$106.25 | 60% below | 30% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $87.50 | $125.00 | $8.17–$106.25 | — | 30% |
| Magnesium blood test CPT 83735 HC MAGNESIUM, BLOOD | $31.50 | $45.00 | $6.70–$39.26 | 47% below | 30% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, BLOOD | $31.50 | $45.00 | $6.70–$39.26 | — | 30% |
| Measles (rubeola) antibody test CPT 86765 HC RUBEOLA IGG ANTIBODY | $101.50 | $145.00 | $12.88–$123.25 | 9% below | 30% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA IGG ANTIBODY | $101.50 | $145.00 | $12.88–$123.25 | — | 30% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE SCREEN | $23.10 | $33.00 | $5.18–$28.05 | 72% below | 30% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE SCREEN | $23.10 | $33.00 | $5.18–$28.05 | — | 30% |
| Mumps immunity blood test CPT 86735 HC MUMPS IGG ANTIBODY | $21.00 | $30.00 | $13.05–$27.41 | 81% below | 30% |
| Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG ANTIBODY | $21.00 | $30.00 | $13.05–$27.41 | — | 30% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE; PTH | $68.75 | $98.21 | $3.58–$86.69 | 74% below | 30% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE; PTH | $68.75 | $98.21 | $3.58–$86.69 | — | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME | $51.63 | $73.75 | $6.01–$62.69 | 21% below | 30% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME | $51.63 | $73.75 | $6.01–$62.69 | — | 30% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS | $31.50 | $45.00 | $4.74–$38.25 | 47% below | 30% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS | $31.50 | $45.00 | $4.74–$38.25 | — | 30% |
| Potassium blood test CPT 84132 HC POTASSIUM; SERUM | $31.50 | $45.00 | $4.73–$38.25 | 49% below | 30% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM; SERUM | $31.50 | $45.00 | $4.73–$38.25 | — | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $43.55 | $62.22 | $2.70–$52.89 | 7% below | 30% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $43.55 | $62.22 | $2.70–$52.89 | — | 30% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A ASSAY W/OPTIC | $31.50 | $45.00 | $16.53–$39.40 | 78% below | 30% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A ASSAY W/OPTIC | $31.50 | $45.00 | $16.53–$39.40 | — | 30% |
| Rh blood typing CPT 86901 HC BLOOD TYPING; SEROLOGIC; RH D | $51.85 | $74.07 | $2.99–$62.96 | 22% below | 30% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING; SEROLOGIC; RH D | $51.85 | $74.07 | $2.99–$62.96 | — | 30% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT | $32.20 | $46.00 | $5.67–$61.98 | 39% below | 30% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT | $32.20 | $46.00 | $5.67–$61.98 | — | 30% |
| Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY | $35.09 | $50.13 | $12.88–$42.61 | 67% below | 30% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY | $35.09 | $50.13 | $12.88–$42.61 | — | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC AUTOM ERYTHROCYTE SED RATE | $22.23 | $31.75 | $2.70–$26.99 | 62% below | 30% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC AUTOM ERYTHROCYTE SED RATE | $22.23 | $31.75 | $2.70–$26.99 | — | 30% |
| Sodium blood test CPT 84295 HC SODIUM; SERUM | $30.88 | $44.11 | $4.81–$37.49 | 48% below | 30% |
| Sodium blood test inpatient CPT 84295 HC SODIUM; SERUM | $30.88 | $44.11 | $4.81–$37.49 | — | 30% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREENING | $14.35 | $20.50 | $4.38–$29.60 | 62% below | 30% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREENING | $14.35 | $20.50 | $4.38–$29.60 | — | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL IMMUN MEASURE RL | $101.50 | $145.00 | $61.98–$130.16 | 62% below | 30% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST, CELL IMMUN MEASURE RL | $101.50 | $145.00 | $61.98–$130.16 | — | 30% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES, EACH | $52.50 | $75.00 | $13.61–$63.75 | 57% below | 30% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES, EACH | $52.50 | $75.00 | $13.61–$63.75 | — | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $54.24 | $77.49 | $5.18–$65.87 | 63% below | 30% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $54.24 | $77.49 | $5.18–$65.87 | — | 30% |
| Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E | $63.00 | $90.00 | $8.02–$76.50 | 46% below | 30% |
| Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E | $63.00 | $90.00 | $8.02–$76.50 | — | 30% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL | $31.50 | $45.00 | $4.35–$38.25 | 48% below | 30% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL | $31.50 | $45.00 | $4.35–$38.25 | — | 30% |
| Total thyroxine (T4) blood test CPT 84436 HC THYROXINE TOTAL T4 | $38.33 | $54.75 | $6.87–$46.54 | 51% below | 30% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE TOTAL T4 | $38.33 | $54.75 | $6.87–$46.54 | — | 30% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $31.50 | $45.00 | $5.74–$38.25 | 54% below | 30% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $31.50 | $45.00 | $5.74–$38.25 | — | 30% |
| Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE POC | $124.11 | $177.30 | $3.95–$150.71 | 21% below | 30% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE POC | $124.11 | $177.30 | $3.95–$150.71 | — | 30% |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $31.50 | $45.00 | $4.52–$38.25 | 51% below | 30% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD | $31.50 | $45.00 | $4.52–$38.25 | — | 30% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICROSCOPY | $41.13 | $58.75 | $3.17–$49.94 | 56% below | 30% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICROSCOPY | $41.13 | $58.75 | $3.17–$49.94 | — | 30% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS W/O MICRO AUTOMATED | $17.50 | $25.00 | $2.25–$21.25 | 59% below | 30% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS W/O MICRO AUTOMATED | $17.50 | $25.00 | $2.25–$21.25 | — | 30% |
| Urinalysis without microscope exam, manual CPT 81002 HC N-AUTOM URINALYS WO MICRO POCL/POCBS | $17.50 | $25.00 | $2.25–$21.25 | 68% below | 30% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC N-AUTOM URINALYS WO MICRO POCL/POCBS | $17.50 | $25.00 | $2.25–$21.25 | — | 30% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE | $61.08 | $87.25 | $8.07–$74.16 | 40% below | 30% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE | $61.08 | $87.25 | $8.07–$74.16 | — | 30% |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE | $30.10 | $43.00 | $8.61–$197.99 | 59% below | 30% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE | $30.10 | $43.00 | $8.61–$197.99 | — | 30% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 | $21.93 | $31.33 | $15.08–$31.67 | 83% below | 30% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 | $21.93 | $31.33 | $15.08–$31.67 | — | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $41.34 | $59.05 | $5.16–$62.16 | 77% below | 30% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY | $41.34 | $59.05 | $5.16–$62.16 | — | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HUMAN CHORIONIC GONADOTROPIN QUANT | $87.24 | $124.63 | $7.52–$105.94 | 44% below | 30% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HUMAN CHORIONIC GONADOTROPIN QUANT | $87.24 | $124.63 | $7.52–$105.94 | — | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE | $807.10 | $1,153.00 | $323.80–$980.05 | 21% below | 30% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE | $807.10 | $1,153.00 | $323.80–$980.05 | — | 30% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXTERNAL | $1,195.60 | $1,708.00 | $62.23–$1,464.16 | 25% below | 30% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXTERNAL | $1,195.60 | $1,708.00 | $62.23–$1,464.16 | — | 30% |
| Colonoscopy with polyp removal CPT 45385 HC NJH COLONOSCOPY FLEX PROXIMA SPLEN | $2,644.60 | $3,778.00 | $1,262.32–$3,211.30 | 2% above | 30% |
| Colonoscopy with polyp removal inpatient CPT 45385 HC NJH COLONOSCOPY FLEX PROXIMA SPLEN | $2,644.60 | $3,778.00 | $1,262.32–$3,211.30 | — | 30% |
| Colonoscopy with tissue sample CPT 45380 HC NJH COLONOSCOPY FLEX PROX SPLENIC | $2,503.20 | $3,576.00 | $1,262.32–$3,039.60 | 2% below | 30% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC NJH COLONOSCOPY FLEX PROX SPLENIC | $2,503.20 | $3,576.00 | $1,262.32–$3,039.60 | — | 30% |
| Colonoscopy, diagnostic CPT 45378 HC DIAGNOSTIC COLONOSCOPY | $1,918.00 | $2,740.00 | $981.00–$2,524.64 | 5% below | 30% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC DIAGNOSTIC COLONOSCOPY | $1,918.00 | $2,740.00 | $981.00–$2,524.64 | — | 30% |
| Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQ INSTR; UNILATERAL | $21.00 | $30.00 | $15.30–$183.60 | 87% below | 30% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN REQ INSTR; UNILATERAL | $21.00 | $30.00 | $15.30–$183.60 | — | 30% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HC COM CON ENDOSCOPY MAXILLARY SINUS | $12,176.50 | $17,395.00 | $249.85–$15,634.08 | 67% above | 30% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 HC COM CON ENDOSCOPY MAXILLARY SINUS | $12,176.50 | $17,395.00 | $249.85–$15,634.08 | — | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC NJH DIAGNOSTIC SIGMOIDOSCOPY | $1,546.30 | $2,209.00 | $981.00–$2,060.10 | 104% above | 30% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC NJH DIAGNOSTIC SIGMOIDOSCOPY | $1,546.30 | $2,209.00 | $981.00–$2,060.10 | — | 30% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HC LIGATION OF HEMORRHOID(S) | $1,817.20 | $2,596.00 | $140.35–$2,206.60 | 25% below | 30% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC LIGATION OF HEMORRHOID(S) | $1,817.20 | $2,596.00 | $140.35–$2,206.60 | — | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SGL TENDON SHTH OR LIGAMENT | $484.40 | $692.00 | $323.80–$679.98 | 28% above | 30% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SGL TENDON SHTH OR LIGAMENT | $484.40 | $692.00 | $323.80–$679.98 | — | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC MAJOR JOINT ASPRTN/INJ UNILATERAL W/O US GUIDE | $499.80 | $714.00 | $323.80–$679.98 | 45% above | 30% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC MAJOR JOINT ASPRTN/INJ UNILATERAL W/O US GUIDE | $499.80 | $714.00 | $323.80–$679.98 | — | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC MEDIUM JOINT ASPIRTN/INJECT UNILATERAL W/O US GUIDE | $480.90 | $687.00 | $323.80–$1,489.24 | 28% above | 30% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC MEDIUM JOINT ASPIRTN/INJECT UNILATERAL W/O US GUIDE | $480.90 | $687.00 | $323.80–$1,489.24 | — | 30% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HC SMALL JOINT ASPRNT/INJECT UNILATERAL W/O US GUIDE | $476.70 | $681.00 | $323.80–$679.98 | 22% above | 30% |
| Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HC SMALL JOINT ASPRNT/INJECT UNILATERAL W/O US GUIDE | $476.70 | $681.00 | $323.80–$679.98 | — | 30% |
| Occipital nerve block (injection for headaches) one side CPT 64405 HC INJECTION, GREATER OCCIPITAL NERVE UNILATERAL | $346.50 | $495.00 | $252.50–$679.98 | 51% below | 30% |
| Occipital nerve block (injection for headaches) inpatient one side CPT 64405 HC INJECTION, GREATER OCCIPITAL NERVE UNILATERAL | $346.50 | $495.00 | $252.50–$679.98 | — | 30% |
| Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS WITH IMAGING | $1,537.20 | $2,196.00 | $135.74–$2,009.20 | at median | 30% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS WITH IMAGING | $1,537.20 | $2,196.00 | $135.74–$2,009.20 | — | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC SCREENING COLONOSCOPY LOW RISK | $1,918.00 | $2,740.00 | $107.17–$2,329.00 | 16% below | 30% |
| Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC SCREENING COLONOSCOPY LOW RISK | $1,918.00 | $2,740.00 | $107.17–$2,329.00 | — | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC SCREENING COLONOSCOPY HIGH RIS | $1,877.40 | $2,682.00 | $57.41–$2,279.70 | 13% below | 30% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC SCREENING COLONOSCOPY HIGH RIS | $1,877.40 | $2,682.00 | $57.41–$2,279.70 | — | 30% |
| Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN; SINGLE LESION | $334.60 | $478.00 | $243.83–$900.54 | 38% below | 30% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN; SINGLE LESION | $334.60 | $478.00 | $243.83–$900.54 | — | 30% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC | $1,306.20 | $1,866.00 | $744.62–$1,586.10 | 44% above | 30% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC | $1,306.20 | $1,866.00 | $744.62–$1,586.10 | — | 30% |
| Thoracentesis with imaging guidance one side CPT 32555 HC THORACENTESIS/ASPIRATION WITH IMAGING UNILATERAL | $1,339.80 | $1,914.00 | $661.73–$4,048.44 | 7% above | 30% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 HC THORACENTESIS/ASPIRATION WITH IMAGING UNILATERAL | $1,339.80 | $1,914.00 | $661.73–$4,048.44 | — | 30% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT(S), 1 - 2 MUSCLE | $480.90 | $687.00 | $323.80–$679.98 | at median | 30% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT(S), 1 - 2 MUSCLE | $480.90 | $687.00 | $323.80–$679.98 | — | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC NJH UPPER GASTRO ENDO W/BALLOON | $2,370.20 | $3,386.00 | $1,727.20–$4,250.86 | 14% above | 30% |
| Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC NJH UPPER GASTRO ENDO W/BALLOON | $2,370.20 | $3,386.00 | $1,727.20–$4,250.86 | — | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC NJH UPPER GASTROINTESTINAL ENDOSCO | $1,853.60 | $2,648.00 | $956.76–$4,048.44 | 3% below | 30% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC NJH UPPER GASTROINTESTINAL ENDOSCO | $1,853.60 | $2,648.00 | $956.76–$4,048.44 | — | 30% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 HC NJH UPPR GI SCOPE W/SUBMUC INJ | $1,801.10 | $2,573.00 | $956.76–$4,048.44 | 7% below | 30% |
| Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC NJH UPPR GI SCOPE W/SUBMUC INJ | $1,801.10 | $2,573.00 | $956.76–$4,048.44 | — | 30% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC NJH UPPER GASTRO ENDO W/REMOVAL OF TUMOR | $2,482.90 | $3,547.00 | $1,809.32–$4,250.86 | 6% below | 30% |
| Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC NJH UPPER GASTRO ENDO W/REMOVAL OF TUMOR | $2,482.90 | $3,547.00 | $1,809.32–$4,250.86 | — | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC NJH UPPER GI ENDO W/GUIDE WIRE | $1,873.90 | $2,677.00 | $956.76–$4,048.44 | 3% below | 30% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC NJH UPPER GI ENDO W/GUIDE WIRE | $1,873.90 | $2,677.00 | $956.76–$4,048.44 | — | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC COM CON EGD DIAGNOSTIC | $1,756.30 | $2,509.00 | $956.76–$2,132.65 | 9% below | 30% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC COM CON EGD DIAGNOSTIC | $1,756.30 | $2,509.00 | $956.76–$2,132.65 | — | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC ADMIN BLOOD TRANSFUSION DAILY | $703.50 | $1,005.00 | $465.39–$3,321.10 | 38% below | 30% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC ADMIN BLOOD TRANSFUSION DAILY | $703.50 | $1,005.00 | $465.39–$3,321.10 | — | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT | $70.70 | $101.00 | $51.52–$485.10 | 75% below | 30% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT | $70.70 | $101.00 | $51.52–$485.10 | — | 30% |
| Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO INFUSION INITIAL 1ST HR | $697.20 | $996.00 | $75.95–$846.60 | 33% below | 30% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO INFUSION INITIAL 1ST HR | $697.20 | $996.00 | $75.95–$846.60 | — | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD;TRACING ONLY W/O INTERP | $166.60 | $238.00 | $62.23–$227.77 | 32% below | 30% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD;TRACING ONLY W/O INTERP | $166.60 | $238.00 | $62.23–$227.77 | — | 30% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST | $716.80 | $1,024.00 | $100.29–$870.40 | 35% below | 30% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST | $716.80 | $1,024.00 | $100.29–$870.40 | — | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSN HYDRATION INITIAL HR | $412.30 | $589.00 | $49.40–$500.65 | at median | 30% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSN HYDRATION INITIAL HR | $412.30 | $589.00 | $49.40–$500.65 | — | 30% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAP INITIAL HR | $520.80 | $744.00 | $49.40–$632.40 | 2% below | 30% |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THERAP INITIAL HR | $520.80 | $744.00 | $49.40–$632.40 | — | 30% |
| IV push of a medicine, first drug CPT 96374 HC IVP INITIAL THERAPEUTIC | $280.70 | $401.00 | $49.40–$471.20 | 14% below | 30% |
| IV push of a medicine, first drug inpatient CPT 96374 HC IVP INITIAL THERAPEUTIC | $280.70 | $401.00 | $49.40–$471.20 | — | 30% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION IM/SC THERAPEUTIC | $123.90 | $177.00 | $75.95–$224.38 | 17% below | 30% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION IM/SC THERAPEUTIC | $123.90 | $177.00 | $75.95–$224.38 | — | 30% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES | $744.10 | $1,063.00 | $393.64–$903.55 | 41% below | 30% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDIES 7-8 STUDIES | $744.10 | $1,063.00 | $393.64–$903.55 | — | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC ST NEUROMM RE-ED 15 MIN | $88.90 | $127.00 | $33.86–$107.95 | 24% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUS RE-ED PER 15 MIN | $88.90 | $127.00 | $33.86–$107.95 | 24% below | 30% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUS RE-ED PER 15 MIN | $88.90 | $127.00 | $33.86–$107.95 | 24% below | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC ST NEUROMM RE-ED 15 MIN | $88.90 | $127.00 | $33.86–$107.95 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUS RE-ED PER 15 MIN | $88.90 | $127.00 | $33.86–$107.95 | — | 30% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUS RE-ED PER 15 MIN | $88.90 | $127.00 | $33.86–$107.95 | — | 30% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 3 | $96.60 | $138.00 | $70.39–$294.92 | 59% below | 30% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 3 | $96.60 | $138.00 | $70.39–$294.92 | — | 30% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4 | $111.30 | $159.00 | $81.11–$294.92 | 70% below | 30% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 4 | $111.30 | $159.00 | $81.11–$294.92 | — | 30% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 5 | $150.50 | $215.00 | $109.67–$294.92 | 71% below | 30% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 5 | $150.50 | $215.00 | $109.67–$294.92 | — | 30% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 2 | $68.60 | $98.00 | $49.99–$294.92 | 56% below | 30% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPATIENT VISIT NEW LEVEL 2 | $68.60 | $98.00 | $49.99–$294.92 | — | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTRITION INDIV 1ST EA 15MIN | $21.70 | $31.00 | $15.81–$56.83 | 61% below | 30% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTRITION INDIV 1ST EA 15MIN | $21.70 | $31.00 | $15.81–$56.83 | — | 30% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY | $147.00 | $210.00 | $104.20–$218.82 | 55% below | 30% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY | $147.00 | $210.00 | $104.20–$218.82 | — | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEXITY | $135.10 | $193.00 | $70.02–$213.59 | 58% below | 30% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEXITY | $135.10 | $193.00 | $70.02–$213.59 | — | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEXITY | $135.10 | $193.00 | $98.45–$213.59 | 52% below | 30% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEXITY | $135.10 | $193.00 | $98.45–$213.59 | — | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MODERATE COMPLEXITY | $135.10 | $193.00 | $98.45–$213.59 | 54% below | 30% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MODERATE COMPLEXITY | $135.10 | $193.00 | $98.45–$213.59 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY (SOFT TISSUE, MOB, MANIPULATION, TRACTION) PER 15 MIN | $61.60 | $88.00 | $18.59–$74.80 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY (SOFT TISSUE, MOB, MANIPULATION, TRACTION) PER 15 MIN | $61.60 | $88.00 | $28.65–$74.80 | 42% below | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY (SOFT TISSUE, MOB, MANIPULATION, TRACTION) PER 15 MIN | $61.60 | $88.00 | $28.65–$74.80 | — | 30% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY (SOFT TISSUE, MOB, MANIPULATION, TRACTION) PER 15 MIN | $61.60 | $88.00 | $18.59–$74.80 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EX PER 15 MIN | $70.00 | $100.00 | $30.04–$85.00 | 37% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EX PER 15 MIN | $70.00 | $100.00 | $30.04–$85.00 | 37% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC ST THERAPEUTIC EXERCISE/15 MIN | $70.00 | $100.00 | $30.04–$85.00 | 37% below | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EX PER 15 MIN | $70.00 | $100.00 | $30.04–$85.00 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC ST THERAPEUTIC EXERCISE/15 MIN | $70.00 | $100.00 | $30.04–$85.00 | — | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EX PER 15 MIN | $70.00 | $100.00 | $30.04–$85.00 | — | 30% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION ASYMPTOMATIC >3 & UP TO 10 MIN | $28.70 | $41.00 | $20.91–$82.99 | 54% below | 30% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION ASYMPTOMATIC >3 & UP TO 10 MIN | $28.70 | $41.00 | $20.91–$82.99 | — | 30% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPATIENT VISIT EST LEVEL 5 | $111.30 | $159.00 | $39.52–$294.92 | 67% below | 30% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPATIENT VISIT EST LEVEL 5 | $111.30 | $159.00 | $39.52–$294.92 | — | 30% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPATIENT VISIT EST LEVEL 3 | $79.10 | $113.00 | $57.64–$294.92 | 61% below | 30% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPATIENT VISIT EST LEVEL 3 | $79.10 | $113.00 | $57.64–$294.92 | — | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPATIENT VISIT EST LEVEL 4 | $96.60 | $138.00 | $70.39–$294.92 | 68% below | 30% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPATIENT VISIT EST LEVEL 4 | $96.60 | $138.00 | $70.39–$294.92 | — | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPATIENT VISIT EST LEVEL 2 | $68.60 | $98.00 | $49.99–$294.92 | 56% below | 30% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPATIENT VISIT EST LEVEL 2 | $68.60 | $98.00 | $49.99–$294.92 | — | 30% |
| Speech and language evaluation CPT 92523 HC ST EVAL ST SOUND PROD W/LANG COMP | $277.20 | $396.00 | $112.59–$491.78 | 41% below | 30% |
| Speech and language evaluation inpatient CPT 92523 HC ST EVAL ST SOUND PROD W/LANG COMP | $277.20 | $396.00 | $112.59–$491.78 | — | 30% |
| Speech therapy session, individual CPT 92507 HC ST TRTMT SPEECH LANG VOICE INDIV | $119.70 | $171.00 | $24.92–$165.21 | 67% below | 30% |
| Speech therapy session, individual inpatient CPT 92507 HC ST TRTMT SPEECH LANG VOICE INDIV | $119.70 | $171.00 | $24.92–$165.21 | — | 30% |
| Spirometry (breathing test) CPT 94010 HC SPIROMETRY | $122.50 | $175.00 | $89.27–$478.32 | 62% below | 30% |
| Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY | $122.50 | $175.00 | $89.27–$478.32 | — | 30% |
| Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY BEFORE/AFTER B.D. | $435.40 | $622.00 | $317.28–$826.64 | 12% below | 30% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY BEFORE/AFTER B.D. | $435.40 | $622.00 | $317.28–$826.64 | — | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITY 15 MIN | $61.60 | $88.00 | $36.46–$76.57 | 53% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC ST THERAPEUTIC ACTIVITY 15 MIN | $61.60 | $88.00 | $36.46–$76.57 | 53% below | 30% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITY 15 MIN | $61.60 | $88.00 | $36.46–$76.57 | 53% below | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITY 15 MIN | $61.60 | $88.00 | $36.46–$76.57 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC ST THERAPEUTIC ACTIVITY 15 MIN | $61.60 | $88.00 | $36.46–$76.57 | — | 30% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITY 15 MIN | $61.60 | $88.00 | $36.46–$76.57 | — | 30% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $158.20 | $226.00 | $140.35–$294.74 | 45% below | 30% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC | $158.20 | $226.00 | $140.35–$294.74 | — | 30% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACCINE, 65 YRS +, TRI, ADJUVANTED, PF, 0.5 ML SYRINGE 45 MCG (15 MCG X 3)/0.5 ML SYRG | $53.92 | $77.03 | $39.29–$65.48 | 82% below | 30% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACCINE, 65 YRS +, TRI, ADJUVANTED, PF, 0.5 ML SYRINGE 45 MCG (15 MCG X 3)/0.5 ML SYRG | $53.92 | $77.03 | $39.29–$65.48 | — | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 VACCINE 2023-2024 PF 30 MCG/0.3 ML SYRG | $101.09 | $144.42 | $0.01–$4,555.20 | 75% below | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 VACCINE 2024-2025 PF 30 MCG/0.3 ML SYRG | $140.91 | $201.30 | $0.01–$3,469.60 | 65% below | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 VACCINE 2025-2026 (COMIRNATY/PFIZER) 30 MCG/0.3 ML SYRG | $204.74 | $292.49 | $0.01–$1,687.20 | 49% below | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE | $204.76 | $292.52 | $62.23–$353.58 | 49% below | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 VACCINE 2023-2024 PF 30 MCG/0.3 ML SYRG | $101.09 | $144.42 | $0.01–$4,555.20 | — | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 VACCINE 2024-2025 PF 30 MCG/0.3 ML SYRG | $140.91 | $201.30 | $0.01–$3,469.60 | — | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 VACCINE 2025-2026 (COMIRNATY/PFIZER) 30 MCG/0.3 ML SYRG | $204.74 | $292.49 | $0.01–$1,687.20 | — | 30% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE | $204.76 | $292.52 | $62.23–$353.58 | — | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE (LIVE-PF) 1,350 UNIT/0.5 ML SUSR | $403.14 | $575.92 | $0.01–$489.53 | 34% below | 30% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE (LIVE-PF) 1,350 UNIT/0.5 ML SUSR | $403.14 | $575.92 | $0.01–$489.53 | — | 30% |
| DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV COMPONENT 1 OF 2 (PF) 15 LF-48 MCG- 62 DU/0.5 ML SUSP | $226.58 | $323.68 | $0.01–$2,328.00 | 26% below | 30% |
| DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV COMPONENT 1 OF 2 (PF) 15 LF-48 MCG- 62 DU/0.5 ML SUSP | $226.58 | $323.68 | $0.01–$2,328.00 | — | 30% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VIRUS VACCINE (ADJUVANTED) PF (20 MCG/0.5 ML) 20 MCG/0.5 ML SYRG | $344.52 | $492.17 | $0.01–$1,816.80 | 79% above | 30% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VIRUS VACCINE (ADJUVANTED) PF (20 MCG/0.5 ML) 20 MCG/0.5 ML SYRG | $344.52 | $492.17 | $0.01–$1,816.80 | — | 30% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE PF (CONC: 10 MCG/ 0.5 ML) 10 MCG/0.5 ML SYRG | $63.05 | $90.07 | $0.01–$995.20 | 42% below | 30% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE PF (CONC: 10 MCG/ 0.5 ML) 10 MCG/0.5 ML SYRG | $63.05 | $90.07 | $0.01–$995.20 | — | 30% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARIDE PF CONJUGATE 10 MCG/0.5 ML SOLR | $46.56 | $66.51 | $0.01–$56.54 | 16% below | 30% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARIDE PF CONJUGATE 10 MCG/0.5 ML SOLR | $46.56 | $66.51 | $0.01–$56.54 | — | 30% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES - MUMPS - RUBELLA VACCINE PF 1,000-12,500 TCID50/0.5 ML SOLR | $205.61 | $293.73 | $0.01–$2,414.40 | 36% below | 30% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES - MUMPS - RUBELLA VACCINE PF 1,000-12,500 TCID50/0.5 ML SOLR | $205.61 | $293.73 | $0.01–$2,414.40 | — | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE (20-VALENT) 0.5 ML SYRG | $316.34 | $451.91 | $0.01–$384.12 | 63% below | 30% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE (20-VALENT) 0.5 ML SYRG | $316.34 | $451.91 | $0.01–$384.12 | — | 30% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) CPT 90684 PNEUMOCOCCAL CONJUGATE VACCINE (21-VALENT) 0.5 ML SYRG | $315.36 | $450.52 | $0.01–$519.20 | at median | 30% |
| Pneumonia vaccine, 21-valent conjugate (Capvaxive) inpatient CPT 90684 PNEUMOCOCCAL CONJUGATE VACCINE (21-VALENT) 0.5 ML SYRG | $315.36 | $450.52 | $0.01–$519.20 | — | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 -VALENT POLYSACCHARIDE VACCINE (POLYVALENT) 25 MCG/0.5 ML SOLN | $103.17 | $147.39 | $0.01–$1,414.40 | 71% below | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 -VALENT POLYSACCHARIDE VACCINE (POLYVALENT) 25 MCG/0.5 ML SYRG | $119.66 | $170.95 | $0.01–$1,730.40 | 66% below | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 -VALENT POLYSACCHARIDE VACCINE (POLYVALENT) 25 MCG/0.5 ML SOLN | $103.17 | $147.39 | $0.01–$1,414.40 | — | 30% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 -VALENT POLYSACCHARIDE VACCINE (POLYVALENT) 25 MCG/0.5 ML SYRG | $119.66 | $170.95 | $0.01–$1,730.40 | — | 30% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RESPIRATORY SYNCYTIAL VIRUS (RECOMBINANT) (CONC: 120 MCG/0.5 ML) VACCINE 120 MCG/0.5 ML SOLR | $201.50 | $287.85 | $0.01–$244.67 | 79% below | 30% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RESPIRATORY SYNCYTIAL VIRUS (RECOMBINANT) (CONC: 120 MCG/0.5 ML) VACCINE 120 MCG/0.5 ML SOLR | $201.50 | $287.85 | $0.01–$244.67 | — | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTHERIA-ACEL PERTUSSIS PF (TDAP-7 YRS OR GREATER) VACCINE 2.5-8-5 LF-MCG-LF/0.5ML SYRG | $102.65 | $146.64 | $0.01–$2,380.00 | 51% below | 30% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTHERIA-ACEL PERTUSSIS PF (TDAP-7 YRS OR GREATER) VACCINE 2.5-8-5 LF-MCG-LF/0.5ML SYRG | $102.65 | $146.64 | $0.01–$2,380.00 | — | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN;ONE VACCINE | $34.30 | $49.00 | $24.99–$159.50 | 51% below | 30% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN;ONE VACCINE | $34.30 | $49.00 | $24.99–$159.50 | — | 30% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EACH ADDL VACC | $34.30 | $49.00 | $24.99–$42.87 | 57% below | 30% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EACH ADDL VACC | $34.30 | $49.00 | $24.99–$42.87 | — | 30% |
Source file: http://nationaljewish.org/NJH/media/Price-Transparency/742044647_National-Jewish-Health_standardcharges.csv