Craig Hospital
Craig Hospital in Englewood, CO publishes cash prices for 169 common procedures listed here, from its own machine-readable price file updated Jun 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Colorado median for 107 of 169 procedures and below it for 55. By typical cash price it ranks #38 of 50 Colorado hospitals and #9 of 21 hospitals in the Denver, CO area, cheapest first. Select a procedure to compare it with other hospitals nearby.
3425 South Clarkson Street, Englewood, CO 80113 Collected Sep 23, 2026 Source price file Check a bill from this hospital
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 2 actions for a hospital named Craig Hospital in Englewood, CO:
- Feb 11, 2026 Warning notice
- May 13, 2026 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. 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.
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC ACTH | $1,335.89 | $3,506.25 | $32.83–$3,155.63 | 477% above | 62% |
| ACTH blood test inpatient CPT 82024 HC ACTH | $1,335.89 | $3,506.25 | $1,816.24–$3,155.63 | — | 62% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT / SGPT | $286.80 | $752.75 | $4.51–$677.48 | 383% above | 62% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT / SGPT | $286.80 | $752.75 | $389.92–$677.48 | — | 62% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST / SGOT | $308.33 | $809.25 | $4.40–$728.33 | 415% above | 62% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST / SGOT | $308.33 | $809.25 | $419.19–$728.33 | — | 62% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL | $1,820.90 | $4,779.25 | $40.49–$4,301.33 | 343% above | 62% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL | $1,820.90 | $4,779.25 | $2,475.65–$4,301.33 | — | 62% |
| Albumin blood test CPT 82040 HC ALBUMIN SERUM,PLASMA,WB | $342.62 | $899.25 | $4.21–$809.33 | 512% above | 62% |
| Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM,PLASMA,WB | $342.62 | $899.25 | $465.81–$809.33 | — | 62% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE URINE | $1,353.03 | $3,551.25 | $34.64–$3,196.13 | 403% above | 62% |
| Aldosterone blood test CPT 82088 HC ALDOSTERONE BLOOD | $1,353.03 | $3,551.25 | $34.64–$3,196.13 | 403% above | 62% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE URINE | $1,353.03 | $3,551.25 | $1,839.55–$3,196.13 | — | 62% |
| Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLOOD | $1,353.03 | $3,551.25 | $1,839.55–$3,196.13 | — | 62% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE | $161.07 | $422.75 | $4.40–$380.48 | 188% above | 62% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE | $161.07 | $422.75 | $218.98–$380.48 | — | 62% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE QUAN SEMI EA | $219.37 | $575.75 | $4.44–$518.18 | 452% above | 62% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE QUAN SEMI EA | $219.37 | $575.75 | $298.24–$518.18 | — | 62% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM | $600.27 | $1,575.50 | $14.25–$1,417.95 | 345% above | 62% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM | $600.27 | $1,575.50 | $816.11–$1,417.95 | — | 62% |
| Ammonia blood test CPT 82140 HC AMMONIA ASSAY | $572.17 | $1,501.75 | $12.38–$1,351.58 | 210% above | 62% |
| Ammonia blood test inpatient CPT 82140 HC AMMONIA ASSAY | $572.17 | $1,501.75 | $777.91–$1,351.58 | — | 62% |
| Amylase blood test CPT 82150 HC AMYLASE BLOOD | $335.00 | $879.25 | $5.51–$791.33 | 243% above | 62% |
| Amylase blood test CPT 82150 HC AMYLASE OTHER SOURCE | $335.00 | $879.25 | $5.51–$791.33 | 243% above | 62% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE OTHER SOURCE | $335.00 | $879.25 | $455.45–$791.33 | — | 62% |
| Amylase blood test inpatient CPT 82150 HC AMYLASE BLOOD | $335.00 | $879.25 | $455.45–$791.33 | — | 62% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA | $49.15 | $129.00 | $10.28–$116.10 | 46% below | 62% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA | $49.15 | $129.00 | $66.82–$116.10 | — | 62% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE (BNP) | $370.43 | $972.25 | $33.37–$875.03 | 32% above | 62% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE (BNP) | $370.43 | $972.25 | $503.63–$875.03 | — | 62% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE ROUTINE AEROBIC | $276.23 | $725.00 | $7.33–$652.50 | 152% above | 62% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE ROUTINE AEROBIC | $276.23 | $725.00 | $375.55–$652.50 | — | 62% |
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $502.26 | $1,318.25 | $7.19–$1,186.43 | 272% above | 62% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $502.26 | $1,318.25 | $682.85–$1,186.43 | — | 62% |
| Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL | $4.77 | $12.50 | $4.27–$11.25 | 92% below | 62% |
| Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL | $4.77 | $12.50 | $6.48–$11.25 | — | 62% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH GROSS&MICRO LEVEL 4 | $496.64 | $1,303.50 | $44.93–$1,173.15 | at median | 62% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH GROSS&MICRO LEVEL 4 | $496.64 | $1,303.50 | $675.21–$1,173.15 | — | 62% |
| Blood culture for bacteria CPT 87040 HC CULTURE BLOOD W ISOL | $683.42 | $1,793.75 | $8.77–$1,614.38 | 227% above | 62% |
| Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD W ISOL | $683.42 | $1,793.75 | $929.16–$1,614.38 | — | 62% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE | $56.87 | $149.25 | $7.94–$134.33 | 87% above | 62% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE | $56.87 | $149.25 | $77.31–$134.33 | — | 62% |
| Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD QUAN | $243.75 | $639.75 | $3.34–$575.78 | 307% above | 62% |
| Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLOOD QUAN | $243.75 | $639.75 | $331.39–$575.78 | — | 62% |
| Blood lead test CPT 83655 HC LEAD ASSAY | $496.07 | $1,302.00 | $10.29–$1,171.80 | 349% above | 62% |
| Blood lead test inpatient CPT 83655 HC LEAD ASSAY | $496.07 | $1,302.00 | $674.44–$1,171.80 | — | 62% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUAL | $270.04 | $708.75 | $6.39–$637.88 | 152% above | 62% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUAL | $270.04 | $708.75 | $367.13–$637.88 | — | 62% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO | $105.64 | $277.25 | $114.72–$249.53 | 1% above | 62% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO | $105.64 | $277.25 | $143.62–$249.53 | — | 62% |
| Blood urea nitrogen (BUN) test CPT 84520 HC BUN QUANT | $131.83 | $346.00 | $3.36–$311.40 | 115% above | 62% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN QUANT | $131.83 | $346.00 | $179.23–$311.40 | — | 62% |
| C-peptide blood test CPT 84681 HC C-PEPTIDE | $138.12 | $362.50 | $17.69–$326.25 | 17% below | 62% |
| C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE | $138.12 | $362.50 | $187.78–$326.25 | — | 62% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN (CRP) | $275.75 | $723.75 | $4.40–$651.38 | 196% above | 62% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN (CRP) | $275.75 | $723.75 | $374.90–$651.38 | — | 62% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE TOXIN PCR | $378.05 | $992.25 | $31.68–$893.03 | 29% above | 62% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFFICILE TOXIN PCR | $378.05 | $992.25 | $513.99–$893.03 | — | 62% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9 | $400.44 | $1,051.00 | $17.69–$945.90 | 124% above | 62% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9 | $400.44 | $1,051.00 | $544.42–$945.90 | — | 62% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 | $652.85 | $1,713.50 | $17.69–$1,542.15 | 265% above | 62% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 | $652.85 | $1,713.50 | $887.59–$1,542.15 | — | 62% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COV 2 AMP PROBE | $74.97 | $196.75 | $43.61–$177.08 | 37% below | 62% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS COV 2 AMP PROBE | $74.97 | $196.75 | $101.92–$177.08 | — | 62% |
| Calcium blood test, total CPT 82310 HC CALCIUM TOTAL | $369.48 | $969.75 | $4.39–$872.78 | 475% above | 62% |
| Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL | $369.48 | $969.75 | $502.33–$872.78 | — | 62% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA | $602.18 | $1,580.50 | $16.12–$1,422.45 | 245% above | 62% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA | $602.18 | $1,580.50 | $818.70–$1,422.45 | — | 62% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY | $434.92 | $1,141.50 | $10.95–$1,027.35 | 291% above | 62% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY | $434.92 | $1,141.50 | $591.30–$1,027.35 | — | 62% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROB | $282.52 | $741.50 | $29.83–$667.35 | 71% above | 62% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROB | $282.52 | $741.50 | $384.10–$667.35 | — | 62% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $314.90 | $826.50 | $11.38–$743.85 | 155% above | 62% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $314.90 | $826.50 | $428.13–$743.85 | — | 62% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH AUTO DIFF | $199.84 | $524.50 | $6.60–$472.05 | 151% above | 62% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH AUTO DIFF | $199.84 | $524.50 | $271.69–$472.05 | — | 62% |
| Complete blood count (CBC), no differential CPT 85027 HC CBC PLT AUTO NO DIFF | $199.84 | $524.50 | $5.50–$472.05 | 147% above | 62% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC PLT AUTO NO DIFF | $199.84 | $524.50 | $271.69–$472.05 | — | 62% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $613.61 | $1,610.50 | $8.98–$1,449.45 | 244% above | 62% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $613.61 | $1,610.50 | $834.24–$1,449.45 | — | 62% |
| Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL | $385.67 | $1,012.25 | $13.86–$911.03 | 174% above | 62% |
| Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL | $385.67 | $1,012.25 | $524.35–$911.03 | — | 62% |
| Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK) TOTAL | $503.21 | $1,320.75 | $5.53–$1,188.68 | 472% above | 62% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CK) TOTAL | $503.21 | $1,320.75 | $684.15–$1,188.68 | — | 62% |
| Creatinine blood test CPT 82565 HC CREATININE BLOOD | $355.57 | $933.25 | $4.35–$839.93 | 553% above | 62% |
| Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD | $355.57 | $933.25 | $483.42–$839.93 | — | 62% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY | $109.45 | $287.25 | $12.23–$258.53 | 12% below | 62% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY | $109.45 | $287.25 | $148.80–$258.53 | — | 62% |
| D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUAN | $731.14 | $1,919.00 | $8.65–$1,727.10 | 403% above | 62% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUAN | $731.14 | $1,919.00 | $994.04–$1,727.10 | — | 62% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $269.56 | $707.50 | $52.82–$636.75 | 53% above | 62% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR | $269.56 | $707.50 | $366.49–$636.75 | — | 62% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL | $381.39 | $1,001.00 | $5.96–$900.90 | 206% above | 62% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL | $381.39 | $1,001.00 | $518.52–$900.90 | — | 62% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRAL CAPSID AB | $111.35 | $292.25 | $15.42–$263.03 | 10% above | 62% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRAL CAPSID AB | $111.35 | $292.25 | $151.39–$263.03 | — | 62% |
| Estradiol blood test CPT 82670 HC ESTRADIOL | $666.75 | $1,750.00 | $23.75–$1,575.00 | 177% above | 62% |
| Estradiol blood test inpatient CPT 82670 HC ESTRADIOL | $666.75 | $1,750.00 | $906.50–$1,575.00 | — | 62% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULAT HORMONE(FSH) | $517.59 | $1,358.50 | $15.79–$1,222.65 | 224% above | 62% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULAT HORMONE(FSH) | $517.59 | $1,358.50 | $703.70–$1,222.65 | — | 62% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL | $1,292.74 | $3,393.00 | $16.69–$3,053.70 | 410% above | 62% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL | $1,292.74 | $3,393.00 | $1,757.57–$3,053.70 | — | 62% |
| Ferritin blood test (iron stores) CPT 82728 HC FERRITIN ASSAY | $536.26 | $1,407.50 | $11.59–$1,266.75 | 358% above | 62% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN ASSAY | $536.26 | $1,407.50 | $729.09–$1,266.75 | — | 62% |
| Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY | $367.48 | $964.50 | $8.26–$868.05 | 165% above | 62% |
| Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY | $367.48 | $964.50 | $499.61–$868.05 | — | 62% |
| Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM | $657.13 | $1,724.75 | $12.50–$1,552.28 | 420% above | 62% |
| Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM | $657.13 | $1,724.75 | $893.42–$1,552.28 | — | 62% |
| Free T3 thyroid hormone test CPT 84481 HC T3 (TRIIODOTHYRONINE) FREE | $305.47 | $801.75 | $14.40–$721.58 | 88% above | 62% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 (TRIIODOTHYRONINE) FREE | $305.47 | $801.75 | $415.31–$721.58 | — | 62% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE (FT4) | $335.95 | $881.75 | $7.67–$793.58 | 223% above | 62% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE (FT4) | $335.95 | $881.75 | $456.75–$793.58 | — | 62% |
| Free testosterone test CPT 84402 HC TESTOSTERONE FREE | $1,031.37 | $2,707.00 | $21.65–$2,436.30 | 523% above | 62% |
| Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE | $1,031.37 | $2,707.00 | $1,402.23–$2,436.30 | — | 62% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT | $312.62 | $820.50 | $6.12–$738.45 | 308% above | 62% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT | $312.62 | $820.50 | $425.02–$738.45 | — | 62% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE AMP PROB | $1,078.62 | $2,831.00 | $29.83–$2,547.90 | 558% above | 62% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE AMP PROB | $1,078.62 | $2,831.00 | $1,466.46–$2,547.90 | — | 62% |
| H. pylori stool antigen test CPT 87338 HC H PYLORI STOOL AG EIA | $447.30 | $1,174.00 | $12.22–$1,056.60 | 185% above | 62% |
| H. pylori stool antigen test inpatient CPT 87338 HC H PYLORI STOOL AG EIA | $447.30 | $1,174.00 | $608.13–$1,056.60 | — | 62% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY | $21.06 | $55.25 | $11.65–$49.73 | 83% below | 62% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY | $21.06 | $55.25 | $28.62–$49.73 | — | 62% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $26.29 | $69.00 | $20.47–$62.10 | 74% below | 62% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB | $26.29 | $69.00 | $35.74–$62.10 | — | 62% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOHEMOGLOBIN (A1C) NO VAR | $445.39 | $1,169.00 | $8.25–$1,052.10 | 348% above | 62% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOHEMOGLOBIN (A1C) NO VAR | $445.39 | $1,169.00 | $605.54–$1,052.10 | — | 62% |
| Hemoglobin blood test CPT 85018 HC HEMOGLOBIN | $104.68 | $274.75 | $2.01–$247.28 | 179% above | 62% |
| Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN | $104.68 | $274.75 | $142.32–$247.28 | — | 62% |
| Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE TOTAL AB | $185.93 | $488.00 | $10.24–$439.20 | 71% above | 62% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE TOTAL AB | $185.93 | $488.00 | $252.78–$439.20 | — | 62% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $354.62 | $930.75 | $9.13–$837.68 | 277% above | 62% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY | $354.62 | $930.75 | $482.13–$837.68 | — | 62% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $227.46 | $597.00 | $8.78–$537.30 | 113% above | 62% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN | $227.46 | $597.00 | $309.25–$537.30 | — | 62% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY | $227.46 | $597.00 | $12.13–$537.30 | 85% above | 62% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY | $227.46 | $597.00 | $309.25–$537.30 | — | 62% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUAN | $214.60 | $563.25 | $36.41–$506.93 | 28% below | 62% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUAN | $214.60 | $563.25 | $291.76–$506.93 | — | 62% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 AB | $718.29 | $1,885.25 | $11.21–$1,696.73 | 815% above | 62% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 AB | $718.29 | $1,885.25 | $976.56–$1,696.73 | — | 62% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 AB | $111.83 | $293.50 | $16.45–$264.15 | 11% below | 62% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 AB | $111.83 | $293.50 | $152.03–$264.15 | — | 62% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROT HIGH SENS | $275.75 | $723.75 | $11.01–$651.38 | 130% above | 62% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROT HIGH SENS | $275.75 | $723.75 | $374.90–$651.38 | — | 62% |
| Homocysteine blood test CPT 83090 HC HOMOCYSTEINE | $144.78 | $380.00 | $15.23–$342.00 | 19% below | 62% |
| Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE | $144.78 | $380.00 | $196.84–$342.00 | — | 62% |
| Iron blood test (serum iron) CPT 83540 HC IRON ASSAY | $275.75 | $723.75 | $5.50–$651.38 | 338% above | 62% |
| Iron blood test (serum iron) inpatient CPT 83540 HC IRON ASSAY | $275.75 | $723.75 | $374.90–$651.38 | — | 62% |
| Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY | $319.28 | $838.00 | $7.43–$754.20 | 299% above | 62% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY | $319.28 | $838.00 | $434.08–$754.20 | — | 62% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $910.40 | $2,389.50 | $7.38–$2,150.55 | 389% above | 62% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $910.40 | $2,389.50 | $1,237.76–$2,150.55 | — | 62% |
| LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH) | $552.45 | $1,450.00 | $15.74–$1,305.00 | 253% above | 62% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE (LH) | $552.45 | $1,450.00 | $751.10–$1,305.00 | — | 62% |
| Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID | $350.33 | $919.50 | $9.83–$827.55 | 187% above | 62% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID | $350.33 | $919.50 | $476.30–$827.55 | — | 62% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH BLOOD | $169.65 | $445.25 | $5.13–$400.73 | 147% above | 62% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH OTHER SOURCE | $169.65 | $445.25 | $5.13–$400.73 | 147% above | 62% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH BLOOD | $169.65 | $445.25 | $230.64–$400.73 | — | 62% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH OTHER SOURCE | $169.65 | $445.25 | $230.64–$400.73 | — | 62% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE ASSAY | $399.48 | $1,048.50 | $5.86–$943.65 | 246% above | 62% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE ASSAY | $399.48 | $1,048.50 | $543.12–$943.65 | — | 62% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $362.72 | $952.00 | $6.94–$856.80 | 64% above | 62% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $362.72 | $952.00 | $493.14–$856.80 | — | 62% |
| Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY EACH | $15.82 | $41.50 | $14.48–$37.35 | 89% below | 62% |
| Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY EACH | $15.82 | $41.50 | $21.50–$37.35 | — | 62% |
| Magnesium blood test CPT 83735 HC MAGNESIUM BLOOD | $189.27 | $496.75 | $5.70–$447.08 | 220% above | 62% |
| Magnesium blood test CPT 83735 HC MG FROM MML 82029 | $376.62 | $988.50 | $5.70–$889.65 | 538% above | 62% |
| Magnesium blood test CPT 83735 HC MAGNESIUM OTHER SOURCE | $376.62 | $988.50 | $5.70–$889.65 | 538% above | 62% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM BLOOD | $189.27 | $496.75 | $257.32–$447.08 | — | 62% |
| Magnesium blood test inpatient CPT 83735 HC MAGNESIUM OTHER SOURCE | $376.62 | $988.50 | $512.04–$889.65 | — | 62% |
| Magnesium blood test inpatient CPT 83735 HC MG FROM MML 82029 | $376.62 | $988.50 | $512.04–$889.65 | — | 62% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO SCREEN (HETEROPHILE) | $305.47 | $801.75 | $4.40–$721.58 | 268% above | 62% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO SCREEN (HETEROPHILE) | $305.47 | $801.75 | $415.31–$721.58 | — | 62% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $588.75 | $1,545.25 | $15.63–$1,390.73 | 281% above | 62% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $588.75 | $1,545.25 | $800.44–$1,390.73 | — | 62% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN(PSA) | $318.81 | $836.75 | $15.63–$753.08 | 102% above | 62% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN(PSA) | $318.81 | $836.75 | $433.44–$753.08 | — | 62% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC SUREPATH LIQ BASED THIN PAP DX | $107.07 | $281.00 | $17.22–$252.90 | 30% below | 62% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTO GYN THIN LAYER | $107.07 | $281.00 | $17.22–$252.90 | 30% below | 62% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTO GYN THIN LAYER | $107.07 | $281.00 | $145.56–$252.90 | — | 62% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC SUREPATH LIQ BASED THIN PAP DX | $107.07 | $281.00 | $145.56–$252.90 | — | 62% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE | $1,043.75 | $2,739.50 | $35.09–$2,465.55 | 298% above | 62% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE | $1,043.75 | $2,739.50 | $1,419.06–$2,465.55 | — | 62% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME APTT | $240.89 | $632.25 | $5.11–$569.03 | 268% above | 62% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME APTT | $240.89 | $632.25 | $327.51–$569.03 | — | 62% |
| Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS ASSAY | $260.99 | $685.00 | $4.03–$616.50 | 339% above | 62% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS ASSAY | $260.99 | $685.00 | $354.83–$616.50 | — | 62% |
| Potassium blood test CPT 84132 HC POTASSIUM SERUM,PLASMA,WB | $217.94 | $572.00 | $4.05–$514.80 | 251% above | 62% |
| Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM,PLASMA,WB | $217.94 | $572.00 | $296.30–$514.80 | — | 62% |
| Progesterone blood test CPT 84144 HC PROGESTERONE ASSAY | $892.31 | $2,342.00 | $17.73–$2,107.80 | 461% above | 62% |
| Progesterone blood test inpatient CPT 84144 HC PROGESTERONE ASSAY | $892.31 | $2,342.00 | $1,213.16–$2,107.80 | — | 62% |
| Prolactin blood test CPT 84146 HC PROLACTIN ASSAY | $715.90 | $1,879.00 | $16.47–$1,691.10 | 329% above | 62% |
| Prolactin blood test inpatient CPT 84146 HC PROLACTIN ASSAY | $715.90 | $1,879.00 | $973.32–$1,691.10 | — | 62% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $211.27 | $554.50 | $3.65–$499.05 | 349% above | 62% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $211.27 | $554.50 | $287.23–$499.05 | — | 62% |
| Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA AG A OR B | $178.79 | $469.25 | $14.07–$422.33 | 47% above | 62% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA AG A OR B | $178.79 | $469.25 | $243.07–$422.33 | — | 62% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A RAPID DIRECT OPTICAL | $104.68 | $274.75 | $14.05–$247.28 | 26% below | 62% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A RAPID DIRECT OPTICAL | $104.68 | $274.75 | $142.32–$247.28 | — | 62% |
| Rh blood typing CPT 86901 HC BLOOD TYPING RH(D) | $105.64 | $277.25 | $32.20–$249.53 | 59% above | 62% |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPING RH(D) | $105.64 | $277.25 | $143.62–$249.53 | — | 62% |
| Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUAN | $13.34 | $35.00 | $4.82–$31.50 | 75% below | 62% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUAN | $13.34 | $35.00 | $18.13–$31.50 | — | 62% |
| Sodium blood test CPT 84295 HC SODIUM TOTAL SERUM,PLASMA,WB | $206.41 | $541.75 | $4.09–$487.58 | 245% above | 62% |
| Sodium blood test inpatient CPT 84295 HC SODIUM TOTAL SERUM,PLASMA,WB | $206.41 | $541.75 | $280.63–$487.58 | — | 62% |
| Stool ova and parasites exam CPT 87177 HC OVA & PARASITES SMR CONC & ID | $418.63 | $1,098.75 | $7.57–$988.88 | 367% above | 62% |
| Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITES SMR CONC & ID | $418.63 | $1,098.75 | $569.15–$988.88 | — | 62% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN | $19.63 | $51.50 | $3.72–$46.35 | 48% below | 62% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES CONSEC SPEC | $89.44 | $234.75 | $3.72–$211.28 | 138% above | 62% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN | $19.63 | $51.50 | $26.68–$46.35 | — | 62% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES CONSEC SPEC | $89.44 | $234.75 | $121.60–$211.28 | — | 62% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM | $337.86 | $886.75 | $11.25–$798.08 | 367% above | 62% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM | $337.86 | $886.75 | $459.34–$798.08 | — | 62% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL | $926.69 | $2,432.25 | $21.94–$2,189.03 | 358% above | 62% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL | $926.69 | $2,432.25 | $1,259.91–$2,189.03 | — | 62% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB EACH | $372.34 | $977.25 | $12.37–$879.53 | 208% above | 62% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB EACH | $372.34 | $977.25 | $506.22–$879.53 | — | 62% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $531.88 | $1,396.00 | $14.28–$1,256.40 | 268% above | 62% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH (CDH) | $531.88 | $1,396.00 | $14.28–$1,256.40 | 268% above | 62% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $531.88 | $1,396.00 | $723.13–$1,256.40 | — | 62% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH (CDH) | $531.88 | $1,396.00 | $723.13–$1,256.40 | — | 62% |
| Total IgE blood test CPT 82785 HC GAMMAGLOBULIN IGE | $411.01 | $1,078.75 | $13.99–$970.88 | 253% above | 62% |
| Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN IGE | $411.01 | $1,078.75 | $558.79–$970.88 | — | 62% |
| Total cholesterol blood test CPT 82465 HC CHOLESTEROL TOTAL | $193.08 | $506.75 | $3.70–$456.08 | 222% above | 62% |
| Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL TOTAL | $193.08 | $506.75 | $262.50–$456.08 | — | 62% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 (TRIIODOTHYRONINE) TOTAL | $303.00 | $795.25 | $12.05–$715.73 | 148% above | 62% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 (TRIIODOTHYRONINE) TOTAL | $303.00 | $795.25 | $411.94–$715.73 | — | 62% |
| Transferrin blood test CPT 84466 HC TRANSFERRIN ASSAY | $288.71 | $757.75 | $10.85–$681.98 | 115% above | 62% |
| Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN ASSAY | $288.71 | $757.75 | $392.51–$681.98 | — | 62% |
| Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS TMA | $32.96 | $86.50 | $29.83–$77.85 | 55% below | 62% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS TMA | $32.96 | $86.50 | $44.81–$77.85 | — | 62% |
| Triglycerides blood test CPT 84478 HC TRIGLYCERIDES | $254.80 | $668.75 | $4.88–$601.88 | 276% above | 62% |
| Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES | $254.80 | $668.75 | $346.41–$601.88 | — | 62% |
| Troponin test, quantitative CPT 84484 HC TROPONIN I QUAN | $596.46 | $1,565.50 | $10.60–$1,408.95 | 281% above | 62% |
| Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I QUAN | $596.46 | $1,565.50 | $810.93–$1,408.95 | — | 62% |
| Uric acid blood test CPT 84550 HC URIC ACID BLOOD | $317.38 | $833.00 | $3.84–$749.70 | 391% above | 62% |
| Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD | $317.38 | $833.00 | $431.49–$749.70 | — | 62% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W SCOPE | $276.23 | $725.00 | $2.69–$652.50 | 194% above | 62% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W SCOPE | $276.23 | $725.00 | $375.55–$652.50 | — | 62% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $176.88 | $464.25 | $1.91–$417.83 | 311% above | 62% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE | $176.88 | $464.25 | $240.48–$417.83 | — | 62% |
| Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE COLONY CT | $393.86 | $1,033.75 | $6.86–$930.38 | 288% above | 62% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE COLONY CT | $393.86 | $1,033.75 | $535.48–$930.38 | — | 62% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 ASSAY | $573.12 | $1,504.25 | $12.82–$1,353.83 | 342% above | 62% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 ASSAY | $573.12 | $1,504.25 | $779.20–$1,353.83 | — | 62% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY | $1,093.47 | $2,870.00 | $25.16–$2,583.00 | 503% above | 62% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY | $1,093.47 | $2,870.00 | $1,486.66–$2,583.00 | — | 62% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1-25 DIHYDROXY | $1,471.05 | $3,861.00 | $32.73–$3,474.90 | 438% above | 62% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1-25 DIHYDROXY | $1,471.05 | $3,861.00 | $2,000.00–$3,474.90 | — | 62% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAN MATERNAL | $474.06 | $1,244.25 | $12.79–$1,119.83 | 206% above | 62% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAN TUMOR MARKER | $474.06 | $1,244.25 | $12.79–$1,119.83 | 206% above | 62% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAN | $474.06 | $1,244.25 | $12.79–$1,119.83 | 206% above | 62% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUAN | $474.06 | $1,244.25 | $644.52–$1,119.83 | — | 62% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUAN TUMOR MARKER | $474.06 | $1,244.25 | $644.52–$1,119.83 | — | 62% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUAN MATERNAL | $474.06 | $1,244.25 | $644.52–$1,119.83 | — | 62% |
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 | $302.52 | $794.00 | $264.66–$714.60 | 70% below | 62% |
| Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE | $302.52 | $794.00 | $411.29–$714.60 | — | 62% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY | $1,163.20 | $3,053.00 | $601.22–$2,747.70 | 17% below | 62% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY | $1,163.20 | $3,053.00 | $1,581.45–$2,747.70 | — | 62% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BIOPSY | $313.00 | $821.50 | $174.31–$739.35 | at median | 62% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL BIOPSY | $313.00 | $821.50 | $425.54–$739.35 | — | 62% |
| IUD insertion (the device itself billed separately) CPT 58300 HC INSERT IUD | $313.00 | $821.50 | $93.13–$739.35 | 75% below | 62% |
| IUD insertion (the device itself billed separately) CPT 58300 HC IUD, INSERTION OF | $313.00 | $821.50 | $93.13–$739.35 | 75% below | 62% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT IUD | $313.00 | $821.50 | $425.54–$739.35 | — | 62% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 HC IUD, INSERTION OF | $313.00 | $821.50 | $425.54–$739.35 | — | 62% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC INJECT/ASPIRATE MAJOR JOINT | $56.87 | $149.25 | $74.34–$311.36 | 83% below | 62% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC INJECT/ASPIRATE MAJOR JOINT | $56.87 | $149.25 | $77.31–$134.33 | — | 62% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC INJ ASP JOINT INTERM | $44.96 | $118.00 | $58.78–$311.36 | 88% below | 62% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC INJ ASP JOINT INTERM | $44.96 | $118.00 | $61.12–$106.20 | — | 62% |
| Prostate biopsy CPT 55700 HC PROSTATE NDL PUNCH BX SGL/MLTI | $1,280.36 | $3,360.50 | $1,673.87–$3,024.45 | 61% below | 62% |
| Prostate biopsy inpatient CPT 55700 HC PROSTATE NDL PUNCH BX SGL/MLTI | $1,280.36 | $3,360.50 | $1,740.74–$3,024.45 | — | 62% |
| Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESION <=14 | $165.93 | $435.50 | $172.99–$391.95 | 39% below | 62% |
| Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESION <=14 | $165.93 | $435.50 | $225.59–$391.95 | — | 62% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC COMPREHENSIVE AUDIOMETRY EVAL | $173.07 | $454.25 | $110.94–$408.83 | 67% below | 62% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC AUDIOMETRY/BASIC | $173.07 | $454.25 | $110.94–$408.83 | 67% below | 62% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC AUDIOMETRY/BASIC | $173.07 | $454.25 | $235.30–$408.83 | — | 62% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC COMPREHENSIVE AUDIOMETRY EVAL | $173.07 | $454.25 | $235.30–$408.83 | — | 62% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD | $369.48 | $969.75 | $50.86–$872.78 | 51% above | 62% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD | $369.48 | $969.75 | $502.33–$872.78 | — | 62% |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAP W/PATIENT 50 MINS | $434.92 | $1,141.50 | $153.04–$1,027.35 | 16% below | 62% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAP W/PATIENT 50 MINS | $434.92 | $1,141.50 | $591.30–$1,027.35 | — | 62% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSYCHOTHERAPY FAMILY W/O PT | $434.92 | $1,141.50 | $153.04–$1,027.35 | 36% below | 62% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSYCHOTHERAPY FAMILY W/O PT | $434.92 | $1,141.50 | $591.30–$1,027.35 | — | 62% |
| Group psychotherapy session CPT 90853 HC GROUP THERAPY | $283.47 | $744.00 | $87.59–$669.60 | 4% below | 62% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP THERAPY | $283.47 | $744.00 | $385.39–$669.60 | — | 62% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION SQ/IM | $44.96 | $118.00 | $58.78–$106.20 | 70% below | 62% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION SQ/IM | $44.96 | $118.00 | $61.12–$106.20 | — | 62% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH CONSULT NON CONTACT | $108.97 | $286.00 | $142.46–$257.40 | 86% below | 62% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH CONSULT NON CONTACT | $108.97 | $286.00 | $148.15–$257.40 | — | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION | $90.40 | $237.25 | $28.79–$866.00 | 23% below | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC MUSIC THPY NEUROMUSC REEDUCAT | $96.59 | $253.50 | $28.79–$228.15 | 18% below | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-EDUCATION | $100.40 | $263.50 | $28.79–$866.00 | 14% below | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATON | $100.40 | $263.50 | $28.79–$866.00 | 14% below | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC RE-ED EA 15MIN | $100.40 | $263.50 | $28.79–$866.00 | 14% below | 62% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC RE-ED EA 15 MIN | $100.40 | $263.50 | $28.79–$866.00 | 14% below | 62% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR REEDUCATION | $90.40 | $237.25 | $122.90–$213.53 | — | 62% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC MUSIC THPY NEUROMUSC REEDUCAT | $96.59 | $253.50 | $131.31–$228.15 | — | 62% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC RE-ED EA 15 MIN | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR REEDUCATON | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-EDUCATION | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC RE-ED EA 15MIN | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| New patient office visit, about 30 minutes CPT 99203 HC O/P NEW-LOW/MOD | $225.65 | $592.25 | $79.00–$533.03 | 5% below | 62% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC O/P NEW-LOW/MOD | $225.65 | $592.25 | $306.79–$533.03 | — | 62% |
| New patient office visit, about 45 minutes CPT 99204 HC O/P NEW-MOD-HIGH | $448.82 | $1,178.00 | $79.00–$1,060.20 | 23% above | 62% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC O/P NEW-MOD-HIGH | $448.82 | $1,178.00 | $610.20–$1,060.20 | — | 62% |
| New patient office visit, about 60 minutes CPT 99205 HC O/P-NEW-HIGH | $511.88 | $1,343.50 | $79.00–$1,209.15 | 1% below | 62% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC O/P-NEW-HIGH | $511.88 | $1,343.50 | $695.93–$1,209.15 | — | 62% |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX | $252.32 | $662.25 | $88.57–$866.00 | 23% below | 62% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX | $252.32 | $662.25 | $343.05–$596.03 | — | 62% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX | $749.43 | $1,967.00 | $86.15–$1,770.30 | 133% above | 62% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX | $749.43 | $1,967.00 | $1,018.91–$1,770.30 | — | 62% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX | $252.32 | $662.25 | $86.15–$866.00 | 11% below | 62% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX | $252.32 | $662.25 | $343.05–$596.03 | — | 62% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX | $500.83 | $1,314.50 | $86.15–$1,183.05 | 70% above | 62% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX | $500.83 | $1,314.50 | $680.91–$1,183.05 | — | 62% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY EA 15MIN | $100.40 | $263.50 | $24.36–$866.00 | 6% below | 62% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TECHNIQUES | $100.40 | $263.50 | $24.36–$866.00 | 6% below | 62% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY EA 15 MIN | $100.40 | $263.50 | $24.36–$866.00 | 6% below | 62% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY EA 15MIN | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY EA 15 MIN | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TECHNIQUES | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC MUSIC THERAPEUTIC EXER EA 15 MIN | $96.59 | $253.50 | $25.54–$228.15 | 14% below | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE | $100.40 | $263.50 | $25.54–$866.00 | 10% below | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES EA 15 MIN | $100.40 | $263.50 | $25.54–$866.00 | 10% below | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXECISES EA15 MIN | $100.40 | $263.50 | $25.54–$866.00 | 10% below | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC EXERCISE | $100.40 | $263.50 | $25.54–$866.00 | 10% below | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC MUSIC THERAPEUTIC EXER EA 15 MIN | $96.59 | $253.50 | $131.31–$228.15 | — | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC EXERCISE | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES EA 15 MIN | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXECISES EA15 MIN | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TEST EVALUATION 1ST HOUR | $434.92 | $1,141.50 | $186.17–$1,027.35 | at median | 62% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH TEST EVALUATION 1ST HOUR | $434.92 | $1,141.50 | $591.30–$1,027.35 | — | 62% |
| Psychotherapy session, 30 minutes CPT 90832 HC PTHERP IND 30M WO E/M | $50.68 | $133.00 | $66.25–$180.05 | 76% below | 62% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PTHERP IND 30M WO E/M | $50.68 | $133.00 | $68.89–$119.70 | — | 62% |
| Psychotherapy session, 60 minutes CPT 90837 HC PTHERP IND 60M WO E/M | $433.96 | $1,139.00 | $153.04–$1,025.10 | 25% above | 62% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PTHERP IND 60M WO E/M | $433.96 | $1,139.00 | $590.00–$1,025.10 | — | 62% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION 3-10 MIN | $62.11 | $163.00 | $32.31–$146.70 | at median | 62% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION 3-10 MIN | $62.11 | $163.00 | $84.43–$146.70 | — | 62% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC O/P EST-HIGH | $386.62 | $1,014.75 | $79.00–$913.28 | 13% above | 62% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC O/P EST-HIGH | $386.62 | $1,014.75 | $525.64–$913.28 | — | 62% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC VISIT LVL 1 NP | $100.40 | $263.50 | $79.00–$237.15 | 50% below | 62% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC O/P EST-LOW/MOD | $135.26 | $355.00 | $79.00–$319.50 | 32% below | 62% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC VISIT LVL 1 CONSULTANT | $146.31 | $384.00 | $79.00–$345.60 | 27% below | 62% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC CLINIC VISIT LVL 1 CNS DOCTOR | $146.31 | $384.00 | $79.00–$345.60 | 27% below | 62% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC CLINIC VISIT LVL 1 NP | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC O/P EST-LOW/MOD | $135.26 | $355.00 | $183.89–$319.50 | — | 62% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC CLINIC VISIT LVL 1 CNS DOCTOR | $146.31 | $384.00 | $198.91–$345.60 | — | 62% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC CLINIC VISIT LVL 1 CONSULTANT | $146.31 | $384.00 | $198.91–$345.60 | — | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC O/P EST-MOD/HIGH | $150.12 | $394.00 | $79.00–$354.60 | 50% below | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CONSULT, GYN | $191.17 | $501.75 | $79.00–$451.58 | 36% below | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CONSULT, UROLOGY | $191.17 | $501.75 | $79.00–$451.58 | 36% below | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC VISIT LVL 2 NP | $199.27 | $523.00 | $79.00–$470.70 | 33% below | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC VISIT LVL 2 CNS DOCTOR | $199.27 | $523.00 | $79.00–$470.70 | 33% below | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC CLINIC VISIT LVL 2 CONSULTANT | $199.27 | $523.00 | $79.00–$470.70 | 33% below | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC O/P EST-MOD/HIGH | $150.12 | $394.00 | $204.09–$354.60 | — | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CONSULT, UROLOGY | $191.17 | $501.75 | $259.91–$451.58 | — | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CONSULT, GYN | $191.17 | $501.75 | $259.91–$451.58 | — | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CLINIC VISIT LVL 2 CONSULTANT | $199.27 | $523.00 | $270.91–$470.70 | — | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CLINIC VISIT LVL 2 CNS DOCTOR | $199.27 | $523.00 | $270.91–$470.70 | — | 62% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC CLINIC VISIT LVL 2 NP | $199.27 | $523.00 | $270.91–$470.70 | — | 62% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC O/P EST-MINOR | $112.30 | $294.75 | $52.25–$265.28 | 27% below | 62% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC O/P EST-MINOR | $112.30 | $294.75 | $152.68–$265.28 | — | 62% |
| Speech and language evaluation CPT 92523 HC MUSIC SOUND LANG COMPREHEN | $466.92 | $1,225.50 | $199.06–$1,102.95 | at median | 62% |
| Speech and language evaluation CPT 92523 HC EVAL SP LANG COMP/EXPR 1-2 HR | $787.63 | $2,067.25 | $161.12–$1,860.53 | 69% above | 62% |
| Speech and language evaluation CPT 92523 HC EVAL SP LANG COMP/EXPR 2-4 HR | $1,552.29 | $4,074.25 | $161.12–$3,666.83 | 232% above | 62% |
| Speech and language evaluation CPT 92523 HC EVAL SP LANG COMP/EXPR >4 HR | $1,926.53 | $5,056.50 | $161.12–$4,550.85 | 313% above | 62% |
| Speech and language evaluation inpatient CPT 92523 HC MUSIC SOUND LANG COMPREHEN | $466.92 | $1,225.50 | $634.81–$1,102.95 | — | 62% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SP LANG COMP/EXPR 1-2 HR | $787.63 | $2,067.25 | $1,070.84–$1,860.53 | — | 62% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SP LANG COMP/EXPR 2-4 HR | $1,552.29 | $4,074.25 | $2,110.46–$3,666.83 | — | 62% |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SP LANG COMP/EXPR >4 HR | $1,926.53 | $5,056.50 | $2,619.27–$4,550.85 | — | 62% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH/15 MIN | $95.64 | $251.00 | $66.87–$866.00 | 73% below | 62% |
| Speech therapy session, individual CPT 92507 HC MUSIC TREATMENT 15 MIN | $95.64 | $251.00 | $66.87–$225.90 | 73% below | 62% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH/30 MIN | $181.17 | $475.50 | $66.87–$866.00 | 50% below | 62% |
| Speech therapy session, individual CPT 92507 HC MUSIC TREATMENT 30 MIN | $182.12 | $478.00 | $66.87–$430.20 | 49% below | 62% |
| Speech therapy session, individual CPT 92507 HC MUSIC TREATMENT 45 MIN | $284.42 | $746.50 | $66.87–$671.85 | 21% below | 62% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH/45 MIN | $284.42 | $746.50 | $66.87–$866.00 | 21% below | 62% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH/60 MIN | $358.43 | $940.75 | $66.87–$866.00 | at median | 62% |
| Speech therapy session, individual CPT 92507 HC MUSIC TREATMENT 60 MIN | $358.43 | $940.75 | $66.87–$846.68 | at median | 62% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH/75 MIN | $448.82 | $1,178.00 | $66.87–$1,060.20 | 25% above | 62% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH/90 MIN | $563.50 | $1,479.00 | $66.87–$1,331.10 | 57% above | 62% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH/120 MIN | $752.77 | $1,975.75 | $66.87–$1,778.18 | 109% above | 62% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH/150 MIN | $940.60 | $2,468.75 | $66.87–$2,221.88 | 161% above | 62% |
| Speech therapy session, individual CPT 92507 HC TREATMENT OF SPEECH/180 MIN | $1,128.91 | $2,963.00 | $66.87–$2,666.70 | 214% above | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC MUSIC TREATMENT 15 MIN | $95.64 | $251.00 | $130.02–$225.90 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH/15 MIN | $95.64 | $251.00 | $130.02–$225.90 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH/30 MIN | $181.17 | $475.50 | $246.31–$427.95 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC MUSIC TREATMENT 30 MIN | $182.12 | $478.00 | $247.60–$430.20 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC MUSIC TREATMENT 45 MIN | $284.42 | $746.50 | $386.69–$671.85 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH/45 MIN | $284.42 | $746.50 | $386.69–$671.85 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH/60 MIN | $358.43 | $940.75 | $487.31–$846.68 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC MUSIC TREATMENT 60 MIN | $358.43 | $940.75 | $487.31–$846.68 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH/75 MIN | $448.82 | $1,178.00 | $610.20–$1,060.20 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH/90 MIN | $563.50 | $1,479.00 | $766.12–$1,331.10 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH/120 MIN | $752.77 | $1,975.75 | $1,023.44–$1,778.18 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH/150 MIN | $940.60 | $2,468.75 | $1,278.81–$2,221.88 | — | 62% |
| Speech therapy session, individual inpatient CPT 92507 HC TREATMENT OF SPEECH/180 MIN | $1,128.91 | $2,963.00 | $1,534.83–$2,666.70 | — | 62% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC MUSIC THERAPEUTIC ACT EA 15 MIN | $96.59 | $253.50 | $30.99–$228.15 | 26% below | 62% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITIES DIRECT EA 15 MIN | $100.40 | $263.50 | $30.99–$866.00 | 23% below | 62% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES | $100.40 | $263.50 | $30.99–$866.00 | 23% below | 62% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES DIRECT EA 15 MIN | $100.40 | $263.50 | $30.99–$866.00 | 23% below | 62% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC MUSIC THERAPEUTIC ACT EA 15 MIN | $96.59 | $253.50 | $131.31–$228.15 | — | 62% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITIES DIRECT EA 15 MIN | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITIES DIRECT EA 15 MIN | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES | $100.40 | $263.50 | $136.49–$237.15 | — | 62% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACC TS2024-25 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $35.63 | $93.50 | $19.74–$84.15 | 45% below | 62% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACC TS2024-25 (36 MOS UP)(PF)45 MCG (15 MCG X3)/0.5 ML IM SYRINGE | $35.63 | $93.50 | $34.22–$84.15 | — | 62% |
| Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $134.32 | $352.53 | $129.03–$317.28 | at median | 62% |
| Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE | $134.32 | $352.53 | $129.03–$317.28 | — | 62% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B RECOMB (PF) 20 MCG/ML VACCINE (SO) | $80.37 | $210.92 | $63.87–$189.83 | 49% below | 62% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $91.92 | $241.24 | $63.87–$217.12 | 41% below | 62% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B RECOMB (PF) 20 MCG/ML VACCINE (SO) | $80.37 | $210.92 | $77.20–$189.83 | — | 62% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML INTRAMUSCULAR SUSP | $91.92 | $241.24 | $88.29–$217.12 | — | 62% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SOLUTION (SO) | $192.83 | $506.09 | $150.92–$455.48 | at median | 62% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VACCINE 20 MCG/0.5 ML-ADJUVANT CPG 1018 (PF) IM SOLUTION (SO) | $192.83 | $506.09 | $185.23–$455.48 | — | 62% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $25.90 | $67.97 | $24.88–$61.17 | 53% below | 62% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $25.90 | $67.97 | $24.88–$61.17 | — | 62% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $173.82 | $456.20 | $166.97–$410.58 | 74% below | 62% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $204.91 | $537.80 | $196.83–$484.02 | 69% below | 62% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $401.46 | $1,053.68 | $385.65–$948.31 | 40% below | 62% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP (PF) 4 MCG/0.5 ML INTRAMUSCULAR SOLUTION | $173.82 | $456.20 | $166.97–$410.58 | — | 62% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOC VAC A,C,Y,W-135 DIP(PF) 10 MCG-5 MCG/0.5 ML IM KIT (2 VIALS) | $204.91 | $537.80 | $196.83–$484.02 | — | 62% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL VAC A,C,Y,W-135,CONJ TET (PF) 10 MCG/0.5 ML IM SOLUTION | $401.46 | $1,053.68 | $385.65–$948.31 | — | 62% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $287.86 | $755.53 | $276.52–$679.98 | 58% below | 62% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $287.86 | $755.53 | $276.52–$679.98 | — | 62% |
| Meningococcal B vaccine (Trumenba) CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $171.90 | $451.18 | $165.13–$406.06 | 84% below | 62% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 N.MENINGITIDIS GROUP B,LIPID FHBP 120 MCG/0.5 ML INTRAMUSCULAR SYRINGE | $171.90 | $451.18 | $165.13–$406.06 | — | 62% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $351.60 | $922.82 | $253.33–$830.54 | 59% below | 62% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $351.60 | $922.82 | $337.75–$830.54 | — | 62% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 VACCINE INJECTION (SO) | $124.95 | $327.93 | $113.45–$295.14 | 65% below | 62% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $124.95 | $327.93 | $113.45–$295.14 | 65% below | 62% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 POLYVALENT VACCINE 25 MCG/0.5 ML INJECTION SOLUTION | $124.95 | $327.93 | $120.02–$295.14 | — | 62% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 VACCINE INJECTION (SO) | $124.95 | $327.93 | $120.02–$295.14 | — | 62% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $248.89 | $653.23 | $239.08–$587.91 | 22% below | 62% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 VARICELLA-ZOSTER GLYCOE VACC-AS01B ADJ(PF) 50 MCG/0.5 ML IM SUSP, KIT | $248.89 | $653.23 | $239.08–$587.91 | — | 62% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM INJECTION (SO) | $55.98 | $146.91 | $53.77–$132.22 | 81% below | 62% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM INJECTION (SO) | $55.98 | $146.91 | $53.77–$132.22 | — | 62% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP (SO) | $71.05 | $186.48 | $68.25–$167.83 | 66% below | 62% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIPHTH,PERTUS(ACEL)TETANUS(PF)2LF-(2.5-5-3-5MCG)-5 LF/0.5 ML IM SUSP (SO) | $71.05 | $186.48 | $68.25–$167.83 | — | 62% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN 1ST VACCINE | $19.63 | $51.50 | $25.65–$73.03 | 72% below | 62% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN 1ST VACCINE | $19.63 | $51.50 | $26.68–$46.35 | — | 62% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN EA ADDL VACCINE | $21.06 | $55.25 | $14.20–$49.73 | 74% below | 62% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN EA ADDL VACCINE | $21.06 | $55.25 | $28.62–$49.73 | — | 62% |
Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8622/840404233_craig-hospital_standardcharges.csv