Animas Surgical Hospital
Animas Surgical Hospital in Durango, CO publishes cash prices for 185 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 87 of 175 procedures and above it for 78. By typical cash price it ranks #21 of 37 Colorado hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
575 Rivergate Ln,Durango,CO,81301 Collected Sep 27, 2026 Source price file (970) 247-3537
Acute care hospital Emergency department CCN 060117 · CMS hospital register
The price file shows no self-pay discount
For 256 of the 256 prices listed here, the cash price in Animas Surgical Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
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 Animas Surgical Hospital in Durango, CO:
- Dec 27, 2022 Warning notice
- Apr 21, 2023 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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $2,764.00 | $2,764.00 | $109.74–$700.00 | 27% above | — |
| Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS | $350.00 | $350.00 | $91.35–$159.86 | 6% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT SCAN OF CHEST FOR LUNG CANCER SCREENING | $2,764.00 | $2,764.00 | $109.74–$700.00 | 803% above | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $5,077.00 | $5,077.00 | $107.54–$950.00 | — | — |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST | $3,454.00 | $3,454.00 | $250.47–$950.00 | 17% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST | $4,835.00 | $4,835.00 | $366.22–$950.00 | 16% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR | $5,077.00 | $5,077.00 | $366.22–$950.00 | 22% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE | $4,835.00 | $4,835.00 | $366.22–$950.00 | at median | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE | $3,627.00 | $3,627.00 | $250.47–$950.00 | at median | — |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $727.00 | $727.00 | $109.74–$192.04 | 22% below | — |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $1,619.00 | $1,619.00 | $109.74–$192.04 | 74% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $2,599.00 | $2,599.00 | $109.74–$192.04 | 224% above | — |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW | $350.00 | $350.00 | $91.35–$159.86 | 22% above | — |
| X-ray of the hand, 3 or more views CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS | $350.00 | $350.00 | $91.35–$159.86 | 16% above | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $87.00 | $87.00 | $5.30–$9.28 | 18% below | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $83.00 | $83.00 | $5.18–$9.06 | 60% below | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $104.00 | $104.00 | $5.22–$9.14 | 48% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $172.00 | $172.00 | $12.09–$21.16 | 24% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $181.00 | $181.00 | $12.09–$21.16 | 30% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $389.00 | $389.00 | $39.26–$68.70 | 38% below | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $409.00 | $409.00 | $39.26–$68.71 | 35% below | — |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $135.00 | $135.00 | $8.46–$14.80 | 52% below | — |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $142.00 | $142.00 | $8.46–$14.81 | 50% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST | $311.00 | $311.00 | $54.70–$95.72 | 49% below | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $12,129.00 | $12,129.00 | $54.70–$95.72 | 1881% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $31.00 | $31.00 | $9.34–$16.34 | 48% below | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $33.00 | $33.00 | $9.34–$16.34 | 45% below | — |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $36.00 | $36.00 | $3.93–$6.88 | 79% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $86.00 | $86.00 | $139.66–$244.40 | 38% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $91.00 | $91.00 | $139.66–$244.40 | 34% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $96.00 | $96.00 | $5.18–$9.06 | 69% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $101.00 | $101.00 | $5.18–$9.06 | 67% below | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $180.00 | $180.00 | $37.27–$65.22 | 67% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $305.00 | $305.00 | $20.81–$36.42 | 8% below | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $321.00 | $321.00 | $20.81–$36.42 | 4% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $165.00 | $165.00 | $35.09–$61.41 | 65% below | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $334.00 | $334.00 | $35.09–$61.41 | 30% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $165.00 | $165.00 | $13.39–$23.43 | 17% below | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $174.00 | $174.00 | $13.39–$23.43 | 12% below | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $110.00 | $110.00 | $7.77–$13.60 | 23% above | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $220.00 | $220.00 | $7.77–$13.60 | 146% above | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $81.00 | $81.00 | $6.47–$11.32 | 59% below | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $86.00 | $86.00 | $6.47–$11.32 | 56% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $161.00 | $161.00 | $10.56–$18.48 | 48% below | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $170.00 | $170.00 | $10.56–$18.48 | 45% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $135.00 | $135.00 | $10.18–$17.82 | 68% below | — |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $142.00 | $142.00 | $10.18–$17.82 | 66% below | — |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $410.00 | $410.00 | $27.94–$48.90 | 8% below | — |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $176.00 | $176.00 | $13.63–$23.85 | 19% below | — |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $186.00 | $186.00 | $14.70–$25.72 | 21% below | — |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $224.00 | $224.00 | $16.94–$29.65 | 49% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $139.00 | $139.00 | $9.02–$15.79 | 13% below | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $146.00 | $146.00 | $9.02–$15.78 | 8% below | — |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $404.00 | $404.00 | $25.47–$44.57 | 33% below | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $174.00 | $174.00 | $35.09–$61.41 | 50% below | — |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $215.00 | $215.00 | $16.85–$29.49 | 9% below | — |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $146.00 | $146.00 | $14.38–$25.16 | 60% below | — |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA | $154.00 | $154.00 | $14.38–$25.16 | 58% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 ANALYSIS FOR ANTIBODY TO HIV-1 AND HIV-2 VIRUS | $65.00 | $65.00 | $13.71–$23.99 | 80% below | — |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $69.00 | $69.00 | $13.71–$23.99 | 79% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $176.00 | $176.00 | $24.08–$42.14 | 5% below | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $185.00 | $185.00 | $24.08–$42.14 | at median | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 DETECTION TEST BY NUCLEIC ACID FOR HUMAN PAPILLOMAVIRUS (HPV); HIGH-RISK TYPES | $289.00 | $289.00 | $35.09–$61.41 | 114% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $304.00 | $304.00 | $35.09–$61.41 | 125% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $165.00 | $165.00 | $9.71–$16.99 | 6% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C | $174.00 | $174.00 | $9.71–$16.99 | 12% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $144.00 | $144.00 | $10.74–$18.80 | 16% below | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $139.00 | $139.00 | $10.33–$18.08 | 13% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $174.00 | $174.00 | $14.27–$24.97 | 15% below | — |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $183.00 | $183.00 | $14.27–$24.97 | 11% below | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $1,154.00 | $1,154.00 | $42.84–$74.97 | 280% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $206.00 | $206.00 | $13.19–$23.08 | 95% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $300.00 | $300.00 | $19.35–$33.86 | 125% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS | $146.00 | $146.00 | $12.95–$22.66 | 30% below | — |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $334.00 | $334.00 | $17.92–$31.36 | 24% above | — |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $52.00 | $52.00 | $11.43–$20.00 | 72% below | — |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $55.00 | $55.00 | $11.43–$20.00 | 70% below | — |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $228.00 | $228.00 | $6.47–$11.32 | at median | — |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $39.00 | $39.00 | $8.74–$15.30 | 79% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $104.00 | $104.00 | $6.89–$12.06 | 62% below | — |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $110.00 | $110.00 | $6.89–$12.06 | 60% below | — |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $128.00 | $128.00 | $8.17–$14.30 | 54% below | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $135.00 | $135.00 | $8.17–$14.30 | 52% below | — |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $269.00 | $269.00 | $17.03–$29.80 | at median | — |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $111.00 | $111.00 | $6.70–$11.72 | 3% above | — |
| Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM | $117.00 | $117.00 | $6.70–$11.72 | 9% above | — |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY | $167.00 | $167.00 | $12.88–$22.54 | 10% above | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $82.00 | $82.00 | $5.18–$9.06 | 77% below | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $87.00 | $87.00 | $5.18–$9.06 | 76% below | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $236.00 | $236.00 | $18.39–$32.18 | 21% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $236.00 | $236.00 | $18.39–$32.18 | 20% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING | $125.00 | $125.00 | $26.61–$46.57 | 62% below | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO | $132.00 | $132.00 | $26.61–$46.57 | 60% below | — |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $626.00 | $626.00 | $41.28–$72.24 | 5% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $98.00 | $98.00 | $6.01–$10.52 | 62% below | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $103.00 | $103.00 | $6.01–$10.52 | 60% below | — |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $89.00 | $89.00 | $19.38–$33.92 | 71% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $61.00 | $61.00 | $4.29–$7.51 | 24% below | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $166.00 | $166.00 | $4.29–$7.51 | 108% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $87.00 | $87.00 | $5.67–$9.92 | 7% above | — |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $92.00 | $92.00 | $5.67–$9.92 | 13% above | — |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $115.00 | $115.00 | $14.39–$25.18 | 50% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $15.00 | $15.00 | $2.70–$4.73 | 86% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $16.00 | $16.00 | $2.70–$4.73 | 85% below | — |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $133.00 | $133.00 | $8.90–$15.57 | 63% below | — |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $140.00 | $140.00 | $8.90–$15.58 | 61% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS | $54.00 | $54.00 | $4.38–$7.67 | 6% below | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES | $57.00 | $57.00 | $4.38–$7.67 | 1% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TEST FOR BLOOD FECAL | $56.00 | $56.00 | $15.92–$27.86 | 44% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $66.00 | $66.00 | $4.27–$7.47 | 48% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $70.00 | $70.00 | $4.27–$7.47 | 44% below | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $42.00 | $42.00 | $61.98–$108.46 | 93% below | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $392.00 | $392.00 | $25.81–$45.17 | 3% below | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $152.00 | $152.00 | $14.55–$25.46 | 14% below | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $245.00 | $245.00 | $16.80–$29.40 | 9% below | — |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $725.00 | $725.00 | $35.09–$61.41 | 891% above | — |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $59.00 | $59.00 | $4.52–$7.91 | 44% below | — |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $62.00 | $62.00 | $4.52–$7.91 | 41% below | — |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $42.00 | $42.00 | $3.17–$5.55 | 81% below | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $45.00 | $45.00 | $3.17–$5.55 | 80% below | — |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $37.00 | $37.00 | $2.25–$3.94 | 72% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $54.00 | $54.00 | $3.48–$6.09 | 40% below | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $57.00 | $57.00 | $3.48–$6.09 | 37% below | — |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $94.00 | $94.00 | $8.61–$15.07 | 7% below | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $195.00 | $195.00 | $15.08–$26.39 | 19% below | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $353.00 | $353.00 | $29.60–$51.80 | 67% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $371.00 | $371.00 | $29.60–$51.80 | 75% above | — |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $65.00 | $65.00 | $11.39–$19.93 | 63% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $184.00 | $184.00 | $15.05–$26.34 | 61% below | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST | $194.00 | $194.00 | $15.05–$26.34 | 59% below | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS) | $5,265.00 | $5,265.00 | $3,480.28–$11,025.00 | 37% below | — |
| Adenoid removal (adenoidectomy), child under 12 CPT 42830 REMOVAL OF ADENOIDS | $5,529.00 | $5,529.00 | $3,480.28–$11,025.00 | 33% below | — |
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 KNEE ARTHROSCOPY/SURGERY | $18,793.00 | $18,793.00 | $7,616.95–$13,329.66 | 47% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 SHO ARTHRS SRG RT8TR CUF RPR | $14,251.00 | $14,251.00 | $7,616.95–$13,329.66 | 40% above | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $752.00 | $752.00 | $258.93–$453.13 | 36% above | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $752.00 | $752.00 | $258.93–$453.13 | 25% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $1,529.00 | $1,529.00 | $693.80–$1,214.15 | 60% below | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT | $1,606.00 | $1,606.00 | $693.80–$1,214.15 | 58% below | — |
| Carpal tunnel release, open surgery CPT 64721 CARPAL TUNNEL SURGERY | $4,110.00 | $4,110.00 | $2,049.81–$11,025.00 | 22% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS) | $11,872.01 | $11,872.01 | $2,194.30–$4,458.00 | 120% above | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $752.00 | $752.00 | $258.93–$453.13 | 1% above | — |
| Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $11,614.00 | $11,614.00 | $3,700.23–$6,475.40 | 62% above | — |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $2,288.00 | $2,288.00 | $731.97–$1,280.95 | 79% above | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 DILATION AND SCRAPING OF UTERUS | $3,969.33 | $3,969.33 | $3,398.06–$5,946.60 | 26% above | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING | $2,627.00 | $2,627.00 | $1,628.72–$11,025.00 | 70% above | — |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $279.00 | $279.00 | $61.93–$108.38 | 129% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $750.00 | $750.00 | $61.93–$11,025.00 | 309% above | — |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $820.50 | $820.50 | $61.93–$557.00 | 347% above | — |
| Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 NSL/SINS NDSC W/TOT ETHMDCT | $10,169.00 | $10,169.00 | $6,130.00–$12,964.56 | — | — |
| Endoscopic sinus surgery: opening the frontal sinus CPT 31276 NSL/SINS NDSC FRNT TISS RMVL | $10,169.00 | $10,169.00 | $6,130.00–$12,964.56 | — | — |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 EXPLORATION MAXILLARY SINUS | $6,619.00 | $6,619.00 | $3,913.70–$11,025.00 | — | — |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 ENDOSCOPY MAXILLARY SINUS | $10,169.00 | $10,169.00 | $4,458.00–$12,964.56 | at median | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJECTION OF SUBSTANCE INTO MIDDLE OR UPPER SPINE CANAL USING IMAGING GUIDANCE | $3,438.00 | $3,438.00 | $740.97–$1,672.00 | 71% above | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $5,257.00 | $5,257.00 | $928.45–$1,624.79 | 66% above | — |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $11,423.00 | $11,423.00 | $3,758.40–$6,577.20 | 45% above | — |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $18,219.00 | $18,219.00 | $6,346.08–$11,146.00 | 20% above | — |
| Hammertoe correction surgery CPT 28285 REPAIR OF HAMMERTOE | $6,380.00 | $6,380.00 | $3,434.67–$11,025.00 | 26% below | — |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $8,265.00 | $8,265.00 | $3,398.06–$5,946.60 | at median | — |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $4,132.50 | $4,132.50 | $557.00 | 161% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $768.00 | $768.00 | $210.61–$368.57 | 161% above | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $9,844.00 | $9,844.00 | $210.61–$557.00 | 3252% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $1,087.00 | $1,087.00 | $322.21–$563.87 | 14% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $1,304.00 | $1,304.00 | $322.21–$563.87 | 42% above | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $1,568.00 | $1,568.00 | $322.21–$563.87 | 98% above | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $1,670.00 | $1,670.00 | $322.21–$563.87 | 206% above | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 KNEE ARTHROSCOPY/SURGERY | $6,380.00 | $6,380.00 | $3,434.67–$11,025.00 | at median | — |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $6,380.00 | $6,380.00 | $3,434.67–$11,025.00 | 3% below | — |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $13,746.01 | $13,746.01 | $6,346.08–$11,146.00 | 10% below | — |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $2,870.00 | $2,870.00 | $577.34–$1,672.00 | 64% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $479.00 | $479.00 | $426.73–$746.78 | at median | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $3,438.00 | $3,438.00 | $740.97–$1,296.70 | 114% above | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $2,838.00 | $2,838.00 | $928.45–$1,624.79 | 106% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $4,651.00 | $4,651.00 | $928.45–$1,624.79 | 60% above | — |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT | $7,626.00 | $7,626.00 | $7,616.95–$13,329.66 | at median | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 REMOVAL OF NONCANCER SKIN GROWTH OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 0.5 CM OR LESS | $788.00 | $788.00 | $743.34–$11,025.00 | 15% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/< | $2,649.00 | $2,649.00 | $743.34–$1,300.85 | 187% above | — |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $502.00 | $502.00 | $210.61–$368.57 | 73% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $1,454.00 | $1,454.00 | $322.21–$563.87 | 22% above | — |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $1,940.00 | $1,940.00 | $952.07–$11,025.00 | 26% above | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $1,794.00 | $1,794.00 | $426.73–$746.78 | 171% above | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND | $4,132.50 | $4,132.50 | $3,344.00 | 24% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $11,368.00 | $11,368.00 | $2,049.81–$3,587.17 | 124% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $936.00 | $936.00 | $426.73–$746.78 | 190% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL | $983.00 | $983.00 | $426.73–$746.78 | 205% above | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID | $11,775.00 | $11,775.00 | $6,346.08–$11,146.00 | 172% above | — |
| Removal of one lobe of the thyroid (lobectomy) CPT 60220 REMOVAL OF THYROID LOBE ON SIDE OF NECK | $19,490.01 | $19,490.01 | $6,346.08–$11,146.00 | 351% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 RESHAPING OF NASAL CARTILAGE | $5,265.00 | $5,265.00 | $3,480.28–$11,025.00 | 44% above | — |
| Septoplasty to straighten the nasal septum CPT 30520 REPAIR OF NASAL SEPTUM | $5,529.00 | $5,529.00 | $3,480.28–$11,025.00 | 52% above | — |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 SHOCK WAVE CRUSHING OF KIDNEY STONES | $22,194.00 | $22,194.00 | $3,700.23–$6,475.40 | 30% below | — |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $478.00 | $478.00 | $139.66–$244.40 | at median | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT | $504.00 | $504.00 | $170.58–$298.52 | 121% above | — |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $530.00 | $530.00 | $170.58–$298.52 | 132% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $788.00 | $788.00 | $146.51–$11,025.00 | 78% below | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $554.00 | $554.00 | $210.61–$368.57 | 34% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $582.00 | $582.00 | $210.61–$368.57 | 41% above | — |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAG; 1-15 SKIN TAGS | $366.00 | $366.00 | $210.61–$368.57 | 27% above | — |
| Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15 | $385.00 | $385.00 | $210.61–$368.57 | 34% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $2,622.00 | $2,622.00 | $740.97–$1,296.70 | 138% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $618.00 | $618.00 | $210.61–$368.57 | 39% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM | $649.00 | $649.00 | $210.61–$368.57 | 46% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $618.00 | $618.00 | $210.61–$368.57 | 61% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/< | $649.00 | $649.00 | $210.61–$368.57 | 69% above | — |
| TURP (transurethral resection of the prostate) CPT 52601 REMOVAL OF PROSTATE GLAND USING AN ELECTROCAUTERY KNIFE THROUGH URETHRA WITH CONTROL OF BLEEDING USING AN ENDOSCOPE | $5,711.50 | $5,711.50 | $5,628.36–$9,849.63 | 23% below | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) | $5,014.00 | $5,014.00 | $3,480.28–$11,025.00 | 40% below | — |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVE TONSILS AND ADENOIDS | $5,265.00 | $5,265.00 | $3,480.28–$11,025.00 | 37% below | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $11,608.00 | $11,608.00 | $4,458.00–$11,025.00 | 25% below | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $12,189.00 | $12,189.00 | $4,458.00–$11,025.00 | 22% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER) | $5,265.00 | $5,265.00 | $3,480.28–$11,025.00 | 37% below | — |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS | $5,529.00 | $5,529.00 | $3,480.28–$11,025.00 | 33% below | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS) | $11,608.00 | $11,608.00 | $4,458.00–$11,025.00 | 40% above | — |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS | $12,189.00 | $12,189.00 | $4,458.00–$11,025.00 | 47% above | — |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $41,792.00 | $41,792.00 | $11,025.00–$23,584.68 | 224% above | — |
| Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID | $10,935.00 | $10,935.00 | $6,346.08–$11,146.00 | — | — |
| Trigger finger release surgery CPT 26055 INCISE FINGER TENDON SHEATH | $3,607.00 | $3,607.00 | $1,687.93–$11,025.00 | 14% below | — |
| Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER | $4,432.50 | $4,432.50 | $1,687.93–$3,344.00 | 6% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES | $802.00 | $802.00 | $322.21–$563.87 | 59% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $1,294.00 | $1,294.00 | $322.21–$563.87 | 156% above | — |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT | $8,265.00 | $8,265.00 | $2,194.30–$4,458.00 | 53% above | — |
| Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14 | $359.00 | $359.00 | $210.61–$368.57 | 31% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/< | $1,179.00 | $1,179.00 | $426.73–$746.78 | 124% above | — |
| Wrist fracture surgery (plate and screws), distal radius CPT 25607 OPTX DST RD XARTC FX/EPI SEP | $20,935.00 | $20,935.00 | $7,616.95–$13,329.66 | 9% above | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT | $1,670.00 | $1,670.00 | $463.11–$810.44 | 4% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $544.00 | $544.00 | — | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $1,033.00 | $1,033.00 | — | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES | $3,311.00 | $3,311.00 | $867.09–$2,229.00 | 81% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $188.00 | $188.00 | $61.93–$108.38 | 70% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $198.00 | $198.00 | $61.93–$108.38 | 69% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $342.00 | $342.00 | $88.51–$145.00 | 13% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP | $360.00 | $360.00 | $88.51–$145.00 | 8% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $551.00 | $551.00 | $161.18–$245.00 | 70% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $579.00 | $579.00 | $161.18–$245.00 | 68% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $875.00 | $875.00 | $286.55–$458.00 | 72% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $919.00 | $919.00 | $286.55–$458.00 | 71% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $1,464.00 | $1,464.00 | $438.00–$945.00 | 81% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $1,538.00 | $1,538.00 | $438.00–$945.00 | 80% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $2,208.00 | $2,208.00 | $625.14–$1,560.00 | 86% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $2,319.00 | $2,319.00 | $625.14–$1,560.00 | 85% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $1,028.00 | $1,028.00 | $223.28–$390.74 | 10% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT | $1,080.00 | $1,080.00 | $223.28–$390.74 | 16% above | — |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $500.00 | $500.00 | $223.28–$390.74 | 45% below | — |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT | $922.00 | $922.00 | $223.28–$11,025.00 | 2% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $201.00 | $201.00 | $75.58–$132.26 | 3% below | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $212.00 | $212.00 | $75.58–$132.26 | 2% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES | $129.00 | $129.00 | $27.06–$47.36 | 66% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING AND TOBACCO USE INTENSIVE COUNSELING; 4-10 MINUTES | $78.00 | $78.00 | $39.33–$68.83 | 16% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $296.00 | $296.00 | $58.02–$101.54 | at median | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 EVALUATION OF WHEEZING | $666.00 | $666.00 | — | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACCINE SPLIT VIRUS; PRESERVATIVE FREE | $87.00 | $87.00 | — | 59% below | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE; 20 VALENT (PCV20); FOR INTRAMUSCULAR USE | $1,731.00 | $1,731.00 | — | 84% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $1,056.00 | $1,056.00 | $319.75–$559.56 | 49% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tenivac | $195.84 | $195.84 | — | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE 7 YRS/> IM | $317.00 | $317.00 | — | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $121.00 | $121.00 | $75.58–$132.26 | 5% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $128.00 | $128.00 | $75.58–$132.26 | 11% above | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $88.00 | $88.00 | — | 3% above | — |
Dental
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION; ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL) | $821.80 | $821.80 | $678.63–$1,187.60 | — | — |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/3ec9916021b8a942a7592560cc3b7900/charges/mrf