Hospital

Middle Park Medical Center-Granby

Listed in its price file as “Kremmling Memorial Hospital District”.

Middle Park Medical Center-Granby in Granby, CO publishes cash prices for 310 common procedures listed here, from its own machine-readable price file updated Apr 27, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 146 of 304 procedures and above it for 90. By typical cash price it ranks #22 of 49 Colorado hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1000 Granby Park Drive S, Granby, CO 80446 Collected Sep 29, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE MIN 3 VIEW	$331.33	$414.16	$178.09–$393.45	10% above	20%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE MIN 3 VIEW	$331.33	$414.16	$346.24–$393.45	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC EXTR ART/NIVA 1-2 LVL BI	$316.87	$396.08	$170.31–$376.28	—	20%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC EXTR ART/NIVA 1-2 LVL BI	$316.87	$396.08	$331.12–$376.28	—	20%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC ESOPHAGRAM SINGLE CONTRAST	$916.08	$1,145.10	$492.39–$1,087.85	16% above	20%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC ESOPHAGRAM SINGLE CONTRAST	$916.08	$1,145.10	$957.30–$1,087.85	—	20%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST COMPLETE	$683.24	$854.04	$367.24–$811.34	58% above	20%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST COMPLETE	$683.24	$854.04	$713.98–$811.34	—	20%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST LTD	$557.96	$697.45	$299.90–$662.58	29% above	20%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST LTD	$557.96	$697.45	$583.07–$662.58	—	20%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST W CON NON-COR	$2,414.80	$3,018.49	$1,297.95–$2,867.57	at median	20%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST W CON NON-COR	$2,414.80	$3,018.49	$2,523.46–$2,867.57	—	20%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART W/O CONTRAST EVAL CA	$80.00	$100.00	$43.00–$95.00	71% below	20%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART W/O CONTRAST EVAL CA	$80.00	$100.00	$83.60–$95.00	—	20%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD PELVIS WO CONTRAST	$1,905.46	$2,381.82	$1,024.18–$2,262.73	5% below	20%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD PELVIS WO CONTRAST	$1,905.46	$2,381.82	$1,991.20–$2,262.73	—	20%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD PELVIS W CONTRAST	$3,130.99	$3,913.73	$1,682.90–$3,718.04	10% above	20%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD PELVIS W CONTRAST	$3,130.99	$3,913.73	$3,271.88–$3,718.04	—	20%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD PELVIS W & WO CONTRAST	$3,519.99	$4,399.98	$1,891.99–$4,179.98	1% above	20%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD PELVIS W & WO CONTRAST	$3,519.99	$4,399.98	$3,678.38–$4,179.98	—	20%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$2,367.81	$2,959.76	$1,272.70–$2,811.77	12% above	20%
CT scan of the abdomen with contrast CPT 74160 HC CT KIDNEY W CONTRAST	$2,367.81	$2,959.76	$1,272.70–$2,811.77	12% above	20%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT KIDNEY W CONTRAST	$2,367.81	$2,959.76	$2,474.36–$2,811.77	—	20%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$2,367.81	$2,959.76	$2,474.36–$2,811.77	—	20%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,423.33	$1,779.16	$765.04–$1,690.20	at median	20%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$1,423.33	$1,779.16	$1,487.38–$1,690.20	—	20%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,331.02	$1,663.77	$715.42–$1,580.58	at median	20%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$1,331.02	$1,663.77	$1,390.91–$1,580.58	—	20%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD W/O CONTRAST	$1,101.91	$1,377.38	$592.27–$1,308.51	21% below	20%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD W/O CONTRAST	$1,101.91	$1,377.38	$1,151.49–$1,308.51	—	20%
CT scan of the head with contrast CPT 70460 HC CT HEAD W CONTRAST	$1,557.67	$1,947.08	$837.24–$1,849.73	at median	20%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD W CONTRAST	$1,557.67	$1,947.08	$1,627.76–$1,849.73	—	20%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W & W/O CONTRAST	$1,826.34	$2,282.92	$981.66–$2,168.77	at median	20%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W & W/O CONTRAST	$1,826.34	$2,282.92	$1,908.52–$2,168.77	—	20%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$1,480.20	$1,850.24	$795.60–$1,757.73	1% below	20%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$1,480.20	$1,850.24	$1,546.80–$1,757.73	—	20%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERV SPINE W/O CONTRAST	$1,487.61	$1,859.51	$799.59–$1,766.53	at median	20%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERV SPINE W/O CONTRAST	$1,487.61	$1,859.51	$1,554.55–$1,766.53	—	20%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$2,334.03	$2,917.53	$1,254.54–$2,771.65	9% above	20%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$2,334.03	$2,917.53	$2,439.06–$2,771.65	—	20%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX EXTRACRANAL COMPL BI	$756.44	$945.54	$406.58–$898.26	—	20%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX EXTRACRANAL COMPL BI	$756.44	$945.54	$790.47–$898.26	—	20%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEW EMPLOYEE HEALTH	$310.01	$387.51	$166.63–$368.13	at median	20%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$310.01	$387.51	$166.63–$368.13	at median	20%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEW EMPLOYEE HEALTH	$310.01	$387.51	$323.96–$368.13	—	20%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$310.01	$387.51	$323.96–$368.13	—	20%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW EMPLOYEE HEALTH	$242.76	$303.44	$130.48–$288.27	8% below	20%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$242.76	$303.44	$130.48–$288.27	8% below	20%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW EMPLOYEE HEALTH	$242.76	$303.44	$253.68–$288.27	—	20%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$242.76	$303.44	$253.68–$288.27	—	20%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$721.97	$902.46	$388.06–$857.34	at median	20%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$721.97	$902.46	$754.46–$857.34	—	20%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DXA BONE DEN HIP PEL SP WO VFA	$375.62	$469.52	$201.89–$446.04	32% below	20%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DXA BONE DEN HIP PEL SP WO VFA	$375.62	$469.52	$392.52–$446.04	—	20%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB COMPLETE 1 FETUS	$1,128.28	$1,410.34	$606.45–$1,339.82	at median	20%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB COMPLETE 1 FETUS	$1,128.28	$1,410.34	$1,179.04–$1,339.82	—	20%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX DIAGNOSTIC W/O CONTRAST	$1,509.87	$1,887.33	$811.55–$1,792.96	at median	20%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX DIAGNOSTIC W/O CONTRAST	$1,509.87	$1,887.33	$1,577.81–$1,792.96	—	20%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX DIAGNOSTIC W CONTRAST	$1,874.97	$2,343.71	$1,007.80–$2,226.52	at median	20%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX DIAGNOSTIC W CONTRAST	$1,874.97	$2,343.71	$1,959.34–$2,226.52	—	20%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD BILATERAL	$450.87	$563.58	$242.34–$535.40	—	20%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD BILATERAL	$450.87	$563.58	$471.15–$535.40	—	20%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD UNILATERAL	$362.80	$453.49	$195.00–$430.82	at median	20%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC WITH OR WITHOUT CAD UNILATERAL	$362.80	$453.49	$379.12–$430.82	—	20%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ARTERY EXTR LOW BI	$792.58	$990.72	$426.01–$941.18	—	20%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ARTERY EXTR LOW BI	$792.58	$990.72	$828.24–$941.18	—	20%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXTREMITY VEINS BI	$676.59	$845.73	$363.66–$803.44	—	20%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXTREMITY VEINS BI	$676.59	$845.73	$707.03–$803.44	—	20%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D MMODE W DOPPLER COMPL	$2,047.96	$2,559.95	$1,100.78–$2,431.95	8% below	20%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D MMODE W DOPPLER COMPL	$2,047.96	$2,559.95	$1,919.96–$7,011.00	—	20%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY UNATTEND BY TECH	$373.44	$466.80	$200.72–$443.46	33% below	20%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY UNATTEND BY TECH	$373.44	$466.80	$390.24–$443.46	—	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6YRS/> 4/>PARA W/CPAP	$1,745.82	$2,182.27	$938.38–$2,073.16	53% below	20%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6YRS/> 4/>PARA W/CPAP	$1,745.82	$2,182.27	$1,824.38–$2,073.16	—	20%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEW	$372.34	$465.42	$200.13–$442.15	16% above	20%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEW	$372.34	$465.42	$389.09–$442.15	—	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMINAL LIMITED	$581.86	$727.32	$312.75–$690.95	at median	20%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMINAL LIMITED	$581.86	$727.32	$608.04–$690.95	—	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG SCREENING W/O CONTRAST	$1,782.66	$2,228.32	$958.18–$2,116.90	482% above	20%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG SCREENING W/O CONTRAST	$1,782.66	$2,228.32	$1,862.88–$2,116.90	—	20%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI EXTR LOW JOINT W/O CONT	$2,006.01	$2,507.51	$1,078.23–$2,382.13	2% above	20%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI EXTR LOW JOINT W/O CONT	$2,006.01	$2,507.51	$2,096.28–$2,382.13	—	20%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI EXTR LOW JNT W&W/O CON	$3,963.39	$4,954.23	$2,130.32–$4,706.52	54% above	20%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI EXTR LOW JNT W&W/O CON	$3,963.39	$4,954.23	$4,141.74–$4,706.52	—	20%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,973.04	$2,466.30	$1,060.51–$2,342.99	14% below	20%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,973.04	$2,466.30	$2,061.83–$2,342.99	—	20%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$3,431.80	$4,289.75	$1,844.59–$4,075.26	6% above	20%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$3,431.80	$4,289.75	$3,586.23–$4,075.26	—	20%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,954.08	$2,442.60	$1,050.32–$2,320.47	13% below	20%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,954.08	$2,442.60	$2,042.01–$2,320.47	—	20%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W & W/O CONTRAST	$3,197.75	$3,997.18	$1,718.79–$3,797.32	at median	20%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W & W/O CONTRAST	$3,197.75	$3,997.18	$3,341.64–$3,797.32	—	20%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$1,903.81	$2,379.76	$1,023.30–$2,260.77	6% below	20%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$1,903.81	$2,379.76	$1,989.48–$2,260.77	—	20%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRST	$3,216.70	$4,020.87	$1,728.97–$3,819.83	at median	20%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRST	$3,216.70	$4,020.87	$3,361.45–$3,819.83	—	20%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O CONTRST	$1,900.52	$2,375.64	$1,021.53–$2,256.86	17% below	20%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O CONTRST	$1,900.52	$2,375.64	$1,986.04–$2,256.86	—	20%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTR	$3,515.87	$4,394.83	$1,889.78–$4,175.09	8% above	20%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTR	$3,515.87	$4,394.83	$3,674.08–$4,175.09	—	20%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O CONTRST	$1,900.52	$2,375.64	$1,021.53–$2,256.86	13% below	20%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O CONTRST	$1,900.52	$2,375.64	$1,986.04–$2,256.86	—	20%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$3,736.75	$4,670.93	$2,008.50–$4,437.38	2% above	20%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W & W/O CONTRAST	$3,736.75	$4,670.93	$3,904.90–$4,437.38	—	20%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$2,334.03	$2,917.53	$1,254.54–$2,771.65	at median	20%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$2,334.03	$2,917.53	$2,439.06–$2,771.65	—	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI EXTR UPP JOINT W/O CONT	$2,015.08	$2,518.84	$1,083.10–$2,392.90	32% above	20%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI EXTR UPP JOINT W/O CONT	$2,015.08	$2,518.84	$2,105.75–$2,392.90	—	20%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NONOB LIMITED OR F/U	$308.24	$385.29	$165.67–$366.03	40% below	20%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC NONOB LIMITED OR F/U	$308.24	$385.29	$322.10–$366.03	—	20%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS COMPLETE NON OB	$699.72	$874.64	$376.10–$830.91	1% above	20%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS COMPLETE NON OB	$699.72	$874.64	$731.20–$830.91	—	20%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG UTERUS >14WK TRANSAB	$893.40	$1,116.74	$480.20–$1,060.90	4% above	20%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREG UTERUS >14WK TRANSAB	$893.40	$1,116.74	$933.59–$1,060.90	—	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREG UTERUS <14WK TRANSAB	$778.84	$973.54	$418.62–$924.86	18% above	20%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREG UTERUS <14WK TRANSAB	$778.84	$973.54	$813.88–$924.86	—	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED 1 OR > FETUSES	$535.71	$669.63	$287.94–$636.15	24% above	20%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED 1 OR > FETUSES	$535.71	$669.63	$559.81–$636.15	—	20%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCREENING WITH OR WITHOUT CAD BILATERAL	$328.05	$410.06	$176.33–$389.56	—	20%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCREENING WITH OR WITHOUT CAD BILATERAL	$328.05	$410.06	$342.81–$389.56	—	20%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC XR AC JOINT W-W/O WEIGHTS BI	$296.88	$371.10	$159.57–$352.55	—	20%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER MIN 2 VIEW	$314.12	$392.64	$168.84–$373.01	4% above	20%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 HC XR AC JOINT W-W/O WEIGHTS BI	$296.88	$371.10	$310.24–$352.55	—	20%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER MIN 2 VIEW	$314.12	$392.64	$328.25–$373.01	—	20%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 4+ PARAMETERS 6YRS/>	$1,665.20	$2,081.49	$895.04–$1,977.42	48% below	20%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 4+ PARAMETERS 6YRS/>	$1,665.20	$2,081.49	$1,740.13–$1,977.42	—	20%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS ECHO ECG MONITOR WO CON	$2,315.32	$2,894.14	$1,244.48–$2,749.43	46% below	20%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS ECHO ECG MONITOR WO CON	$2,315.32	$2,894.14	$2,170.61–$7,011.00	—	20%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC SWALLOWING FUNCTION VIDEO/CINE	$1,234.29	$1,542.86	$663.43–$1,465.72	64% above	20%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC SWALLOWING FUNCTION VIDEO/CINE	$1,234.29	$1,542.86	$1,289.83–$1,465.72	—	20%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB	$786.25	$982.81	$422.61–$933.67	24% above	20%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB	$786.25	$982.81	$821.63–$933.67	—	20%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL	$609.88	$762.35	$327.81–$724.23	at median	20%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL	$609.88	$762.35	$637.32–$724.23	—	20%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL COMPLETE	$784.60	$980.75	$421.72–$931.71	8% above	20%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL COMPLETE	$784.60	$980.75	$819.91–$931.71	—	20%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM AND CONTENTS	$670.04	$837.55	$360.15–$795.67	at median	20%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM AND CONTENTS	$670.04	$837.55	$700.19–$795.67	—	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK	$741.75	$927.18	$398.69–$880.82	16% above	20%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK	$741.75	$927.18	$775.12–$880.82	—	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI SINGLE CONTRAST	$1,144.89	$1,431.11	$615.38–$1,359.55	17% above	20%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI SINGLE CONTRAST	$1,144.89	$1,431.11	$1,196.41–$1,359.55	—	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX VEINS EXTREMITY UNI/LTD	$550.52	$688.14	$295.90–$653.73	at median	20%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX VEINS EXTREMITY UNI/LTD	$550.52	$688.14	$575.29–$653.73	—	20%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST MIN 3 VIEW	$369.06	$461.32	$198.37–$438.25	23% above	20%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST MIN 3 VIEW	$369.06	$461.32	$385.66–$438.25	—	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIP WWO PELVIS 2-3 VIEW	$429.75	$537.18	$230.99–$510.32	9% above	20%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIP WWO PELVIS 2-3 VIEW	$429.75	$537.18	$449.08–$510.32	—	20%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$276.39	$345.48	$148.56–$328.21	3% below	20%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$276.39	$345.48	$288.82–$328.21	—	20%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEW	$301.00	$376.24	$161.78–$357.43	at median	20%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEW	$301.00	$376.24	$314.54–$357.43	—	20%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER MIN 2 VIEW	$338.72	$423.39	$182.06–$402.22	21% above	20%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR HAND SGL/MULTI DIGITS	$338.72	$423.39	$182.06–$402.22	21% above	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR HAND SGL/MULTI DIGITS	$338.72	$423.39	$353.95–$402.22	—	20%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER MIN 2 VIEW	$338.72	$423.39	$353.95–$402.22	—	20%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEW	$263.27	$329.08	$141.50–$312.63	9% below	20%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEW	$263.27	$329.08	$275.11–$312.63	—	20%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEW	$310.84	$388.54	$167.07–$369.11	3% above	20%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEW	$310.84	$388.54	$324.82–$369.11	—	20%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3 VIEW	$331.33	$414.16	$178.09–$393.45	10% above	20%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3 VIEW	$331.33	$414.16	$346.24–$393.45	—	20%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2 VIEW	$318.21	$397.76	$171.04–$377.87	6% above	20%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2 VIEW	$318.21	$397.76	$332.53–$377.87	—	20%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBAR 2-3 VIEW	$361.68	$452.10	$194.40–$429.50	6% below	20%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBAR 2-3 VIEW	$361.68	$452.10	$377.96–$429.50	—	20%
X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBAR MIN 4 VIEW	$460.09	$575.11	$247.30–$546.35	9% below	20%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBAR MIN 4 VIEW	$460.09	$575.11	$480.79–$546.35	—	20%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEW	$300.16	$375.20	$161.34–$356.44	7% below	20%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEW	$300.16	$375.20	$313.67–$356.44	—	20%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONE COMPL MIN 3 VIEW	$345.28	$431.59	$185.58–$410.01	7% above	20%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONE COMPL MIN 3 VIEW	$345.28	$431.59	$360.81–$410.01	—	20%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERV 2 OR 3 VIEW	$361.68	$452.10	$194.40–$429.50	at median	20%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERV 2 OR 3 VIEW	$361.68	$452.10	$377.96–$429.50	—	20%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2 VIEW	$269.83	$337.28	$145.03–$320.42	10% below	20%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2 VIEW	$269.83	$337.28	$281.97–$320.42	—	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM COCCYX MIN 2 VIEW	$297.71	$372.13	$160.02–$353.52	3% below	20%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM COCCYX MIN 2 VIEW	$297.71	$372.13	$311.10–$353.52	—	20%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT / SGPT	$46.00	$57.50	$24.73–$54.63	46% below	20%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT / SGPT	$46.00	$57.50	$48.07–$54.63	—	20%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST / SGOT	$44.33	$55.41	$23.83–$52.64	28% below	20%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST / SGOT	$44.33	$55.41	$46.32–$52.64	—	20%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE HEPATITIS PANEL	$410.66	$513.32	$220.73–$487.65	14% below	20%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE HEPATITIS PANEL	$410.66	$513.32	$429.14–$487.65	—	20%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE QUAN SEMI EA	$45.16	$56.45	$24.27–$53.63	at median	20%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE QUAN SEMI EA	$45.16	$56.45	$47.19–$53.63	—	20%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTID AB	$111.24	$139.04	$59.79–$132.09	12% below	20%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTID AB	$111.24	$139.04	$116.24–$132.09	—	20%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA	$104.55	$130.68	$56.19–$124.15	at median	20%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA	$104.55	$130.68	$109.25–$124.15	—	20%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE (BNP)	$337.89	$422.36	$181.61–$401.24	at median	20%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE (BNP)	$337.89	$422.36	$353.09–$401.24	—	20%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$72.76	$90.95	$39.11–$86.40	58% below	20%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$72.76	$90.95	$76.03–$86.40	—	20%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURG PATH GROSS&MICRO LEVEL 4	$627.28	$784.09	$337.16–$744.89	13% above	20%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURG PATH GROSS&MICRO LEVEL 4	$627.28	$784.09	$655.50–$744.89	—	20%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD W ISOL	$88.66	$110.82	$47.65–$105.28	68% below	20%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD W ISOL	$88.66	$110.82	$92.65–$105.28	—	20%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$25.93	$32.41	$13.94–$30.79	23% below	20%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$25.93	$32.41	$27.09–$30.79	—	20%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE BLOOD QUAN	$33.46	$41.82	$17.98–$39.73	54% below	20%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BLOOD QUAN	$33.46	$41.82	$34.96–$39.73	—	20%
Blood lead test CPT 83655 HC LEAD ASSAY	$110.40	$138.00	$59.34–$131.10	1% below	20%
Blood lead test inpatient CPT 83655 HC LEAD ASSAY	$110.40	$138.00	$115.37–$131.10	—	20%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG QUAL	$64.40	$80.50	$34.62–$76.48	59% below	20%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG QUAL	$64.40	$80.50	$67.30–$76.48	—	20%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING ABO	$25.93	$32.41	$13.94–$30.79	76% below	20%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING ABO	$25.93	$32.41	$27.09–$30.79	—	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN (CRP)	$44.33	$55.41	$23.83–$52.64	54% below	20%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN (CRP)	$44.33	$55.41	$46.32–$52.64	—	20%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFFICILE TOXIN PCR	$321.16	$401.45	$172.62–$381.38	14% below	20%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFFICILE TOXIN PCR	$321.16	$401.45	$335.61–$381.38	—	20%
CA 19-9 blood test (tumor marker) CPT 86301 HC CA 19-9	$178.99	$223.73	$96.20–$212.54	14% below	20%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CA 19-9	$178.99	$223.73	$187.04–$212.54	—	20%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125	$178.99	$223.73	$96.20–$212.54	14% below	20%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125	$178.99	$223.73	$187.04–$212.54	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS COV 2 AMP PROBE	$36.80	$46.00	$19.78–$43.70	71% below	20%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB	$564.75	$705.93	$303.55–$670.63	346% above	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS COV 2 AMP PROBE	$36.80	$46.00	$38.46–$43.70	—	20%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB	$564.75	$705.93	$590.16–$670.63	—	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROB	$301.93	$377.41	$162.29–$358.54	at median	20%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROB	$301.93	$377.41	$315.51–$358.54	—	20%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$127.96	$159.95	$68.78–$151.95	at median	20%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$127.96	$159.95	$133.72–$151.95	—	20%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH AUTO DIFF	$79.46	$99.32	$42.71–$94.35	1% below	20%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH AUTO DIFF	$79.46	$99.32	$83.03–$94.35	—	20%
Complete blood count (CBC), no differential CPT 85027 HC CBC PLT AUTO NO DIFF	$56.04	$70.05	$30.12–$66.55	32% below	20%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC PLT AUTO NO DIFF	$56.04	$70.05	$58.56–$66.55	—	20%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$178.15	$222.68	$95.75–$211.55	13% below	20%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$178.15	$222.68	$186.16–$211.55	—	20%
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUAN	$87.82	$109.77	$47.20–$104.28	52% below	20%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUAN	$87.82	$109.77	$91.77–$104.28	—	20%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE	$191.53	$239.41	$102.95–$227.44	14% below	20%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE	$191.53	$239.41	$200.15–$227.44	—	20%
Estradiol blood test CPT 82670 HC ESTRADIOL	$240.88	$301.09	$129.47–$286.04	14% below	20%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$240.88	$301.09	$251.71–$286.04	—	20%
FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULAT HORMONE(FSH)	$159.75	$199.68	$85.86–$189.70	15% below	20%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULAT HORMONE(FSH)	$159.75	$199.68	$166.93–$189.70	—	20%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL	$168.95	$211.18	$90.81–$200.62	33% below	20%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL	$168.95	$211.18	$176.55–$200.62	—	20%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN ASSAY	$117.09	$146.36	$62.93–$139.04	14% below	20%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN ASSAY	$117.09	$146.36	$122.36–$139.04	—	20%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID SERUM	$126.29	$157.86	$67.88–$149.97	14% below	20%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID SERUM	$126.29	$157.86	$131.97–$149.97	—	20%
Free T3 thyroid hormone test CPT 84481 HC T3 (TRIIODOTHYRONINE) FREE	$145.53	$181.91	$78.22–$172.81	14% below	20%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 (TRIIODOTHYRONINE) FREE	$145.53	$181.91	$152.08–$172.81	—	20%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE FREE (FT4)	$77.79	$97.23	$41.81–$92.37	24% below	20%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE FREE (FT4)	$77.79	$97.23	$81.28–$92.37	—	20%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE	$219.13	$273.91	$117.78–$260.21	8% below	20%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE	$219.13	$273.91	$228.99–$260.21	—	20%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$419.02	$523.77	$225.22–$497.58	2% above	20%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL	$419.02	$523.77	$437.87–$497.58	—	20%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$40.99	$51.23	$22.03–$48.67	62% below	20%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$40.99	$51.23	$42.83–$48.67	—	20%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE FIRST 3 SPEC	$111.24	$139.04	$59.79–$132.09	4% below	20%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE FIRST 3 SPEC	$111.24	$139.04	$116.24–$132.09	—	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE AMP PROB	$301.93	$377.41	$162.29–$358.54	3% below	20%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE AMP PROB	$301.93	$377.41	$315.51–$358.54	—	20%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI AB	$145.53	$181.91	$78.22–$172.81	32% below	20%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI AB	$145.53	$181.91	$152.08–$172.81	—	20%
H. pylori stool antigen test CPT 87338 HC H PYLORI STOOL AG EIA	$123.79	$154.73	$66.53–$146.99	15% below	20%
H. pylori stool antigen test inpatient CPT 87338 HC H PYLORI STOOL AG EIA	$123.79	$154.73	$129.35–$146.99	—	20%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 DNA QUAN (VIRAL LOAD)	$733.49	$916.86	$394.25–$871.02	at median	20%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 DNA QUAN (VIRAL LOAD)	$733.49	$916.86	$766.49–$871.02	—	20%
HIV-1 and HIV-2 antibody test CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY	$117.93	$147.41	$63.39–$140.04	14% below	20%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC HIV-1/HIV-2 SINGLE ASSAY	$117.93	$147.41	$123.23–$140.04	—	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$207.42	$259.27	$111.49–$246.31	18% above	20%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$207.42	$259.27	$216.75–$246.31	—	20%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK TYPES	$301.93	$377.41	$162.29–$358.54	124% above	20%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK TYPES	$301.93	$377.41	$315.51–$358.54	—	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOHEMOGLOBIN (A1C) NO VAR	$83.64	$104.55	$44.96–$99.32	14% below	20%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOHEMOGLOBIN (A1C) NO VAR	$83.64	$104.55	$87.40–$99.32	—	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$92.84	$116.04	$49.90–$110.24	19% below	20%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$92.84	$116.04	$97.01–$110.24	—	20%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$88.66	$110.82	$47.65–$105.28	34% below	20%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$88.66	$110.82	$92.65–$105.28	—	20%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$122.95	$153.68	$66.08–$146.00	14% below	20%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY	$122.95	$153.68	$128.48–$146.00	—	20%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUAN	$368.84	$461.04	$198.25–$437.99	at median	20%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUAN	$368.84	$461.04	$385.43–$437.99	—	20%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 AB	$45.16	$56.45	$24.27–$53.63	56% below	20%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 AB	$45.16	$56.45	$47.19–$53.63	—	20%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 AB	$166.44	$208.04	$89.46–$197.64	27% above	20%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 AB	$166.44	$208.04	$173.92–$197.64	—	20%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROT HIGH SENS	$111.24	$139.04	$59.79–$132.09	14% below	20%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROT HIGH SENS	$111.24	$139.04	$116.24–$132.09	—	20%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE	$154.73	$193.41	$83.17–$183.74	34% below	20%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE	$154.73	$193.41	$161.69–$183.74	—	20%
Insulin blood test CPT 83525 HC INSULIN ASSAY	$98.69	$123.36	$53.04–$117.19	16% below	20%
Insulin blood test inpatient CPT 83525 HC INSULIN ASSAY	$98.69	$123.36	$103.13–$117.19	—	20%
Iron blood test (serum iron) CPT 83540 HC IRON ASSAY	$56.04	$70.05	$30.12–$66.55	37% below	20%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON ASSAY	$56.04	$70.05	$58.56–$66.55	—	20%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$75.28	$94.09	$40.46–$89.39	34% below	20%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$75.28	$94.09	$78.66–$89.39	—	20%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$74.44	$93.05	$40.01–$88.40	68% below	20%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$74.44	$93.05	$77.79–$88.40	—	20%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH)	$159.75	$199.68	$85.86–$189.70	14% below	20%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE (LH)	$159.75	$199.68	$166.93–$189.70	—	20%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE ASSAY	$59.39	$74.23	$31.92–$70.52	49% below	20%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE ASSAY	$59.39	$74.23	$62.06–$70.52	—	20%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$410.66	$513.32	$220.73–$487.65	46% above	20%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$410.66	$513.32	$429.14–$487.65	—	20%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY EACH	$146.36	$182.95	$78.67–$173.80	at median	20%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY EACH	$146.36	$182.95	$152.95–$173.80	—	20%
Magnesium blood test CPT 83735 HC MAGNESIUM OTHER SOURCE	$23.42	$29.27	$12.59–$27.81	76% below	20%
Magnesium blood test CPT 83735 HC MAGNESIUM BLOOD	$57.72	$72.14	$31.02–$68.53	41% below	20%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM OTHER SOURCE	$23.42	$29.27	$24.47–$27.81	—	20%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM BLOOD	$57.72	$72.14	$60.31–$68.53	—	20%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY	$111.24	$139.04	$59.79–$132.09	at median	20%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY	$111.24	$139.04	$116.24–$132.09	—	20%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO SCREEN (HETEROPHILE)	$44.33	$55.41	$23.83–$52.64	46% below	20%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO SCREEN (HETEROPHILE)	$44.33	$55.41	$46.32–$52.64	—	20%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL	$411.49	$514.36	$221.17–$488.64	at median	20%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL	$411.49	$514.36	$430.00–$488.64	—	20%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE	$158.08	$197.59	$84.96–$187.71	14% below	20%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE	$158.08	$197.59	$165.19–$187.71	—	20%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN(PSA)	$158.08	$197.59	$84.96–$187.71	14% below	20%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN(PSA)	$158.08	$197.59	$165.19–$187.71	—	20%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPAT,CER/VAG,THIN LAYER,MAN RES	$229.16	$286.45	$123.17–$272.13	at median	20%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPAT,CER/VAG,THIN LAYER,MAN RES	$229.16	$286.45	$239.47–$272.13	—	20%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTO GYN THIN LAYER	$174.80	$218.50	$93.96–$207.58	at median	20%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTO GYN THIN LAYER	$174.80	$218.50	$182.67–$207.58	—	20%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE	$355.46	$444.32	$191.06–$422.10	at median	20%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE	$355.46	$444.32	$371.45–$422.10	—	20%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME APTT	$51.86	$64.82	$27.87–$61.58	21% below	20%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME APTT	$51.86	$64.82	$54.19–$61.58	—	20%
Progesterone blood test CPT 84144 HC PROGESTERONE ASSAY	$179.82	$224.77	$96.65–$213.53	7% below	20%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE ASSAY	$179.82	$224.77	$187.91–$213.53	—	20%
Prolactin blood test CPT 84146 HC PROLACTIN ASSAY	$167.28	$209.09	$89.91–$198.64	14% below	20%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN ASSAY	$167.28	$209.09	$174.80–$198.64	—	20%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$36.80	$46.00	$19.78–$43.70	31% below	20%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$36.80	$46.00	$38.46–$43.70	—	20%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS 80305	$45.16	$56.45	$24.27–$53.63	23% below	20%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV DIR OPT OBS 80305	$45.16	$56.45	$47.19–$53.63	—	20%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA AG A OR B	$142.19	$177.73	$76.42–$168.84	41% above	20%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA AG A OR B	$142.19	$177.73	$148.58–$168.84	—	20%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A RAPID DIRECT OPTICAL	$142.19	$177.73	$76.42–$168.84	3% below	20%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A RAPID DIRECT OPTICAL	$142.19	$177.73	$148.58–$168.84	—	20%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUAN	$48.52	$60.64	$26.08–$57.61	14% below	20%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUAN	$48.52	$60.64	$50.70–$57.61	—	20%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY	$123.79	$154.73	$66.53–$146.99	at median	20%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY	$123.79	$154.73	$129.35–$146.99	—	20%
Stool ova and parasites exam CPT 87177 HC OVA & PARASITES SMR CONC & ID	$76.95	$96.18	$41.36–$91.37	15% below	20%
Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITES SMR CONC & ID	$76.95	$96.18	$80.41–$91.37	—	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES CONSEC SPEC	$37.64	$47.05	$20.23–$44.70	16% below	20%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$37.64	$47.05	$20.23–$44.70	16% below	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES CONSEC SPEC	$37.64	$47.05	$39.33–$44.70	—	20%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$37.64	$47.05	$39.33–$44.70	—	20%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC HEMOCCULT ICT	$137.16	$171.45	$73.72–$162.88	38% above	20%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC HEMOCCULT ICT	$137.16	$171.45	$143.33–$162.88	—	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST QUALITATIVE	$36.80	$46.00	$19.78–$43.70	53% below	20%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST QUALITATIVE	$36.80	$46.00	$38.46–$43.70	—	20%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL IMMUN MEASURE	$533.60	$667.00	$286.81–$633.65	76% above	20%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL IMMUN MEASURE	$533.60	$667.00	$557.61–$633.65	—	20%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$222.48	$278.09	$119.58–$264.19	14% below	20%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$222.48	$278.09	$232.48–$264.19	—	20%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB EACH	$125.46	$156.82	$67.43–$148.98	14% below	20%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB EACH	$125.46	$156.82	$131.10–$148.98	—	20%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE	$144.69	$180.86	$77.77–$171.82	14% below	20%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE	$144.69	$180.86	$151.20–$171.82	—	20%
Trichomonas test (NAAT) CPT 87661 CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$300.44	$375.55	$161.49–$356.77	209% above	20%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS TMA	$301.93	$377.41	$162.29–$358.54	210% above	20%
Trichomonas test (NAAT) inpatient CPT 87661 CHG IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH	$300.44	$375.55	$313.96–$356.77	—	20%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS TMA	$301.93	$377.41	$315.51–$358.54	—	20%
Uric acid blood test CPT 84550 HC URIC ACID BLOOD	$39.32	$49.14	$21.13–$46.68	49% below	20%
Uric acid blood test inpatient CPT 84550 HC URIC ACID BLOOD	$39.32	$49.14	$41.08–$46.68	—	20%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W SCOPE	$27.60	$34.50	$14.84–$32.78	75% below	20%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W SCOPE	$27.60	$34.50	$28.84–$32.78	—	20%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$19.24	$24.05	$10.34–$22.85	57% below	20%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$19.24	$24.05	$20.11–$22.85	—	20%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$30.12	$37.64	$16.19–$35.76	44% below	20%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$30.12	$37.64	$31.47–$35.76	—	20%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE COLONY CT	$69.42	$86.77	$37.31–$82.43	57% below	20%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE COLONY CT	$69.42	$86.77	$72.54–$82.43	—	20%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE	$74.44	$93.05	$40.01–$88.40	at median	20%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE	$74.44	$93.05	$77.79–$88.40	—	20%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 ASSAY	$129.64	$162.04	$69.68–$153.94	14% below	20%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 ASSAY	$129.64	$162.04	$135.47–$153.94	—	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$255.09	$318.86	$137.11–$302.92	27% above	20%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$255.09	$318.86	$266.57–$302.92	—	20%
Zinc blood test CPT 84630 HC ZINC ASSAY	$97.86	$122.32	$52.60–$116.20	at median	20%
Zinc blood test inpatient CPT 84630 HC ZINC ASSAY	$97.86	$122.32	$102.26–$116.20	—	20%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUAN	$129.64	$162.04	$69.68–$153.94	16% below	20%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUAN	$129.64	$162.04	$135.47–$153.94	—	20%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 HC ARTHRODESIS ANT INTERBODY INC DISCECTOMY CERVICAL BELOW C2	$19,136.53	$23,920.66	$10,285.88–$22,724.63	at median	20%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 HC ARTHRODESIS ANT INTERBODY INC DISCECTOMY CERVICAL BELOW C2	$19,136.53	$23,920.66	$5,355.00–$22,724.63	—	20%
Appendectomy for a ruptured appendix with abscess or peritonitis CPT 44960 HC APPENDECTOMY, RUPT APPENDX+ABSCESS	$13,654.83	$17,068.53	$7,339.47–$16,215.10	at median	20%
Appendectomy for a ruptured appendix with abscess or peritonitis inpatient CPT 44960 HC APPENDECTOMY, RUPT APPENDX+ABSCESS	$13,654.83	$17,068.53	$5,355.00–$16,215.10	—	20%
Appendectomy, open surgery CPT 44950 HC APPENDECTOMY	$7,034.23	$8,792.78	$3,780.90–$8,353.14	at median	20%
Appendectomy, open surgery inpatient CPT 44950 HC APPENDECTOMY	$7,034.23	$8,792.78	$5,355.00–$8,353.14	—	20%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 HC CC KNEE SCOPE,AID ANT CRUCIATE REPAIR	$23,733.69	$29,667.11	$12,756.86–$28,183.75	26% above	20%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 HC CC KNEE SCOPE,AID ANT CRUCIATE REPAIR	$23,733.69	$29,667.11	$5,355.00–$28,183.75	—	20%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 HC CC SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR	$14,101.72	$17,627.14	$7,579.67–$16,745.78	at median	20%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 HC CC SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR	$14,101.72	$17,627.14	$5,355.00–$16,745.78	—	20%
Botox injections for chronic migraine CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$1,616.13	$2,020.16	$868.67–$1,919.15	26% above	20%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODENERV MUSC MIGRAINE	$1,616.13	$2,020.16	$1,515.12–$7,011.00	—	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BR CLP/SPCM 1ST LES ST	$2,558.52	$3,198.15	$1,375.20–$3,038.24	5% below	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC CC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$5,621.08	$7,026.34	$3,021.33–$6,675.02	108% above	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BR CLP/SPCM 1ST LES ST	$2,558.52	$3,198.15	$2,398.61–$7,011.00	—	20%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC CC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$5,621.08	$7,026.34	$5,269.76–$7,011.00	—	20%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CLOSED TX DISTAL FIBULA FX W/O MANIP	$863.08	$1,078.84	$463.90–$1,024.90	57% above	20%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CLOSED TX DISTAL FIBULA FX W/O MANIP	$863.08	$1,078.84	$901.91–$1,024.90	—	20%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED TX METATARSAL FX	$2,451.32	$3,064.14	$1,317.58–$2,910.93	314% above	20%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED TX METATARSAL FX	$2,451.32	$3,064.14	$2,298.11–$7,011.00	—	20%
Bunion correction with removal of part of the big toe joint CPT 28292 HC CORRECT BUNION, KELLER/MCBRIDE/MAYO	$5,716.50	$7,145.62	$3,072.62–$6,788.34	26% below	20%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 HC CORRECT BUNION, KELLER/MCBRIDE/MAYO	$5,716.50	$7,145.62	$5,355.00–$7,011.00	—	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$1,553.16	$1,941.45	$834.82–$1,844.38	17% below	20%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION EXTERNAL	$1,597.37	$1,996.71	$858.59–$1,896.87	15% below	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE EXTERNAL	$1,553.16	$1,941.45	$1,456.09–$7,011.00	—	20%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION EXTERNAL	$1,597.37	$1,996.71	$1,669.25–$1,896.87	—	20%
Carpal tunnel release, open surgery CPT 64721 HC CC REVISE MEDIAN N/CARPAL TUNNEL SURG	$6,917.39	$8,646.73	$3,718.09–$8,214.39	32% above	20%
Carpal tunnel release, open surgery inpatient CPT 64721 HC CC REVISE MEDIAN N/CARPAL TUNNEL SURG	$6,917.39	$8,646.73	$5,355.00–$8,214.39	—	20%
Cataract surgery with lens implant CPT 66984 HC CATARACT SURG W/IOL 1 STAGE EXTRACAPSULAR	$4,805.76	$6,007.19	$2,583.09–$5,706.83	17% below	20%
Cataract surgery with lens implant inpatient CPT 66984 HC CATARACT SURG W/IOL 1 STAGE EXTRACAPSULAR	$4,805.76	$6,007.19	$4,505.39–$7,011.00	—	20%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION 28 DAYS OR OLDER	$3,079.61	$3,849.51	$1,655.29–$3,657.03	43% below	20%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION 28 DAYS OR OLDER	$3,079.61	$3,849.51	$2,887.13–$7,011.00	—	20%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED TX DIST RAD/ULNA FX	$4,210.48	$5,263.09	$2,263.13–$4,999.94	467% above	20%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED TX DIST RAD/ULNA FX	$4,210.48	$5,263.09	$4,399.94–$4,999.94	—	20%
Colonoscopy with polyp removal CPT 45385 HC CC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$3,433.61	$4,292.01	$1,845.56–$4,077.41	35% above	20%
Colonoscopy with polyp removal inpatient CPT 45385 HC CC COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ	$3,433.61	$4,292.01	$3,219.01–$7,011.00	—	20%
Colonoscopy with tissue sample CPT 45380 HC CC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$2,717.56	$3,396.94	$1,460.68–$3,227.09	7% above	20%
Colonoscopy with tissue sample inpatient CPT 45380 HC CC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$2,717.56	$3,396.94	$2,547.71–$7,011.00	—	20%
Colonoscopy, diagnostic CPT 45378 HC CC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$2,505.79	$3,132.23	$1,346.86–$2,975.62	22% above	20%
Colonoscopy, diagnostic inpatient CPT 45378 HC CC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$2,505.79	$3,132.23	$2,349.17–$7,011.00	—	20%
Complex cataract surgery with lens implant CPT 66982 HC CATARACT SURGERY COMPLEX	$5,131.54	$6,414.42	$2,758.20–$6,093.70	at median	20%
Complex cataract surgery with lens implant inpatient CPT 66982 HC CATARACT SURGERY COMPLEX	$5,131.54	$6,414.42	$4,810.82–$7,011.00	—	20%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC EARWAX REMOVAL IMPACTED	$375.25	$469.06	$201.70–$445.61	208% above	20%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC EARWAX REMOVAL IMPACTED	$375.25	$469.06	$392.13–$445.61	—	20%
Earwax removal with instruments, one ear CPT 69210 HC REM CER W/INSTRUMENTATION	$465.65	$582.06	$250.29–$552.96	183% above	20%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REM CER W/INSTRUMENTATION	$465.65	$582.06	$486.60–$552.96	—	20%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJECT EPIDURAL TRANS-LAMINAR CERV/THOR WITH GUIDANCE	$1,420.84	$1,776.04	$763.70–$1,687.24	9% below	20%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC INJECT EPIDURAL TRANS-LAMINAR CERV/THOR WITH GUIDANCE	$1,420.84	$1,776.04	$1,332.03–$7,011.00	—	20%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ FACET JNT LUMB/SACR SINGLE LVL	$1,188.86	$1,486.07	$639.01–$1,411.77	8% below	20%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ FACET JNT LUMB/SACR SINGLE LVL	$1,188.86	$1,486.07	$1,114.55–$7,011.00	—	20%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm CPT 49593 HC RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$6,575.50	$8,219.37	$3,534.33–$7,808.40	at median	20%
First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm inpatient CPT 49593 HC RPR AA HERNIA 1ST 3-10 CM REDUCIBLE	$6,575.50	$8,219.37	$5,355.00–$7,808.40	—	20%
First repair of a front abdominal hernia larger than 10 cm CPT 49595 HC RPR AA HERNIA 1ST >10 CM REDUCIBLE	$8,839.67	$11,049.58	$4,751.32–$10,497.10	at median	20%
First repair of a front abdominal hernia larger than 10 cm inpatient CPT 49595 HC RPR AA HERNIA 1ST >10 CM REDUCIBLE	$8,839.67	$11,049.58	$5,355.00–$10,497.10	—	20%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 HC RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$3,932.15	$4,915.18	$2,113.53–$4,669.42	at median	20%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm inpatient CPT 49591 HC RPR AA HERNIA 1ST < 3 CM REDUCIBLE	$3,932.15	$4,915.18	$3,686.39–$7,011.00	—	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY	$756.44	$945.54	$406.58–$898.26	at median	20%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC DIAGNOSTIC SIGMOIDOSCOPY	$756.44	$945.54	$709.16–$7,011.00	—	20%
Gallbladder removal, laparoscopic CPT 47562 HC LAP CHOLECYSTECTOMY	$7,586.01	$9,482.51	$4,077.48–$9,008.38	7% below	20%
Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAP CHOLECYSTECTOMY	$7,586.01	$9,482.51	$5,355.00–$9,008.38	—	20%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC LAP CHOLECYSTECTOMY W CHOLANGIOGRAPHY	$10,387.60	$12,984.49	$5,583.33–$12,335.27	at median	20%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC LAP CHOLECYSTECTOMY W CHOLANGIOGRAPHY	$10,387.60	$12,984.49	$5,355.00–$12,335.27	—	20%
Gallbladder removal, open surgery through a larger incision CPT 47600 HC COLECYSTECTOMY	$16,665.35	$20,831.68	$8,957.62–$19,790.10	at median	20%
Gallbladder removal, open surgery through a larger incision inpatient CPT 47600 HC COLECYSTECTOMY	$16,665.35	$20,831.68	$5,355.00–$19,790.10	—	20%
Hammertoe correction surgery CPT 28285 HC CC REPAIR OF HAMMERTOE,ONE	$3,875.31	$4,844.13	$2,082.98–$4,601.92	49% below	20%
Hammertoe correction surgery inpatient CPT 28285 HC CC REPAIR OF HAMMERTOE,ONE	$3,875.31	$4,844.13	$3,633.10–$7,011.00	—	20%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOIDECTOMY SIMPLE	$3,193.89	$3,992.36	$1,716.71–$3,792.74	32% above	20%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOIDECTOMY SIMPLE	$3,193.89	$3,992.36	$2,994.27–$7,011.00	—	20%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC CC HEMORRHOIDECTOMY,INT/EXT,1 COLUMN/GROUP	$4,669.30	$5,836.62	$2,509.75–$5,544.79	4% above	20%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC CC HEMORRHOIDECTOMY,INT/EXT,1 COLUMN/GROUP	$4,669.30	$5,836.62	$4,377.47–$7,011.00	—	20%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE/SINGLE	$562.88	$703.59	$302.54–$668.41	84% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC; SMPL OR SGL	$568.85	$711.06	$305.76–$675.51	86% above	20%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC; SMPL OR SG	$590.17	$737.71	$317.22–$700.82	93% above	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE/SINGLE	$562.88	$703.59	$588.20–$668.41	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC; SMPL OR SGL	$568.85	$711.06	$533.30–$7,011.00	—	20%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC; SMPL OR SG	$590.17	$737.71	$553.28–$7,011.00	—	20%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC REPAIR INGUINAL HERNIA	$8,183.86	$10,229.82	$4,398.82–$9,718.33	5% below	20%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC REPAIR INGUINAL HERNIA	$8,183.86	$10,229.82	$5,355.00–$9,718.33	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT SGL TENDON SHEATH/LIGAMENT	$378.67	$473.33	$203.53–$449.66	34% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$517.68	$647.09	$278.25–$614.74	10% below	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT SGL TENDON SHEATH/LIGAMENT	$378.67	$473.33	$355.00–$7,011.00	—	20%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ TENDON SHEATH/LIGAMENT	$517.68	$647.09	$540.97–$614.74	—	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC INJ ASP JOINT MAJOR	$716.39	$895.48	$385.06–$850.71	6% above	20%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC INJ ASP JOINT MAJOR	$716.39	$895.48	$671.61–$7,011.00	—	20%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERTION, DRUG-DELIVERY IMPLANT	$776.09	$970.11	$417.15–$921.60	129% above	20%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERTION, DRUG-DELIVERY IMPLANT	$776.09	$970.11	$727.58–$7,011.00	—	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC INJ ASP JOINT INTERM	$1,370.52	$1,713.14	$736.65–$1,627.48	97% above	20%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC INJ ASP JOINT INTERM	$1,370.52	$1,713.14	$1,284.86–$7,011.00	—	20%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC INJ ASP JOINT SMALL	$478.44	$598.05	$257.16–$568.15	at median	20%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC INJ ASP JOINT SMALL	$478.44	$598.05	$448.54–$7,011.00	—	20%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 HC CC KNEE SCOPE,MED OR LAT MENIS REPAIR	$10,915.50	$13,644.37	$5,867.08–$12,962.15	26% above	20%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 HC CC KNEE SCOPE,MED OR LAT MENIS REPAIR	$10,915.50	$13,644.37	$5,355.00–$12,962.15	—	20%
Knee arthroscopy with meniscus trim CPT 29881 HC CC KNEE SCOPE,MED/LAT MENISECTOMY	$9,745.40	$12,181.75	$5,238.15–$11,572.66	at median	20%
Knee arthroscopy with meniscus trim inpatient CPT 29881 HC CC KNEE SCOPE,MED/LAT MENISECTOMY	$9,745.40	$12,181.75	$5,355.00–$11,572.66	—	20%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HC CC KNEE SCOPE SINGLE MENISECTOMY	$7,052.99	$8,816.23	$3,790.98–$8,375.42	at median	20%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 HC CC KNEE SCOPE SINGLE MENISECTOMY	$7,052.99	$8,816.23	$5,355.00–$8,375.42	—	20%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HC CC KNEE SCOPE,SHAVE ARTICULAR CART	$10,718.50	$13,398.12	$5,761.19–$12,728.21	at median	20%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 HC CC KNEE SCOPE,SHAVE ARTICULAR CART	$10,718.50	$13,398.12	$5,355.00–$12,728.21	—	20%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC CC LAP,APPENDECTOMY	$10,392.72	$12,990.89	$5,586.08–$12,341.35	50% above	20%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC CC LAP,APPENDECTOMY	$10,392.72	$12,990.89	$5,355.00–$12,341.35	—	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC LAP INGUINAL HERNIA REPR, INITIAL	$7,156.19	$8,945.23	$3,846.45–$8,497.97	at median	20%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC LAP INGUINAL HERNIA REPR, INITIAL	$7,156.19	$8,945.23	$5,355.00–$8,497.97	—	20%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HC LAP, INGUINA HERNIA REPR, RECUR	$8,818.37	$11,022.96	$4,739.87–$10,471.81	43% above	20%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 HC LAP, INGUINA HERNIA REPR, RECUR	$8,818.37	$11,022.96	$5,355.00–$10,471.81	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INT SC/TK/EXT <=2.5CM	$993.56	$1,241.95	$534.04–$1,179.85	107% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC HC REPAIR INT SC/TK/EXT <=2.5CM	$1,672.79	$2,090.98	$899.12–$1,986.43	249% above	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INT SC/TK/EXT <=2.5CM	$993.56	$1,241.95	$1,038.27–$1,179.85	—	20%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC HC REPAIR INT SC/TK/EXT <=2.5CM	$1,672.79	$2,090.98	$1,568.24–$7,011.00	—	20%
Lower-back epidural injection, with imaging guidance CPT 62323 HC INJECT EPIDURAL TRANS-LAMINAR LUMB/SACR WITH GUIDANCE	$1,314.23	$1,642.78	$706.40–$1,560.64	at median	20%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJECT EPIDURAL TRANS-LAMINAR LUMB/SACR WITH GUIDANCE	$1,314.23	$1,642.78	$1,232.09–$7,011.00	—	20%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJECT EPIDURAL TRANS-LAMINAR LUMB/SACR WITHOUT GUIDANCE	$1,116.37	$1,395.46	$600.05–$1,325.69	3% below	20%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJECT EPIDURAL TRANS-LAMINAR LUMB/SACR WITHOUT GUIDANCE	$1,116.37	$1,395.46	$1,046.60–$7,011.00	—	20%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT EPIDURAL TRANS-FORAMINAL LUMB/SACR INIT LVL FLUORO/CT GUIDANCE	$1,477.97	$1,847.46	$794.41–$1,755.09	12% below	20%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT EPIDURAL TRANS-FORAMINAL LUMB/SACR INIT LVL FLUORO/CT GUIDANCE	$1,477.97	$1,847.46	$1,385.60–$7,011.00	—	20%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 HC MICRODISCECTOMY 1 INTERSPACE; LUMBAR	$12,042.96	$15,053.69	$6,473.09–$14,301.01	18% above	20%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 HC MICRODISCECTOMY 1 INTERSPACE; LUMBAR	$12,042.96	$15,053.69	$5,355.00–$14,301.01	—	20%
Lumbar laminectomy (spinal decompression), one level CPT 63047 HC LAM FACETECTOMY & FORAMOTOMY 1 SEG; LUMBAR	$13,621.56	$17,026.95	$7,321.59–$16,175.60	14% above	20%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 HC LAM FACETECTOMY & FORAMOTOMY 1 SEG; LUMBAR	$13,621.56	$17,026.95	$5,355.00–$16,175.60	—	20%
Lumbar spinal fusion (posterior), one level CPT 22612 HC ARTHRODESIS, POSTERIOR/POSTEROLAT LUMBAR; SINGLE INTERSPACE	$19,511.28	$24,389.09	$10,487.31–$23,169.64	at median	20%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 HC ARTHRODESIS, POSTERIOR/POSTEROLAT LUMBAR; SINGLE INTERSPACE	$19,511.28	$24,389.09	$5,355.00–$23,169.64	—	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC BEN TK/ARM/LG <= 0.5CM	$780.36	$975.44	$419.44–$926.67	33% above	20%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC BEN TK/ARM/LG <= 0.5CM	$780.36	$975.44	$731.58–$7,011.00	—	20%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SINGLE	$501.48	$626.84	$269.54–$595.50	57% above	20%
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE	$616.57	$770.71	$331.41–$732.17	93% above	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SINGLE	$501.48	$626.84	$524.04–$595.50	—	20%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE	$616.57	$770.71	$644.31–$732.17	—	20%
Occipital nerve block (injection for headaches) CPT 64405 HC INJ NERV GREATER OCCIPITAL NERVE	$706.16	$882.69	$379.56–$838.56	6% below	20%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJ NERV GREATER OCCIPITAL NERVE	$706.16	$882.69	$662.02–$7,011.00	—	20%
Paracentesis with imaging guidance CPT 49083 HC PARACENTESIS ABD W IMAGING	$1,649.40	$2,061.74	$886.55–$1,958.65	at median	20%
Paracentesis with imaging guidance inpatient CPT 49083 HC PARACENTESIS ABD W IMAGING	$1,649.40	$2,061.74	$1,546.31–$7,011.00	—	20%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL NAIL INCL MATRIX /PLATE	$1,344.93	$1,681.16	$722.90–$1,597.10	69% above	20%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL NAIL INCL MATRIX /PLATE	$1,344.93	$1,681.16	$1,260.87–$7,011.00	—	20%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC NRV DEST FAC LUM SGL W/IMG	$2,933.77	$3,667.21	$1,576.90–$3,483.85	41% below	20%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC NRV DEST FAC LUM SGL W/IMG	$2,933.77	$3,667.21	$2,750.41–$7,011.00	—	20%
Removal of a breast lump, open surgery CPT 19120 HC CC EXCISE BREAST CYST	$7,133.16	$8,916.44	$3,834.07–$8,470.62	214% above	20%
Removal of a breast lump, open surgery inpatient CPT 19120 HC CC EXCISE BREAST CYST	$7,133.16	$8,916.44	$5,355.00–$8,470.62	—	20%
Removal of a foreign object under the skin, simple CPT 10120 HC INC/REMOVAL FB SUBQ SIMPLE	$1,301.44	$1,626.79	$699.52–$1,545.45	170% above	20%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INC/REMOVAL FB SUBQ SIMPLE	$1,301.44	$1,626.79	$1,220.09–$7,011.00	—	20%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC CC COLON CA SCRN NOT HI RSK IND	$2,509.91	$3,137.38	$1,349.07–$2,980.51	17% above	20%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC CC COLON CA SCRN NOT HI RSK IND	$2,509.91	$3,137.38	$2,353.04–$7,011.00	—	20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC CC COLORECTAL SCRN; HI RISK IND	$2,505.79	$3,132.23	$1,346.86–$2,975.62	25% above	20%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC CC COLORECTAL SCRN; HI RISK IND	$2,505.79	$3,132.23	$2,349.17–$7,011.00	—	20%
Short arm cast (elbow to hand) CPT 29075 HC APPLY CAST SHORT ARM	$171.43	$214.28	$92.14–$203.57	44% below	20%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY CAST SHORT ARM	$171.43	$214.28	$179.14–$203.57	—	20%
Short arm splint (forearm and hand) CPT 29125 HC OT APP SPLINT SHORT ARM STATIC	$174.84	$218.54	$93.97–$207.61	41% below	20%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SPLINT SHORT ARM STATIC	$333.47	$416.83	$179.24–$395.99	12% above	20%
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APP SPLINT SHORT ARM STATIC	$174.84	$218.54	$182.70–$207.61	—	20%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SPLINT SHORT ARM STATIC	$333.47	$416.83	$312.62–$7,011.00	—	20%
Short leg splint (calf to foot) CPT 29515 HC APPLY SPLINT SHORT LEG	$202.98	$253.72	$109.10–$241.03	11% below	20%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SPLINT SHORT LEG	$202.98	$253.72	$212.11–$241.03	—	20%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 HC CC SHLDR ARTHROSCOP,SURG,DIS CLAVICULECTOMY	$2,231.88	$2,789.85	$1,199.64–$2,650.36	at median	20%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 HC CC SHLDR ARTHROSCOP,SURG,DIS CLAVICULECTOMY	$2,231.88	$2,789.85	$2,092.39–$7,011.00	—	20%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC CC SHLDR ARTHROSCOP,PART ACROMIOPLAS	$4,795.52	$5,994.40	$2,577.59–$5,694.68	at median	20%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC CC SHLDR ARTHROSCOP,PART ACROMIOPLAS	$4,795.52	$5,994.40	$4,495.80–$7,011.00	—	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SMP SC/NK/TK/EXT<=2.5CM	$730.04	$912.54	$392.39–$866.91	63% above	20%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SMP SC/NK/TK/EXT<=2.5CM	$730.04	$912.54	$684.41–$7,011.00	—	20%
Skin biopsy, punch, one lesion CPT 11104 HC SKIN BIOPSY PUNCH (INCLUDES SIMPLE CLOSURE); SINGLE LESION	$805.08	$1,006.35	$432.73–$956.03	49% above	20%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC SKIN BIOPSY PUNCH (INCLUDES SIMPLE CLOSURE); SINGLE LESION	$805.08	$1,006.35	$754.76–$7,011.00	—	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC LES MAL TK/ARM/LG <.6CM	$1,998.21	$2,497.76	$1,074.04–$2,372.87	24% above	20%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC LES MAL TK/ARM/LG <.6CM	$1,998.21	$2,497.76	$1,873.32–$7,011.00	—	20%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL SKIN TAGS 15 OR <	$1,450.68	$1,813.35	$779.74–$1,722.68	405% above	20%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL SKIN TAGS 15 OR <	$1,450.68	$1,813.35	$1,360.01–$7,011.00	—	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC WITHOUT IMAGING	$912.54	$1,140.67	$490.49–$1,083.64	at median	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC, WITHOUT IMAGING	$933.01	$1,166.26	$501.49–$1,107.95	2% above	20%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$933.01	$1,166.26	$501.49–$1,107.95	2% above	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC WITHOUT IMAGING	$912.54	$1,140.67	$855.50–$7,011.00	—	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC, WITHOUT IMAGING	$933.01	$1,166.26	$974.99–$1,107.95	—	20%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$933.01	$1,166.26	$974.99–$1,107.95	—	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR SMP SC/NK/TK/EXT 2.6-7.5CM	$904.01	$1,130.01	$485.90–$1,073.51	112% above	20%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR SMP SC/NK/TK/EXT 2.6-7.5CM	$904.01	$1,130.01	$847.51–$7,011.00	—	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SMP FACIAL/EAR <=2.5CM	$773.53	$966.91	$415.77–$918.56	123% above	20%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SMP FACIAL/EAR <=2.5CM	$773.53	$966.91	$808.34–$918.56	—	20%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC SKIN BIOPSY TANGENTIAL (SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION	$449.45	$561.81	$241.58–$533.72	at median	20%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC SKIN BIOPSY TANGENTIAL (SHAVE, SCOOP, SAUCERIZE, CURETTE); SINGLE LESION	$449.45	$561.81	$421.36–$7,011.00	—	20%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W IMAGING	$4,920.89	$6,151.11	$2,644.98–$5,843.55	129% above	20%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W IMAGING	$4,920.89	$6,151.11	$4,613.33–$7,011.00	—	20%
Total hip replacement CPT 27130 HC TOTAL HIP ARTHROPLASTY	$20,153.47	$25,191.83	$10,832.49–$23,932.24	at median	20%
Total hip replacement inpatient CPT 27130 HC TOTAL HIP ARTHROPLASTY	$20,153.47	$25,191.83	$5,355.00–$23,932.24	—	20%
Total knee replacement CPT 27447 HC TOTAL KNEE ARTHROPLASTY	$20,128.73	$25,160.91	$10,819.19–$23,902.86	at median	20%
Total knee replacement inpatient CPT 27447 HC TOTAL KNEE ARTHROPLASTY	$20,128.73	$25,160.91	$5,355.00–$23,902.86	—	20%
Total shoulder replacement CPT 23472 HC PROSTHETIC REPAIR OF SHOULDER JOINT	$16,317.39	$20,396.73	$8,770.59–$19,376.89	at median	20%
Total shoulder replacement inpatient CPT 23472 HC PROSTHETIC REPAIR OF SHOULDER JOINT	$16,317.39	$20,396.73	$5,355.00–$19,376.89	—	20%
Trigger finger release surgery CPT 26055 HC CC INCISE FINGER TENDON SHEATH	$3,949.51	$4,936.88	$2,122.86–$4,690.04	at median	20%
Trigger finger release surgery inpatient CPT 26055 HC CC INCISE FINGER TENDON SHEATH	$3,949.51	$4,936.88	$3,702.66–$7,011.00	—	20%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER PTS 1-2 MUSCLES	$637.08	$796.34	$342.43–$756.52	26% above	20%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER PTS 1-2 MUSCLES	$637.08	$796.34	$597.26–$7,011.00	—	20%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC CC EDG BALLOON DILATION ESOPHAGUS <30 MM DIAM	$2,078.96	$2,598.69	$1,117.44–$2,468.76	9% below	20%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC CC EDG BALLOON DILATION ESOPHAGUS <30 MM DIAM	$2,078.96	$2,598.69	$1,949.02–$7,011.00	—	20%
Upper endoscopy (EGD) with biopsy CPT 43239 HC CC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE	$1,872.13	$2,340.16	$1,006.27–$2,223.15	at median	20%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC CC EDG TRANSORAL BIOPSY SINGLE/MULTIPLE	$1,872.13	$2,340.16	$1,755.12–$7,011.00	—	20%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC CC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION	$1,872.13	$2,340.16	$1,006.27–$2,223.15	3% below	20%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC CC ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION	$1,872.13	$2,340.16	$1,755.12–$7,011.00	—	20%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC CC EDG REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH	$2,649.99	$3,312.48	$1,424.37–$3,146.86	at median	20%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC CC EDG REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH	$2,649.99	$3,312.48	$2,484.36–$7,011.00	—	20%
Upper endoscopy (EGD), diagnostic CPT 43235 HC CC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$1,661.19	$2,076.48	$892.89–$1,972.66	10% below	20%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC CC ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$1,661.19	$2,076.48	$1,557.36–$7,011.00	—	20%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC VASECTOMY UNIL OR BILAT	$2,904.78	$3,630.97	$1,561.32–$3,449.42	—	20%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC VASECTOMY	$2,858.72	$3,573.40	$1,536.56–$3,394.73	47% below	20%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC VASECTOMY UNIL OR BILAT	$2,904.78	$3,630.97	$2,723.23–$7,011.00	—	20%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC VASECTOMY	$2,858.72	$3,573.40	$2,680.05–$7,011.00	—	20%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESION <=14	$820.48	$1,025.59	$441.00–$974.31	200% above	20%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESION <=14	$820.48	$1,025.59	$769.19–$7,011.00	—	20%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN TO SUBQ <=20SQCM	$698.36	$872.94	$375.36–$829.29	18% above	20%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SKIN TO SUBQ <=20SQCM	$698.36	$872.94	$654.71–$7,011.00	—	20%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC TREAT FX RAD EXTRA-ARTICUL	$11,703.52	$14,629.40	$6,290.64–$13,897.93	39% below	20%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC TREAT FX RAD EXTRA-ARTICUL	$11,703.52	$14,629.40	$5,355.00–$13,897.93	—	20%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD PRODUCT TRANSFUSION	$376.18	$470.22	$202.19–$446.71	75% below	20%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD PRODUCT TRANSFUSION	$376.18	$470.22	$393.10–$446.71	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT SUBSEQUENT	$75.64	$94.55	$40.66–$89.82	77% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT	$79.01	$98.76	$42.47–$93.82	76% below	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT SUBSEQUENT	$75.64	$94.55	$79.04–$89.82	—	20%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT	$79.01	$98.76	$82.56–$93.82	—	20%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION INIT TO 1 HR	$1,196.70	$1,495.87	$643.22–$1,421.08	at median	20%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION INIT TO 1 HR	$1,196.70	$1,495.87	$1,250.55–$1,421.08	—	20%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE FIRST 30-74MIN	$3,532.47	$4,415.58	$1,898.70–$4,194.80	at median	20%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE FIRST 30-74MIN	$3,532.47	$4,415.58	$3,691.42–$4,194.80	—	20%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ELECTROCARDIOGRAM (EKG/ECG)	$162.11	$202.63	$87.13–$192.50	at median	20%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ELECTROCARDIOGRAM (EKG/ECG)	$162.11	$202.63	$169.40–$192.50	—	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG 12 LEAD	$99.31	$124.13	$53.38–$117.92	62% below	20%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG 12 LEAD	$99.31	$124.13	$103.77–$117.92	—	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL I	$202.98	$253.72	$109.10–$241.03	42% below	20%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL I	$202.98	$253.72	$212.11–$241.03	—	20%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL II	$401.69	$502.11	$215.91–$477.00	31% below	20%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL II	$401.69	$502.11	$419.76–$477.00	—	20%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL III	$801.68	$1,002.09	$430.90–$951.99	26% below	20%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL III	$801.68	$1,002.09	$837.75–$951.99	—	20%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL IV	$1,600.79	$2,000.98	$860.42–$1,900.93	6% below	20%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL IV	$1,600.79	$2,000.98	$1,672.82–$1,900.93	—	20%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL V	$2,399.04	$2,998.80	$1,289.48–$2,848.86	4% below	20%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL V	$2,399.04	$2,998.80	$2,507.00–$2,848.86	—	20%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST	$529.60	$662.00	$284.66–$628.90	57% below	20%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST	$529.60	$662.00	$496.50–$7,011.00	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION 31MIN-1H	$222.21	$277.76	$119.44–$263.87	52% below	20%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION INITIAL 31-60 MIN	$250.74	$313.42	$134.77–$297.75	45% below	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION 31MIN-1H	$222.21	$277.76	$208.32–$7,011.00	—	20%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION INITIAL 31-60 MIN	$250.74	$313.42	$262.02–$297.75	—	20%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION NON-CHEMO INIT HR	$258.83	$323.53	$139.12–$307.35	51% below	20%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION NON-CHEMO INIT HR	$258.83	$323.53	$242.65–$7,011.00	—	20%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION SQ/IM	$69.94	$87.42	$37.59–$83.05	57% below	20%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION SQ/IM	$69.94	$87.42	$73.08–$83.05	—	20%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC RE-ED EA 15MIN	$117.40	$146.75	$63.10–$139.41	at median	20%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC RE-ED EA 15 MIN	$117.40	$146.75	$63.10–$139.41	at median	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC RE-ED EA 15 MIN	$117.40	$146.75	$122.68–$139.41	—	20%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC RE-ED EA 15MIN	$117.40	$146.75	$122.68–$139.41	—	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INDIV EACH 15 MIN	$34.80	$43.50	$18.71–$41.33	38% below	20%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INDIV EACH 15 MIN	$34.80	$43.50	$36.37–$41.33	—	20%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX	$304.91	$381.13	$163.89–$362.07	7% below	20%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX	$304.91	$381.13	$318.62–$362.07	—	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX	$282.95	$353.68	$152.08–$336.00	12% below	20%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX	$282.95	$353.68	$295.68–$336.00	—	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX	$282.95	$353.68	$152.08–$336.00	at median	20%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX	$282.95	$353.68	$295.68–$336.00	—	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX	$282.95	$353.68	$152.08–$336.00	9% below	20%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX	$282.95	$353.68	$295.68–$336.00	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THERAPY EA 15MIN	$95.44	$119.30	$51.30–$113.34	5% below	20%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY EA 15 MIN	$95.44	$119.30	$51.30–$113.34	5% below	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THERAPY EA 15MIN	$95.44	$119.30	$99.73–$113.34	—	20%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY EA 15 MIN	$95.44	$119.30	$99.73–$113.34	—	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES EA 15 MIN	$104.73	$130.91	$56.29–$124.36	5% below	20%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXECISES EA15 MIN	$104.73	$130.91	$56.29–$124.36	5% below	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES EA 15 MIN	$104.73	$130.91	$109.44–$124.36	—	20%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXECISES EA15 MIN	$104.73	$130.91	$109.44–$124.36	—	20%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OBSERVATION-COMPLEX	$253.83	$317.28	$136.43–$301.42	8% below	20%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OBSERVATION-COMPLEX	$253.83	$317.28	$265.25–$301.42	—	20%
Speech and language evaluation CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$1,103.90	$1,379.87	$593.34–$1,310.88	130% above	20%
Speech and language evaluation inpatient CPT 92523 HC SPEECH SOUND LANG COMPREHEN	$1,103.90	$1,379.87	$1,153.57–$1,310.88	—	20%
Speech therapy session, individual CPT 92507 HC SPEECH TREATMENT	$451.02	$563.77	$242.42–$535.58	14% above	20%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH TREATMENT	$451.02	$563.77	$471.31–$535.58	—	20%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$154.47	$193.08	$83.02–$183.43	56% below	20%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$154.47	$193.08	$161.41–$183.43	—	20%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHODILAT RESPONSE PRE/POST	$286.87	$358.58	$154.19–$340.65	38% below	20%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHODILAT RESPONSE PRE/POST	$286.87	$358.58	$299.77–$340.65	—	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITIES DIRECT EA 15 MIN	$130.92	$163.64	$70.37–$155.46	at median	20%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITIES DIRECT EA 15 MIN	$130.92	$163.64	$70.37–$155.46	at median	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITIES DIRECT EA 15 MIN	$130.92	$163.64	$136.80–$155.46	—	20%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITIES DIRECT EA 15 MIN	$130.92	$163.64	$136.80–$155.46	—	20%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$154.65	$193.31	$83.12–$183.64	67% below	20%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$154.65	$193.31	$161.61–$183.64	—	20%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 HC CARDIOVASCULAR STRESS TEST	$946.32	$1,182.90	$508.65–$1,123.76	30% above	20%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 HC CARDIOVASCULAR STRESS TEST	$946.32	$1,182.90	$887.18–$7,011.00	—	20%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$31.59	$39.48	$16.98–$37.50	51% below	20%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE	$31.59	$39.48	$33.00–$37.50	—	20%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE	$99.76	$124.70	$53.62–$118.46	26% below	20%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HEPATITIS A AND B VIRUS VACCINE(PF)720 ELISA UNIT-20 MCG/ML IM SYRINGE	$99.76	$124.70	$104.25–$118.46	—	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23 VACCINE INJECTION (SO)	$187.33	$234.16	$100.69–$222.45	50% below	20%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23 VACCINE INJECTION (SO)	$187.33	$234.16	$195.76–$222.45	—	20%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN 1ST VACCINE	$45.39	$56.73	$24.39–$53.89	46% below	20%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN 1ST VACCINE	$45.39	$56.73	$47.43–$53.89	—	20%

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/11871/840676212-1154936987_kremmling-memorial-hospital-district_standardcharges.csv