Haxtun Hospital District
Haxtun Hospital District in Haxtun, CO publishes cash prices for 284 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 241 of 283 procedures and above it for 33. By typical cash price it ranks #13 of 38 Colorado hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
235 W Fletcher St, Haxtun, CO 80731 Collected Sep 27, 2026 Source price file (970) 774-6123
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 061304 · CMS hospital register
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 4 actions for a hospital named Haxtun Hospital District in Haxtun, CO:
- Mar 3, 2023 Warning notice
- Nov 8, 2023 Corrective action plan requested
- Jul 9, 2024 Corrective action plan requested
- Sep 24, 2024 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 Xr Ankle Complete | $281.00 | $374.00 | $207.00–$363.00 | 7% below | 25% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/l Xtremity Art 2 Levels | $290.00 | $387.00 | $214.00–$375.00 | 78% below | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest | $2,894.00 | $3,859.00 | $2,133.00–$3,743.00 | 4% above | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen/pelvis Wo | $2,470.00 | $3,293.00 | $1,820.00–$3,194.00 | 7% below | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $2,840.00 | $3,786.00 | $2,093.00–$3,672.00 | 26% below | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Urogram | $4,618.00 | $6,157.00 | $3,403.00–$5,972.00 | at median | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen/pelvis W/wo | $4,618.00 | $6,157.00 | $3,403.00–$5,972.00 | at median | 25% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ | $2,120.00 | $2,827.00 | $1,563.00–$2,742.00 | 10% below | 25% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Wo | $1,782.00 | $2,376.00 | $1,313.00–$2,305.00 | 10% below | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial Wo | $1,760.00 | $2,346.00 | $1,297.00–$2,276.00 | 12% above | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan | $1,883.00 | $2,510.00 | $1,387.00–$2,435.00 | 10% below | 25% |
| CT scan of the head with contrast CPT 70460 Ct Head W/ | $2,301.00 | $3,068.00 | $1,696.00–$2,976.00 | 3% above | 25% |
| CT scan of the head without and with contrast CPT 70470 Ct Head W/wo | $1,838.00 | $2,451.00 | $1,355.00–$2,377.00 | 36% below | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine Wo | $2,163.00 | $2,884.00 | $1,594.00–$2,797.00 | 16% above | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical Spine Wo | $2,224.00 | $2,965.00 | $1,639.00–$2,876.00 | 11% above | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $2,119.00 | $2,825.00 | $1,562.00–$2,740.00 | 12% below | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carotid Duplex Complete | $839.00 | $1,119.00 | $619.00–$1,085.00 | 82% below | 25% |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2 View | $299.00 | $398.00 | $220.00–$386.00 | 4% below | 25% |
| Chest X-ray, single view CPT 71045 Xr Chest 1 View | $232.00 | $309.00 | $171.00–$300.00 | 16% below | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Renal / Retroperitoneal Complete | $665.00 | $886.00 | $490.00–$859.00 | 15% below | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa | $470.00 | $627.00 | $347.00–$608.00 | 25% below | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Scan (Appendicular) | $213.00 | $284.00 | $157.00–$275.00 | 66% below | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Chest Wo | $2,105.00 | $2,806.00 | $1,551.00–$2,722.00 | 7% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Chest W/ | $2,309.00 | $3,078.00 | $1,701.00–$2,986.00 | 2% below | 25% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Us Arterial Lower Ext Bilat | $765.00 | $1,020.00 | $564.00–$989.00 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Dup-scanxtr Veins Complete Bilateral Study | $143.00 | $191.00 | $27.00–$185.00 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Duplex Upper Ext Bilat | $1,082.00 | $1,443.00 | $798.00–$1,400.00 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Bilat Le Venous Insufficiency | $1,082.00 | $1,443.00 | $798.00–$1,400.00 | — | 25% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Us Venous Duplex Lower Ext Bilat | $1,082.00 | $1,443.00 | $798.00–$1,400.00 | — | 25% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity Study | $544.00 | $725.00 | $401.00–$703.00 | 88% below | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Us Echo Complete Wo | $1,939.00 | $2,585.00 | $1,429.00–$2,507.00 | 54% below | 25% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Cpap Titration Or Split Night | $3,705.00 | $4,940.00 | $2,731.00–$4,792.00 | 46% below | 25% |
| Knee X-ray, 3 views CPT 73562 Xr Knee 3 View | $321.00 | $428.00 | $237.00–$415.00 | 7% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdominal Limited | $611.00 | $814.00 | $450.00–$790.00 | 17% below | 25% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Lung Cancer Screening | $256.00 | $341.00 | $188.00–$331.00 | 10% below | 25% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $2,589.00 | $3,452.00 | $1,908.00–$3,348.00 | 67% above | 25% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Lower Ext Joint W/wo | $3,152.00 | $4,203.00 | $2,323.00–$4,077.00 | 61% above | 25% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/o | $2,490.00 | $3,320.00 | $1,835.00–$3,220.00 | 14% below | 25% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W/wo | $3,082.00 | $4,109.00 | $2,271.00–$3,986.00 | 12% below | 25% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain W/o | $2,600.00 | $3,467.00 | $1,916.00–$3,363.00 | 28% below | 25% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Scan | $3,031.00 | $4,041.00 | $2,234.00–$3,920.00 | 25% below | 25% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $2,578.00 | $3,437.00 | $1,900.00–$3,334.00 | 8% below | 25% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine W/wo | $3,425.00 | $4,566.00 | $2,524.00–$4,429.00 | 4% below | 25% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/o | $2,720.00 | $3,627.00 | $2,005.00–$3,518.00 | 20% below | 25% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cervical Spine W/wo | $3,031.00 | $4,041.00 | $2,234.00–$3,920.00 | 8% below | 25% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine W/o | $2,620.00 | $3,493.00 | $1,931.00–$3,388.00 | 23% below | 25% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W/wo | $2,906.00 | $3,875.00 | $2,142.00–$3,759.00 | 35% below | 25% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/o | $2,306.00 | $3,075.00 | $1,700.00–$2,983.00 | 36% below | 25% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Upper Ext Joint W/o | $2,589.00 | $3,452.00 | $1,908.00–$3,348.00 | 155% above | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic Limited | $577.00 | $769.00 | $425.00–$746.00 | 8% below | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete No Ob | $685.00 | $913.00 | $505.00–$886.00 | 16% below | 25% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdomial ultrasound of pregnant uterus | $698.00 | $931.00 | $515.00–$903.00 | 20% below | 25% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob 1st Trimester | $529.00 | $705.00 | $390.00–$684.00 | 20% below | 25% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited | $506.00 | $675.00 | $373.00–$655.00 | 8% above | 25% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 Xr Shoulder Complete | $260.00 | $347.00 | $192.00–$337.00 | 14% below | 25% |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study | $3,430.00 | $4,573.00 | $2,528.00–$4,436.00 | at median | 25% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Rf Modified Barium Swallow | $696.00 | $928.00 | $513.00–$900.00 | 2% above | 25% |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound pelvis through vagina | $678.00 | $904.00 | $500.00–$877.00 | 5% below | 25% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Tvu | $599.00 | $798.00 | $441.00–$774.00 | 4% below | 25% |
| Ultrasound of the abdomen, complete CPT 76700 Ultrasound of abdomen | $675.00 | $900.00 | $497.00–$873.00 | 21% below | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum | $668.00 | $890.00 | $492.00–$863.00 | 11% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Under Diagnostic Ultrasound Procedures Of The Head And Neck | $116.00 | $155.00 | $86.00–$150.00 | 85% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Thyroid | $634.00 | $845.00 | $467.00–$820.00 | 17% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head/nech Soft Tissue | $634.00 | $845.00 | $467.00–$820.00 | 17% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Extremity Veins Duplex Limited Unilateral (Sc) | $269.00 | $359.00 | $198.00–$348.00 | 77% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Rt Le Venous Insufficiency | $758.00 | $1,011.00 | $559.00–$981.00 | 35% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Duplex Upper Ext Rt | $758.00 | $1,011.00 | $559.00–$981.00 | 35% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Duplex Lower Ext Rt | $758.00 | $1,011.00 | $559.00–$981.00 | 35% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Lt Le Venous Insuffiency | $758.00 | $1,011.00 | $559.00–$981.00 | 35% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Duplex Lower Ext Lt | $758.00 | $1,011.00 | $559.00–$981.00 | 35% below | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Venous Duplex Upper Ext Lt | $758.00 | $1,011.00 | $559.00–$981.00 | 35% below | 25% |
| Wrist X-ray, complete, 3 or more views CPT 73110 Xr Wrist Complete | $256.00 | $341.00 | $188.00–$331.00 | 15% below | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 Xr Hip Comp W/pelvis | $353.00 | $471.00 | $260.00–$457.00 | 23% below | 25% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abd 1 View | $236.00 | $315.00 | $174.00–$306.00 | 18% below | 25% |
| X-ray of the ankle, 2 views CPT 73600 Xr Ankle 2 V | $217.00 | $289.00 | $160.00–$280.00 | 28% below | 25% |
| X-ray of the finger(s), 2 or more views CPT 73140 Xr Finger | $220.00 | $293.00 | $162.00–$284.00 | 20% below | 25% |
| X-ray of the foot, 2 views CPT 73620 Xr Foot 2 View | $207.00 | $276.00 | $153.00–$268.00 | 31% below | 25% |
| X-ray of the foot, complete, 3 or more views CPT 73630 Xr Foot 3 View | $276.00 | $368.00 | $203.00–$357.00 | 8% below | 25% |
| X-ray of the hand, 3 or more views CPT 73130 Xr Hand Complete | $260.00 | $347.00 | $192.00–$337.00 | 14% below | 25% |
| X-ray of the knee, 1 or 2 views CPT 73560 Xr Knee <2 View | $282.00 | $376.00 | $208.00–$365.00 | 6% below | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xr L-spine 2 View | $384.00 | $512.00 | $283.00–$497.00 | 25% below | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray of lower back | $553.00 | $737.00 | $407.00–$715.00 | 7% below | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xr T-spine 2 View | $350.00 | $467.00 | $258.00–$453.00 | at median | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Xr Nasal Bones | $237.00 | $316.00 | $175.00–$307.00 | 21% below | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xr C-spine <3 Views | $319.00 | $425.00 | $235.00–$412.00 | 29% below | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis | $285.00 | $380.00 | $210.00–$369.00 | 16% below | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum/coccyx | $340.00 | $453.00 | $250.00–$439.00 | 15% below | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt Serum (Backup) | $56.00 | $74.00 | $41.00–$72.00 | 47% below | 24% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt Serum (In-house) | $56.00 | $74.00 | $41.00–$72.00 | 47% below | 24% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast Serum (In -House) | $62.00 | $83.00 | $46.00–$81.00 | 70% below | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 (Sgot) Ast | $62.00 | $83.00 | $46.00–$81.00 | 70% below | 25% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatits Panel | $179.00 | $238.00 | $132.00–$231.00 | 77% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Food Allergy Panel Ii, I | $12.00 | $16.00 | $9.00–$16.00 | 70% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Almond Allergy | $12.00 | $16.00 | $9.00–$16.00 | 70% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Horse Dander, Ige | $14.00 | $19.00 | $11.00–$18.00 | 66% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Adult Food Allergy Panel 1 | $14.00 | $19.00 | $11.00–$18.00 | 66% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Region Ii Respiratory Pa | $14.00 | $18.00 | $10.00–$17.00 | 66% below | 22% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens Respiratory Panel Region 9 | $14.00 | $19.00 | $11.00–$18.00 | 66% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige | $17.00 | $22.00 | $12.00–$21.00 | 58% below | 23% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cranberry, Ige | $18.00 | $24.00 | $13.00–$23.00 | 56% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Orange, Ige | $18.00 | $24.00 | $13.00–$23.00 | 56% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lemon, Ige | $18.00 | $24.00 | $13.00–$23.00 | 56% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lime, Ige | $18.00 | $24.00 | $13.00–$23.00 | 56% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Ige Each Allergen Quantitative/semiquantitative | $20.00 | $27.00 | $15.00–$26.00 | 51% below | 26% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grapefruit Allergy | $21.00 | $28.00 | $15.00–$27.00 | 48% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cow Milk Allergy | $21.00 | $28.00 | $15.00–$27.00 | 48% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat Ige | $25.00 | $33.00 | $18.00–$32.00 | 38% below | 24% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Milk Ige (Rps Only) | $32.00 | $42.00 | $23.00–$41.00 | 21% below | 24% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Tune Ige (Arup Via Rps) | $37.00 | $49.00 | $27.00–$48.00 | 9% below | 24% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Nuts | $38.00 | $50.00 | $28.00–$49.00 | 6% below | 24% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rice Ige | $39.00 | $52.00 | $29.00–$50.00 | 4% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Vegetable Profile, Ige | $39.00 | $52.00 | $29.00–$50.00 | 4% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coconut, Ige | $39.00 | $52.00 | $29.00–$50.00 | 4% below | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk Allergy | $46.00 | $61.00 | $34.00–$59.00 | 13% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cow Casein | $48.00 | $64.00 | $35.00–$62.00 | 18% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lettuce Ige | $48.00 | $64.00 | $35.00–$62.00 | 18% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White Allergy | $51.00 | $68.00 | $38.00–$66.00 | 25% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio Ige | $53.00 | $71.00 | $39.00–$69.00 | 30% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Ige | $53.00 | $71.00 | $39.00–$69.00 | 30% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Candida Ige | $56.00 | $74.00 | $41.00–$72.00 | 38% above | 24% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Food Ige | $56.00 | $75.00 | $41.00–$73.00 | 38% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp Ige | $57.00 | $76.00 | $42.00–$74.00 | 40% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food Clam (Rps Only) | $57.00 | $76.00 | $42.00–$74.00 | 40% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Codfish Ige | $57.00 | $76.00 | $42.00–$74.00 | 40% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen, Food, Scallop, Ige (Rps Only) | $57.00 | $76.00 | $42.00–$74.00 | 40% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Interp, Immuncap Score | $58.00 | $77.00 | $43.00–$75.00 | 43% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Broccoli Ige | $61.00 | $81.00 | $45.00–$79.00 | 50% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Schistosoma Ab Ige | $71.00 | $94.00 | $52.00–$91.00 | 75% above | 24% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lae- Latex Allergy Specific Ige | $83.00 | $111.00 | $61.00–$108.00 | 104% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ginger Ige | $95.00 | $127.00 | $70.00–$123.00 | 134% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Shell, Fish Profile | $122.00 | $163.00 | $90.00–$158.00 | 200% above | 25% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergens, Food, Profile 19 | $176.00 | $234.00 | $129.00–$227.00 | 333% above | 25% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Connective Tissue Diseases Profile (Rps) | $31.00 | $41.00 | $23.00–$40.00 | 86% below | 24% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide Antibody, Igg | $145.00 | $193.00 | $107.00–$187.00 | 34% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Connective Tissue Diseases Profile (Rps) | $29.00 | $39.00 | $22.00–$38.00 | 73% below | 26% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen (Reflex) | $101.00 | $135.00 | $75.00–$131.00 | 4% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Rna Polymerase | $153.00 | $204.00 | $113.00–$198.00 | 45% above | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Nt-pro Bnp (In-house) | $264.00 | $352.00 | $195.00–$341.00 | 55% below | 25% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-natriuretic Peptide (Bnp) (Backup) | $264.00 | $352.00 | $195.00–$341.00 | 55% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $134.00 | $179.00 | $99.00–$174.00 | 53% below | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Biopsy 4 | $150.00 | $200.00 | $111.00–$194.00 | 75% below | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam By Pathologist | $150.00 | $200.00 | $111.00–$194.00 | 75% below | 25% |
| Blood culture for bacteria both sides CPT 87040 Blood Culture, Bi (Rps) | $60.00 | $80.00 | $44.00–$78.00 | — | 25% |
| Blood culture for bacteria CPT 87040 Acid Fast Bacteria Cult | $147.00 | $196.00 | $108.00–$190.00 | 56% below | 25% |
| Blood culture for bacteria CPT 87040 Culture, Blood | $200.00 | $267.00 | $148.00–$259.00 | 40% below | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $35.00 | $46.00 | $25.00–$45.00 | 41% below | 24% |
| Blood glucose (sugar) test CPT 82947 Glucose Serum (Backup) | $56.00 | $74.00 | $41.00–$72.00 | 68% below | 24% |
| Blood glucose (sugar) test CPT 82947 Glucose Serum (In-house) | $56.00 | $74.00 | $41.00–$72.00 | 68% below | 24% |
| Blood lead test CPT 83655 Lead Child Serum | $37.00 | $49.00 | $27.00–$48.00 | 86% below | 24% |
| Blood lead test CPT 83655 Lead Adult Serum | $78.00 | $104.00 | $57.00–$101.00 | 70% below | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Serum Pregnancy Qualitative | $124.00 | $165.00 | $91.00–$160.00 | 35% below | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo | $62.00 | $82.00 | $45.00–$80.00 | 55% below | 24% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C Reactive Protein (Backup) | $98.00 | $130.00 | $72.00–$126.00 | 64% below | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp (In-house) | $98.00 | $130.00 | $72.00–$126.00 | 64% below | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp (Backup) | $98.00 | $130.00 | $72.00–$126.00 | 64% below | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive Protein (Quant) Ref | $98.00 | $130.00 | $72.00–$126.00 | 64% below | 25% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C-diff Toxin Dna Confirmation | $143.00 | $190.00 | $105.00–$184.00 | 74% below | 25% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $143.00 | $190.00 | $105.00–$184.00 | 57% below | 25% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 | $162.00 | $216.00 | $119.00–$210.00 | 51% below | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid 19 (In-house) | $129.00 | $172.00 | $95.00–$167.00 | at median | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Cdphe | $129.00 | $172.00 | $95.00–$167.00 | at median | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids | $115.00 | $153.00 | $85.00–$148.00 | 38% below | 25% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (CBC), with differential white blood cells, automated | $97.00 | $129.00 | $71.00–$125.00 | at median | 25% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (CBC), automated | $88.00 | $117.00 | $65.00–$113.00 | 55% below | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $165.00 | $220.00 | $122.00–$213.00 | 47% below | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 Ddmr In-house | $68.00 | $91.00 | $50.00–$88.00 | 84% below | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 D Dimer (In-house) | $68.00 | $91.00 | $50.00–$88.00 | 84% below | 25% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea, Sulfate | $170.00 | $226.00 | $125.00–$219.00 | 73% below | 25% |
| Estradiol blood test CPT 82670 Estradiol Serum | $150.00 | $200.00 | $111.00–$194.00 | 66% below | 25% |
| Estradiol blood test CPT 82670 Access Estradiol | $150.00 | $200.00 | $111.00–$194.00 | 66% below | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stim. Hormone | $121.00 | $161.00 | $89.00–$156.00 | 59% below | 25% |
| FSH (follicle-stimulating hormone) test CPT 83001 Access Fsh | $121.00 | $161.00 | $89.00–$156.00 | 59% below | 25% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal | $461.00 | $614.00 | $339.00–$596.00 | 35% above | 25% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (Backup) | $123.00 | $164.00 | $91.00–$159.00 | 43% below | 25% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (In-house) | $123.00 | $164.00 | $91.00–$159.00 | 43% below | 25% |
| Ferritin blood test (iron stores) CPT 82728 Hrt Ferritin | $123.00 | $164.00 | $91.00–$159.00 | 43% below | 25% |
| Folate (folic acid) blood test CPT 82746 Folate Serum (In-house) | $136.00 | $181.00 | $100.00–$176.00 | 42% below | 25% |
| Free T3 thyroid hormone test CPT 84481 Hrt T3 Free | $205.00 | $273.00 | $151.00–$265.00 | 45% below | 25% |
| Free T3 thyroid hormone test CPT 84481 Ft3 (Free Triiodothyronine In-house) | $205.00 | $273.00 | $151.00–$265.00 | 45% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Ft4 (Free Thyroxine In-house) | $103.00 | $137.00 | $76.00–$133.00 | 35% below | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Hrt T4 Free | $103.00 | $137.00 | $76.00–$133.00 | 35% below | 25% |
| Free testosterone test CPT 84402 Access Testosterone Free (Male) | $170.00 | $227.00 | $125.00–$220.00 | 72% below | 25% |
| Free testosterone test CPT 84402 Testosterone Level Free | $170.00 | $227.00 | $125.00–$220.00 | 72% below | 25% |
| Free testosterone test CPT 84402 Access Testosterone Free (Female) | $170.00 | $227.00 | $125.00–$220.00 | 72% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 3 Test Hour (In-house) | $56.00 | $74.00 | $41.00–$72.00 | 59% below | 24% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 1 Hour (Backup) | $80.00 | $107.00 | $59.00–$104.00 | 42% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 2 Hour (Backup) | $83.00 | $110.00 | $61.00–$107.00 | 40% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 2 Hour (In-house) | $83.00 | $110.00 | $61.00–$107.00 | 40% below | 25% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance Test 1 Hour (In-house) | $83.00 | $110.00 | $61.00–$107.00 | 40% below | 25% |
| H. pylori stool antigen test CPT 87338 H. Pylori Stool Antigen | $168.00 | $224.00 | $124.00–$217.00 | 50% below | 25% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv 1/2 Antigen/antibody | $89.00 | $118.00 | $65.00–$114.00 | 51% below | 25% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Human Papilloma Virus, High Risk | $109.00 | $145.00 | $80.00–$141.00 | 19% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (In-house) | $91.00 | $121.00 | $67.00–$117.00 | 41% below | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c (Backup) | $91.00 | $121.00 | $67.00–$117.00 | 41% below | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody | $114.00 | $152.00 | $84.00–$147.00 | 34% below | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B S-antigen | $113.00 | $151.00 | $83.00–$146.00 | 29% below | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $123.00 | $164.00 | $91.00–$159.00 | 40% below | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hep C (Riba) | $290.00 | $386.00 | $213.00–$374.00 | 41% above | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Viral Load Pcr | $104.00 | $138.00 | $76.00–$134.00 | 61% below | 25% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex I Igg/igm | $220.00 | $293.00 | $162.00–$284.00 | 104% above | 25% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Ii Igg/igm | $91.00 | $121.00 | $67.00–$117.00 | 31% below | 25% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C Reactive Protein (Card) | $82.00 | $109.00 | $60.00–$106.00 | 60% below | 25% |
| Homocysteine blood test CPT 83090 Homocysteine Level | $233.00 | $310.00 | $171.00–$301.00 | 13% below | 25% |
| Insulin blood test CPT 83525 Insulin Serum (Total) | $122.00 | $162.00 | $90.00–$157.00 | 33% below | 25% |
| Iron blood test (serum iron) CPT 83540 Iron Serum (In-house) | $62.00 | $82.00 | $45.00–$80.00 | 71% below | 24% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity (In-house) | $80.00 | $107.00 | $59.00–$104.00 | 58% below | 25% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $233.00 | $311.00 | $172.00–$302.00 | 38% below | 25% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone (Lh) | $121.00 | $161.00 | $89.00–$156.00 | 59% below | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (In-house) | $104.00 | $139.00 | $77.00–$135.00 | 52% below | 25% |
| Liver function blood test panel CPT 80076 Liver function blood test | $131.00 | $174.00 | $96.00–$169.00 | 53% below | 25% |
| Lyme disease antibody test CPT 86618 Lyme Disease W/ref To W Blot | $147.00 | $196.00 | $108.00–$190.00 | 34% below | 25% |
| Magnesium blood test CPT 83735 Magnesium, Rbc | $17.00 | $23.00 | $13.00–$22.00 | 84% below | 26% |
| Magnesium blood test CPT 83735 Magnesium | $23.00 | $30.00 | $17.00–$29.00 | 79% below | 23% |
| Magnesium blood test CPT 83735 Magnesium, Urine, Random (Rps) | $35.00 | $46.00 | $25.00–$45.00 | 67% below | 24% |
| Magnesium blood test CPT 83735 Magnesium Serum (In-house) | $88.00 | $117.00 | $65.00–$113.00 | 18% below | 25% |
| Magnesium blood test CPT 83735 Magnesium Serum (Backup) | $88.00 | $117.00 | $65.00–$113.00 | 18% below | 25% |
| Magnesium blood test CPT 83735 Magnesium Urine 24 Hr (In-house) | $88.00 | $117.00 | $65.00–$113.00 | 18% below | 25% |
| Magnesium blood test CPT 83735 Magnesium Urine Random (In-house) | $88.00 | $117.00 | $65.00–$113.00 | 18% below | 25% |
| Measles (rubeola) antibody test CPT 86765 Rubeola Antibod. Igg | $111.00 | $148.00 | $82.00–$144.00 | 18% below | 25% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono Test | $83.00 | $110.00 | $61.00–$107.00 | 77% below | 25% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $331.00 | $441.00 | $244.00–$428.00 | 46% below | 25% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Total prostate-specific antigen (PSA) test | $229.00 | $305.00 | $169.00–$296.00 | 23% below | 25% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total prostate-specific antigen (PSA) test | $121.00 | $161.00 | $89.00–$156.00 | 57% below | 25% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Liquid Pap | $62.00 | $83.00 | $46.00–$81.00 | 68% below | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Level | $262.00 | $349.00 | $193.00–$339.00 | 54% below | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $101.00 | $135.00 | $75.00–$131.00 | 60% below | 25% |
| Progesterone blood test CPT 84144 Progesterone Level | $121.00 | $161.00 | $89.00–$156.00 | 51% below | 25% |
| Prolactin blood test CPT 84146 Prolactin Level | $149.00 | $199.00 | $110.00–$193.00 | 52% below | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $159.00 | $212.00 | $117.00–$206.00 | 33% above | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Screen, Automated | $35.00 | $47.00 | $26.00–$46.00 | 84% below | 26% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Urine Drug Screen (In-house) | $66.00 | $88.00 | $49.00–$85.00 | 70% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Any Number Of Drug Classes, Presumptive Single Or Multiple Drug Class Method | $190.00 | $253.00 | $140.00–$245.00 | 13% below | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Screen Urine-sendout | $201.00 | $268.00 | $148.00–$260.00 | 8% below | 25% |
| Rapid flu test (influenza antigen) CPT 87804 Flu Test A&b | $101.00 | $135.00 | $75.00–$131.00 | at median | 25% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor | $83.00 | $110.00 | $61.00–$107.00 | 1% above | 25% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Screen | $109.00 | $145.00 | $80.00–$141.00 | 53% below | 25% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Esr | $8.00 | $11.00 | $6.00–$11.00 | 90% below | 27% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Fecal Occult Blood Neoplasm Screening | $19.00 | $25.00 | $14.00–$24.00 | 67% below | 24% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood | $51.00 | $68.00 | $38.00–$66.00 | 11% below | 25% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Assay Test For Blood, Fecal | $19.00 | $25.00 | $14.00–$24.00 | 77% below | 24% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Blood, Occult, By Fecal Hemoglobin Determination B | $59.00 | $79.00 | $44.00–$77.00 | 28% below | 25% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr-syphilis Serology | $54.00 | $72.00 | $40.00–$70.00 | 57% below | 25% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Gold Tb | $290.00 | $386.00 | $213.00–$374.00 | 32% below | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Access Testosterone Total (Male) | $134.00 | $179.00 | $99.00–$174.00 | 67% below | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total | $134.00 | $179.00 | $99.00–$174.00 | 67% below | 25% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Access Testosterone Total (Female) | $134.00 | $179.00 | $99.00–$174.00 | 67% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Microsomal Anti | $114.00 | $152.00 | $84.00–$147.00 | 36% below | 25% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Anti Tpo Antibody (Mab) | $114.00 | $152.00 | $84.00–$147.00 | 36% below | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $118.00 | $157.00 | $87.00–$152.00 | 56% below | 25% |
| Uric acid blood test CPT 84550 Uric Acid Serum (In-house) | $56.00 | $75.00 | $41.00–$73.00 | 47% below | 25% |
| Uric acid blood test CPT 84550 Uric Acid Serum (Backup) | $56.00 | $75.00 | $41.00–$73.00 | 47% below | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis test using microscope | $62.00 | $83.00 | $46.00–$81.00 | 72% below | 25% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis test using microscope | $17.00 | $22.00 | $12.00–$21.00 | 87% below | 23% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis test | $43.00 | $57.00 | $32.00–$55.00 | 55% below | 25% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis test | $19.00 | $25.00 | $14.00–$24.00 | 79% below | 24% |
| Urine culture for bacteria, with colony count CPT 87086 Culture, Urine (Micro) | $88.00 | $117.00 | $65.00–$113.00 | 52% below | 25% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test | $27.00 | $36.00 | $20.00–$35.00 | 73% below | 25% |
| Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Qualitative | $102.00 | $136.00 | $75.00–$132.00 | 1% above | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 (In-house) | $143.00 | $191.00 | $106.00–$185.00 | 41% below | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Hrt Vitamin B12 | $143.00 | $191.00 | $106.00–$185.00 | 41% below | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Hrt Vitamin D 25-hydroxy | $180.00 | $240.00 | $133.00–$233.00 | 9% below | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Total (In-house) | $180.00 | $240.00 | $133.00–$233.00 | 9% below | 25% |
| Zinc blood test CPT 84630 Zink, Serum Or Plasma (Rps) | $58.00 | $77.00 | $43.00–$75.00 | 59% below | 25% |
| Zinc blood test CPT 84630 Zinc (Serum) | $68.00 | $90.00 | $50.00–$87.00 | 52% below | 24% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quant (In-house) | $56.00 | $74.00 | $41.00–$72.00 | 84% below | 24% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Beta-hcg (Send Out) | $56.00 | $74.00 | $41.00–$72.00 | 84% below | 24% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Chemodenerv Musc Migraine | $689.00 | $918.00 | $507.00–$890.00 | 27% below | 25% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture | $145.00 | $193.00 | $107.00–$187.00 | 74% below | 25% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Ankle Fracture, Without Manip | $482.00 | $643.00 | $355.00–$624.00 | 13% below | 25% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Fx Metatarsal, Without Manip, Each | $461.00 | $615.00 | $340.00–$597.00 | 13% below | 25% |
| Cervical biopsy CPT 57500 Cautery Of Cervix, Cryocautery, Inital Or Repeat | $324.00 | $432.00 | $239.00–$419.00 | 60% below | 25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision W/regionl Block | $616.00 | $821.00 | $454.00–$796.00 | 52% above | 25% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision, Infant | $2,054.00 | $2,738.00 | $1,513.00–$2,656.00 | 406% above | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Tx Of Distal Radial Fracture | $583.00 | $777.00 | $429.00–$754.00 | 22% below | 25% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $2,693.00 | $3,591.00 | $1,985.00–$3,483.00 | 12% above | 25% |
| Colonoscopy with tissue sample CPT 45380 Biopsy exam of large bowel using an endoscope | $2,693.00 | $3,591.00 | $1,985.00–$3,483.00 | 8% above | 25% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using an endoscope | $2,317.00 | $3,089.00 | $1,707.00–$2,996.00 | 16% above | 25% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Cryosurgery/skin First Pre-malig Lesion | $39.00 | $52.00 | $29.00–$50.00 | 83% below | 25% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Pre-malig First Lesion | $134.00 | $178.00 | $98.00–$173.00 | 41% below | 25% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal Of Cerumen With Lavage | $44.00 | $59.00 | $33.00–$57.00 | 64% below | 25% |
| Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Requiring Instrumental, Unilateral | $29.00 | $39.00 | $22.00–$38.00 | 81% below | 26% |
| Earwax removal with instruments, one ear one side CPT 69210 Removal Impacted Cerumen Requiring Instrumentation, Unilateral | $98.00 | $131.00 | $72.00–$127.00 | 36% below | 25% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrium | $174.00 | $232.00 | $128.00–$225.00 | 45% below | 25% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection, Of Diag Or Theraputic, Substances With Imaging (Fl) | $1,674.00 | $2,232.00 | $1,234.00–$2,165.00 | 10% below | 25% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Paravertevral Facet Joint With Imaging Guidance Lumbar Or Sacral Single Level (F) | $651.00 | $868.00 | $480.00–$842.00 | 79% below | 25% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Ligation Of Hemorrhoid(s) | $628.00 | $837.00 | $463.00–$812.00 | 72% below | 25% |
| IUD insertion (the device itself billed separately) CPT 58300 Iud Placement | $78.00 | $104.00 | $57.00–$101.00 | 95% below | 25% |
| IUD insertion (the device itself billed separately) CPT 58300 Insertion Of Intrauterine Device (Iud) | $260.00 | $346.00 | $191.00–$336.00 | 84% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abscess Simple | $229.00 | $305.00 | $169.00–$296.00 | 20% below | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d Abcess-simple | $236.00 | $314.00 | $86.00–$305.00 | 17% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/ligament Aponeurosis | $69.00 | $92.00 | $51.00–$89.00 | 93% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/ligament Aponeurosisinjection 1 Tendon Sheath/ligament Aponeurosis | $232.00 | $309.00 | $171.00–$300.00 | 75% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection 1 Tendon Sheath/ligament (Sc) | $238.00 | $317.00 | $28.00–$307.00 | 74% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj Joint/bursa W/o Us (F) | $206.00 | $275.00 | $152.00–$267.00 | 69% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis, Aspiration And/or Injection, Major Joint Or Bursa | $430.00 | $573.00 | $33.00–$556.00 | 35% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Aspir&/injection Major Jt/bursa | $430.00 | $573.00 | $317.00–$556.00 | 35% below | 25% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Non-biodegradable Drug Delivery Implant | $299.00 | $398.00 | $220.00–$386.00 | 12% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj Joint/bursa W/o Us (F) | $206.00 | $275.00 | $152.00–$267.00 | 69% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspir&/injection Interm Jt/burs | $255.00 | $340.00 | $188.00–$330.00 | 62% below | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocentesis Aspirat/inj Intermediate Joint (Sc) | $689.00 | $918.00 | $27.00–$890.00 | 4% above | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/inj Joint/bursa W/o Us (F) | $206.00 | $275.00 | $152.00–$267.00 | 60% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspir&/injection Small Jt/bursa | $254.00 | $339.00 | $187.00–$329.00 | 50% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Aspirat/inj Small Joint | $262.00 | $349.00 | $26.00–$339.00 | 49% below | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Lac Interm <2.5 Cm, Scalp, Ext | $407.00 | $543.00 | $300.00–$527.00 | 14% below | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection(s) of therapeutic substance | $503.00 | $670.00 | $370.00–$650.00 | 68% below | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection(s) of anesthetic into lower spine using imaging guidance | $2,063.00 | $2,751.00 | $1,521.00–$2,668.00 | 29% below | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Lesion 0-.5cm Trk Arm Leg, Benign | $271.00 | $361.00 | $200.00–$350.00 | 48% below | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Lesion 0-.5 Face Ear, Benign | $292.00 | $389.00 | $215.00–$377.00 | 68% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 Avulation Of Nail Plate, Partial Or Complete Simple Singl | $49.00 | $65.00 | $36.00–$63.00 | 81% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 Avulation Of Nail Plate, Partial Or Complete Simple Single | $161.00 | $214.00 | $118.00–$208.00 | 37% below | 25% |
| Occipital nerve block (injection for headaches) both sides CPT 64405 Inj Greater Occipital Nerve Bilateral (Sc) | $534.00 | $712.00 | $38.00–$691.00 | — | 25% |
| Occipital nerve block (injection for headaches) CPT 64405 Inj Greater Occipital Nerve | $125.00 | $166.00 | $92.00–$161.00 | 88% below | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed | $299.00 | $399.00 | $221.00–$387.00 | 43% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 Incision & Removal Foreign Body Subq Tiss Simple | $287.00 | $382.00 | $211.00–$371.00 | 7% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Foreign Body (Sc) | $935.00 | $1,246.00 | $689.00–$1,209.00 | 204% above | 25% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Colonoscopy | $2,317.00 | $3,089.00 | $1,707.00–$2,996.00 | 16% above | 25% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Screening Colonoscopy | $2,317.00 | $3,089.00 | $1,707.00–$2,996.00 | 16% above | 25% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Colorectal Cancer Screening; Colonoscopy | $2,317.00 | $3,089.00 | $1,707.00–$2,996.00 | 16% above | 25% |
| Short arm cast (elbow to hand) CPT 29075 Cast Short Arm | $293.00 | $390.00 | $216.00–$378.00 | 24% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 Splint Short Arm | $149.00 | $198.00 | $109.00–$192.00 | 65% below | 25% |
| Short arm splint (forearm and hand) CPT 29125 Splint-apply Short Arm | $153.00 | $204.00 | $35.00–$198.00 | 64% below | 25% |
| Short leg cast (below the knee) CPT 29405 Cast Short Leg | $314.00 | $418.00 | $231.00–$405.00 | 21% below | 25% |
| Short leg splint (calf to foot) CPT 29515 Splint Short Leg | $118.00 | $157.00 | $87.00–$152.00 | 48% below | 25% |
| Short leg splint (calf to foot) CPT 29515 Splint-apply Short Leg | $128.00 | $171.00 | $42.00–$166.00 | 44% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Lac Simple <2.5 Cm Scalp, Ext | $332.00 | $443.00 | $245.00–$430.00 | 13% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Of Superficial Wounds-2.5 Cm Or Less | $343.00 | $457.00 | $36.00–$443.00 | 10% below | 25% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Skin Single Lesion | $194.00 | $258.00 | $223.00–$250.00 | 56% below | 25% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion | $935.00 | $1,246.00 | $689.00–$1,209.00 | 114% above | 25% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Lesion 0-.5cm Trk Arm Leg, Malignant | $737.00 | $982.00 | $543.00–$953.00 | 40% below | 25% |
| Skin tag removal, up to 15 tags CPT 11200 Removal Skn Tags Mlt Fibrq Tags Any Area Up To And Including 15 | $464.00 | $618.00 | $342.00–$599.00 | 62% above | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Lac Simple 2.6-7.5cm Scalp, Ext | $398.00 | $531.00 | $294.00–$515.00 | at median | 25% |
| 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-superficial Wounds 2.6cm-7.5cm | $412.00 | $549.00 | $47.00–$533.00 | 4% above | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Of Superficial Wound Face, Ears, Eyelids, Nose-2.5cm Or Less | $128.00 | $170.00 | $45.00–$165.00 | 60% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Lac Simple <2.5 Cm Face | $332.00 | $443.00 | $245.00–$430.00 | 5% above | 25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential Biopsy Skin Single Lesion | $501.00 | $668.00 | $369.00–$648.00 | 12% above | 25% |
| Trigger finger release surgery CPT 26055 Tendon Sheath Incision | $1,516.00 | $2,021.00 | $1,117.00–$1,960.00 | 64% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1 Or 2 Muscles (Sc) | $96.00 | $128.00 | $71.00–$124.00 | 80% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1 Or 2 Muscles (F) | $178.00 | $237.00 | $131.00–$230.00 | 63% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1 Or 2 Muscles | $308.00 | $410.00 | $227.00–$398.00 | 36% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Trigger Point Inj 1 Or 2 | $317.00 | $422.00 | $233.00–$409.00 | 34% below | 25% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Esoph Egd Dilation<30 Mm | $4,445.00 | $5,927.00 | $3,276.00–$5,749.00 | 56% above | 25% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy exam of esophagus, stomach or small bowel using an endoscope | $1,380.00 | $1,840.00 | $1,017.00–$1,785.00 | 29% below | 25% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach or small bowel using an endoscope | $1,058.00 | $1,410.00 | $779.00–$1,368.00 | 45% below | 25% |
| Vein ablation, radiofrequency, first vein CPT 36475 Endovenous Rf 1st Vein | $7,681.00 | $10,241.00 | $5,661.00–$9,934.00 | 64% below | 25% |
| Wart removal, up to 14 warts CPT 17110 Destruction Of Benign Lesion (Wart) Up To 14 | $202.00 | $269.00 | $149.00–$261.00 | 26% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Subcutaneous Tissue (Includes Epidermis And Dermis, If Performed); First 20 Sq Cm Or Less | $145.00 | $193.00 | $107.00–$187.00 | 69% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement, Subcutaneous Tissue (Includes Epidermis And Dermis, If Performed) First 20 Sq Cm Or Less) | $145.00 | $193.00 | $107.00–$187.00 | 69% below | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration | $776.00 | $1,034.00 | $572.00–$1,003.00 | 54% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment | $32.00 | $42.00 | $23.00–$41.00 | 94% below | 24% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment (Op Nursing) | $34.00 | $45.00 | $25.00–$44.00 | 93% below | 24% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Neb Treatment (Er) | $34.00 | $45.00 | $25.00–$44.00 | 93% below | 24% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram, routine, with interpretation and report | $173.00 | $231.00 | $128.00–$224.00 | 332% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Tracing Only | $234.00 | $312.00 | $172.00–$303.00 | 59% below | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg-hospital | $234.00 | $312.00 | $172.00–$303.00 | 59% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Level 1 | $169.00 | $225.00 | $9.00–$218.00 | 57% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er-level I | $203.00 | $271.00 | $150.00–$263.00 | 48% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er Level Ii | $227.00 | $302.00 | $33.00–$293.00 | 88% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Er-level Ii | $347.00 | $462.00 | $255.00–$448.00 | 81% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Level Iii | $339.00 | $452.00 | $57.00–$438.00 | 89% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er-level Iii | $585.00 | $780.00 | $431.00–$757.00 | 81% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Trauma Team Activation | $947.00 | $1,262.00 | $698.00–$1,224.00 | 70% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er Level Iv | $505.00 | $673.00 | $97.00–$653.00 | 94% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Er-level Iv | $924.00 | $1,232.00 | $681.00–$1,195.00 | 88% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er Level V | $750.00 | $1,000.00 | $141.00–$970.00 | 95% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Er-level V | $1,974.00 | $2,632.00 | $1,455.00–$2,553.00 | 86% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Admin 1st Hr Hydration (Op Nursing) | $320.00 | $426.00 | $235.00–$413.00 | 66% below | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Admin 1st Hr Hydration (Er) | $320.00 | $426.00 | $235.00–$413.00 | 66% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 Iv Admin 1st Hr Infusion (Op Nursing Services) | $324.00 | $432.00 | $239.00–$419.00 | 50% below | 25% |
| IV infusion of a medicine, first hour CPT 96365 Iv Admin 1st Hr Infusion (Er) | $324.00 | $432.00 | $239.00–$419.00 | 50% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther. Inj. Sq/im | $128.00 | $171.00 | $95.00–$166.00 | 37% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther. Inj. Sq/im (Op) | $132.00 | $176.00 | $97.00–$171.00 | 35% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther. Inj. Sq/im (Ps) | $132.00 | $176.00 | $13.00–$171.00 | 35% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther. Inj. Sq/im (Er) | $132.00 | $176.00 | $97.00–$171.00 | 35% below | 25% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Evaluation | $308.00 | $410.00 | $227.00–$398.00 | 60% below | 25% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation | $344.00 | $458.00 | $253.00–$444.00 | 56% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-education Each 15 Min | $85.00 | $113.00 | $62.00–$110.00 | 32% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-ed | $87.00 | $116.00 | $64.00–$113.00 | 30% below | 25% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, 30 min | $236.00 | $315.00 | $174.00–$306.00 | 4% below | 25% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit, 45 min | $279.00 | $372.00 | $206.00–$361.00 | 24% below | 25% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit, 60 min | $359.00 | $479.00 | $265.00–$465.00 | 30% below | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office Outpatient New Ii | $202.00 | $269.00 | $149.00–$261.00 | 35% below | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Ep, Ep, Sf-lc-new (Sc) | $207.00 | $276.00 | $34.00–$268.00 | 34% below | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Initl Assmnt Intervention 15 Min | $86.00 | $114.00 | $63.00–$111.00 | 2% above | 25% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Initl Indiv Assmnt Intervention 15 Min | $88.00 | $117.00 | $65.00–$113.00 | 5% above | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 Occupational Therapy Eval Low Complexity | $251.00 | $334.00 | $185.00–$324.00 | 61% below | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical Therapy Eval High Complexity (Cp) | $176.00 | $235.00 | $130.00–$228.00 | 73% below | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Physical Therapy Eval High Complexity | $200.00 | $267.00 | $148.00–$259.00 | 69% below | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical Therapy Eval Low Complexity (Cp) | $111.00 | $148.00 | $82.00–$144.00 | 77% below | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Physical Therapy Eval Low Complexity | $134.00 | $178.00 | $98.00–$173.00 | 72% below | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical Therapy Eval Moderate Complexity (Cp) | $149.00 | $199.00 | $110.00–$193.00 | 74% below | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Physical Therapy Eval Moderate Complexity | $166.00 | $221.00 | $122.00–$214.00 | 71% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 15min (Cp) | $46.00 | $61.00 | $34.00–$59.00 | 62% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Techniques Each 15 Min | $68.00 | $91.00 | $50.00–$88.00 | 43% below | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 15min | $98.00 | $131.00 | $72.00–$127.00 | 18% below | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $96.00 | $128.00 | $71.00–$124.00 | 24% below | 25% |
| Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventative medicine evaluation (18-39 years) | $286.00 | $381.00 | $211.00–$370.00 | 45% above | 25% |
| Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventative medicine evaluation (40-64 years) | $312.00 | $416.00 | $230.00–$404.00 | 36% above | 25% |
| Preventive checkup, new patient aged 65 or older CPT 99387 Initial Preventive Medicine New Patient 65yrs&> | $352.00 | $469.00 | $259.00–$455.00 | 25% above | 25% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Periodic Preventive Med Est Patient 18-39 Yrs | $72.00 | $96.00 | $53.00–$93.00 | 9% below | 25% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 Age 18-39 Estab | $238.00 | $317.00 | $175.00–$307.00 | 200% above | 25% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Periodic Preventive Med Est Patient 40-64yrs | $78.00 | $104.00 | $57.00–$101.00 | 13% below | 25% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 Age 40-64 Estab | $260.00 | $346.00 | $191.00–$336.00 | 191% above | 25% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 Periodic Preventive Med Est Patient 65yrs& Older | $294.00 | $392.00 | $217.00–$380.00 | 61% above | 25% |
| Psychiatric evaluation with medical services CPT 90792 Psychiatric Diagnostic Evaluation With Medical Services | $393.00 | $524.00 | $290.00–$508.00 | 49% below | 25% |
| Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval W/med Srvcs | $393.00 | $524.00 | $290.00–$508.00 | 49% below | 25% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx W Pt W E/m 60 Min | $246.00 | $328.00 | $181.00–$318.00 | 57% below | 25% |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy, 30 min | $156.00 | $208.00 | $115.00–$202.00 | 26% below | 25% |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy, 45 min | $206.00 | $275.00 | $152.00–$267.00 | 26% below | 25% |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy, 60 min | $303.00 | $404.00 | $223.00–$392.00 | at median | 25% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking And Tobacco Use Cessation Counseling | $56.00 | $74.00 | $41.00–$72.00 | 13% below | 24% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office Outpatient Visit V | $292.00 | $389.00 | $215.00–$377.00 | 24% below | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 C, C, Mc-hc-estab (Sc) | $302.00 | $402.00 | $105.00–$390.00 | 22% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Outpatient Visit Iii | $143.00 | $190.00 | $105.00–$184.00 | 45% below | 25% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Ep, Ep, Sf-lc-estab (Sc) | $147.00 | $196.00 | $48.00–$190.00 | 43% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office Outpatient Visit Iv | $188.00 | $251.00 | $139.00–$243.00 | 38% below | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 D,d,lc-mc-estab (Sc) | $196.00 | $261.00 | $70.00–$253.00 | 35% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Outpatient Visit Ii (Sc) | $84.00 | $112.00 | $62.00–$109.00 | 61% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office Outpatient Visit Ii | $117.00 | $156.00 | $86.00–$151.00 | 46% below | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pf, Pf, Sf-estab (Sc) | $121.00 | $161.00 | $26.00–$156.00 | 44% below | 25% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, 40 min | $272.00 | $363.00 | $201.00–$352.00 | 22% above | 25% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, 60 min | $353.00 | $471.00 | $260.00–$457.00 | 17% above | 25% |
| Speech therapy session, individual CPT 92507 Treatment Of Speech, Language Voice, Communication And/or Auditory Processing | $190.00 | $253.00 | $140.00–$245.00 | 45% below | 25% |
| Spirometry (breathing test) CPT 94010 Spirometry | $332.00 | $443.00 | $245.00–$430.00 | 52% below | 25% |
| Spirometry before and after a bronchodilator CPT 94060 Evaluation Of Wheezing | $534.00 | $712.00 | $394.00–$691.00 | at median | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity 15 M (Cp) | $80.00 | $107.00 | $59.00–$104.00 | 24% below | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities Each 15 Min | $96.00 | $128.00 | $71.00–$124.00 | 9% below | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity 15 M | $96.00 | $128.00 | $71.00–$124.00 | 9% below | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $170.00 | $226.00 | $125.00–$219.00 | 81% below | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Sarscov Vac | $129.00 | $172.00 | $95.00–$167.00 | 6% below | 25% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Sarscv2 Vac 30mcg Trs-suc Im | $329.00 | $438.00 | $242.00–$425.00 | 27% below | 25% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Vaccine, Sc | $206.00 | $275.00 | $152.00–$267.00 | 73% below | 25% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza Virus Vacc Split Prsrv Free 3 Yrs/> Im | $26.00 | $35.00 | $19.00–$34.00 | 67% below | 26% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv (Human Papillomavirus) Gardasil-9 Vaccine | $355.00 | $473.00 | $261.00–$459.00 | 58% below | 25% |
| Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A Vaccine, Adult, Im | $125.00 | $166.00 | $92.00–$161.00 | 86% below | 25% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B-20 Yrs & Over | $123.00 | $164.00 | $91.00–$159.00 | 77% below | 25% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vacc Prsv Free Inc Antig | $130.00 | $173.00 | $96.00–$168.00 | 39% below | 25% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr | $125.00 | $166.00 | $92.00–$161.00 | 82% below | 25% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Conj Vaccine Quadravalent Im | $241.00 | $321.00 | $177.00–$311.00 | 67% below | 25% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20 (Pcv20) | $463.00 | $617.00 | $341.00–$598.00 | 51% below | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal 23 | $148.00 | $197.00 | $109.00–$191.00 | 69% below | 25% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vacc Pref Bivalent Im | $507.00 | $676.00 | $374.00–$656.00 | 47% below | 25% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Rsv Vaccine | $507.00 | $676.00 | $374.00–$656.00 | 47% below | 25% |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine, For Intramuscular Use | $839.00 | $1,119.00 | $619.00–$1,085.00 | 60% below | 25% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingrix | $332.00 | $443.00 | $245.00–$430.00 | 5% below | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td > 7 Years Older | $35.00 | $46.00 | $25.00–$45.00 | 89% below | 24% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine > 7 Im | $63.00 | $84.00 | $46.00–$81.00 | 79% below | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization First Inj | $45.00 | $60.00 | $33.00–$58.00 | 59% below | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization 2 Or More | $30.00 | $40.00 | $22.00–$39.00 | 64% below | 25% |