San Luis Valley Health Conejos County Hospital
Listed in its price file as “San Luis Valley Health”.
San Luis Valley Health Conejos County Hospital in La Jara, CO publishes cash prices for 254 common procedures listed here, from its own machine-readable price file updated Mar 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 242 of 252 procedures and above it for 8. By typical cash price it ranks #7 of 50 Colorado hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
19021 Us Hwy 285, La Jara CO 81101 Collected Oct 31, 2026 Source price file Check a bill from this hospital (719) 274-5121
Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital No emergency department CCN 061308 · CMS hospital register NPI 1194792762
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
San Luis Valley Health Conejos County Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Colorado's Hospital Discounted Care law (HB21-1198): for qualifying patients with household income at or below 250% of the federal poverty level, hospitals and the clinicians who work in them may charge no more than the greater of the Medicare rate or the Medicaid base rate, and monthly payments are capped. That can be less than the cash prices below; ask the hospital to screen you for discounted care. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O & W/DYE | $1,249.60 | $2,272.00 | $1,544.96–$2,158.40 | 45% below | 45% |
| Abdominal X-ray, 2 views CPT 74019 X-RAY ABDOMEN 2 VIEWS | $250.80 | $456.00 | $310.08–$433.20 | 27% below | 45% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE MIN 3 VIEWS RGT | $201.85 | $367.00 | $176.16–$348.65 | 39% below | 45% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE MIN 3 VIEWS LFT | $201.85 | $367.00 | $176.16–$348.65 | 39% below | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPR EXT W/O DYE | $693.00 | $1,260.00 | $106.34–$240.32 | 59% below | 45% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CNTRST & IMG PO | $2,230.80 | $4,056.00 | $2,758.08–$3,853.20 | 21% below | 45% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD | $2,339.70 | $4,254.00 | $2,892.72–$4,041.30 | 1% below | 45% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK | $2,341.90 | $4,258.00 | $2,895.44–$4,045.10 | at median | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST | $2,341.90 | $4,258.00 | $2,895.44–$4,045.10 | 3% below | 45% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST | $1,758.35 | $3,197.00 | $2,173.96–$3,037.15 | 18% below | 45% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELV W/CONTRAST | $2,192.85 | $3,987.00 | $2,711.16–$3,787.65 | 16% below | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD & PELV 1/> REGNS | $2,387.00 | $4,340.00 | $2,951.20–$4,123.00 | 32% below | 45% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE | $618.75 | $1,125.00 | $765.00–$1,068.75 | 57% below | 45% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE | $810.15 | $1,473.00 | $1,001.64–$1,399.35 | 39% below | 45% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,230.90 | $2,238.00 | $1,521.84–$2,126.10 | 11% below | 45% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE | $1,333.75 | $2,425.00 | $1,649.00–$2,303.75 | 23% below | 45% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE | $1,249.60 | $2,272.00 | $1,544.96–$2,158.40 | 39% below | 45% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE | $818.95 | $1,489.00 | $106.34–$240.32 | 49% below | 45% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE | $818.95 | $1,489.00 | $1,012.52–$1,414.55 | 46% below | 45% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,147.30 | $2,086.00 | $1,418.48–$1,981.70 | 45% below | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILATERAL | $481.80 | $876.00 | $595.68–$832.20 | — | 45% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W/O & W/DYE | $1,255.65 | $2,283.00 | $1,552.44–$2,168.85 | 39% below | 45% |
| Chest X-ray, 2 views CPT 71046 X-RAY CHEST 2 VIEWS | $184.80 | $336.00 | $228.48–$319.20 | 39% below | 45% |
| Chest X-ray, single view CPT 71045 X-RAY CHEST 1 VIEW | $161.15 | $293.00 | $199.24–$278.35 | 39% below | 45% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE LFT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE RGT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE | $272.25 | $495.00 | $336.60–$470.25 | 60% below | 45% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O DYE | $772.75 | $1,405.00 | $955.40–$1,334.75 | 49% below | 45% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/DYE | $1,197.90 | $2,178.00 | $1,481.04–$2,069.10 | 36% below | 45% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US BILATERAL DOPPLER | $573.65 | $1,043.00 | $709.24–$990.85 | — | 45% |
| Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW 2 VIEWS LFT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW 2 VIEWS RGT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW MIN 3 VIEWS LFT | $201.85 | $367.00 | $176.16–$348.65 | 33% below | 45% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW MIN 3 VIEWS RGT | $201.85 | $367.00 | $176.16–$348.65 | 33% below | 45% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE | $730.95 | $1,329.00 | $903.72–$1,262.55 | 55% below | 45% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY FACIAL BONES MIN 3 VW | $161.15 | $293.00 | $199.24–$278.35 | 56% below | 45% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM 2 VIEWS RGT | $161.15 | $293.00 | $140.64–$278.35 | 45% below | 45% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM 2 VIEWS LFT | $161.15 | $293.00 | $140.64–$278.35 | 45% below | 45% |
| Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND 2 VIEWS LFT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| Hand X-ray, 2 views one side CPT 73120 X-RAY OF HAND 2 VIEWS RGT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY HEEL RGT MIN 2 VW | $161.15 | $293.00 | $140.64–$278.35 | 41% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY HEEL LFT MIN 2 VW | $161.15 | $293.00 | $140.64–$278.35 | 41% below | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPH TITRATION | $1,940.95 | $3,529.00 | $1,693.92–$3,352.55 | 44% below | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPH SPLIT NIGHT | $2,192.30 | $3,986.00 | $1,913.28–$3,786.70 | 37% below | 45% |
| Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE 3 RGT | $193.05 | $351.00 | $168.48–$333.45 | 44% below | 45% |
| Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE 3 LFT | $193.05 | $351.00 | $168.48–$333.45 | 44% below | 45% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY KNEE => 4 LFT | $201.85 | $367.00 | $176.16–$348.65 | 51% below | 45% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY KNEE => 4 RGT | $201.85 | $367.00 | $176.16–$348.65 | 51% below | 45% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O DYE LFT | $665.50 | $1,210.00 | $580.80–$1,149.50 | 55% below | 45% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXT W/O DYE RGT | $665.50 | $1,210.00 | $580.80–$1,149.50 | 55% below | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED | $233.20 | $424.00 | $288.32–$402.80 | 60% below | 45% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR | $198.00 | $360.00 | $244.80–$342.00 | 58% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG RGT 2VW | $201.85 | $367.00 | $176.16–$348.65 | 33% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG LFT 2VW | $201.85 | $367.00 | $176.16–$348.65 | 33% below | 45% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY NECK SPINE 4/5VWS | $336.60 | $612.00 | $416.16–$581.40 | 30% below | 45% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE | $917.95 | $1,669.00 | $1,134.92–$1,585.55 | 53% below | 45% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE | $618.75 | $1,125.00 | $765.00–$1,068.75 | 61% below | 45% |
| Neck soft tissue X-ray CPT 70360 X-RAY OF NECK | $161.15 | $293.00 | $199.24–$278.35 | 47% below | 45% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE | $730.95 | $1,329.00 | $903.72–$1,262.55 | 54% below | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $109.45 | $199.00 | $135.32–$189.05 | 76% below | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE | $315.70 | $574.00 | $390.32–$545.30 | 54% below | 45% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS | $262.90 | $478.00 | $325.04–$454.10 | 62% below | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $253.00 | $460.00 | $312.80–$437.00 | 57% below | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY UNILAT RIBS/CHEST RGT | $240.90 | $438.00 | $210.24–$416.10 | 38% below | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-RAY UNILAT RIBS/CHEST LFT | $240.90 | $438.00 | $210.24–$416.10 | 38% below | 45% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY SHLDR MIN OF 2 VIEWS RGT | $226.05 | $411.00 | $197.28–$390.45 | 28% below | 45% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY SHLDR MIN OF 2 VIEWS LFT | $226.05 | $411.00 | $197.28–$390.45 | 28% below | 45% |
| Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL <4 VIEW | $161.15 | $293.00 | $199.24–$278.35 | 50% below | 45% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM >6 YRS 4/> PARAMTRS | $1,949.20 | $3,544.00 | $1,701.12–$3,366.80 | 38% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF FEMUR 2/> LFT | $161.15 | $293.00 | $140.64–$278.35 | 47% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF FEMUR 2/> RGT | $161.15 | $293.00 | $140.64–$278.35 | 47% below | 45% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE | $647.90 | $1,178.00 | $801.04–$1,119.10 | 57% below | 45% |
| Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE(S) MIN 2 VW RGT | $161.15 | $293.00 | $140.64–$278.35 | 43% below | 45% |
| Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE(S) MIN 2 VW LFT | $161.15 | $293.00 | $140.64–$278.35 | 43% below | 45% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $253.00 | $460.00 | $312.80–$437.00 | 59% below | 45% |
| Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC | $202.40 | $368.00 | $250.24–$349.60 | 67% below | 45% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $341.55 | $621.00 | $422.28–$589.95 | 53% below | 45% |
| Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM | $217.80 | $396.00 | $269.28–$376.20 | 67% below | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK | $251.35 | $457.00 | $310.76–$434.15 | 59% below | 45% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF HUMERUS MIN 2 VW LFT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF HUMERUS MIN 2 VW RGT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UNILATERAL DOPPLER STUDY | $349.80 | $636.00 | $432.48–$604.20 | 37% below | 45% |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST 2 VIEWS RGT | $201.85 | $367.00 | $176.16–$348.65 | 33% below | 45% |
| Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST 2 VIEWS LFT | $201.85 | $367.00 | $176.16–$348.65 | 33% below | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST MIN 3 VIEWS LFT | $215.60 | $392.00 | $188.16–$372.40 | 28% below | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST MIN 3 VIEWS RGT | $215.60 | $392.00 | $188.16–$372.40 | 28% below | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY HIP UNI 2-3 VIEWS LFT | $312.95 | $569.00 | $273.12–$540.55 | 2% below | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY HIP UNI 2-3 VIEWS RGT | $312.95 | $569.00 | $273.12–$540.55 | 2% below | 45% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY ABDOMEN 1 VIEW | $199.65 | $363.00 | $246.84–$344.85 | 28% below | 45% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE 2 VIEWS LFT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE 2 VIEWS RGT | $161.15 | $293.00 | $140.64–$278.35 | 46% below | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY OF FINGER(S) MIN 2 VW LFT | $161.15 | $293.00 | $140.64–$278.35 | 47% below | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XRAY OF FINGER(S) MIN 2 VW RGT | $161.15 | $293.00 | $140.64–$278.35 | 47% below | 45% |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT 2 VIEWS LFT | $161.15 | $293.00 | $140.64–$278.35 | 44% below | 45% |
| X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT 2 VIEWS RGT | $161.15 | $293.00 | $140.64–$278.35 | 44% below | 45% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT MIN 3 VIEWS RGT | $196.35 | $357.00 | $171.36–$339.15 | 37% below | 45% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT MIN 3 VIEWS LFT | $196.35 | $357.00 | $171.36–$339.15 | 37% below | 45% |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND MIN 3 VIEWS RGT | $201.85 | $367.00 | $176.16–$348.65 | 36% below | 45% |
| X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND MIN 3 VIEWS LFT | $201.85 | $367.00 | $176.16–$348.65 | 36% below | 45% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE 1 OR 2 LFT | $201.85 | $367.00 | $176.16–$348.65 | 33% below | 45% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE 1 OR 2 RGT | $201.85 | $367.00 | $176.16–$348.65 | 33% below | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY L-S SPINE 2/3 VWS | $201.85 | $367.00 | $249.56–$348.65 | 44% below | 45% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY L-2 SPINE 4/>VWS | $336.60 | $612.00 | $416.16–$581.40 | 30% below | 45% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY THORAC SPINE 2VWS | $161.15 | $293.00 | $199.24–$278.35 | 48% below | 45% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY NASAL BONES MIN 3 VW | $161.15 | $293.00 | $199.24–$278.35 | 49% below | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY NECK SPINE 2-3 VW | $199.10 | $362.00 | $246.16–$343.90 | 36% below | 45% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS 1 OR 2 VIEWS | $201.85 | $367.00 | $106.34–$240.32 | 33% below | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY SACRUM TAILBONE MIN 2 VW | $161.15 | $293.00 | $199.24–$278.35 | 47% below | 45% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ASSAY OF ACTH | $30.80 | $56.00 | $38.08–$53.20 | 87% below | 45% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT) | $39.60 | $72.00 | $48.96–$68.40 | 33% below | 45% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT) | $39.60 | $72.00 | $5.18–$11.66 | 34% below | 45% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $237.60 | $432.00 | $293.76–$410.40 | 42% below | 45% |
| Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN | $29.15 | $53.00 | $4.95–$11.14 | 48% below | 45% |
| Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE | $96.80 | $176.00 | $40.75–$91.69 | 64% below | 45% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE | $29.15 | $53.00 | $36.04–$50.35 | 48% below | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $15.95 | $29.00 | $19.72–$27.55 | 60% below | 45% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $91.30 | $166.00 | $16.77–$37.73 | 32% below | 45% |
| Ammonia blood test CPT 82140 ASSAY OF AMMONIA | $118.80 | $216.00 | $146.88–$205.20 | 36% below | 45% |
| Amylase blood test CPT 82150 ASSAY OF AMYLASE | $60.50 | $110.00 | $6.48–$14.58 | 38% below | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY | $29.70 | $54.00 | $36.72–$51.30 | 73% below | 45% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES | $116.60 | $212.00 | $12.09–$27.20 | 29% above | 45% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE | $157.85 | $287.00 | $195.16–$272.65 | 44% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHER SPECIMN AEROBIC | $66.55 | $121.00 | $82.28–$114.95 | 39% below | 45% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $64.90 | $118.00 | $8.46–$19.04 | 52% below | 45% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $34.65 | $63.00 | $42.84–$59.85 | 41% below | 45% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $87.45 | $159.00 | $10.32–$23.22 | 58% below | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $15.40 | $28.00 | $9.09–$21.02 | 49% below | 45% |
| Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT | $33.55 | $61.00 | $41.48–$57.95 | 44% below | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 QUALITATIVE HCG SERUM | $51.70 | $94.00 | $7.52–$16.92 | 52% below | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO | $34.10 | $62.00 | $128.90–$305.84 | 67% below | 45% |
| Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN | $32.45 | $59.00 | $40.12–$56.05 | 47% below | 45% |
| C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE | $80.30 | $146.00 | $99.28–$138.70 | 52% below | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $52.25 | $95.00 | $64.60–$90.25 | 44% below | 45% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE | $91.30 | $166.00 | $112.88–$157.70 | 69% below | 45% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $113.85 | $207.00 | $140.76–$196.65 | 36% below | 45% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125 | $77.55 | $141.00 | $20.81–$46.82 | 57% below | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $91.30 | $166.00 | $112.88–$157.70 | 23% below | 45% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN | $75.35 | $137.00 | $18.96–$42.66 | 57% below | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY | $70.95 | $129.00 | $12.88–$28.98 | 36% below | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA AMP PROBE | $77.55 | $141.00 | $35.09–$78.95 | 53% below | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $72.60 | $132.00 | $89.76–$125.40 | 41% below | 45% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $41.25 | $75.00 | $7.77–$17.48 | 48% below | 45% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $29.70 | $54.00 | $36.72–$51.30 | 63% below | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $77.55 | $141.00 | $10.56–$23.76 | 56% below | 45% |
| Cortisol blood test, total CPT 82533 TOTAL CORTISOL | $72.60 | $132.00 | $16.30–$36.68 | 48% below | 45% |
| Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK) | $64.90 | $118.00 | $80.24–$112.10 | 26% below | 45% |
| Creatinine blood test CPT 82565 ASSAY OF CREATININE BLOOD | $34.65 | $63.00 | $42.84–$59.85 | 36% below | 45% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS (CMV) IGg ABY | $89.10 | $162.00 | $110.16–$153.90 | 28% below | 45% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $95.70 | $174.00 | $10.18–$22.91 | 34% below | 45% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE-SULFATE | $95.70 | $174.00 | $118.32–$165.30 | 50% below | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR | $199.65 | $363.00 | $62.14–$139.82 | 13% above | 45% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA | $88.00 | $160.00 | $18.14–$40.82 | 13% below | 45% |
| Estradiol blood test CPT 82670 ASSAY OF ESTRADIOL | $130.90 | $238.00 | $27.94–$62.87 | 46% below | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH) | $80.30 | $146.00 | $99.28–$138.70 | 50% below | 45% |
| Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL | $144.65 | $263.00 | $178.84–$249.85 | 43% below | 45% |
| Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN | $79.20 | $144.00 | $97.92–$136.80 | 32% below | 45% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $119.35 | $217.00 | $147.56–$206.15 | 14% below | 45% |
| Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM | $79.75 | $145.00 | $14.70–$33.08 | 37% below | 45% |
| Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3) | $132.00 | $240.00 | $163.20–$228.00 | 19% below | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $75.35 | $137.00 | $9.02–$20.30 | 28% below | 45% |
| Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE | $88.00 | $160.00 | $25.47–$57.31 | 47% below | 45% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT | $41.25 | $75.00 | $7.20–$16.20 | 46% below | 45% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT) | $52.80 | $96.00 | $65.28–$91.20 | 53% below | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $77.55 | $141.00 | $95.88–$133.95 | 53% below | 45% |
| H. pylori stool antigen test CPT 87338 HPYLORI STOOL IA | $128.15 | $233.00 | $158.44–$221.35 | 18% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ | $31.90 | $58.00 | $85.10–$191.48 | 93% below | 45% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY | $63.25 | $115.00 | $78.20–$109.25 | 50% below | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSLATED A1C | $59.95 | $109.00 | $74.12–$103.55 | 40% below | 45% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $18.15 | $33.00 | $22.44–$31.35 | 52% below | 45% |
| Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL | $57.75 | $105.00 | $12.05–$27.11 | 47% below | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $60.50 | $110.00 | $74.80–$104.50 | 36% below | 45% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $60.50 | $110.00 | $10.33–$23.24 | 43% below | 45% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST | $78.10 | $142.00 | $14.27–$32.11 | 37% below | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ | $107.80 | $196.00 | $133.28–$186.20 | 64% below | 45% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTINE | $146.85 | $267.00 | $17.92–$40.32 | 17% below | 45% |
| Insulin blood test CPT 83525 ASSAY OF INSULIN | $82.50 | $150.00 | $102.00–$142.50 | 16% below | 45% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $50.60 | $92.00 | $62.56–$87.40 | 20% below | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST | $50.60 | $92.00 | $62.56–$87.40 | 37% below | 45% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $65.45 | $119.00 | $8.68–$19.53 | 65% below | 45% |
| LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH) | $84.70 | $154.00 | $104.72–$146.30 | 46% below | 45% |
| Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID | $78.10 | $142.00 | $96.56–$134.90 | 36% below | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME | $40.15 | $73.00 | $49.64–$69.35 | 42% below | 45% |
| Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE | $62.15 | $113.00 | $76.84–$107.35 | 46% below | 45% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $84.15 | $153.00 | $8.17–$18.38 | 62% below | 45% |
| Magnesium blood test CPT 83735 MAGNESIUM | $48.95 | $89.00 | $60.52–$84.55 | 17% below | 45% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG OR IGA ANTIBODY | $113.85 | $207.00 | $140.76–$196.65 | 2% above | 45% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN | $33.55 | $61.00 | $41.48–$57.95 | 60% below | 45% |
| Mumps immunity blood test CPT 86735 MUMPS ANTIBODY | $80.30 | $146.00 | $99.28–$138.70 | 27% below | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $78.10 | $142.00 | $96.56–$134.90 | 49% below | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $91.85 | $167.00 | $113.56–$158.65 | 42% below | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $75.35 | $137.00 | $93.16–$130.15 | 51% below | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE | $183.15 | $333.00 | $226.44–$316.35 | 30% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $44.55 | $81.00 | $55.08–$76.95 | 32% below | 45% |
| Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS | $28.60 | $52.00 | $35.36–$49.40 | 52% below | 45% |
| Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM | $20.35 | $37.00 | $25.16–$35.15 | 67% below | 45% |
| Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE | $77.55 | $141.00 | $95.88–$133.95 | 51% below | 45% |
| Prolactin blood test CPT 84146 ASSAY OF PROLACTIN | $77.55 | $141.00 | $95.88–$133.95 | 54% below | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $30.80 | $56.00 | $4.29–$9.65 | 35% below | 45% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $151.80 | $276.00 | $187.68–$262.20 | 131% above | 45% |
| Renin blood test CPT 84244 ASSAY OF RENIN | $96.80 | $176.00 | $119.68–$167.20 | 49% below | 45% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT | $33.55 | $61.00 | $5.67–$12.76 | 37% below | 45% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $107.25 | $195.00 | $14.39–$32.38 | at median | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $33.55 | $61.00 | $2.70–$6.08 | 42% below | 45% |
| Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM | $19.25 | $35.00 | $23.80–$33.25 | 68% below | 45% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS | $89.10 | $162.00 | $8.90–$20.03 | 1% below | 45% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM | $58.85 | $107.00 | $72.76–$101.65 | 19% below | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $47.30 | $86.00 | $4.27–$9.61 | 24% below | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE | $93.50 | $170.00 | $115.60–$161.50 | 65% below | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE | $107.25 | $195.00 | $132.60–$185.25 | 47% below | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH | $60.50 | $110.00 | $74.80–$104.50 | 50% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $84.70 | $154.00 | $104.72–$146.30 | 41% below | 45% |
| Total IgE blood test CPT 82785 ASSAY OF IGE | $65.45 | $119.00 | $16.46–$37.04 | 44% below | 45% |
| Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE | $53.35 | $97.00 | $65.96–$92.15 | 32% below | 45% |
| Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3) | $91.30 | $166.00 | $14.18–$31.91 | 25% below | 45% |
| Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN | $249.70 | $454.00 | $308.72–$431.30 | 86% above | 45% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF | $63.25 | $115.00 | $78.20–$109.25 | 14% below | 45% |
| Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES | $45.10 | $82.00 | $5.74–$12.92 | 33% below | 45% |
| Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT | $100.65 | $183.00 | $12.47–$28.06 | 36% below | 45% |
| Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID | $32.45 | $59.00 | $40.12–$56.05 | 50% below | 45% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $37.95 | $69.00 | $46.92–$65.55 | 60% below | 45% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $45.65 | $83.00 | $8.07–$18.16 | 55% below | 45% |
| Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE | $39.05 | $71.00 | $5.78–$13.01 | 58% below | 45% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $75.35 | $137.00 | $93.16–$130.15 | 42% below | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $85.25 | $155.00 | $105.40–$147.25 | 53% below | 45% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY | $105.05 | $191.00 | $38.50–$86.63 | 62% below | 45% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $60.50 | $110.00 | $11.39–$25.63 | 35% below | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 QUANTITATIVE HCG URINE/SERUM | $116.60 | $212.00 | $15.05–$33.86 | 25% below | 45% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CLTX DISTL FIBULAR FX W/O MANJ | $201.30 | $366.00 | $248.88–$347.70 | 61% below | 45% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLTX METATARSAL FX W/O MANIP | $201.30 | $366.00 | $248.88–$347.70 | 65% below | 45% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT FX RADIAL/ULNA W/O MANIP | $273.35 | $497.00 | $337.96–$472.15 | 59% below | 45% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 RMVL IMP CERUMEN IRR/LVG UNI | $23.10 | $42.00 | $28.56–$39.90 | 81% below | 45% |
| Earwax removal with instruments, one ear CPT 69210 RMVL IMPX CERUMEN INSTR UNI | $53.90 | $98.00 | $66.64–$93.10 | 66% below | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE | $218.90 | $398.00 | $270.64–$378.10 | 37% below | 45% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO INTERM JT/BURSA W/O US | $255.20 | $464.00 | $315.52–$440.80 | 32% below | 45% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JT/BURSA W/O US SM | $815.10 | $1,482.00 | $1,007.76–$1,407.90 | 109% above | 45% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $78.65 | $143.00 | $97.24–$135.85 | 86% below | 45% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE SIMPLE | $33.55 | $61.00 | $41.48–$57.95 | 89% below | 45% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $284.90 | $518.00 | $352.24–$492.10 | 81% below | 45% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL MATRIX PERMANENT RMVL | $178.75 | $325.00 | $221.00–$308.75 | 75% below | 45% |
| Removal of a foreign object under the skin, simple CPT 10120 INC & RMVL FB SUBQ TISS SIMPLE | $337.15 | $613.00 | $416.84–$582.35 | 45% below | 45% |
| Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPLINT FA-HAND | $210.10 | $382.00 | $259.76–$362.90 | 24% below | 45% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION SHORT LEG SPLINT | $66.00 | $120.00 | $81.60–$114.00 | 69% below | 45% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE RPR S/N/AX/G/T 2.5CM/< | $56.10 | $102.00 | $69.36–$96.90 | 86% below | 45% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC | $608.30 | $1,106.00 | $752.08–$1,050.70 | 33% below | 45% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIM RPR S/N/AX/G/T 2.6-7.5 CM | $246.95 | $449.00 | $305.32–$426.55 | 36% below | 45% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIM RPR F/E/E/N/L/M 2.5 CM/< | $63.80 | $116.00 | $78.88–$110.20 | 82% below | 45% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAGING | $892.65 | $1,623.00 | $1,103.64–$1,541.85 | 29% below | 45% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ SINGLE/MLT TP 1/2 MUSCLES | $254.10 | $462.00 | $314.16–$438.90 | 47% below | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLOOD/BLOOD COMP | $273.35 | $497.00 | $337.96–$472.15 | 76% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $106.15 | $193.00 | $203.39–$503.37 | 63% below | 45% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST 30-74 MINS | $1,488.30 | $2,706.00 | $1,840.08–$2,570.70 | 58% below | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY | $146.85 | $267.00 | $181.56–$253.65 | 40% below | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ED VISIT MAY NOT REQ PHYS/QHP | $71.50 | $130.00 | $88.40–$123.50 | 72% below | 45% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM | $208.45 | $379.00 | $257.72–$360.05 | 63% below | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM | $343.75 | $625.00 | $425.00–$593.75 | 64% below | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM | $605.55 | $1,101.00 | $748.68–$1,045.95 | 64% below | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM | $940.50 | $1,710.00 | $1,162.80–$1,624.50 | 63% below | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INF 31 MIN-1HOUR | $197.45 | $359.00 | $244.12–$341.05 | 52% below | 45% |
| IV infusion of a medicine, first hour CPT 96365 NON CHEMO INF UP TO 1 HR | $345.95 | $629.00 | $427.72–$597.55 | 35% below | 45% |
| IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE/INITAL DRUG | $276.65 | $503.00 | $342.04–$477.85 | 15% below | 45% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $276.65 | $503.00 | $342.04–$477.85 | 15% below | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 NON CHEMO INJ SQ/IM | $95.70 | $174.00 | $118.32–$165.30 | 36% below | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUBQ INJECTION (RHOGAM) | $95.70 | $174.00 | $118.32–$165.30 | 36% below | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUBQ INJECTION | $95.70 | $174.00 | $118.32–$165.30 | 36% below | 45% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED/15M | $80.85 | $147.00 | $99.96–$139.65 | 31% below | 45% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT ASSMT&IVNTJ INDV EA 15 MIN | $55.55 | $101.00 | $68.68–$95.95 | 1% below | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $169.40 | $308.00 | $209.44–$292.60 | 47% below | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $169.95 | $309.00 | $210.12–$293.55 | 40% below | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $169.40 | $308.00 | $209.44–$292.60 | 43% below | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS/15M | $111.65 | $203.00 | $138.04–$192.85 | 4% above | 45% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $171.05 | $311.00 | $128.90–$305.84 | 40% below | 45% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Colorado | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax Vaccine with Diluent | $390.44 | $709.89 | $340.75–$674.40 | 36% below | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax Vaccine with Diluent | $390.44 | $709.89 | $340.75–$674.40 | 36% below | 45% |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax Vaccine with Diluent | $390.44 | $709.89 | $340.75–$674.40 | — | 45% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix Dtap Syringe | $72.38 | $131.60 | $63.17–$125.02 | 43% below | 45% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix Dtap Syringe | $72.38 | $131.60 | $63.17–$125.02 | 43% below | 45% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Infanrix Dtap Syringe | $72.38 | $131.60 | $63.17–$125.02 | — | 45% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Tenivac Syringe | $98.63 | $179.32 | $86.07–$170.35 | 35% below | 45% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Tenivac Syringe | $98.63 | $179.32 | $86.07–$170.35 | 35% below | 45% |
| DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Tenivac Syringe | $98.63 | $179.32 | $86.07–$170.35 | — | 45% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 Syringe | $630.83 | $1,146.97 | $550.55–$1,089.62 | 26% below | 45% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9 Syringe | $630.83 | $1,146.97 | $550.55–$1,089.62 | 26% below | 45% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Gardasil 9 Syringe | $630.83 | $1,146.97 | $550.55–$1,089.62 | — | 45% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B Pedi 10 Mcg/0.5 Syrn | $83.47 | $151.77 | $72.85–$144.18 | 23% below | 45% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B Pedi 10 Mcg/0.5 Syrn | $83.47 | $151.77 | $72.85–$144.18 | 23% below | 45% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Engerix-B Pedi 10 Mcg/0.5 Syrn | $83.47 | $151.77 | $72.85–$144.18 | — | 45% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib Vaccine with Diluent | $55.35 | $100.63 | $48.30–$95.60 | at median | 45% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib Vaccine with Diluent | $55.35 | $100.63 | $48.30–$95.60 | at median | 45% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Acthib Vaccine with Diluent | $55.35 | $100.63 | $48.30–$95.60 | — | 45% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II Vaccine Vial | $214.08 | $389.24 | $186.84–$369.78 | 33% below | 45% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II Vaccine Vial | $214.08 | $389.24 | $186.84–$369.78 | 33% below | 45% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II Vaccine Vial | $214.08 | $389.24 | $186.84–$369.78 | — | 45% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo A-C-Y-W-135-Dip Vial Kt | $357.14 | $649.34 | $311.68–$616.87 | 47% below | 45% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo A-C-Y-W-135-Dip Vial Kt | $357.14 | $649.34 | $311.68–$616.87 | 47% below | 45% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Menveo A-C-Y-W-135-Dip Vial Kt | $357.14 | $649.34 | $311.68–$616.87 | — | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 Vial | $334.20 | $607.63 | $291.66–$577.25 | 5% below | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 Vial | $334.20 | $607.63 | $291.66–$577.25 | 5% below | 45% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 Vial | $334.20 | $607.63 | $291.66–$577.25 | — | 45% |
| Rabies vaccine, one dose CPT 90675 Rabavert Rabies Vacc W-Diluent | $932.42 | $1,695.31 | $319.74–$719.42 | 28% below | 45% |
| Rabies vaccine, one dose CPT 90675 Rabavert Rabies Vacc W-Diluent | $932.42 | $1,695.31 | $1,152.81–$1,610.54 | 28% below | 45% |
| Rabies vaccine, one dose inpatient CPT 90675 Rabavert Rabies Vacc W-Diluent | $932.42 | $1,695.31 | $1,152.81–$1,610.54 | — | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix Tdap Vaccine Vial | $112.45 | $204.46 | $98.14–$194.24 | 46% below | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix Tdap Vaccine Vial | $112.45 | $204.46 | $98.14–$194.24 | 46% below | 45% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Boostrix Tdap Vaccine Vial | $112.45 | $204.46 | $98.14–$194.24 | — | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION | $26.95 | $49.00 | $33.32–$46.55 | 61% below | 45% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://sanluis.pt.panaceainc.com/MRFDownload/sanluis/slvconejos